Knowledge

Childbirth

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2293: 1280:. Epidural analgesia is a generally safe and effective method of relieving pain in labour, but has been associated with longer labour, more operative intervention (particularly instrument delivery), and increases in cost. However, a more recent (2017) Cochrane review suggests that the new epidural techniques have no effect on labour time and the use of instruments or the need for C-section deliveries. Generally, pain and stress hormones rise throughout labour for women without epidurals, while pain, fear, and stress hormones decrease upon administration of epidural analgesia, but rise again later. Medicine administered via epidural can cross the placenta and enter the bloodstream of the fetus. Epidural analgesia has no statistically significant impact on the risk of caesarean section, and does not appear to have an immediate effect on neonatal status as determined by Apgar scores. 2177:, giving birth at home became more difficult due to congested living spaces and dirty living conditions. That drove urban and lower-class women to newly available hospitals, while wealthy and middle-class women continued to labour at home. Consequently, wealthier women experienced lower maternal mortality rates than those of a lower social class. Throughout the 1900s, there was an increasing availability of hospitals, and more women began going into the hospital for labour and delivery. In the United States, 5% of women gave birth in hospitals in 1900. By 1930, 50% of all women and 75% of urban-dwelling women delivered in hospitals. By 1960, this number increased to 96%. By the 1970s, home birth rates fell to approximately 1%. In the United States, the middle classes were especially receptive to the medicalisation of childbirth, which promised a safer and less painful labour. 2235:", was first used in Germany and popularised by German physicians Bernard Kronig and Karl Gauss. This concoction offered minor pain relief but mostly allowed women to completely forget the entire delivery process. Under twilight sleep, mothers were often blindfolded and restrained as they experienced the immense pain of childbirth. The cocktail came with severe side effects, such as decreased uterine contractions and altered mental state. Additionally, babies delivered with the use of childbirth drugs often experienced temporarily-ceased breathing. The feminist movement in the United States openly and actively supported the use of twilight sleep, which was introduced to the country in 1914. Some physicians, many of whom had been using painkillers for the past fifty years, including opium, cocaine, and quinine, embraced the new drug. Others were hesitant. 1889: 876: 1469: 956:
to 6 days in (pre-war) Ukraine. Averages for Australia are 2.8 days and 1.5 days in the UK. While this number is low, two-thirds of women in the UK have midwife-assisted births and in some cases the mother may choose a hospital setting for birth to be closer to the wide range of assistance available for an emergency situation. However, women with midwife care may leave the hospital shortly after birth and her midwife will continue her care at her home. In the U.S. the average length of stay has gradually dropped from 4.1 days in 1970 to a current stay of 2 days. The CDC attributed the drop to the rise in health care costs, saying people could not afford to stay in the hospital any longer. To keep it from dropping any lower, in 1996 congress passed the
1122: 409:, a hormone that is known to evoke feelings of contentment, reductions in anxiety, and feelings of calmness and security around the mate. Oxytocin is further released during labour when the fetus stimulates the cervix and vagina, and it is believed that it plays a major role in the bonding of a mother to her infant and in the establishment of maternal behaviour. Studies show that the father of the child also has an increase in oxytocin levels following contact with the infant and parents with higher oxytocin levels showed more responsiveness and synchrony in their interactions with their infant. The act of 2902:. In some cultures the placenta may be consumed as a nutritional boost, but it may also be seen as a special part of birth and eaten by the newborn's family ceremonially. In the developed world the placenta may be eaten believing that it reduces postpartum bleeding, increases milk supply, provides micronutrients such as iron, and improves mood and boosts energy. The CDC advises against this practice, saying it has not been shown to promote health but has been shown to possibly transmit disease organisms that were passed from the placenta into the mother's breastmilk and then infecting the baby. 1671:. The prevalence of fear of childbirth around the world ranges between 4–25%, with 3–7% of pregnant women having clinical fear of childbirth. Although pain may be seen as a self-evident and indisputable fact, in reality pain is only one sensation of childbirth. There are many other sensations such as bliss, joy and satisfaction which can be more powerful than pain. Previous studies have indicated that negative expectations can actually increase sensitivity to pain through the process of nocebo hyperalgesia. While positive expectations can reduce pain through placebo analgesia. 2247:(or C-section) in which both mother and baby survived. It is, however, known that the procedure had been attempted for hundreds of years before it became accepted in the beginning of the twentieth century. While forceps have gone through periods of high popularity, today they are only used in approximately 10% of deliveries. The c-section has become the more popular solution for difficult deliveries. In 2005, one-third of babies were born via C-section. Historically, surgical delivery was a last-resort method of extracting a baby from its deceased or dying mother but today 1003:
the 1970s, once a patient delivered one baby via C-section, it was recommended that all of her future babies be delivered by C-section, but that recommendation has changed. Unless there is some other indication, mothers can attempt a trial of labour and most are able to have a vaginal birth after C-section (VBAC). Induced births and elective cesarean before 39 weeks can be harmful to the neonate as well as harmful or without benefit to the mother. Therefore, many guidelines recommend against non-medically required induced births and elective cesarean before 39 weeks.
393:(the muscle part of the uterus) is greatly denervated. Stretch receptors in the uterus disappear during pregnancy, and stretch receptors in the cervix disappear at the onset of labour. Consequently, the reason for labour pain has only been theorised, not ascertained. One theory is that the pain results from the buildup of chemicals released during physical exertion. The second leading theory is that the pain results from the vasoconstriction of uterine blood vessels in the myometrium; each contraction squeezes the blood vessels, reducing blood flow and causing some 1522:'s report found that each day about 8,000 newborns die during the first month of life. Worldwide, more than 1 million babies die during their first day even though simple measures such as antibiotics, hand-held breathing masks and other simple interventions could prevent the deaths of 70% of infants. The United States had the highest first-day infant death rate of all the industrialised nations in the world. In the US, each year about 11,300 newborns die within 24 hours of their birth, 50% more first-day deaths than all other industrialised countries combined. 9952: 1498:
births – 2.9 times the rate for white women. In 2023, a study reported that deaths among Native American women were even higher, at 3.5 times the rate for White women. The report attributed the high rate in part to the fact that Native American women are cared for under a poorly funded Federal Health Care System that is so stretched that the average monthly visit lasts only from three to seven minutes. Such a short visit allows neither time for performing an adequate health assessment nor time for the patient to discuss any problems she may be experiencing.
505: 539:, which is the process of the baby moving down from the rib cage with the head of the baby engaging deep in the pelvis. The pregnant woman may then find breathing easier, since her lungs have more room for expansion, but pressure on her bladder may cause more frequent need to void (urinate). Lightening may occur a few weeks or a few hours before labour begins, or even not until labour has begun. Some women also experience an increase in vaginal discharge several days before labour begins when the "mucus plug", a thick plug of 2374: 1289: 428: 2354: 298:. It is best practice to limit the amount of interventions that occur during labour and delivery such as an elective cesarean section, however in some cases a scheduled cesarean section must be planned for a successful delivery and recovery of the mother. An emergency cesarean section may be recommended if unexpected complications occur or little to no progression through the birthing canal is observed in a vaginal delivery. Each year, complications from pregnancy and childbirth result in about 500,000 1340:
needed (restrictive) with routine episiotomy to determine the possible benefits and harms for mother and baby. The review found that restrictive episiotomy policies appeared to give a number of benefits compared with using routine episiotomy. Women experienced less severe perineal trauma, less posterior perineal trauma, less suturing and fewer healing complications at seven days with no difference in occurrence of pain, urinary incontinence, painful sex or severe vaginal/perineal trauma after birth.
911:(WHO) states that "the process of childbirth is not finished until the baby has safely transferred from placental to mammary nutrition." It is advised that the newborn be placed skin-to-skin with the mother following vaginal birth, or as soon as the mother is alert and responsive after a Caesarean section, postponing any routine procedures for at least one to two hours. The baby's father or other support person may also choose to hold the baby SSC until the mother recovers from the anaesthetic. 2414: 2438:
average out of the pocket expenses for a vaginal delivery were $ 2,655 and $ 3,214 for a cesarean birth. Variables which determined charges included length of hospital stay, which averaged 48 hours for vaginal birth and 96 hours for a cesarean. There could be charges for any complications before or after the birth, for example an induced labour costs more than a spontaneous birth. Babies that had a difficult birth may need special tests and monitoring, adding to the costs of childbirth.
1193:, also called ventouse extraction. Done properly, they are both safe with some preference for forceps rather than vacuum, and both are seen as preferable to an unexpected C-section. While considered safe, some risks for the mother include vaginal tearing, including a higher chance of having a more major vaginal tear that involves the muscle or wall of the anus or rectum. For women undergoing operative vaginal delivery with vacuum extraction or forceps, there is strong evidence that 1829:. Premature birth is the leading cause of death in children under five years of age though many that survive experience disabilities including learning defects and visual and hearing problems. Causes for early birth may be unknown or may be related to certain chronic conditions such as diabetes, infections, and other known causes. The World Health Organization has developed guidelines with recommendations to improve the chances of survival and health outcomes for preterm infants. 10638: 14392: 11781: 258:. The first stage is characterised by abdominal cramping or also back pain in the case of back labour, that typically lasts half a minute and occurs every 10 to 30 minutes. Contractions gradually become stronger and closer together. Since the pain of childbirth correlates with contractions, the pain becomes more frequent and strong as the labour progresses. The second stage ends when the infant is fully expelled. The third stage is the delivery of the 369:, commonly known as "water breaking". During pregnancy, a baby is surrounded and cushioned by a fluid-filled sac. Usually the sac ruptures at the beginning of or during labour. It may cause a gush of fluid or leak in an intermittent or constant flow of small amounts from a woman's vagina. The fluid is clear or pale yellow. If the amniotic sac has not yet broken during labour the health care provider may break it in a technique called an 896:, is a technique of newborn care where babies are kept chest-to-chest and skin-to-skin with a parent, typically their mother or possibly the father. This means without the shirt or undergarments on the chest of both the baby and parent. A 2011 medical review found that early skin-to-skin contact resulted in a decrease in infant crying, improved cardio-respiratory stability and blood glucose levels, and improved breastfeeding duration. A 2016 2587: 1163:(a surgical cut to enlarge the vaginal entrance) easier, and helped with instrumental deliveries. It is currently less common, though it is still a routine procedure in some countries even though a systematic review found no evidence to recommend shaving. Side effects appear later, including irritation, redness, and multiple superficial scratches from the razor. Another effort to prevent infection has been the use of the antiseptic 53: 11805: 11793: 2606:"Childbirth educators" are instructors who aim to teach pregnant women and their partners about the nature of pregnancy, labour signs and stages, techniques for giving birth, breastfeeding and newborn baby care. Training for this role can be found in hospital settings or through independent certifying organisations. Each organisation teaches its own curriculum and each emphasises different techniques. The 2181:
affluent families were primarily calling male doctors to assist with their deliveries, and female midwives were seen as a resource for women who could not afford better care. That completely removed women from assisting in labour, as only men were eligible to become doctors at the time. Additionally, it privatised the birthing process as family members and friends were often banned from the delivery room.
608: 1748: 650:, also called "dysfunctional labour" or "failure to progress", is difficult labour or abnormally slow progress of labour, involving progressive cervical dilatation or lack of descent of the fetus. Friedman's Curve, developed in 1955, was for many years used to determine labour dystocia. However, more recent medical research suggests that the Friedman curve may not be currently applicable. 1836:. Tocolytics delay labour by inhibiting contractions of the uterine muscles that progress labour. The most widely used tocolytics include beta agonists, calcium channel blockers, and magnesium sulfate. The goal of administering tocolytics is not to delay delivery to the point that the child can be delivered at term, but instead to postponing delivery long enough for the administration of 806: 1435:(WHO) advises that for healthy women undergoing spontaneous labour continuous cardiotocography is not recommended for assessment of fetal well-being. The WHO states: "In countries and settings where continuous CTG is used defensively to protect against litigation, all stakeholders should be made aware that this practice is not evidence-based and does not improve birth outcomes." 9571: 2156:, immediately following birth and for the first few weeks of life. Some fathers have begun to hold their newborns skin to skin; the new baby is familiar with the father's voice and it is believed that contact with the father helps the infant to stabilise and promotes father to infant bonding. Looking at recent studies, a 2019 review found that the level of 2142:; the father would be waiting downstairs or in another room in the home. If it was in a hospital, then the father would wait in the waiting room. Fathers were only permitted in the room if the life of the mother or baby was severely at-risk. In 1522, a German physician was sentenced to death for sneaking into a delivery room dressed as a woman. 2027:, and infections in newborn babies, particularly in the areas where rates of infection remain high. The majority of STIs have no symptoms or only mild symptoms that may not be recognised. Mortality rates resulting from some infections may be high, for example the overall perinatal mortality rate associated with untreated syphilis is 30%. 1739:), depression, severe confusion, loss of inhibition, paranoia, hallucinations and delusions set in, beginning suddenly in the first two weeks after childbirth. The symptoms vary and can change quickly. It usually requires hospitalisation. The most severe symptoms last from two to 12 weeks, and recovery takes six months to a year. 9563: 1580:. Pre-eclampsia is a disorder of pregnancy in which there is high blood pressure and either large amounts of protein in the urine or other organ dysfunction. Pre-eclampsia is routinely screened for during prenatal care. Onset may be before, during, or rarely, after delivery. Around 1% of women with eclampsia die. 9974: 1015:(ACOG) guidelines recommend a full evaluation of the maternal-fetal status, the status of the cervix, and at least a 39 completed weeks (full term) of gestation for optimal health of the newborn when considering elective induction of labour. Per these guidelines, indications for induction may include: 2602:
may provide support and care during pregnancy and childbirth, although there are important differences across categories based on professional training and skills, practice regulations, and the nature of care delivered. Many of these occupations are highly professionalised, but other roles exist on a
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with backup emergency obstetric care, the global maternal mortality ratio has fallen from 385 maternal deaths per 100,000 live births in 1990 to 216 deaths per 100,000 live births in 2015, and it was reported in 2017 that many countries had halved their maternal death rates in the
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The use of pain medication in labour has been a controversial issue for hundreds of years. A Scottish woman was burned at the stake in 1591 for requesting pain relief in the delivery of twins. Medication became more acceptable in 1852, when Queen Victoria used chloroform as pain relief during labour.
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There was opposition to the change from both progressive feminists and religious conservatives. The feminists were concerned about job security for a role that had traditionally been held by women. The conservatives argued that it was immoral for a woman to be exposed in such a way in front of a man.
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Accompanied by the shift from home to hospital was the shift from midwife to physician. Male physicians began to replace female midwives in Europe and the United States in the 1700s. The rise in status and popularity of this new position was accompanied by a drop in status for midwives. By the 1800s,
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is different from the "baby blues". With postpartum depression, feelings of sadness and anxiety can be extreme and might interfere with a woman's ability to care for herself or her family. Because of the severity of the symptoms, postpartum depression usually requires treatment. The condition, which
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Postpartum infections, also historically known as childbed fever and medically as puerperal fever, are any bacterial infections of the reproductive tract following childbirth or miscarriage. Signs and symptoms usually include a fever greater than 38.0 Β°C (100.4 Β°F), chills, lower abdominal
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There was a 44% decline in the maternal death rate between 1990 and 2015. However, 830 women died every day in 2015 from causes related to pregnancy or childbirth and for every woman who dies, 20 or 30 encounter injuries, infections or disabilities. Most of these deaths and injuries are preventable.
