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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Development of the Oral Microbiota01:28

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The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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Intrauterine Drug Delivery Systems

Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
Development of Human Microbiota01:30

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The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...

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External Cephalic Version: Is it an Effective and Safe Procedure?
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Cesarean delivery in the developing world.

Blair J Wylie1, Fadi G Mirza

  • 1Harvard Medical School, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02115, USA. bwylie@partners.org

Clinics in Perinatology
|October 28, 2008
PubMed
Summary
This summary is machine-generated.

Cesarean delivery rates in developing nations show concerning extremes: critically low in least developed countries, risking maternal and infant mortality, and excessively high in some advanced developing economies, raising safety concerns. Both trends warrant critical examination for optimal obstetric care.

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Area of Science:

  • Obstetrics and Gynecology
  • Global Health
  • Maternal and Child Health

Background:

  • Cesarean delivery is a vital surgical procedure for managing childbirth complications.
  • Developing countries exhibit dual trends in cesarean delivery rates: scarcity and overutilization.
  • Limited access correlates with increased maternal and neonatal mortality in low-resource settings.

Purpose of the Study:

  • To critically examine the contrasting trends in cesarean delivery rates within the developing world.
  • To highlight the implications of both underuse and overuse of cesarean delivery on maternal and neonatal outcomes.
  • To inform the ongoing debate on optimal cesarean delivery rates in diverse global contexts.

Main Methods:

  • Analysis of existing data on cesarean delivery rates across different developing economies.
  • Comparative assessment of maternal and neonatal mortality in regions with low and high cesarean rates.
  • Review of socioeconomic factors influencing cesarean delivery utilization.

Main Results:

  • Least developed countries report cesarean delivery rates below 5%, associated with higher mortality.
  • Certain advanced developing economies show rates exceeding 50% in specific populations, raising safety concerns.
  • Significant disparities in cesarean delivery access and utilization exist globally.

Conclusions:

  • The extremes of cesarean delivery rates in the developing world present significant public health challenges.
  • Addressing both limited access and overutilization is crucial for improving maternal and neonatal survival.
  • Further research and context-specific strategies are needed to establish appropriate cesarean delivery practices.