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A Practical Guide to Phylogenetics for Nonexperts
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How would Mary Poppins fare in labour? Practically perfect? Unlikely.

L Bolger1,2, R Sweeney1,3, M Foley4

  • 1Royal College of Surgeons in Ireland

Irish Medical Journal
|November 30, 2018
PubMed
Summary
This summary is machine-generated.

Only 0.8% of first-time mothers achieve a "practically perfect" birth, defined as a labor without intervention, intact perineum, and positive neonatal outcome. This finding offers valuable data for clinicians and expectant mothers regarding childbirth expectations.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatal Outcomes

Background:

  • Unrealistic expectations of labor among nulliparous women can create challenges for healthcare providers.
  • Defining and quantifying an 'ideal' birth is crucial for managing expectations and improving care.

Purpose of the Study:

  • To determine the incidence of "practically perfect" births in nulliparous women.
  • To establish a benchmark for spontaneous, intervention-free childbirth with optimal maternal and neonatal outcomes.

Main Methods:

  • Retrospective analysis of nulliparous deliveries at the National Maternity Hospital (2014-2015).
  • Exclusion criteria included preterm delivery, induction, operative interventions (Caesarean section, instrumental delivery), perineal trauma, and suboptimal neonatal scores.

Main Results:

  • Only 0.8% of nulliparous mothers experienced a "practically perfect" birth.
  • This highlights the rarity of unassisted, complication-free childbirth in this population.

Conclusions:

  • The low incidence of "practically perfect" births underscores the need for realistic expectations in first-time mothers.
  • Further research validating these findings in diverse settings and exploring subjective perceptions of 'perfect' births is recommended.