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Continuous labour support may help women to give birth spontaneously, that is, without caesarean or vacuum or forceps, with slightly shorter labours, and to have more positive feelings regarding their experience of giving birth. Continuous labour support may also reduce women's use of pain medication
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Obstetric care frequently subjects women to institutional routines, which may have adverse effects on the progress of labour. Supportive care during labour may involve emotional support, comfort measures, and information and advocacy which may promote the physical process of labour as well as women's
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A standard duration of the latent first stage has not been established and can vary widely from one woman to another. However, the duration of active first stage (from 5 cm until full cervical dilatation) usually does not extend beyond 12 hours in the first labour("primiparae"), and usually does
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of many countries, hospitalised childbirth may not be readily available or the best option. Maternal evacuation is the predominant risk management method for assisting mothers in these communities. Maternal evacuation is the process of relocating pregnant women in remote communities to deliver their
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It involves changing long-standing policies, protocols and behaviors. The Baby-Friendly Hospital Initiative includes a very rigorous credentialing process that includes a two-day site visit, where assessors evaluate policies, community partnerships and education plans, as well as interview patients,
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The rising maternal death rate in the US is of concern. In 1990 the US ranked 12th of the 14 developed countries that were analysed. However, since that time the rates of every country have steadily continued to improve while the US rate has spiked dramatically. While every other developed nation
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or extend to the muscles and the anal sphincter and anus. Once common, they are now recognised as generally not needed. When needed, the midwife or obstetrician makes a surgical cut in the perineum to prevent severe tears that can be difficult to repair. A 2017 Cochrane review compared episiotomy as
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Induction is also considered for logistical reasons, such as the distance from hospital or psychosocial conditions, but in these instances gestational age confirmation must be done, and the maturity of the fetal lung must be confirmed by testing. The ACOG also note that contraindications for induced
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through a surgical incision in the abdomen, rather than through vaginal birth. During the procedure the patient is usually numbed with an epidural or a spinal block, but general anaesthesia can be used as well. A cut is made in the patient's abdomen and then in the uterus to remove the baby. Before
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For births that occur in hospitals the WHO recommends a hospital stay of at least 24 hours following an uncomplicated vaginal delivery and 96 hours for a Cesarean section. Looking at length of stay (in 2016) for an uncomplicated delivery around the world shows an average of less than 1 day in Egypt
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is a complication that occurs during childbirth when a fetus exhibits posterior presentation (i.e. when the fetus is facing the mother’s navel), instead of the typical anterior presentation. This leads to more intense contractions, and causes pain in the lower back that persists between contractions
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and performed by Truven Healthcare Analytics, the cost of childbirth varies dramatically by country. In the United States the average amount actually paid by insurance companies or other payers in 2012 averaged $ 9,775 for an uncomplicated conventional delivery and $ 15,041 for a caesarean birth. A
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The reemergence of "natural childbirth" began in Europe and was adopted by some in the US as early as the late 1940s. Early supporters believed that the drugs used during deliveries interfered with "happy childbirth" and could negatively impact the newborn's "emotional wellbeing". By the 1970s, the
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Historically, most women gave birth at home without emergency medical care available. In the early days of hospitalisation for childbirth, a 17th-century maternity ward in Paris was incredibly congested, with up to five pregnant women sharing one bed. At this hospital, one in five women died during
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during the third, and the 4th stage of recovery which lasts until two hours after the delivery. The first stage is characterised by abdominal cramping or back pain that typically lasts around half a minute and occurs every 10 to 30 minutes. The contractions (and pain) gradually becomes stronger and
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Comfort and proximity to extended family and social support systems may be a childbirth priority of many communities in developing countries, such as the Chillihuani in Peru and the Mayan town of San Pedro La Laguna. Home births can help women in these cultures feel more comfortable as they are in
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According to the WHO, haemorrhage is the leading cause of maternal death worldwide accounting for approximately 27.1% of maternal deaths. Within maternal deaths due to haemorrhage, two-thirds are caused by postpartum haemorrhage. The causes of postpartum haemorrhage can be separated into four main
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A puerperal disorder or postpartum disorder is a complication which presents primarily during the puerperium, or postpartum period. The postpartum period can be divided into three distinct stages; the initial or acute phase, six to 12 hours after childbirth; subacute postpartum period, which lasts
1431:(toco) has a flat area that is fixated to the skin by a band around the belly. The pressure required to flatten a section of the wall correlates with the internal pressure, thereby providing an estimate of contraction. Monitoring with a cardiotocograph can either be intermittent or continuous. The 1112:
Looking at the C-section rates between 1976 and 1996, one large study done in the U.S. found that the proportion of pregnancies delivered by C section increased from 6.7% in 1976 to 14.2% in 1996, with maternal choice the most frequent reason given. By 2018 the rate had climbed to one-third of all
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gave an average cost of $ 18,865 ($ 14,768 for vaginal and $ 26,280 for cesarean) which included pregnancy, delivery and postpartum care. However, many factors determined the costs, including where the woman lived, the type of birth, and whether or not they had insurance. Even with insurance,
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Historically, women have been attended and supported by other women during labour and birth. Midwife training in European cities began in the 1400s, but rural women were usually assisted by female family or friends. However, it was not simply a ladies' social bonding event as some historians have
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In 2022, the WHO reported that the US had the highest maternal death rate of any developed nation while other nations continued to experience declines. The death rate of black women has also continued to climb with a 2020 CDC report showing the maternal death rate at 55.3 deaths per 100,000 live
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Eating or drinking during labour is an area of ongoing debate. While some have argued that eating in labour has no harmful effects on outcomes, others continue to have concern regarding the increased possibility of an aspiration event (choking on recently eaten foods) in the event of an emergency
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The WHO suggests that any initial observations of the infant can be done while the infant remains close to the mother, saying that even a brief separation before the baby has had its first feed can disturb the bonding process. They further advise frequent skin-to-skin contact as much as possible
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following the birth. The first passing of urine should be documented within six hours. Afterpains (pains similar to menstrual cramps), contractions of the uterus to prevent excessive blood flow, continue for several days. Vaginal discharge, termed "lochia", can be expected to continue for several
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method of childbirth teaches that making noises such as moaning, groaning, grunting, repeating words over and over, and any sound that one's body may wish to naturally make may help to relieve pain and help labour to progress. According to Lamaze, "While the media would have you believe that all
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Some communities rely heavily on religion for their birthing practices. It is believed that if certain acts are carried out, then it will allow the child for a healthier and happier future. One example of this is the belief in the Chillihuani that if a knife or scissors are used for cutting the
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are healthcare providers that are able to provide emergency care to both the mother and infant during and after delivery using a wide range of medications and tools on an ambulance. They are capable of delivering babies but can do very little for infants that become "stuck" and are unable to be
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At one time babies born in hospitals were removed from their mothers shortly after birth and brought to the mother only at feeding times. Mothers were told that their newborns would be safer in the nursery and that the separation would offer the mothers more time to rest. As attitudes began to
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begins as a physiological separation from the wall of the uterus. The average time from delivery of the baby until complete expulsion of the placenta is estimated to be 10–12 minutes dependent on whether active or expectant management is employed. In as many as 3% of all vaginal deliveries, the
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During effacement, the cervix becomes incorporated into the lower segment of the uterus. During a contraction, uterine muscles contract causing shortening of the upper segment and drawing upwards of the lower segment, in a gradual expulsive motion. The presenting fetal part then is permitted to
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are autonomous practitioners who provide basic and emergency health care before, during and after pregnancy and childbirth, generally to women with low-risk pregnancies. Midwives are trained to assist during labour and birth, either through direct-entry or nurse-midwifery education programmes.
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found that with good obstetrical anaesthesia there is no change in harms from allowing eating and drinking during labour in those who are unlikely to need surgery. They additionally acknowledge that not eating does not mean there is an empty stomach or that its contents are not as acidic. They
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The second stage varies from one woman to another. In first labours, birth is usually completed within three hours whereas in subsequent labours, birth is usually completed within two hours. Second-stage labours longer than three hours are associated with declining rates of spontaneous vaginal
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The expulsion stage begins when the cervix is fully dilated, and ends when the baby is born. As pressure on the cervix increases, a sensation of pelvic pressure is experienced, and, with it, an urge to begin pushing. At the beginning of the normal second stage, the head is fully engaged in the
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elevates in a mother when she interacts with her infant. In 2019, a large review of the effects of oxytocin found that the oxytocin level in fathers that engage in SSC is increased as well. Two studies found that "when the infant is clothed only in a diaper and placed in between the mother or
2798:, it will cause for the child to go through clothes very quickly. To prevent this, a jagged ceramic tile is used to cut the umbilical cord. In Mayan societies, ceremonial gifts are presented to the mother throughout pregnancy and childbirth to help her into the beginning of her child's life. 619:
of labour has geographically differing definitions. The World Health Organization describes the active first stage as "a period of time characterised by regular painful uterine contractions, a substantial degree of cervical effacement and more rapid cervical dilatation from 5 cm until full
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Home births facilitated by trained midwives produced the best outcomes from 1880 to 1930 in the US and Europe, whereas physician-facilitated hospital births produced the worst. The change in trend of maternal mortality can be attributed with the widespread use of antibiotics along with the
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communities. There has been research considering the negative effects of maternal evacuation due to a lack of social support provided to these women. These negative effects include an increase in maternal newborn complications and postpartum depression, and decreased breastfeeding rates.
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Augmentation is the process of stimulating the uterus to increase the intensity and duration of contractions after labour has begun. Several methods of augmentation are commonly been used to treat slow progress of labour (dystocia) when uterine contractions are assessed to be too weak.
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Vaginal delivery is generally recommended as a first option. Cesarean section can lead to increased risk of complications and a significantly slower recovery. There are also many natural benefits of a vaginal delivery in both mother and baby. Various methods may help with pain, such as
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may provide pain relief. Acupuncture and relaxation were found to decrease the number of caesarean sections required. Immersion in water has been found to relieve pain during the first stage of labour, reduce the need for anaesthesia, and shorten the duration of labour. Additionally,
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two to six weeks, and the delayed postpartum period, which can last up to six months. In the subacute postpartum period, 87% to 94% of women report at least one health problem. Long-term health problems (persisting after the delayed postpartum period) are reported by 31% of women.
2149:, wrote a book about obstetrics and gynaecology in the second century, which was referenced for the next thousand years. The book contained endless home remedies for pregnancy and childbirth, many of which would be considered heinous by modern women and medical professionals. 2369:
Distress levels vary widely during pregnancy as well as during labour and delivery. They appear to be influenced by fear and anxiety levels, experience with prior childbirth, cultural ideas of childbirth pain, mobility during labour, and the support received during labour.
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began recommending that many women give birth at home under the care of a midwife rather than an obstetrician, citing lower expenses and better healthcare outcomes. The median cost associated with home birth was estimated to be about $ 1,500 vs. about $ 2,500 in hospital.
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is a psychological disorder that can develop in women who have recently given birth. Causes include issues such as an emergency C-section, preterm labour, inadequate care during labour, lack of social support following childbirth, and others. Examples of symptoms include
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was accepted in the mid-1800s, it was assumed that puerperal fever was caused by a variety of sources, including the leakage of breast milk into the body and anxiety. Later, it was discovered that puerperal fever was transmitted by the dirty hands and tools of doctors.
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The WHO recommends a C-section rate of between 10 and 15% because C-sections rates higher than 10% are not associated with a decrease in morbidity and mortality. In 2018, a group of medical professionals called the rates of increase around the world "alarming". In a
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Jurisdictions where midwifery is a regulated profession will typically have a registering and disciplinary body for quality control, such as the American Midwifery Certification Board in the United States, the College of Midwives of British Columbia in Canada or the
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Personal expectations, the amount of support from caregivers, quality of the caregiver-patient relationship, and involvement in decision-making are more important in the mother's overall satisfaction with the birthing experience than are other factors such as age,
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their own home with their family around them helping out in different ways. Traditionally, it has been rare in these cultures for the mother to lie down during childbirth, opting instead for standing, kneeling, or walking around prior to and during birthing.
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pain, and possibly bad-smelling vaginal discharge. The infection usually occurs after the first 24 hours and within the first ten days following delivery. Infection remains a major cause of maternal deaths and morbidity in the developing world. The work of
586:, which are contractions that may start around 26 weeks gestation and are sometimes called "false labour", are infrequent, irregular, and involve only mild cramping. Braxton Hicks contractions are the uterine muscles preparing to deliver the infant. 990:, also called a C-section. Labour induction is the process or treatment that stimulates childbirth and delivery. Inducing labour can be accomplished with pharmaceutical or non-pharmaceutical methods. Inductions are most often performed either with 2616:
are assistants who support mothers during pregnancy, labour, birth, and postpartum. They are not medical attendants; rather, they provide emotional support and non-medical pain relief for women during labour. Like childbirth educators and other
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In 2008, noting that each year more than 100,000 women die of complications of pregnancy and childbirth and at least seven million experience serious health problems while 50 million more have adverse health consequences after childbirth, the
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Most new mothers may experience mild feelings of unhappiness and worry after giving birth. Babies require a lot of care, so it is normal for mothers to be worried about, or tired from, providing that care. The feelings, often termed the
442:. When the presenting part is at the ischial spines the station is 0 (synonymous with engagement). If the presenting fetal part is above the spines, the distance is measured and described as minus stations, which range from βˆ’1 to βˆ’4  1233:
is associated with a decreased risk of postpartum hemorrhaging, low Apgar scores, neonatal infections, requirement for neonatal resuscitation, and neonatal admission to intensive care. However, there is a higher chance of cord avulsion.
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of the 14 analysed in 1990 shows a 2017 death rate of less than 10 deaths per every 100,000 live births, the US rate has risen to 26.4. By comparison, the United Kingdom ranks second highest at 9.2 and Finland is the safest at 3.8.
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Since the US began recording childbirth statistics in 1915, the US has had historically poor maternal mortality rates in comparison to other developed countries. Britain started recording maternal mortality data from 1880 onward.
484:
closer together. The second stage ends when the infant is fully expelled. In the third stage, the delivery of the placenta. The fourth stage of labour involves recovery, the uterus beginning to contract to pre-pregnancy state,
4645: 2642:
In the past, midwifery played a crucial role in childbirth throughout most indigenous societies. Although western civilisations attempted to assimilate their birthing technologies into certain indigenous societies, like
2138:
portrayed – fear and pain often filled the atmosphere, as death during childbirth was a common occurrence. In the United States before the 1950s, a father would not be in the birthing room. It did not matter if it was a
1510:
reports that as of 2011, about one-third of American births have some complications; many are directly related to the mother's health including increasing rates of obesity, type 2 diabetes, and physical inactivity. The
355:
birthing women scream, in reality, it's not the most common noise." They say that screaming may be a sign that the labouring woman is beginning to panic and the support team should help her back to regulated breathing.
2627:
are individuals who are employed to provide assistance and stay with the mothers at their home after childbirth. They are usually experienced mothers who took courses on how to take care of mothers and newborn babies.
4827: 534:
Many women are known to experience what has been termed the "nesting instinct". Women report a spurt of energy shortly before going into labour. Common signs that labour is about to begin may include what is known as
3675: 7500: 1309:(rupture of the amniotic membrane) but advises that it must be used only after it has been correctly confirmed that labour is not proceeding properly if harm is to be avoided. The WHO does not recommend the use of 13700: 10584: 10569: 624:
for multiparous women, mothers who had given birth previously, and at 6 cm for nulliparous women, those who had not given birth before. This was done in an effort to increase the rates of vaginal delivery.
10082: 2785:
women who work in agricultural fields of some rural communities will usually continue to work in a similar function to how they normally would throughout pregnancy, in some cases working until labour begins.
