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Buy Max Gentlemen Without Prescription, Giving birth at home is as safe as doing so in hospital with a midwife,” BBC news has reported. The news service highlights results from a very large Dutch study that found for low-risk women, Max Gentlemen over the counter, Max Gentlemen results, giving home birth presented no more danger than a hospital delivery.

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This study of 530, buy Max Gentlemen no prescription, After Max Gentlemen, 000 births has demonstrated that, for low-risk women who remain under sole midwife care during pregnancy, no prescription Max Gentlemen online, Max Gentlemen dose, labour and birth, there is no difference in risk of death or severe illness in the newborn, where can i buy cheapest Max Gentlemen online. Max Gentlemen pictures, It is important to note that this analysis has excluded a large number of women with pregnancy and labour complications, as well as those who had premature onset of labour, where can i find Max Gentlemen online, Max Gentlemen interactions, required induction or who had additional risk factors such as a previous caesarean or twin pregnancy.

The safety of home births has often been debated and these results are encouraging, buy Max Gentlemen online no prescription, Max Gentlemen gel, ointment, cream, pill, spray, continuous-release, extended-release, although it should be noted that these Dutch findings may not be representative of outcomes that would be seen in other countries. Effective and safe maternity care services rely on well-trained professionals, the facilities to support the woman’s choice and the systems to ensure appropriate access to expert care if needed, Buy Max Gentlemen Without Prescription.

Where did the story come from?


This research was conducted by A de Jonge and colleagues from various medical institutions in the Netherlands, Max Gentlemen no rx. Real brand Max Gentlemen online, The study was funded by the Dutch Ministry of Health, and published in the peer-reviewed British Journal of Obstetrics and Gynaecology.

What kind of scientific study was this?


This was a nationwide cohort study comparing the perinatal mortality (death around the time of birth) and severe perinatal morbidity (illness) between planned home and hospital births among low-risk pregnant women, doses Max Gentlemen work. Order Max Gentlemen from mexican pharmacy, Data for this study was collected from the Netherlands primary care, secondary care obstetric, order Max Gentlemen online overnight delivery no prescription, Max Gentlemen used for, and paediatric care databases for all women who gave birth between January 2000 and December 2006. The study compared women on their intended place of birth (home, buy generic Max Gentlemen, Effects of Max Gentlemen, hospital or unknown) for outcomes of death of the baby during birth, up to 24 hours after, buy Max Gentlemen online cod, Max Gentlemen forum, and up to seven days after, and admission to a neonatal intensive care unit (as an indicator of severe morbidity), Max Gentlemen from mexico. Buy Max Gentlemen Without Prescription, The study included only low-risk women who were solely under midwife care at the time of onset of labour (in the Netherlands any woman with risk factors identified during pregnancy is placed under the care of an obstetrician in hospital). Max Gentlemen alternatives, Such women could choose to give birth either in hospital or at home but would still be under midwife care.

There were a number of factors that excluded women from being in the low-risk group, Max Gentlemen schedule. Fast shipping Max Gentlemen, For example, births requiring pain relief drugs during labour, Max Gentlemen pics, Max Gentlemen no prescription, foetal monitoring or induction of labour would only take place in secondary care under the supervision of an obstetrician, and would no longer be considered to be in the low-risk category, where can i cheapest Max Gentlemen online. Buy Max Gentlemen without a prescription, Some women also began labour at home but were later referred to hospital due to complications (such as failure to progress or abnormal foetal heart rate) and transferred into secondary care.

All women categorised as being in the low-risk sample gave birth to a single baby at term (between 37 and 42 weeks gestation) and did not have any medical or obstetric risk factors that were known before labour, such as breech presentation or a previous caesarean section, Buy Max Gentlemen Without Prescription. Additionally, purchase Max Gentlemen, Taking Max Gentlemen, the study excluded women who remained under midwife care but who had risk factors including history of postpartum haemorrhage, those with prolonged rupture of membranes, Max Gentlemen brand name, Purchase Max Gentlemen online, or a child with congenital abnormality.

What were the results of the study?


Of the 529, Max Gentlemen pharmacy, Max Gentlemen reviews, 688 women in midwife-led care at the onset of labour, 321, cheap Max Gentlemen, Max Gentlemen natural, 307 (60.7%) planned to have a home birth, 163, cheap Max Gentlemen no rx, Max Gentlemen photos, 261 (30.8%) planned to have a hospital birth, and for 45,120 women (8.5%), the intended place of birth was unknown. Women who were planning a home birth were more likely to be aged over 25, to have had previous children and to be of medium-to-high social/economic status than those planning a hospital birth.

Incidence of infant death during labour and the first 24 hours following birth was low for all women in the cohort: 0.05% (84) of all those having hospital birth; 0.05% (148) of all those having a home birth; and 0.04% (16) of those whose planned location of birth was unknown. Buy Max Gentlemen Without Prescription, No significant differences were found in the relative risks of perinatal mortality among the planned home birth or unknown birth place groups, compared to the planned hospital birth group. This was found in analyses both with and without adjustment for the confounder factors of gestational age, the mother's age, ethnic background, number of previous children and socio-economic status.

Risks of mortality at any time and of admission to neonatal intensive care service was higher among women having their first baby, those giving birth at 37 or 41 weeks gestation, and who were aged over 35.

What interpretations did the researchers draw from these results?


The authors conclude that a home birth does not increase the risks of perinatal mortality and severe perinatal morbidity among low-risk women. However, they say that a successful system relies upon a good maternity care that facilitates the choice of place of birth through the availability of well-trained midwives combined with a good transportation and referral system to secondary care where necessary.

What does the NHS Knowledge Service make of this study?


This study of a very large sample of pregnant women has demonstrated that there is no difference in risk of death or severe illness in the newborn for low-risk women who remain under sole midwife care during pregnancy, labour and birth, Buy Max Gentlemen Without Prescription.

It is important to note that the study has not assessed the outcomes of women who were referred to obstetrics due to any pregnancy complications, having a multiple pregnancy, previous Caesarean, non-cephalic presentation (e.g. breech), or who went into premature labour, had prolonged rupture of membranes or who required induction. Women who remained under midwife care (either at home or in hospital) but who were considered to have medium, risk factors, such as history of postpartum haemorrhage were also excluded.

Additionally, as the extracted data relies upon the accuracy of recording all outcomes within national databases there may be some error in data entry or missed information, but within the study paediatric data on intensive care admissions was missing for 50% of non-teaching hospitals. Buy Max Gentlemen Without Prescription, Due to this method of assessment, it is also difficult to answer questions relevant to many home births, such as outcomes if complications were to develop, e.g. transportation times to hospital and time-delay prior to receiving expert obstetrician or neonatal care.

It should be noted that this study has assessed the situation over a seven-year period in the Netherlands only. These findings may not be representative of other countries and populations.

The safety of home births has often been debated but they offer an alternative to many women who would prefer to be surrounded by the comforts of home during labour and birth rather than the more clinical atmosphere of a hospital. However, as the authors of this study appropriately conclude, such a system relies upon a good maternity care system that allows pregnant women the choice of where they give birth through the availability of well-trained midwives, and through a good transportation and referral system to secondary care where necessary.

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