1490:(WHO) has urged midwife training to strengthen maternal and newborn health services. To support the upgrading of midwifery skills the WHO established a midwife training programme, Action for Safe Motherhood. 1147:
delivery due to the increased relaxation of the oesophagus in pregnancy, upward pressure of the uterus on the stomach, and the possibility of general anaesthetic in the event of an emergency cesarean. A 2013
463:
can be used to judge the degree of cervical ripening to predict the timing of labour and delivery of the infant or for women at risk for preterm labour. It is also used to judge when a woman will respond to
11647: 693:
Complete expulsion of the baby signals the successful completion of the second stage of labour. Some babies, especially preterm infants, are born covered with a waxy or cheese-like white substance called
604:. Effacement is usually complete or near-complete and dilation is about 5 cm by the end of the latent phase. The degree of cervical effacement and dilation may be felt during a vaginal examination. 7589: 2676:. These physicians and surgeons variously provide care across the whole spectrum of normal and abnormal births and pathological labour conditions. Categorically specialised obstetricians are qualified 6070: 4588: 8996: 1799:
Worldwide in 2019 there were about 2 million stillbirths that occurred after 28 weeks of pregnancy, this equates to 1 in 72 total births or one every 16 seconds. Still births are more common in
459:
is the physical and chemical changes in the cervix to prepare it for the stretching that will take place as the fetus moves out of the uterus and into the birth canal. A scoring system called a
2710:
are medical doctors who specialise in pain relief and the use of drugs to facilitate surgery and other painful procedures. They may contribute to the care of a woman in labour by performing an
863:
change, some hospitals offered a "rooming in" option wherein after a period of routine hospital procedures and observation, the infant could be allowed to share the mother's room. As of 2020,
7773: 9717:"Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013" 5381: 5351: 10499: 6197: 2292: 744:
Placental expulsion can be managed actively or it can be managed expectantly, allowing the placenta to be expelled without medical assistance. Active management is the administration of a
13693: 823:
are often used for this period. The woman's body, including hormone levels and uterus size, return to a non-pregnant state and the newborn adjusts to life outside the mother's body. The
2680:, so they can undertake surgical procedures relating to childbirth. Some family practitioners or general practitioners also perform obstetrical surgery. Obstetrical procedures include 1614:, the failure of the uterus to contract adequately following delivery. Trauma includes lacerations or uterine rupture. Tissue includes conditions that can lead to a retained placenta. 468:
for a postdate pregnancy or other medical reasons. There are several methods of inducing cervical ripening which will allow the uterine contractions to effectively dilate the cervix.
446:. If the presenting part is below the ischial spines, the distance is stated as plus stations ( +1 to +4 cm). At +3 and +4 the presenting part is at the perineum and can be seen. 9895: 7644: 5763: 1130:
feelings of control and competence, thus reducing the need for obstetric intervention. The continuous support may be provided either by hospital staff such as nurses or midwives,
4409: 3928: 1874:, which supplies the baby with oxygen and nutrients, begins to age and will eventually fail after the 42nd week of gestation. Induced labour is indicated for postterm pregnancy. 628:
Health care providers may assess the mother's progress in labour by performing a cervical exam to evaluate the cervical dilation, effacement, and station. These factors form the
13686: 2566:-led unit that generally presents a more home-like environment. Birthing centres may be located on hospital grounds or "free standing" (that is, not affiliated with a hospital). 5875:
Trojano, Giuseppe; Damiani, Gianluca Raffaello; Olivieri, Claudiana; Villa, Mario; Malvasi, Antonio; Alfonso, Raffaello; Loverro, Matteo; Cicinelli, Ettore (6 September 2019).
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first twin, twins can often be delivered vaginally. In some cases twin delivery is done in a larger delivery room or in an operating theatre, in the event of complication e.g.
1253:
Different measures for pain control have varying degrees of success and side effects to the woman and her baby. In some countries of Europe, doctors commonly prescribe inhaled
1185:
An assisted delivery is used in about 1 in 8 births, and may be needed if either mother or infant appears to be at risk during a vaginal delivery. The methods used are termed
14397: 5412: 449:
The fetal head may temporarily change shape (becoming more elongated or cone shaped) as it moves through the birth canal. This change in the shape of the fetal head is called
2647:, and get rid of the midwifery, the National Aboriginal Council of Midwives brought back the cultural ideas and midwifery that were once associated with indigenous birthing. 1197:
help to reduce the risk of infection. There is a higher risk of blood clots forming in the legs or pelvis – anti-clot stockings or medication may be ordered to avoid clots.
850:(IUD), both of which can be inserted immediately after delivery while the woman is still in the delivery room. The mother has regular assessments for uterine contraction and 827:(WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period. 3667: 7462: 7874:
Thompson JF, Roberts CL, Currie M, Ellwood DA (June 2002). "Prevalence and persistence of health problems after childbirth: associations with parity and method of birth".
3847: 2274:. While it is still most common for American women to deliver in the hospital, supporters of natural birth still widely exist, especially in the UK where midwife-assisted 1780:
Worldwide prevention of most stillbirths is possible with improved health systems. About half of stillbirths occur during childbirth, and stillbirth is more common in the
1555:, and cephalopelvic disproportion (a small pelvis or large infant). Prolonged labour may result in maternal exhaustion, fetal distress, and other complications including 1667:
Childbirth can be an intense event and strong emotions, both positive and negative, can be brought to the surface. Abnormal and persistent fear of childbirth is known as
854:, vaginal bleeding, heart rate and blood pressure, and temperature, for the first 24 hours after birth. Some women may experience an uncontrolled episode of shivering or 7043: 8565: 6860: 12596: 9103: 5276: 2004:
during labour. In 2014 it was estimated that about one in 2000 newborn babies had a group B streptococcuss infection within the first week of life, usually evident as
1362:
Both twins born vaginally – this can occur both presented head first or where one comes head first and the other is breech and/or helped by a forceps/ventouse delivery
543:
that blocks the opening to the uterus, is pushed out into the vagina. The mucus plug may become dislodged days before labour begins or not until the start of labour.
302:, seven million women have serious long-term problems, and 50 million women giving birth have negative health outcomes following delivery, most of which occur in the 8691:
Draper, Elizabeth S.; Manktelow, Bradley N.; Smith, Lucy; Rubayet, Sayed; Hirst, Jane; Neuman, Melissa; King, Carina; Osrin, David; Prost, Audrey (6 February 2016).
7533: 7345: 4868: 4759: 4621: 373:. In an amniotomy a thin plastic hook is used to make a small opening in the sac, causing the water to break. If the sac breaks before labour starts, it's called a 11652: 7947:
Say, Lale; Chou, Doris; Gemmill, Alison; Tunçalp, Özge; Moller, Ann-Beth; Daniels, Jane; Gülmezoglu, A. Metin; Temmerman, Marleen; Alkema, Leontine (1 June 2014).
3779: 2654:, also known as traditional or lay midwives, may assist women during childbirth, although they do not typically receive formal health care education and training. 8274: 10074: 7675: 3596:
The first stage begins with the onset of labour and ends when the cervix is fully opened. It is the longest stage of labour, usually lasting about 12 to 19 hours
2164:
connection. If the infant's mother had a caesarean birth, the father can hold their baby in skin-to-skin contact while the mother recovers from the anaesthetic.
571:
The first stage of labour is divided into latent and active phases, where the latent phase is sometimes included in the definition of labour, and sometimes not.
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report, C-sections were found to have more than tripled from about 6% of all births to 21%. In a statement by the maternal and child health organisation, the
757: 8453:
Jones I, Chandra PS, Dazzan P, Howard LM (November 2014). "Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period".
2098:, the need for instrumental delivery, and an inexperienced attendant. Specific situations that can contribute to birth injury include breech presentation and 1171:
in the vagina. Evidence of benefit with chlorhexidine is lacking. A decreased risk is found with providone-iodine when a cesarean section is to be performed.
8609: 1201:
is not unusual after childbirth but it is more common after an instrument delivery. Certain exercises and physiotherapy will help the condition to improve.
8903:"Risks of stillbirth and neonatal death with advancing gestation at term: A systematic review and meta-analysis of cohort studies of 15 million pregnancies" 5733: 4472:
Hantoushzadeh S, Alhusseini N, Lebaschi AH (February 2007). "The effects of acupuncture during labour on nulliparous women: a randomised controlled trial".
13951: 10051: 6085: 5442: 4656: 4102: 2145:
The majority of guidebooks related to pregnancy and childbirth were written by men who had never been involved in the birthing process. A Greek physician,
2072:
is of most concern and perhaps the least likely to quickly or completely heal. Oxygen deprivation can lead to permanent disabilities in the child, such as
1012: 779:
if it occurs. For many years it was believed that late cord cutting led to a mother's risk of experiencing significant bleeding after giving birth, called
10230: 7831:
Glazener CM, Abdalla M, Stroud P, Naji S, Templeton A, Russell IT (April 1995). "Postnatal maternal morbidity: extent, causes, prevention and treatment".
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to a newborn infant that lasts long enough during the birth process to cause physical harm. Hypoxic damage can also occur to most of the infant's organs (
12090: 6861:
American Academy of Pediatrics Committee on Fetus Newborn; American College of Obstetricians Gynecologists Committee on Obstetric Practice (April 2014).
6790: 6081: 4312:"Fetal distress increases interleukin-6 and interleukin-8 and decreases tumour necrosis factor-alpha cord blood levels in noninfected full-term neonates" 2251:
is a medically unnecessary caesarean section, where the infant is born by a caesarean section requested by the parent even though there is not a medical
7739: 2590:
Model of pelvis used in the beginning of the 19th century to teach technical procedures for a successful childbirth. Museum of the History of Medicine,
2160:
was found to increase not only in mothers who had experienced early skin to skin attachment with their infants but in the fathers as well, suggesting a
1796:
may be carried out. Following a stillbirth, women are at higher risk of another one; however, most subsequent pregnancies do not have similar problems.
8952: 4726: 4351:
LyrenΓ€s S, Clason I, Ulmsten U (February 2001). "In vivo controlled release of PGE2 from a vaginal insert (0.8 mm, 10 mg) during induction of labour".
3583: 1755:
Five causes make up about 80% of newborn deaths globally: prematurity, low-birth-weight, infections, lack of oxygen at birth, and trauma during birth.
957: 8535: 1686:
occurs in nearly 15% of births, may begin shortly before or any time after childbirth, but commonly begins between a week and a month after delivery.
640:
descend. Full dilation is reached when the cervix has widened enough to allow passage of the baby's head, around 10 cm dilation for a term baby.
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Muglu, J; Rather, H; Arroyo-Manzano, D; Bhattacharya, S; Balchin, I; Khalil, A; Thilaganathan, B; Khan, KS; Zamora, J; Thangaratinam, S (July 2019).
7814: 6345: 3214: 2442: 1689: 7765: 6912:
McKinney, Jordan; Vilchez, Gustavo; Jowers, Alicia; Atchoo, Amanda; Lin, Lifeng; Kaunitz, Andrew; Lewis, Kendall; Sanchez-Ramos, Luis (March 2024).
3355: 14431: 8504: 5385: 3749: 1658: 10491: 6556: 6189: 5933: 5836: 3982:"Unaltered innervation of the human cervix uteri in contrast to the corpus during pregnancy and labor as revealed by PGP 9.5 immunohistochemistry" 1011:
The 2012 rate of labour induction in the United States was 23.3%, and had more than doubled from 1990 to 2010. By 2022 it had climbed to 32%. The
775:
for at least one minute or until it ceases to pulsate, which may take several minutes, improves outcomes as long as there is the ability to treat
381:
within 24 to 48 hours. If the baby is preterm (less than 37 weeks of pregnancy), the healthcare provider may use a medication to delay delivery.
7438: 6175: 5245:
Gjerdingen DK, Froberg DG (January 1991). "The fourth stage of labor: the health of birth mothers and adoptive mothers at six-weeks postpartum".
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concentration and higher birthweight and increased iron reserves up to six months after birth with no change in the rate of postpartum bleeding.
10463:
Having a Great Birth in Australia: Twenty Stories of Triumph, Power, Love and Delight from the Women and Men who Brought New Life Into the World
9805:
Callister LC, Khalaf I, Semenic S, Kartchner R, et al. (December 2003). "The pain of childbirth: perceptions of culturally diverse women".
1423:, that continuously emits ultrasound and detects motion of the fetal heart by the characteristic of the reflected sound. The pressure-sensitive 2573:
is usually accomplished with the assistance of a midwife. Some women choose to give birth at home without any professionals present, termed an
1305:
is the most common method used to increase the rate of vaginal delivery. The World Health Organization recommends its use either alone or with
9630: 8879: 5647: 13306: 6256: 1515:(CDC) has led an initiative to improve woman's health previous to conception in an effort to improve both neonatal and maternal death rates. 7636: 4214: 554:. Once the sac ruptures, termed "the water breaks", the baby is at risk for infection and the mother's medical team will assess the need to 15051: 10533: 2197:(BFHI), that encourages birthing centres and hospitals to institute procedures that encourage mother/baby bonding and breastfeeding. The 903:
As of 2014, early postpartum SSC is endorsed by all major organisations that are responsible for the well-being of infants, including the
620:
dilatation for first and subsequent labours”. In the US, the definition of active labour was changed from 3 to 4 cm, to 5 cm of
13275: 12659: 12644: 11843: 10627: 10113: 5755: 5613: 3482: 3394: 3303: 3172: 752:
massage after delivery of the placenta, followed by performance of uterine massage every 15 minutes for two hours. In a joint statement,
9246:
Marret, StΓ©phane; Vanhulle, Catherine; Laquerriere, Annie (1 January 2013), Dulac, Olivier; Lassonde, Maryse; Sarnat, Harvey B. (eds.),
4547:
The BabyCenter Essential Guide to Pregnancy and Birth: Expert Advice and Real-World Wisdom from the Top Pregnancy and Parenting Resource
4192: 2296:
810 women die every day from preventable causes related to pregnancy and childbirth. 94% occur in low and lower middle-income countries.
14860: 12497: 11703: 10302: 9031: 8669: 8296:
Lapp LK, Agbokou C, Peretti CS, Ferreri F (September 2010). "Management of post traumatic stress disorder after childbirth: a review".
4401: 3920: 2211: 1547:
The second stage of labour may be delayed or lengthy due to poor or uncoordinated uterine action, an abnormal uterine position such as
1512: 9074: 3053: 1862:, two weeks beyond the usual 40-week duration of pregnancy. Postmature births carry risks for both the mother and the baby, including 12423: 9715:
Murray, Christopher JL; Lopez, Alan D; Vos, Theo; et al. (GBD 2013 Mortality and Causes of Death Collaborators) (January 2015).
5215: 4433:"A randomised evaluation of two techniques of management of the third stage of labour in women at low risk of postpartum haemorrhage" 3325: 2555:
is a hospital that specialises in caring for women while they are pregnant and during childbirth and provide care for newborn babies,
977: 7623:
Where nothing effective is done to avert maternal death, "natural" mortality is probably of the order of magnitude of 1,500/100,000.
6027: 5408: 5137: 4526: 4245: 12586: 11762: 9096: 8179:
Lukasse M, Schei B, Ryding EL (October 2014). "Prevalence and associated factors of fear of childbirth in six European countries".
5482: 2736:
assist midwives, doctors, women, and babies before, during, and after the birth process, in the hospital system. They hold various
1335:
can occur at the vaginal opening as the baby's head passes through, especially if the baby descends quickly. Tears can involve the
1224:
medication during childbirth. Psychological preparation may be beneficial. Relaxation techniques, immersion in water, massage, and
875: 10524: 9604: 5031: 1888: 12609: 12083: 11809: 11685: 9172: 8778: 8748: 5094: 3817: 761: 488:, and monitoring of the neonatal tone and vitals. As of 2014, all major health organisations advise that immediately following a 5981: 4944:"A comparison of active management and expectant management of the third stage of labour: a Swedish randomised controlled trial" 3839: 12621: 12007: 11723: 10290: 7705: 6629:"Vaginal chlorhexidine during labour for preventing maternal and neonatal infections (excluding Group B Streptococcal and HIV)" 6447:
Tranmer JE, Hodnett ED, Hannah ME, Stevens BJ (2005). "The effect of unrestricted oral carbohydrate intake on labor progress".
5837:"Rates for total cesarean section, primary cesarean section, and vaginal birth after cesarean (VBAC), United States, 1989–2010" 5093: 4267:
Kupferminc M, Lessing JB, Yaron Y, Peyser MR (December 1993). "Nifedipine versus ritodrine for suppression of preterm labour".
2995: 2248: 389:
There is currently no definitive scientific explanation for why labour is painful. According to studies, during pregnancy, the
9887: 7051: 6280:"Cesarean Delivery Rates and Costs of Childbirth in a State Medicaid Program After Implementation of a Blended Payment Policy" 2185:
For that reason, many male obstetricians performed deliveries in dark rooms or with their patient fully covered with a drape.
1858:
The term postterm pregnancy is used to describe a condition in which a woman has not yet delivered her baby after 42 weeks of
1468: 14778: 13931: 13898: 13471: 13401: 10475: 10367: 10107: 9452: 9421: 8576: 7601: 7432: 6376: 6044: 5280: 4560: 4186: 3476: 3388: 3297: 3208: 3166: 377:. Contractions will typically start within 24 hours after the water breaks. If not, the care provider will generally begin 13616: 3546: 2341:
progression of medical technology, more extensive physician training, and less medical interference with normal deliveries.
813:
The fourth stage of labour is the period beginning immediately after childbirth, and extends for about six weeks. The terms
14549: 14424: 12976: 12616: 10294: 8407:
Alder J, Stadlmayr W, Tschudin S, Bitzer J (June 2006). "Post-traumatic symptoms after childbirth: what should we offer?".
3017: 2000:(a group B streptococcus) is most often the cause of these occasionally fatal infections. The baby contracts the infection 839: 10422:
Dziadosz M, Basch RS, Young BK (March 2016). "Human amniotic fluid: a source of stem cells for possible therapeutic use".
10021: 7522: 7334: 4857: 4748: 4610: 3711: 1721:(PTSD). Many women who are experiencing symptoms of PTSD after childbirth are misdiagnosed with postpartum depression or 1109:, the increase is largely due to an increase of elective C-sections rather than when it is really necessary or indicated. 14805: 14717: 13575: 12743: 12459: 11657: 10286: 7291:
Wei SQ, Luo ZC, Xu H, Fraser WD (September 2009). "The effect of early oxytocin augmentation in labor: a meta-analysis".
1646: 7252:"Placental transfer and neonatal effects of epidural sufentanil and fentanyl administered with bupivacaine during labor" 4813: 3787: 2692:(OB/GYN), and may provide other medical and surgical gynaecological care, and may incorporate more general, well-woman, 1438:
A mother's water has to break before internal (invasive) monitoring can be used. More invasive monitoring can involve a
13946: 13441: 12626: 12076: 11797: 11767: 10325: 10141: 9312: 8848: 8391: 8266: 7808: 6315: 3504: 10260: 7667: 2621:, certification to become a doula is not compulsory, thus, anyone can call themself a doula or a childbirth educator. 14349: 14204: 14131: 13826: 13476: 13341: 12353: 11662: 10810: 10461: 10007: 9271: 7463:"Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour" 5468: 2861: 2727: 2700:
specialists are obstetrician/gynecologists subspecialised in managing and treating high-risk pregnancy and delivery.
2194: 1210: 1030: 9911:"Analysis of variation in charges and prices paid for vaginal and caesarean section births: a cross-sectional study" 8631: 5434: 14376: 13580: 13280: 12805: 12601: 12290: 12275: 10995: 10298: 10169: 9693: 9199:"Long-term cognitive and behavioral consequences of neonatal encephalopathy following perinatal asphyxia: a review" 7566: 2770: 527:
Regular contractions occurring less than 10 minutes apart and progressive cervical dilation or cervical effacement.
496:, and delaying routine procedures for at least one to two hours or until the baby has had its first breastfeeding. 8601: 2304:
estimated that 303,000 women died of pregnancy or childbirth related causes in 2015. These causes range from
14484: 14417: 13997: 13735: 13632: 13346: 11836: 11364: 11187: 10961: 10620: 9125:
Ohlsson A, Shah VS (June 2014). "Intrapartum antibiotics for known maternal Group B streptococcal colonization".
7909:
Borders N (2006). "After the afterbirth: a critical review of postpartum health relative to method of delivery".
5725: 2766: 2497: 2127: 2020: 530:
At least three painful regular uterine contractions during a 10-minute period, each lasting more than 45 seconds.
254:
during the third, and the recovery of the mother and infant during the fourth stage, which is referred to as the
10043: 4094: 2781:
Cultural values, assumptions, and practices of pregnancy and childbirth vary across cultures. For example, some
686:
during labour or pushing, the infant can be born with the membranes intact. This is referred to as "delivery en
13878: 13396: 12543: 12325: 12099: 10650: 10467: 10222: 9840:
Hodnett ED (May 2002). "Pain and women's satisfaction with the experience of childbirth: a systematic review".
7207:
Alehagen S, Wijma B, Lundberg U, Wijma K (September 2005). "Fear, pain and stress hormones during childbirth".
6812:
Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, Jordan S, Lavender T, Neilson JP (March 2012).
2618: 2301: 1443: 1066: 904: 6782: 6678:"Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections" 3894: 1679:, affect up to 80% of mothers. They are somewhat mild, last a week or two, and usually go away on their own. 14479: 14080: 13421: 13328: 12830: 11852: 11745: 11713: 11611: 10102:. Garland Reference Library of Social Sciences. Vol. V. 780. London: Taylor & Francis. p. 144. 7735: 7728: 2990: 2733: 2636: 1892: 1718: 1531: 1507: 374: 8543: 7007:
Caughey AB, Cahill AG, Guise JM, Rouse DJ (March 2014). "Safe prevention of the primary cesarean delivery".
4718: 3575: 915:
during the first days after delivery, especially if it were interrupted for some reason after the delivery.
14662: 14559: 14364: 14147: 13992: 13426: 13386: 12885: 12523: 12408: 12398: 11886: 11690: 11606: 10944: 2537: 2430:, varying from $ 3,296 to $ 37,227 for a vaginal birth and from $ 8,312 to $ 70,908 for a caesarean birth. 1863: 1822: 859:
weeks; initially bright red, it gradually becomes pink, changing to brown, and finally to yellow or white.
7795: 6337: 3195: 14965: 14160: 13678: 13255: 13066: 13039: 12591: 12533: 11917: 11219: 11162: 10726: 9247: 3410:"Planned hospital birth compared with planned home birth for pregnant women at low risk of complications" 3347: 2737: 2697: 2651: 1121: 783:. However a recent review found that delayed cord cutting in healthy full-term infants resulted in early 724:
The period from just after the fetus is expelled until just after the placenta is expelled is called the
698:. It is thought to have some protective roles during fetal development and for a few hours after birth. 8496: 7729:"Healthy Women, Healthy Babies: How health reform can improve the health of women and babies in America" 3738: 3103:"The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival" 2765:
comes to see the mother and baby at home, usually within 24 hours of discharge, and checks the infant's
1895:
for neonatal infections and other (perinatal) conditions per 100,000 inhabitants in 2004. Excludes
921:
advises women to have a delivery team which includes a support person who will advocate to assure that:
14657: 14271: 14070: 14044: 13780: 13726: 13461: 13298: 13056: 12981: 12951: 12492: 12140: 11829: 11785: 11750: 11740: 10780: 10662: 10613: 9995: 7596:. Studies in Health Services Organisation and Policy. Vol. 17. Antwerp: ITG Press. pp. 7–33. 7120:
Thorp JA, Breedlove G (June 1996). "Epidural analgesia in labor: an evaluation of risks and benefits".
6518: 5948: 5850: 5101:(2004). "Joint statement: management of the third stage of labour to prevent post-partum haemorrhage". 2689: 583: 14727: 7420: 6913: 3950: 3600:
The second stage involves pushing and delivery of your baby. It usually lasts 20 minutes to two hours.
1269:
may be used, but if given too close to birth there is a risk of respiratory depression in the infant.
1237:
Most women like to have someone to support them during labour and birth; such as a midwife, nurse, or
764:
recommend active management of the third stage of labour in all vaginal deliveries to help to prevent
15036: 14652: 14519: 14308: 14298: 14216: 14116: 13511: 13123: 12863: 12787: 12173: 12135: 12130: 11543: 11413: 11371: 11232: 10546: 5144: 3542: 2644: 2496:
in which childbirth takes place is an important factor in determining nationality, in particular for
1618:, which is a molecule used in the human body's blood clotting system, represents all coagulopathies. 1487: 1432: 1168: 908: 824: 753: 664: 278:), and to delay neonate procedures for at least one to two hours or until the baby has had its first 10199: 9951: 8770: 5514:"Care practice #6: no separation of mother and baby, with unlimited opportunities for breastfeeding" 3869: 947:
father's breasts, chest-to-chest shown to reduce stress and anxiety in parents after interaction."
15046: 14569: 13834: 12873: 12576: 12265: 12120: 11912: 11755: 11279: 11095: 11062: 10954: 5785:
Mozurkewich EL, Chilimigras JL, Berman DR, Perni UC, Romero VC, King VJ, Keeton KL (October 2011).
5639: 4895:"Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomes" 4310:
Jokic M, Guillois B, Cauquelin B, Giroux JD, Bessis JL, Morello R, Levy G, Ballet JJ (March 2000).
3468:
Communication for Behavior Change: Volume lll: Using Entertainment–Education for Distance Education
1996: 1841: 1194: 1042: 683: 9661: 7607: 6278:
Kozhimannil, K. B.; Graves, A. J.; Ecklund, A. M.; Shah, N.; Aggarwal, R.; Snowden, J. M. (2018).
6220: 6003:
Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Mathews TJ, Kirmeyer S, Osterman MJ (August 2010).
3083: 1637:
was seminal in the pathophysiology and treatment of childbed fever and his work saved many lives.
1506:
Compared to other developed nations, the United States also has high infant mortality rates. The
663:. The fetal head then continues descent into the pelvis, below the pubic arch and out through the 14564: 14233: 14155: 13913: 13446: 13311: 13049: 12810: 12777: 12736: 12654: 12581: 12507: 12298: 12191: 11708: 11562: 11354: 11047: 8130:"Antenatal prevalence of fear associated with childbirth and depressed mood in primigravid women" 6068: 3981: 2912: 2851: 2085: 1904: 1793: 1159:, was common practice due to the belief that hair removal reduced the risk of infection, made an 1152:
therefore conclude that "women should be free to eat and drink in labour, or not, as they wish."
1085: 413:
a child also causes a release of oxytocin to help the baby get milk more easily from the nipple.
327: 89: 10075:"British Regulator Urges Home Births Over Hospitals for Uncomplicated Pregnancies - NYTimes.com" 6482:
O'Sullivan G, Scrutton M (March 2003). "NPO during labor. Is there any scientific validation?".
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to women and their children during childbirth. It is generally closely linked to the hospital's
1832:
If a pregnant woman enters preterm labour, delivery can be delayed by giving medications called
14795: 14354: 14328: 14106: 13926: 13921: 13893: 13870: 13770: 13565: 13381: 12946: 12825: 12303: 12285: 12240: 12125: 11621: 11489: 11479: 11344: 11067: 11000: 10975: 10911: 10785: 10530: 7590:"Of Blind Alleys and Things That Have Worked: History's Lessons on Reducing Maternal Mortality" 7523:"WHO recommendations Intrapartum care for a positive childbirth experience (Recommendation 17)" 5167:"Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes" 3617:"Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes" 2856: 2485: 2362: 2333: 2309: 2198: 2123: 2111: 2103: 1698: 1447: 1331:
was thought to help prevent more extensive vaginal tears and heal better than a natural tear.
1089: 1052: 10097: 9102:. Department of Measurement and Health Information, World Health Organization. February 2009. 5934:"Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age" 5617: 4611:"WHO recommendations Intrapartum care for a positive childbirth experience (Recommendation 5)" 4174: 3466: 3378: 3287: 3156: 2214:, supports the BFHI. As of 2019, 28% of hospitals in the US have been accredited by the WHO. 667:. This is assisted by the additional maternal efforts of pushing, or bearing down, similar to 14554: 14318: 14313: 13765: 13560: 13416: 13371: 13366: 13361: 13356: 13185: 13138: 13133: 13101: 12921: 12482: 12469: 12145: 11601: 11403: 11207: 10882: 10578: 10457: 9444: 9438: 6169: 5844: 3537: 3000: 2917: 2574: 2329: 2252: 2174: 2001: 1682: 1654: 1627: 1439: 1420: 1400: 1390: 1382: 1355: 843: 492:, regardless of the delivery method, that the infant be placed on the mother's chest, termed 485: 479:
during the first stage, descent and birth of the baby during the second, the delivery of the
287: 274:, regardless of the delivery method, that the infant be placed on the mother's chest (termed 263: 250:
during the first stage, descent and birth of the baby during the second, the delivery of the
19:
This article is about birth in humans. For birth in non-human mammals and other animals, see
10282: 9019: 8661: 4777: 4552: 3980:
TingΓ₯ker, Berith K; Johansson, Olle; Cluff, Ann Hjelm; Ekman-Ordeberg, Gunvor (March 2006).
2688:, and assisted delivery. Categorical specialists in obstetrics are commonly trained in both 2405:, ethnicity, preparation, physical environment, pain, immobility, or medical interventions. 14773: 14712: 14612: 14586: 14323: 14192: 14087: 13908: 13883: 13667: 13606: 13466: 13323: 13247: 13155: 13145: 12941: 12842: 12820: 12703: 12548: 12383: 12115: 11866: 11616: 11567: 10887: 10877: 10805: 10800: 10775: 10760: 10755: 9054: 3061: 2964: 2939: 2866: 2841: 2754: 2402: 2271: 1992: 1732: 1728: 1650: 1198: 1048: 889: 551: 493: 366: 343: 319: 275: 106: 6004: 4749:"WHO recommendations Intrapartum care for a positive childbirth experience (item #3.2.2.)" 3317: 8: 15089: 15041: 15026: 14359: 14303: 14197: 14126: 14111: 14092: 13941: 13755: 13570: 13481: 13436: 13336: 13195: 13113: 13096: 13061: 12916: 12837: 12797: 12403: 12343: 12260: 12107: 11120: 11077: 11042: 10949: 10929: 5148: 4516: 4237: 2980: 2883: 2846: 2836: 2826: 2821: 2816: 2811: 2806: 2529: 2461: 2305: 2005: 1722: 1604: 1186: 1180: 900:
also found that SSC at birth promotes the likelihood and effectiveness of breastfeeding.
847: 780: 765: 733: 719: 633: 589: 579: 521: 472: 465: 311: 243: 98: 8048: 8015: 7766:"U.S. has highest first-day infant mortality out of industrialized world, group reports" 6676:
Haas, David M.; Morgan, Sarah; Contreras, Karenrose; Kimball, Savannah (26 April 2020).
5490: 5320: 5304:"Society of Family Planning Guidelines: Postplacental insertion of intrauterine devices" 5303: 4052:"Selective serotonin reuptake inhibitors and their effects on relationship satisfaction" 748:
drug within one minute of fetal delivery, controlled traction of the umbilical cord and
15094: 14534: 14333: 14288: 14263: 14228: 14075: 14065: 13760: 13456: 13351: 13316: 13175: 13024: 12936: 12901: 12782: 12729: 12649: 12538: 12444: 12245: 12168: 11718: 11447: 11301: 11072: 11057: 9935: 9910: 9865: 9782: 9765: 9741: 9716: 9593: 9394: 9378: 9263: 9223: 9198: 9168: 9150: 8988: 8968: 8929: 8902: 8840: 8740: 8478: 8432: 8364: 8321: 8156: 8129: 8105: 8080: 8061: 7996: 7856: 7844: 7487: 7396: 7371: 7316: 7232: 7184: 7159: 7133: 6984: 6959: 6838: 6813: 6759: 6734: 6710: 6677: 6653: 6628: 6604: 6579: 6543: 6424: 6399: 6307: 6248: 6157: 5909: 5876: 5813: 5786: 5726:"American women giving birth leave the hospital as quickly as women in Haiti and Kenya" 5698: 5673: 5587: 5562: 5538: 5513: 5191: 5166: 5071: 5046: 5019: 4919: 4894: 4695: 4670: 4497: 4449: 4432: 4376: 4328: 4311: 4292: 4280: 4179:
Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family
4150: 4125: 4075: 4056: 3813: 3641: 3616: 3442: 3409: 3260: 3235: 3129: 3102: 3027: 2831: 2719: 2657: 2552: 2472: 2287: 2264: 2152:
Both preterm and full term infants benefit from skin to skin contact, sometimes called
2146: 2041: 2036: 1883: 1853: 1840:
which can help the fetal lungs to mature enough to reduce morbidity and mortality from
1804: 1789: 1694: 1589: 1277: 1019: 800: 489: 394: 271: 228: 9853: 9818: 9732: 8709: 8692: 8466: 7965: 7948: 7668:"US sees continued rise in maternal deaths – and ongoing inequities, CDC report shows" 6914:"Water birth: a systematic review and meta-analysis of maternal and neonatal outcomes" 6495: 6110:
World Health Organization Human Reproduction Programme, 10 April 2015 (January 2015).
6109: 5463:"Rooming-in: An Essential Evolution in American Maternity Care", By Jennifer Usianov. 4858:"WHO recommendations Intrapartum care for a positive childbirth experience (item #33)" 14748: 14687: 14509: 14238: 14210: 14170: 14165: 14100: 13974: 13775: 13750: 13718: 13535: 13411: 13150: 13091: 12931: 12911: 12906: 12418: 12338: 11929: 11907: 11538: 11457: 11381: 11359: 10872: 10790: 10641: 10471: 10439: 10401: 10373: 10363: 10331: 10321: 10147: 10137: 10103: 10013: 10003: 9940: 9857: 9822: 9787: 9746: 9653: 9649: 9496: 9448: 9417: 9398: 9386: 9308: 9302: 9277: 9267: 9228: 9154: 9142: 9066: 8980: 8972: 8934: 8832: 8824: 8820: 8722: 8714: 8470: 8424: 8387: 8356: 8313: 8245: 8206: 8161: 8110: 8065: 8053: 8035: 7988: 7980: 7926: 7891: 7887: 7848: 7804: 7597: 7492: 7428: 7401: 7308: 7273: 7268: 7251: 7224: 7189: 7137: 7102: 7094: 7024: 6989: 6933: 6894: 6843: 6764: 6715: 6697: 6658: 6609: 6548: 6499: 6464: 6429: 6299: 6240: 6221:"Indications for caesarean section in a consultant obstetric unit over three decades" 6149: 6141: 6019: 5973: 5914: 5896: 5818: 5703: 5592: 5543: 5333: 5325: 5254: 5196: 5118: 5076: 5047:"Use of active management of the third stage of labour in seven developing countries" 5020:"Active management of the third state of labour is rare in some developing countries" 5000: 4965: 4960: 4943: 4924: 4805: 4700: 4556: 4489: 4485: 4454: 4368: 4364: 4333: 4284: 4182: 4155: 4079: 4032: 3646: 3472: 3447: 3429: 3384: 3293: 3265: 3204: 3162: 3134: 2969: 2890:
stem cells. They are being studied as possible treatments of a number of conditions.
2782: 2541: 2312:, for which there are highly effective interventions. As women have gained access to 2099: 2045: 1556: 1552: 1542: 1519: 1416: 1293: 1190: 987: 969: 855: 796: 738: 621: 597: 517: 476: 307: 255: 247: 220: 212: 152: 94: 73: 24: 9869: 8871: 8844: 8482: 8436: 8325: 7860: 7697: 7320: 7236: 6311: 6252: 6161: 4501: 4380: 4296: 706:, and obstetric haemorrhage, as well as the need for intensive care of the neonate. 578:
is generally defined as beginning at the point at which the woman perceives regular
504: 14642: 14617: 14121: 14060: 13792: 13506: 13118: 12991: 12986: 12880: 12680: 12675: 12571: 12555: 11100: 10867: 10862: 10431: 9930: 9922: 9849: 9814: 9777: 9736: 9728: 9645: 9526: 9517:
Thompson CJ (2005). "Consumer Risk Perceptions in a Community of Reflexive Doubt".
9486: 9370: 9259: 9218: 9210: 9138: 9134: 8992: 8964: 8924: 8914: 8816: 8704: 8462: 8416: 8368: 8348: 8305: 8237: 8196: 8188: 8151: 8141: 8100: 8092: 8043: 8027: 8000: 7970: 7960: 7918: 7883: 7840: 7482: 7478: 7474: 7391: 7387: 7383: 7300: 7263: 7216: 7179: 7175: 7171: 7129: 7086: 7016: 6979: 6975: 6971: 6925: 6884: 6874: 6833: 6829: 6825: 6754: 6750: 6746: 6705: 6693: 6689: 6648: 6644: 6640: 6599: 6595: 6591: 6538: 6534: 6530: 6491: 6456: 6419: 6415: 6411: 6291: 6232: 6131: 6123: 6069:
ACOG District II Patient Safety and Quality Improvement Committee (December 2011).
5932:
Main E, Oshiro B, Chagolla B, Bingham D, Dang-Kilduff L, Kowalewski L (July 2010).
5904: 5888: 5808: 5798: 5693: 5685: 5582: 5578: 5574: 5533: 5525: 5315: 5186: 5182: 5178: 5110: 5066: 5058: 4992: 4955: 4914: 4906: 4797: 4690: 4682: 4545: 4481: 4444: 4360: 4323: 4276: 4145: 4137: 4065: 4024: 4012: 3993: 3636: 3632: 3628: 3437: 3425: 3421: 3255: 3247: 3158:
Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant
3124: 3114: 2985: 2928: 2723: 2681: 2669: 2607: 2244: 2095: 2091: 1781: 1706: 1634: 1404: 1081: 1024: 983: 973: 546:
While inside the uterus the baby is enclosed in a fluid-filled membrane called the
516:
Regular uterine contractions at least every six minutes with evidence of change in
422: 378: 347: 303: 239: 208: 124: 9631:"State-of-the-Science Conference Statement. Cesarean Delivery on Maternal Request" 6368: 5469:
https://www.nichq.org/insight/rooming-essential-evolution-american-maternity-care}
4996: 3786:. National Institute for Health and Care Excellence. December 2014. Archived from 1288: 238:
The most common childbirth method worldwide is vaginal delivery. It involves four
16:
Conclusion of the human pregnancy with the expulsion of a fetus from mother's womb
15066: 15016: 14945: 14920: 14890: 14800: 14707: 14647: 14276: 14243: 14032: 14017: 13797: 13555: 13270: 13165: 13034: 12926: 12815: 12764: 12502: 12439: 12373: 12333: 12315: 12183: 12068: 12057: 11973: 11596: 11452: 11316: 11274: 11135: 11110: 11034: 10924: 10906: 10852: 10736: 10537: 8919: 8309: 8014:
Bienstock, Jessica L.; Eke, Ahizechukwu C.; Hueppchen, Nancy A. (29 April 2021).
7304: 6295: 4942:
Jangsten E, Mattsson LΓ…, Lyckestam I, HellstrΓΆm AL, et al. (February 2011).
4686: 4652: 4028: 3997: 3532: 2954: 2949: 2673: 2665: 2599: 2559: 2476:
babies in a nearby urban hospital setting. This practice is common in Indigenous
2381: 2378: 2353: 2317: 2313: 2161: 1837: 1785: 1773:
death at or after 20 to 28 weeks of pregnancy. It results in a baby born without
1676: 1662: 1369: 1148: 1138:
during labour and reduce the risk of babies having low five-minute Apgar scores.
1034: 918: 897: 675:. At this point, the mother will feel an intense burning or stinging sensation. 555: 331: 299: 270:. As of 2014, all major health organisations advise that immediately following a 171: 11821: 10605: 10593: 9926: 9475:"Maternal mortality in the past and its relevance to developing countries today" 8339:
Condon J (February 2010). "Women's mental health: a "wish-list" for the DSM V".
6236: 5689: 5165:
McDonald SJ, Middleton P, Dowswell T, Morris PS (July 2013). McDonald SJ (ed.).
4431:
Giacalone PL, Vignal J, Daures JP, Boulot P, Hedon B, Laffargue F (March 2000).
4141: 15056: 14940: 14880: 14544: 14539: 14529: 14524: 14489: 14371: 14281: 14177: 14037: 14026: 13966: 13844: 13601: 13516: 13222: 13170: 12868: 11997: 11639: 11466: 11442: 11386: 11264: 11259: 11249: 11237: 11115: 10899: 10770: 10716: 10435: 9997: 8192: 7922: 7020: 6929: 6111: 5944: 5114: 4910: 3703: 3005: 2959: 2795: 2762: 2741: 2373: 2232: 2107: 2073: 1900: 1463: 1459: 1349: 1106: 772: 715: 427: 323: 110: 65: 11648:
The Convention on the Elimination of All Forms of Discrimination against Women
10151: 9214: 8420: 8352: 7220: 6733:
Liabsuetrakul, T; Choobun, T; Peeyananjarassri, K; Islam, QM (26 March 2020).
6127: 2672:
whose training, skills and practices include obstetrics, and in some contexts
960:
that requires insurers to cover at least 48 hours for uncomplicated delivery.
558:
if it has not started within the time they believe to be safe for the infant.
15083: 15061: 15031: 15011: 14870: 14845: 14768: 14682: 14672: 14667: 14581: 14474: 14253: 14223: 13956: 13839: 13611: 13501: 13290: 13265: 13017: 12858: 12772: 12698: 12413: 12232: 12200: 12195: 12163: 11677: 11591: 11552: 11528: 11437: 11321: 11254: 11125: 11029: 10990: 10847: 10682: 10405: 10377: 10335: 9491: 9474: 9346:
Get Me Out: A History of Childbirth from the Garden of Eden to the Sperm Bank
8976: 8953:"Practice Bulletin No. 146: Management of Late-Term and Postterm Pregnancies" 8828: 8718: 8566:"Ending preventable stillbirths An Executive Summary for The Lancet's Series" 8146: 8039: 7984: 7098: 6701: 6460: 6398:
Bohren, MA; Hofmeyr, GJ; Sakala, C; Fukuzawa, RK; Cuthbert, A (6 July 2017).
6145: 5900: 5529: 5329: 4785: 4070: 4051: 4036: 3433: 2899: 2707: 2703: 2393: 2153: 2061: 1896: 1816: 1714: 1611: 1577: 1332: 1310: 1254: 1164: 994:
drug treatment alone, or with a combination of prostaglandin and intravenous
991: 893: 879: 851: 737:
duration of the third stage is longer than 30 minutes and raises concern for
703: 439: 410: 279: 148: 114: 8241: 7160:"Epidural versus non-epidural or no analgesia for pain management in labour" 6279: 5892: 5803: 4801: 4669:
Boyle A, Reddy UM, Landy HJ, Huang CC, Driggers RW, Laughon SK (July 2013).
3119: 2740:
and typically undergo additional obstetric training in addition to standard
2544:
unit if present. It usually includes facilities both for childbirth and for
2464:. Before the 20th century and in some countries to the present day, such as 1272:
Popular medical pain control in hospitals include the regional anaesthetics
1257:
gas for pain control, especially as 53% nitrous oxide, 47% oxygen, known as
1092:
infection, in which cases a cesarean section is the safest delivery method.
982:
In many cases and with increasing frequency, childbirth is achieved through
632:. The Bishop score can also be used as a means to predict the success of an 438:
refers to the relationship of the fetal presenting part to the level of the
346:. Pain in contractions has been described as feeling similar to very strong 14900: 14895: 14875: 14855: 14841: 14785: 14632: 14514: 14464: 14248: 14182: 13647: 13227: 13180: 13128: 13086: 12721: 12710: 12693: 11506: 11501: 11242: 11142: 11087: 10815: 10694: 10689: 10443: 10252: 10017: 9944: 9861: 9826: 9750: 9657: 9500: 9390: 9281: 9232: 9146: 9070: 8984: 8938: 8836: 8804: 8726: 8474: 8428: 8360: 8317: 8249: 8210: 8165: 8114: 8057: 7992: 7975: 7930: 7895: 7496: 7461:
Alfirevic, Zarko; Gyte, Gillian ML; Cuthbert, Anna; Devane, Declan (2017).
7405: 7312: 7228: 7193: 7106: 7028: 6993: 6937: 6898: 6879: 6862: 6847: 6768: 6719: 6662: 6613: 6552: 6503: 6468: 6433: 6303: 6244: 6153: 6023: 5918: 5822: 5707: 5596: 5547: 5337: 5200: 5122: 5080: 5004: 4969: 4928: 4809: 4704: 4493: 4458: 4372: 4337: 4159: 3650: 3451: 3269: 3138: 3054:"confinement – Definition of confinement in English by Oxford Dictionaries" 2944: 2934: 2923: 2693: 2591: 2493: 2069: 2024: 1548: 1057: 679: 660: 629: 547: 460: 405:
During the later stages of gestation, there is an increase in abundance of
295: 13708: 9999:
Intrapartum Care: Care of Healthy Women and Their Babies During Childbirth
9791: 8096: 8031: 7852: 7277: 7141: 7090: 5563:"Early skin-to-skin contact for mothers and their healthy newborn infants" 5483:"Early skin-to-skin contact for mothers and their healthy newborn infants" 5258: 5062: 4288: 2660:
who practise in the field of childbirth include categorically specialised
659:
pelvis; the widest diameter of the head has passed below the level of the
46:
Labour and delivery, partus, giving birth, parturition, birth, confinement
15006: 15001: 14975: 14865: 14850: 14831: 14790: 14758: 14753: 14591: 14469: 14409: 14187: 13936: 13888: 13821: 13802: 13787: 13637: 13232: 13190: 13108: 12528: 12487: 12454: 12222: 12215: 12052: 12019: 12002: 11496: 11432: 11269: 11212: 11152: 11147: 10985: 10934: 10795: 10542: 9097:"Mortality and Burden of Disease Estimates for WHO Member States in 2004" 7803:(2nd ed.). Geneva: World Health Organisation. 2008. pp. 38–44. 7797:
Education material for teachers of midwifery: midwifery education modules
6889: 6732: 3197:
Education material for teachers of midwifery: midwifery education modules
3032: 2715: 2533: 2465: 2325: 2228: 1867: 1774: 1386: 1242: 1230: 1225: 1077: 784: 749: 453:
and is much more prominent in women having their first vaginal delivery.
358: 10637: 10165: 9996:
National Collaborating Centre for Women's and Children's Health (2007).
6814:"Pain management for women in labour: an overview of systematic reviews" 6805: 6627:
Lumbiganon P, Thinkhamrop J, Thinkhamrop B, Tolosa JE (September 2014).
6136: 5045:
Stanton C, Armbruster D, Knight R, Ariawan I, et al. (March 2009).
4474:
The Australian & New Zealand Journal of Obstetrics & Gynaecology
4181:. Hagerstown, Maryland: Lippincott Williams & Wilkins. p. 350. 3986:
European Journal of Obstetrics & Gynecology and Reproductive Biology
1751:
Mechanical fetal injury may be caused by improper rotation of the fetus.
1261:; in the UK, midwives may use this gas without a doctor's prescription. 350:. Crowning may be experienced as an intense stretching and burning. The 14985: 14930: 14925: 14915: 14910: 14763: 14499: 14494: 14450: 13807: 13642: 13160: 13082: 12688: 12378: 12310: 12024: 11939: 10894: 10765: 10318:
Natal signs: cultural representations of pregnancy, birth and parenting
9689: 9382: 7558: 2887: 2879: 2758: 2685: 2661: 2570: 2548:
rest and observation of mothers in normal as well as complicated cases.
2545: 2455: 2427: 2275: 2270:
call for natural childbirth was spread nationwide, in conjunction with
2139: 2013: 1833: 1800: 1764: 1668: 1328: 1322: 1160: 864: 831: 815: 745: 668: 443: 390: 232: 78: 8201: 6958:
Bohren MA, Hofmeyr GJ, Sakala C, Fukuzawa RK, Cuthbert A (July 2017).
6626: 5667: 5665: 4893:
Rouse DJ, Weiner SJ, Bloom SL, Varner MW, et al. (October 2009).
3251: 2426:
2013 study found varying costs by facility for childbirth expenses in
1807:. Stillbirth rates have declined, though more slowly since the 2000s. 936:
All testing, bathing or other procedures are done in the parent's room
14970: 14836: 14815: 14697: 14622: 14574: 14504: 14459: 13851: 13710: 12752: 12477: 12365: 12205: 11978: 11284: 11157: 11017: 11007: 10842: 10820: 10747: 9546:
A natural process? Women, men and the medicalisation of childbirth".
8900: 3203:(2nd ed.). Geneva : World Health Organisation. 2008. p. 3. 2747: 2631: 2413: 2385: 1859: 1702: 1573: 1568: 1480: 1472:
Share of women that are expected to die from pregnancy-related causes
1306: 1221: 1061: 601: 370: 315: 196: 138: 128: 102: 82: 10561: 5829: 5674:"Oxytocin and early parent-infant interactions: A systematic review" 4126:"Oxytocin and early parent-infant interactions: A systematic review" 3979: 2586: 671:. The appearance of the fetal head at the vaginal opening is termed 15021: 14960: 14950: 14885: 14722: 14702: 14627: 13745: 13521: 13237: 12449: 12393: 12250: 12210: 11667: 11484: 11398: 11376: 11296: 11197: 11105: 11012: 10939: 10857: 10677: 9530: 9374: 7637:"U.S. Has The Worst Rate Of Maternal Deaths In The Developed World" 5662: 5400: 4985:
Best Practice & Research. Clinical Obstetrics & Gynaecology
4521: 2975: 2711: 2624: 2358: 2224: 2157: 1871: 1615: 1336: 1302: 1273: 1266: 1156: 1076:
labour are the same as for spontaneous vaginal delivery, including
995: 943: 883: 835: 776: 480: 406: 259: 251: 224: 52: 8224:
Carlino, Elisa; Frisaldi, Elisa; Benedetti, Fabrizio (June 2014).
5505: 4941: 2201:
describes the process of receiving the Baby Friendly designation:
262:. The fourth stage of labour involves the recovery of the mother, 14980: 14955: 14732: 14050: 13044: 12029: 11968: 11922: 11586: 11557: 11533: 11515: 11311: 11291: 10398:
Growing up in a culture of respect child rearing in highland Peru
8693:"Stillbirths: rates, risk factors, and acceleration towards 2030" 6190:"Rate Of C-Sections Is Rising At An 'Alarming' Rate, Report Says" 5784: 5277:"WHO recommendations on postnatal care of the mother and newborn" 2677: 2563: 2389: 2065: 1826: 1710: 1395: 1258: 999: 933:
The baby will receive no supplementation without a medical reason
644:
not extend beyond 10 hours in subsequent labours ("multiparae").
291: 267: 61: 10044:"Recommendations: Intrapartum care for healthy women and babies" 8803:
Tsatsaris, Vassilis; Cabrol, Dominique; Carbonne, Bruno (2004).
5138:
WHO recommendations for the prevention of postpartum haemorrhage
4576: 2801:
Ceremonies and customs can vary greatly between countries. See;
2650:
In jurisdictions where midwifery is not a regulated profession,
2102:. Most fetal birth injuries resolve without long term harm, but 1991:
Newborns are prone to infection in the first month of life. The
1610:
categories: Tone, Trauma, Tissue, and Thrombin. Tone represents
14905: 14692: 14677: 14440: 14054: 13550: 13012: 13007: 12255: 11963: 11934: 11876: 11871: 11424: 11306: 11130: 11052: 10711: 10706: 10701: 10588: 10573: 9804: 9196: 9020:"ACOG Releases Guidelines on Management of Post-term Pregnancy" 8261: 8259: 7075:"Epidural Opioid Analgesia and Neonatal Respiratory Depression" 5925: 5849:. Relentless Rise in Cesarian Rate. August 2012. Archived from 5435:"Rooming-in: An Essential Evolution in American Maternity Care" 5216:"Hospitals warned to delay cutting umbilical cords after birth" 5164: 4471: 4013:"Changes in uterine innervation in pregnancy and during labour" 3784:
National Collaborating Centre for Women's and Children's Health
3614: 3022: 2481: 2324:
Outcomes for mothers in childbirth were especially poor before
2009: 1821:
Preterm birth is the birth of an infant at fewer than 37 weeks
1713:
for the whole or parts of the event), problems in developing a
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Some animal mothers are known to eat their afterbirth, called
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607: 362:
as the fetus’ occiput exerts pressure on the mother’s sacrum.
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Pruritic urticarial papules and plaques of pregnancy (PUPPP)
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Social Devices for Impelling Women to Bear and Rear Children
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Statues and Regulations of British Columbia internet version
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It has long been known that a mother's level of the hormone
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Sequence of images showing the stages of ordinary childbirth
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If the twins are joined at any part of the body – called
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were discovered in the 1930s, because of high rates of
1576:
is the onset of seizures (convulsions) in a woman with
927:
The mother and her baby are not separated unnecessarily
342:
The most prominent sign of labour is strong repetitive
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Vaginal delivery involves four stages of labour: the
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Safe Motherhood Strategies: A Review of the Evidence
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American Congress of Obstetricians and Gynecologists
5135: 4668: 4350: 3739:"Essential Antenatal, Perinatal and Postpartum Care" 1735:
in which symptoms of high mood and racing thoughts (
1525: 1029:
Fetal compromise such as isoimmunisation leading to
1013:
American Congress of Obstetricians and Gynecologists
8409:
Journal of Psychosomatic Obstetrics and Gynaecology
8298:
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Complications in the baby include 13576:Psychiatric disorders of childbirth 11804: 11724:Society for Women's Health Research 11658:International Day of the Girl Child 10384: 10342: 10309: 10305:from the original on 8 August 2013. 10233:from the original on 25 August 2013 10120: 10085:from the original on 28 March 2017. 9964: 9628: 9574:from the original on 9 January 2022 9537: 9461: 9360: 9351: 9321: 9106:from the original on 28 August 2021 8882:from the original on 20 August 2012 8642:from the original on 5 October 2016 8612:from the original on 5 October 2016 8507:from the original on 5 October 2016 8271:National Institute of Mental Health 8020:The New England Journal of Medicine 7937: 5487:The WHO Reproductive Health Library 5321:10.1016/j.contraception.2017.09.014 5274: 4729:from the original on 11 August 2021 4105:from the original on 29 August 2014 3931:from the original on 2 January 2018 3657: 2508:Facilities for childbirth include: 1769:Stillbirth is typically defined as 1647:Psychiatric disorders of childbirth 1501: 1376: 1175:Forceps or vacuum assisted delivery 1095: 1006: 930:The baby will receive only her milk 561: 13: 13947:Pruritic folliculitis of pregnancy 11768:Birth control in the United States 9977:from the original on 10 March 2023 9783:10.1111/j.1552-6909.1996.tb02515.x 9692:. 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London: Chapman & Hall. 7388:10.1002/14651858.CD000081.pub3 7176:10.1002/14651858.CD000331.pub4 6976:10.1002/14651858.CD003766.pub6 6830:10.1002/14651858.CD009234.pub2 6751:10.1002/14651858.CD004455.pub5 6694:10.1002/14651858.CD007892.pub7 6645:10.1002/14651858.CD004070.pub3 6596:10.1002/14651858.CD001236.pub2 6535:10.1002/14651858.CD003930.pub3 6416:10.1002/14651858.CD003766.pub6 5579:10.1002/14651858.CD003519.pub4 5183:10.1002/14651858.CD004074.pub3 3899:American Pregnancy Association 3814:"Newborns: reducing mortality" 3633:10.1002/14651858.CD004074.pub3 3426:10.1002/14651858.CD000352.pub3 3340: 3094: 3076: 3046: 2619:unlicensed assistive personnel 2302:United Nations Population Fund 1792:or a type of surgery known as 1444:intrauterine pressure catheter 1141: 1067:Premature rupture of membranes 905:American Academy of Pediatrics 566: 508:The hormones initiating labour 384: 375:prelabour rupture of membranes 1: 14480:Breastfeeding and medications 14081:Prelabor rupture of membranes 12831:partner-assisted reproduction 11853:Development of the human body 11612:Social determinants of health 10400:. University of Texas Press. 9854:10.1016/S0002-9378(02)70189-0 9819:10.1016/S1524-9042(03)00028-6 9733:10.1016/S0140-6736(14)61682-2 8710:10.1016/S0140-6736(15)00837-5 8467:10.1016/S0140-6736(14)61278-2 8267:"Postpartum Depression Facts" 7966:10.1016/S2214-109X(14)70227-X 7419:Hammond P, Johnson A (1986). 6496:10.1016/S0889-8537(02)00029-9 6005:"Births: final data for 2007" 5481:Saloojee H (4 January 2008). 4997:10.1016/j.bpobgyn.2008.07.005 3816:. World Health Organization. 3557:– via Encyclopedia.com. 3465:Fossard Ed, Bailey M (2016). 3058:Oxford Dictionaries – English 3039: 2991:Pre- and perinatal psychology 2696:elements in their practices. 2637:Nursing and Midwifery Council 2503: 2217: 2206:physicians and staff members. 1893:Disability-adjusted life year 1758: 1719:posttraumatic stress disorder 1532:Obstetric labour complication 1316: 1116: 892:(SSC), sometimes also called 771:Delaying the clamping of the 654:Second stage: fetal expulsion 15042:Neonatal withdrawal syndrome 14663:Infant cognitive development 14560:Neonatal intensive care unit 14360:Systemic lupus erythematosus 14011:Maternal care related to the 13993:Gestational thrombocytopenia 12524:Disorders of sex development 11607:Gender disparities in health 10945:Mother-to-child transmission 10525:Spontaneous Vaginal Delivery 9886:Rosenthal E (30 June 2013). 9550:. Retrieved 3 December 2018. 9519:Journal of Consumer Research 8920:10.1371/journal.pmed.1002838 8310:10.3109/0167482X.2010.503330 8134:Indian Journal of Psychiatry 7305:10.1097/AOG.0b013e3181b11cb8 6783:"Forceps or vacuum delivery" 6367:Vernon D (6 February 2007). 6296:10.1097/MLR.0000000000000937 5791:BMC Pregnancy and Childbirth 4687:10.1097/AOG.0b013e3182952242 4236:Goldberg AE (2 March 2018). 4217:. Mayo Clinic. 10 March 2022 4029:10.1097/ACO.0b013e328337c881 3998:10.1016/j.ejogrb.2005.07.020 3383:. Paris: OECD. p. 105. 2931:, an abnormal birth position 2652:traditional birth attendants 2538:neonatal intensive care unit 2433:Reporting on costs in 2023, 2167: 1864:meconium aspiration syndrome 1827:before 37 weeks of gestation 1562: 1446:(IUPC). It can also involve 1047:Maternal conditions such as 950: 611:Engagement of the fetal head 7: 14966:Supplemental nursing system 14161:Cephalopelvic disproportion 13067:Traditional birth attendant 12534:Reproductive system disease 11220:Pelvic inflammatory disease 11163:Hormone replacement therapy 10727:Reproductive system disease 10362:. Oxford University Press. 9927:10.1136/bmjopen-2013-004017 9848:(5 Suppl Nature): S160-72. 9638:Obstetrics & Gynecology 9412:Leavitt, Judith W. (1988). 8957:Obstetrics & Gynecology 8230:Nature Reviews Rheumatology 6237:10.1080/0144361031000098316 6116:Reproductive Health Matters 5690:10.1016/j.ijnss.2019.09.009 5214:Campbell D (10 July 2013). 4142:10.1016/j.ijnss.2019.09.009 3812:World Health Organization. 3576:"Pregnancy Labor and Birth" 3471:. Sage Publications India. 2905: 2610:is one well-known example. 2449: 2023:(STIs) are associated with 1641:Psychological complications 1403:(EFM) during childbirth is 1220:Some women prefer to avoid 1155:At one time shaving of the 223:, most deliveries occur in 10: 15111: 14718:Prenatal development table 14658:Irritant diaper dermatitis 14272:Breastfeeding difficulties 14071:Constriction ring syndrome 14045:Braxton Hicks contractions 13299:Brain health and pollution 12493:Obstetrics and gynaecology 11714:Black Women's Health Study 10781:Complications of pregnancy 10436:10.1016/j.ajog.2015.12.061 8193:10.1016/j.srhc.2014.06.007 7923:10.1016/j.jmwh.2005.10.014 7736:Trust for America's Health 7021:10.1016/j.ajog.2014.01.026 6930:10.1016/j.ajog.2023.08.034 5471:Retrieved 1 November 2021. 5115:10.1016/j.jmwh.2003.11.005 4911:10.1016/j.ajog.2009.08.003 3246:(3): 265–77, quiz 276–77. 2722:) for Cesarean section or 2690:obstetrics and gynaecology 2453: 2285: 2262: 2121: 2117: 2083: 2034: 1881: 1866:, fetal malnutrition, and 1851: 1814: 1762: 1644: 1625: 1602: 1587: 1566: 1540: 1529: 1508:Trust for America's Health 1457: 1347: 1320: 1208: 1178: 967: 871:Early skin-to-skin contact 794: 713: 584:Braxton Hicks contractions 420: 18: 15037:Prenatal cocaine exposure 14994: 14825:Infant care and equipment 14824: 14742:Socialization and Culture 14741: 14653:Infant visual development 14605: 14520:Infant and toddler safety 14448: 14385: 14342: 14309:Peripartum cardiomyopathy 14299:Pubic symphysis diastasis 14262: 14146: 14010: 13983: 13965: 13907: 13869: 13860: 13816: 13734: 13725: 13660: 13625: 13589: 13543: 13534: 13512:Chorionic villus sampling 13494: 13289: 13246: 13215: 13208: 13075: 13000: 12969: 12960: 12894: 12864:Obstetric ultrasonography 12851: 12796: 12788:Pre-conception counseling 12763: 12668: 12637: 12564: 12516: 12468: 12432: 12409:Pregnant patients' rights 12364: 12324: 12274: 12231: 12182: 12174:Pre-conception counseling 12156: 12131:Abortion-rights movements 12106: 12045: 11953: 11895: 11859: 11775: 11732: 11691:Women's Health Initiative 11676: 11638: 11629: 11578: 11544:Major depressive disorder 11412: 11372:Intimate partner violence 11334: 11233:Female genital mutilation 11228: 11177: 11086: 11028: 10974: 10920: 10833: 10746: 10735: 10661: 10648: 10555: 10547:Leta Stetter Hollingworth 10132:Tait HN, Cidro J (2018). 9764:Weber SE (January 1996). 9215:10.1007/s00431-007-0437-8 9059:American Family Physician 9024:American Family Physician 8809:Clinical Pharmacokinetics 8775:World Health Organization 8540:World Health Organization 8421:10.1080/01674820600714632 8353:10.1007/s00737-009-0114-1 7530:World Health Organization 7342:World Health Organization 7293:Obstetrics and Gynecology 7221:10.1080/01443610400023072 6128:10.1016/j.rhm.2015.07.007 5640:"Birth and Breastfeeding" 5145:World Health Organization 4865:World Health Organization 4756:World Health Organization 4723:courses.lumenlearning.com 4675:Obstetrics and Gynecology 4618:World Health Organization 3543:Columbia University Press 3380:Doing better for children 1705:, as well as symptoms of 1488:World Health Organization 1433:World Health Organization 1169:providone-iodine solution 909:World Health Organization 825:World Health Organization 754:World Health Organization 166: 158: 144: 134: 120: 88: 72: 59: 50: 42: 37: 15047:Parental child abduction 14570:Oral rehydration therapy 13835:Gestational hypertension 13402:Intrahepatic cholestasis 12295:Gamete Cryopreservation 12141:Circumcision controversy 12121:Compulsory sterilization 11280:Gynaecological disorders 11096:Culture and menstruation 11063:Contraceptive prevalence 10955:Compulsory sterilization 10299:Her Majesty's Government 10223:"Health Professions Act" 10096:Stearns PN, ed. (1993). 8632:"Stillbirth: Other FAQs" 8147:10.4103/0019-5545.158152 7953:The Lancet Global Health 7451:Online version accessed. 6461:10.1177/0884217505276155 6071:"Oxytocin for Induction" 5530:10.1624/105812407X217147 4515:Satin AJ (1 July 2013). 4093:Bowen R (12 July 2010). 4071:10.1177/1066480707305470 2598:Different categories of 2408: 2365:). France, 14th century. 2278:have gained popularity. 1997:Streptococcus agalactiae 1195:prophylactic antibiotics 1043:Gestational hypertension 791:Fourth stage: postpartum 266:, and monitoring of the 15052:Parental responsibility 14565:Newborn care and safety 14234:Umbilical cord prolapse 14156:Amniotic fluid embolism 13914:dermatoses of pregnancy 13472:Motor vehicle emissions 13333:Concomitant conditions 13307:environmental toxicants 13050:Auxiliary nurse midwife 12811:artificial insemination 12778:Natural family planning 12655:Social hygiene movement 12508:Transgender health care 11563:Urinary tract infection 11355:Abuse during childbirth 10466:. Canberra, Australia: 9807:Pain Management Nursing 8242:10.1038/nrrheum.2014.17 8016:"Postpartum Hemorrhage" 7079:Journal of Perinatology 5893:10.23750/abm.v90i3.7623 5804:10.1186/1471-2393-11-84 5382:"Postpartum Assessment" 4802:10.1067/mob.2002.127142 4651:6 November 2013 at the 4532:(subscription required) 4517:"Latent phase of labor" 3120:10.1186/1741-7015-11-24 2913:Abuse during childbirth 2852:Childbirth in Sri Lanka 2777:Non-western communities 2698:Maternal–fetal medicine 2639:in the United Kingdom. 2441:Beginning in 2014, the 2189:Baby Friendly Hospitals 2086:Birth trauma (physical) 2080:Mechanical fetal injury 1794:dilation and evacuation 1715:mother-child attachment 1086:umbilical cord prolapse 324:lack of oxygen at birth 195:, is the completion of 14796:Grandparent visitation 14350:Concomitant conditions 14329:Postpartum thyroiditis 14107:Circumvallate placenta 13927:Impetigo herpetiformis 13922:Gestational pemphigoid 13894:Hyperemesis gravidarum 13827:hypertensive disorders 13566:Postpartum confinement 12826:in vitro fertilisation 12483:Genitourinary medicine 12286:In vitro fertilization 12241:Hormonal contraception 12126:Contraceptive security 11480:Cardiovascular disease 11068:Contraceptive security 11001:In vitro fertilization 10912:Postpartum confinement 10786:Hyperemesis gravidarum 9568:Johns Hopkins Medicine 9492:10.1093/ajcn/72.1.241S 9485:(1 Suppl): 241S–246S. 9473:Loudon I (July 2000). 8497:"Stillbirth: Overview" 8226:"Pain and the Context" 6880:10.1542/peds.2013-3794 6084:(ACOG). Archived from 5941:Patient Safety Council 2857:Childbirth in Thailand 2738:nursing certifications 2726:. They are experts in 2595: 2582:Associated occupations 2418: 2397: 2366: 2363:postpartum confinement 2297: 2208: 2199:Johns Hopkins Hospital 2104:brachial plexus injury 1988: 1899:and low birth weight, 1752: 1584:Maternal complications 1473: 1448:fetal scalp pH testing 1415:(cardio) sensor is an 1297: 1157:area around the vagina 1126: 1090:genital herpes simplex 1053:chronic kidney disease 886: 810: 766:postpartum haemorrhage 612: 509: 432: 14555:Infant sleep training 14319:Postpartum infections 14314:Postpartum depression 13561:Postpartum depression 13442:Pruritic folliculitis 13186:Unassisted childbirth 12146:Intersex human rights 11602:Healthcare inequality 11404:Gender discrimination 11208:Human papilloma virus 10883:Vesicovaginal fistula 10291:The National Archives 9258:, Elsevier: 169–176, 8638:. 23 September 2014. 8608:. 23 September 2014. 8503:. 23 September 2014. 8097:10.5152/jtgga.2013.08 8032:10.1056/NEJMra1513247 7091:10.1038/sj.jp.7210905 5845:Childbirth Connection 5724:Harrington, Rebecca. 5489:. WHO. Archived from 5063:10.2471/BLT.08.052597 4173:Pillitteri A (2010). 3582:. 27 September 2010. 3012:Natural birth topics: 3001:Unassisted childbirth 2918:Advanced maternal age 2874:Collecting stem cells 2755:Lactation consultants 2751:delivered vaginally. 2670:general practitioners 2589: 2575:unassisted childbirth 2486:Australian aboriginal 2454:Further information: 2416: 2376: 2356: 2295: 2255:to have the surgery. 2203: 2175:Industrial Revolution 2046:deprivation of oxygen 1891: 1750: 1733:psychiatric emergency 1683:Postpartum depression 1655:Postpartum depression 1628:Postpartum infections 1622:Postpartum infections 1471: 1440:fetal scalp electrode 1427:transducer, called a 1421:Doppler fetal monitor 1391:doppler fetal monitor 1356:head first-presenting 1321:Further information: 1291: 1124: 878: 844:contraceptive implant 808: 795:Further information: 726:third stage of labour 714:Further information: 610: 507: 477:opening of the cervix 430: 421:Further information: 288:relaxation techniques 248:opening of the cervix 14713:Prenatal development 14613:Attachment parenting 14587:Shaken baby syndrome 14324:Postpartum psychosis 14193:Obstetrical bleeding 14088:Obstetrical bleeding 13909:Integumentary system 13884:Gestational diabetes 13863:related to pregnancy 13861:Other, predominantly 13668:Gravidity and parity 13648:Congenital disorders 13607:Lactation consultant 13477:Pre-existing disease 13156:Childbirth positions 13146:Rupture of membranes 12843:Unintended pregnancy 12821:fertility medication 12704:tax on childlessness 12460:Genital modification 12384:Unintended pregnancy 12116:Reproductive Justice 11709:Nurses' Health Study 11617:Reproductive justice 11568:Urinary incontinence 11188:Sexually transmitted 11043:Intrauterine devices 10888:Rectovaginal fistula 10878:Obstetrical fistulae 10806:Gestational diabetes 10801:Obstetrical bleeding 10776:Adolescent pregnancy 10761:Gravidity and parity 10756:Unintended pregnancy 10536:27 July 2022 at the 9965:Rivelli, Elizabeth. 7734:. Washington, D.C.: 7423:. In Brown M (ed.). 6924:(3): S961–S979.e33. 5018:Ball H (June 2009). 3844:Lamaze International 3318:"The World Factbook" 3088:Cambridge Dictionary 2965:Obstetrical bleeding 2940:Childbirth positions 2867:Childbirth in Zambia 2842:Childbirth in Mexico 2666:family practitioners 2403:socioeconomic status 2321:last 10 years. 1993:pathogenic bacterium 1985: more than 1850 1729:Postpartum psychosis 1723:adjustment disorders 1651:Postpartum psychosis 1199:Urinary incontinence 1049:gestational diabetes 890:Skin-to-skin contact 842:(LARC), such as the 834:or a tearing of the 580:uterine contractions 494:skin-to-skin contact 367:rupture of membranes 344:uterine contractions 320:postpartum infection 276:skin-to-skin contact 229:developing countries 115:neonatal hypothermia 107:postpartum infection 15027:Infant ear piercing 14304:Postpartum bleeding 14127:Placental abruption 14112:Monochorionic twins 13942:Prurigo gestationis 13571:Sex after pregnancy 13378:Endocrine diseases 13324:Prenatal depression 13196:Placental expulsion 13114:Uterine contraction 13097:cervical effacement 12838:Fertility awareness 12404:Pregnancy from rape 12261:Intrauterine device 11622:Women's empowerment 11490:Alzheimer's disease 11121:Cloth menstrual pad 11078:Fertility awareness 11048:Oral contraceptives 10930:Perinatal mortality 10295:Ministry of Justice 10285:. London, England: 10050:. 3 December 2014. 8872:"Postmature Infant" 6049:The Washington Post 5954:on 20 November 2012 5856:on 17 February 2013 5512:Crenshaw J (2007). 5493:on 21 December 2014 5407:Mayo clinic staff. 5388:on 24 December 2014 5283:on 22 December 2014 4583:Mayo clinic staff. 4238:"Cervical Ripening" 3790:on 12 February 2015 3702:Phillips, Raylene. 3064:on 23 November 2018 2981:Obstetrical Dilemma 2884:amniotic stem cells 2882:during childbirth: 2847:Childbirth in Nepal 2837:Childbirth in Japan 2827:Childbirth in India 2822:Childbirth in Haiti 2817:Childbirth in Ghana 2812:Childbirth in China 2807:Childbirth in Benin 2625:Confinement nannies 2603:less formal basis. 2530:hospital department 2462:developed countries 2349:Society and culture 2112:Klumpke's paralysis 2006:respiratory disease 1919: less than 150 1743:Fetal complications 1605:Postpartum bleeding 1599:Postpartum bleeding 1187:obstetrical forceps 1181:Obstetrical forceps 1071:Post-term pregnancy 848:intrauterine device 781:postpartum bleeding 734:Placental expulsion 720:Placental expulsion 634:induction of labour 590:Cervical effacement 522:cervical effacement 466:induction of labour 312:postpartum bleeding 221:developed countries 99:postpartum bleeding 14535:Infant food safety 14334:Puerperal mastitis 14289:Breast engorgement 14076:Monoamniotic twins 14066:Chorionic hematoma 13347:Hypercoagulability 13176:Natural childbirth 13025:Postterm pregnancy 12783:Male contraceptive 12650:History of condoms 12539:Sexual dysfunction 12445:Sexual orientation 12399:Options counseling 12246:Male contraception 12169:Genetic counseling 12008:Emerging adulthood 11719:Cartwright Inquiry 11630:Politics, research 11448:Endometrial cancer 11302:Sexual intercourse 11073:Planned parenthood 11058:Male contraceptive 10358:Barbara R (2011). 10079:The New York Times 9892:The New York Times 9667:on 18 January 2017 9437:Cassidy T (2006). 8703:(10018): 587–603. 5143:(Report). Geneva: 4525:. Wolters Kluwer. 4057:The Family Journal 3028:Natural childbirth 2832:Childbirth in Iraq 2720:spinal anaesthesia 2596: 2553:maternity hospital 2473:remote communities 2423:The New York Times 2419: 2398: 2388:, ornamented with 2367: 2298: 2288:Maternal mortality 2265:Natural childbirth 2259:Natural childbirth 2239:Caesarean sections 2147:Soranus of Ephesus 2042:Perinatal asphyxia 2037:Perinatal asphyxia 2031:Perinatal asphyxia 1989: 1884:Neonatal infection 1878:Neonatal infection 1854:Postterm pregnancy 1805:Sub-Saharan Africa 1753: 1695:intrusive symptoms 1590:Puerperal disorder 1474: 1387:pinard stethoscope 1298: 1278:spinal anaesthesia 1216:Non-pharmaceutical 1127: 1020:Abruptio placentae 887: 811: 801:Puerperal disorder 648:Dystocia of labour 613: 510: 433: 338:Signs and symptoms 326:(birth asphyxia), 199:where one or more 162:135 million (2015) 15077: 15076: 14937: 14774:Children's rights 14688:Object permanence 14510:Failure to thrive 14407: 14406: 14365:Thyroid disorders 14355:Diabetes mellitus 14239:Uterine inversion 14171:Shoulder dystocia 14166:Obstructed labour 14142: 14141: 14006: 14005: 13975:Chorea gravidarum 13751:Ectopic pregnancy 13676: 13675: 13661:Obstetric history 13656: 13655: 13617:Confinement nanny 13530: 13529: 13397:Acute fatty liver 13204: 13203: 13092:cervical dilation 12719: 12718: 12419:Teenage pregnancy 12136:Genital integrity 12066: 12065: 11930:Adult development 11908:Child development 11819: 11818: 11699: 11698: 11524: 11523: 11475: 11474: 11458:Papanicolaou test 11414:Non-communicable 11382:Sexual harassment 11360:Domestic violence 11330: 11329: 11173: 11172: 10970: 10969: 10873:Retained placenta 10791:Ectopic pregnancy 10603: 10602: 10477:978-0-9751674-3-4 10369:978-0-19-531990-3 10320:. Demeter Press. 10316:Burton N (2015). 10136:. Demeter Press. 10109:978-0-8153-0342-8 9690:"Maternal health" 9454:978-0-87113-938-2 9423:978-0-19-505690-7 9030:(11): 2221–2225. 8747:. November 2015. 8546:on 2 October 2016 8461:(9956): 1789–99. 8382:Martin C (2012). 8026:(17): 1635–1645. 7613:on 28 August 2021 7603:978-90-76070-19-3 7559:"Maternal health" 7434:978-0-412-28290-4 7421:"Tocodynamometer" 6373:BellyBelly.com.au 6342:Our World in Data 5762:. December 2020. 4828:"Abnormal Labour" 4562:978-1-59486-211-3 4188:978-1-58255-999-5 3668:"Stages of Labor" 3478:978-93-5150-758-1 3390:978-92-64-05934-4 3352:Our World in Data 3299:978-0-19-968799-2 3286:Martin E (2015). 3252:10.2217/whe.13.17 3210:978-92-4-154666-9 3168:978-0-323-29537-6 2769:and the mother's 2682:cesarean sections 2542:obstetric surgery 2528:, is generally a 2310:obstructed labour 2231:, also known as " 2100:shoulder dystocia 1557:obstetric fistula 1553:shoulder dystocia 1543:Obstructed labour 1537:Obstructed labour 1520:Save the Children 1417:ultrasonic sensor 1294:positive feedback 1191:vacuum extraction 988:caesarean section 970:Caesarean section 856:postpartum chills 797:Postpartum period 739:retained placenta 622:cervical dilation 598:cervical dilation 518:cervical dilation 457:Cervical ripening 308:obstructed labour 219:globally. In the 213:caesarean section 178: 177: 153:elective abortion 95:Obstructed labour 32:Medical condition 25:Childbirth (band) 15102: 14933: 14618:Baby-led weaning 14434: 14427: 14420: 14411: 14410: 14394: 14393: 14229:Postmature birth 14217:Placenta accreta 14122:Placenta praevia 14117:Placenta accreta 14061:Chorioamnionitis 13871:Digestive system 13867: 13866: 13793:Fetal resorption 13781:Rudimentary horn 13738:abortive outcome 13732: 13731: 13703: 13696: 13689: 13680: 13679: 13541: 13540: 13507:Cardiotocography 13213: 13212: 13119:Vaginal delivery 12992:Nesting instinct 12967: 12966: 12952:Rudimentary horn 12881:Prenatal testing 12746: 12739: 12732: 12723: 12722: 12681:Two-child policy 12676:One-child policy 12556:Gender dysphoria 12093: 12086: 12079: 12070: 12069: 12046:Social and legal 11846: 11839: 11832: 11823: 11822: 11807: 11806: 11795: 11794: 11783: 11782: 11636: 11635: 11421: 11420: 11341: 11340: 11335:Non-reproductive 11184: 11183: 11101:Feminine hygiene 10868:Cesarian section 10863:Obstructed labor 10744: 10743: 10659: 10658: 10640: 10630: 10623: 10616: 10607: 10606: 10553: 10552: 10512: 10511: 10509: 10507: 10488: 10482: 10481: 10454: 10448: 10447: 10419: 10410: 10409: 10393: 10382: 10381: 10355: 10340: 10339: 10313: 10307: 10306: 10279: 10273: 10272: 10270: 10268: 10249: 10243: 10242: 10240: 10238: 10218: 10212: 10211: 10209: 10207: 10188: 10182: 10181: 10179: 10177: 10162: 10156: 10155: 10129: 10118: 10117: 10093: 10087: 10086: 10070: 10064: 10063: 10061: 10059: 10040: 10034: 10033: 10031: 10029: 9993: 9987: 9986: 9984: 9982: 9962: 9956: 9955: 9954: 9948: 9938: 9906: 9900: 9899: 9883: 9874: 9873: 9837: 9831: 9830: 9802: 9796: 9795: 9785: 9761: 9755: 9754: 9744: 9727:(9963): 117–71. 9712: 9706: 9705: 9703: 9701: 9686: 9677: 9676: 9674: 9672: 9666: 9660:. Archived from 9635: 9626: 9620: 9619: 9617: 9615: 9609: 9598: 9590: 9584: 9583: 9581: 9579: 9560: 9551: 9544: 9535: 9534: 9514: 9505: 9504: 9494: 9470: 9459: 9458: 9434: 9428: 9427: 9409: 9403: 9402: 9358: 9349: 9342: 9319: 9318: 9298: 9292: 9291: 9290: 9288: 9243: 9237: 9236: 9226: 9194: 9185: 9184: 9182: 9180: 9165: 9159: 9158: 9122: 9116: 9115: 9113: 9111: 9101: 9093: 9087: 9086: 9084: 9082: 9050: 9044: 9043: 9041: 9039: 9015: 9009: 9008: 9006: 9004: 8949: 8943: 8942: 8932: 8922: 8898: 8892: 8891: 8889: 8887: 8867: 8861: 8860: 8858: 8856: 8800: 8791: 8790: 8788: 8786: 8767: 8761: 8760: 8758: 8756: 8737: 8731: 8730: 8712: 8688: 8682: 8681: 8679: 8677: 8658: 8652: 8651: 8649: 8647: 8628: 8622: 8621: 8619: 8617: 8598: 8592: 8591: 8589: 8587: 8581: 8570: 8562: 8556: 8555: 8553: 8551: 8542:. Archived from 8532: 8517: 8516: 8514: 8512: 8493: 8487: 8486: 8450: 8441: 8440: 8404: 8398: 8397: 8379: 8373: 8372: 8336: 8330: 8329: 8293: 8287: 8286: 8284: 8282: 8263: 8254: 8253: 8221: 8215: 8214: 8204: 8176: 8170: 8169: 8159: 8149: 8125: 8119: 8118: 8108: 8076: 8070: 8069: 8051: 8011: 8005: 8004: 7978: 7968: 7959:(6): e323–e333. 7944: 7935: 7934: 7906: 7900: 7899: 7871: 7865: 7864: 7828: 7822: 7821: 7819: 7802: 7792: 7786: 7785: 7783: 7781: 7761: 7755: 7754: 7752: 7750: 7744: 7733: 7724: 7718: 7717: 7715: 7713: 7694: 7688: 7687: 7685: 7683: 7663: 7657: 7656: 7654: 7652: 7632: 7626: 7625: 7620: 7618: 7612: 7606:. Archived from 7585: 7579: 7578: 7576: 7574: 7555: 7549: 7548: 7546: 7544: 7538: 7527: 7519: 7513: 7512: 7510: 7508: 7490: 7458: 7452: 7450: 7448: 7446: 7416: 7410: 7409: 7399: 7367: 7361: 7360: 7358: 7356: 7350: 7339: 7331: 7325: 7324: 7288: 7282: 7281: 7271: 7247: 7241: 7240: 7204: 7198: 7197: 7187: 7155: 7146: 7145: 7117: 7111: 7110: 7070: 7064: 7063: 7061: 7059: 7050:. Archived from 7039: 7033: 7032: 7004: 6998: 6997: 6987: 6955: 6949: 6948: 6946: 6944: 6909: 6903: 6902: 6892: 6882: 6858: 6852: 6851: 6841: 6809: 6803: 6802: 6800: 6798: 6779: 6773: 6772: 6762: 6730: 6724: 6723: 6713: 6673: 6667: 6666: 6656: 6624: 6618: 6617: 6607: 6590:(11): CD001236. 6575: 6569: 6568: 6566: 6564: 6546: 6514: 6508: 6507: 6479: 6473: 6472: 6444: 6438: 6437: 6427: 6395: 6389: 6388: 6386: 6384: 6364: 6358: 6357: 6355: 6353: 6334: 6328: 6327: 6325: 6323: 6275: 6269: 6268: 6266: 6264: 6216: 6210: 6209: 6207: 6205: 6186: 6180: 6179: 6173: 6165: 6139: 6107: 6101: 6100: 6098: 6096: 6090: 6075: 6066: 6060: 6059: 6057: 6055: 6041: 6035: 6034: 6032: 6009: 6000: 5994: 5993: 5991: 5989: 5970: 5964: 5963: 5961: 5959: 5953: 5947:. Archived from 5943:(1st ed.). 5938: 5929: 5923: 5922: 5912: 5872: 5866: 5865: 5863: 5861: 5855: 5841: 5833: 5827: 5826: 5816: 5806: 5782: 5776: 5775: 5773: 5771: 5752: 5746: 5745: 5743: 5741: 5721: 5712: 5711: 5701: 5669: 5660: 5659: 5657: 5655: 5636: 5630: 5629: 5627: 5625: 5620:on 26 April 2013 5610: 5601: 5600: 5590: 5573:(11): CD003519. 5558: 5552: 5551: 5541: 5509: 5503: 5502: 5500: 5498: 5478: 5472: 5461: 5455: 5454: 5452: 5450: 5431: 5425: 5424: 5422: 5420: 5404: 5398: 5397: 5395: 5393: 5378: 5372: 5371: 5369: 5367: 5348: 5342: 5341: 5323: 5299: 5293: 5292: 5290: 5288: 5272: 5263: 5262: 5242: 5236: 5235: 5233: 5231: 5211: 5205: 5204: 5194: 5162: 5156: 5155: 5153: 5142: 5133: 5127: 5126: 5091: 5085: 5084: 5074: 5042: 5036: 5035: 5015: 5009: 5008: 4980: 4974: 4973: 4963: 4939: 4933: 4932: 4922: 4890: 4884: 4883: 4881: 4879: 4873: 4862: 4854: 4848: 4847: 4845: 4843: 4824: 4818: 4817: 4781: 4775: 4774: 4772: 4770: 4764: 4753: 4745: 4739: 4738: 4736: 4734: 4715: 4709: 4708: 4698: 4666: 4660: 4643: 4637: 4636: 4634: 4632: 4626: 4615: 4607: 4601: 4600: 4598: 4596: 4580: 4574: 4573: 4571: 4569: 4550: 4540: 4534: 4533: 4530: 4512: 4506: 4505: 4469: 4463: 4462: 4452: 4428: 4422: 4421: 4419: 4417: 4398: 4385: 4384: 4348: 4342: 4341: 4331: 4307: 4301: 4300: 4264: 4258: 4257: 4255: 4253: 4233: 4227: 4226: 4224: 4222: 4211: 4205: 4204: 4202: 4200: 4170: 4164: 4163: 4153: 4121: 4115: 4114: 4112: 4110: 4090: 4084: 4083: 4073: 4050:Meyer D (2007). 4047: 4041: 4040: 4008: 4002: 4001: 3977: 3971: 3970: 3968: 3966: 3955:Cleveland Clinic 3951:"Water Breaking" 3947: 3941: 3940: 3938: 3936: 3917: 3911: 3910: 3908: 3906: 3891: 3885: 3884: 3882: 3880: 3866: 3860: 3859: 3857: 3855: 3836: 3830: 3829: 3827: 3825: 3809: 3800: 3799: 3797: 3795: 3776: 3765: 3764: 3762: 3760: 3754: 3743: 3735: 3724: 3723: 3721: 3719: 3699: 3688: 3687: 3685: 3683: 3664: 3655: 3654: 3644: 3612: 3603: 3602: 3593: 3591: 3572: 3559: 3558: 3556: 3554: 3529: 3520: 3519: 3517: 3515: 3501: 3495: 3494: 3492: 3490: 3462: 3456: 3455: 3445: 3405: 3399: 3398: 3374: 3368: 3367: 3365: 3363: 3344: 3338: 3337: 3335: 3333: 3324:. 11 July 2016. 3314: 3308: 3307: 3283: 3274: 3273: 3263: 3231: 3222: 3221: 3219: 3202: 3192: 3177: 3176: 3152: 3143: 3142: 3132: 3122: 3098: 3092: 3091: 3080: 3074: 3073: 3071: 3069: 3060:. Archived from 3050: 2986:Perineal massage 2929:Asynclitic birth 2761:successfully. A 2742:nursing training 2734:Obstetric nurses 2724:forceps delivery 2714:or by providing 2674:general surgeons 2608:Lamaze technique 2600:birth attendants 2318:birth attendants 2245:cesarean section 2096:maternal obesity 2092:fetal macrosomia 1984: 1978: 1972: 1966: 1960: 1954: 1948: 1942: 1936: 1930: 1924: 1918: 1912: 1635:Ignaz Semmelweis 1502:Infant mortality 1405:cardiotocography 1377:Fetal monitoring 1245:for the infant. 1096:Cesarean section 1082:placenta praevia 1025:Chorioamnionitis 1007:Labour induction 984:labour induction 974:labour induction 730:involution stage 562:Stages of labour 423:Vaginal delivery 379:labour induction 348:menstrual cramps 304:developing world 240:stages of labour 209:vaginal delivery 183:, also known as 125:Vaginal delivery 55: 35: 34: 15110: 15109: 15105: 15104: 15103: 15101: 15100: 15099: 15080: 15079: 15078: 15073: 15067:Paternity fraud 15017:Closed adoption 14990: 14946:Infant clothing 14921:Haberman Feeder 14891:Car seat safety 14820: 14801:Infant swimming 14779:UN Child rights 14737: 14648:Gestational age 14601: 14444: 14438: 14408: 14403: 14381: 14338: 14282:Cracked nipples 14277:Low milk supply 14258: 14244:Uterine rupture 14138: 14033:Oligohydramnios 14018:amniotic cavity 14012: 14002: 13979: 13961: 13912: 13903: 13862: 13856: 13825: 13812: 13798:Molar pregnancy 13737: 13721: 13707: 13677: 13672: 13652: 13621: 13585: 13556:Postpartum care 13526: 13490: 13393:Liver diseases 13387:Thyroid disease 13285: 13271:Gestational age 13242: 13200: 13166:Labor induction 13071: 13062:Perinatal nurse 13035:Birth attendant 12996: 12956: 12890: 12886:Medical imaging 12847: 12816:fertility fraud 12792: 12759: 12750: 12720: 12715: 12664: 12633: 12606:United Kingdom 12560: 12512: 12503:Sexual medicine 12464: 12440:Gender identity 12428: 12374:Maternal health 12360: 12320: 12316:fertility fraud 12277: 12270: 12227: 12178: 12152: 12102: 12097: 12067: 12062: 12058:Age of majority 12041: 11974:Early childhood 11949: 11896:Birth and after 11891: 11887:Gestational age 11855: 11850: 11820: 11815: 11771: 11756:Family planning 11734: 11728: 11695: 11672: 11631: 11625: 11597:Gender equality 11580: 11574: 11520: 11471: 11453:Cervical cancer 11415: 11408: 11346: 11336: 11326: 11317:Sex differences 11275:Forced marriage 11224: 11189: 11179: 11169: 11111:Menstrual cycle 11082: 11035:Family planning 11033: 11024: 10977: 10966: 10925:Maternal deaths 10916: 10907:Postpartum care 10853:Multiple births 10829: 10738: 10731: 10664: 10655: 10652: 10644: 10634: 10604: 10599: 10598: 10564: 10538:Wayback Machine 10521: 10516: 10515: 10505: 10503: 10490: 10489: 10485: 10478: 10455: 10451: 10420: 10413: 10396:Inge B (2006). 10394: 10385: 10370: 10356: 10343: 10328: 10314: 10310: 10281: 10280: 10276: 10266: 10264: 10251: 10250: 10246: 10236: 10234: 10219: 10215: 10205: 10203: 10190: 10189: 10185: 10175: 10173: 10164: 10163: 10159: 10144: 10130: 10121: 10110: 10094: 10090: 10071: 10067: 10057: 10055: 10042: 10041: 10037: 10027: 10025: 10010: 9994: 9990: 9980: 9978: 9963: 9959: 9949: 9907: 9903: 9884: 9877: 9838: 9834: 9803: 9799: 9762: 9758: 9713: 9709: 9699: 9697: 9688: 9687: 9680: 9670: 9668: 9664: 9633: 9627: 9623: 9613: 9611: 9607: 9596: 9592: 9591: 9587: 9577: 9575: 9562: 9561: 9554: 9545: 9538: 9515: 9508: 9471: 9462: 9455: 9435: 9431: 9424: 9410: 9406: 9359: 9352: 9343: 9322: 9315: 9299: 9295: 9286: 9284: 9274: 9244: 9240: 9195: 9188: 9178: 9176: 9167: 9166: 9162: 9133:(6): CD007467. 9123: 9119: 9109: 9107: 9099: 9095: 9094: 9090: 9080: 9078: 9051: 9047: 9037: 9035: 9016: 9012: 9002: 9000: 8951: 8950: 8946: 8913:(7): e1002838. 8899: 8895: 8885: 8883: 8868: 8864: 8854: 8852: 8815:(13): 833–844. 8801: 8794: 8784: 8782: 8771:"Preterm Birth" 8769: 8768: 8764: 8754: 8752: 8739: 8738: 8734: 8689: 8685: 8675: 8673: 8660: 8659: 8655: 8645: 8643: 8630: 8629: 8625: 8615: 8613: 8600: 8599: 8595: 8585: 8583: 8582:on 12 July 2018 8579: 8568: 8564: 8563: 8559: 8549: 8547: 8534: 8533: 8520: 8510: 8508: 8495: 8494: 8490: 8451: 8444: 8405: 8401: 8394: 8380: 8376: 8337: 8333: 8294: 8290: 8280: 8278: 8265: 8264: 8257: 8222: 8218: 8177: 8173: 8126: 8122: 8077: 8073: 8012: 8008: 7976:1854/LU-5796925 7945: 7938: 7907: 7903: 7872: 7868: 7829: 7825: 7817: 7811: 7800: 7794: 7793: 7789: 7779: 7777: 7762: 7758: 7748: 7746: 7742: 7731: 7725: 7721: 7711: 7709: 7696: 7695: 7691: 7681: 7679: 7664: 7660: 7650: 7648: 7633: 7629: 7616: 7614: 7610: 7604: 7586: 7582: 7572: 7570: 7557: 7556: 7552: 7542: 7540: 7536: 7525: 7521: 7520: 7516: 7506: 7504: 7473:(5): CD006066. 7459: 7455: 7444: 7442: 7435: 7417: 7413: 7382:(2): CD000081. 7368: 7364: 7354: 7352: 7348: 7337: 7333: 7332: 7328: 7289: 7285: 7248: 7244: 7205: 7201: 7170:(5): CD000331. 7156: 7149: 7118: 7114: 7071: 7067: 7057: 7055: 7054:on 16 June 2019 7040: 7036: 7005: 7001: 6970:(8): CD003766. 6956: 6952: 6942: 6940: 6910: 6906: 6859: 6855: 6824:(3): CD009234. 6810: 6806: 6796: 6794: 6781: 6780: 6776: 6745:(3): CD004455. 6731: 6727: 6688:(4): CD007892. 6674: 6670: 6639:(9): CD004070. 6625: 6621: 6576: 6572: 6562: 6560: 6515: 6511: 6480: 6476: 6445: 6441: 6410:(8): CD003766. 6396: 6392: 6382: 6380: 6365: 6361: 6351: 6349: 6336: 6335: 6331: 6321: 6319: 6276: 6272: 6262: 6260: 6217: 6213: 6203: 6201: 6188: 6187: 6183: 6167: 6166: 6122:(45): 149–150. 6108: 6104: 6094: 6092: 6091:on 21 June 2013 6088: 6073: 6067: 6063: 6053: 6051: 6043: 6042: 6038: 6030: 6007: 6001: 5997: 5987: 5985: 5972: 5971: 5967: 5957: 5955: 5951: 5936: 5930: 5926: 5873: 5869: 5859: 5857: 5853: 5839: 5835: 5834: 5830: 5783: 5779: 5769: 5767: 5754: 5753: 5749: 5739: 5737: 5722: 5715: 5670: 5663: 5653: 5651: 5644:La Leche League 5638: 5637: 5633: 5623: 5621: 5612: 5611: 5604: 5559: 5555: 5510: 5506: 5496: 5494: 5479: 5475: 5462: 5458: 5448: 5446: 5433: 5432: 5428: 5418: 5416: 5411:. Mayo Clinic. 5405: 5401: 5391: 5389: 5380: 5379: 5375: 5365: 5363: 5350: 5349: 5345: 5300: 5296: 5286: 5284: 5273: 5266: 5247:Family Medicine 5243: 5239: 5229: 5227: 5212: 5208: 5177:(7): CD004074. 5163: 5159: 5154:on 5 July 2009. 5151: 5140: 5134: 5130: 5092: 5088: 5043: 5039: 5016: 5012: 4981: 4977: 4940: 4936: 4905:(4): 357.e1–7. 4891: 4887: 4877: 4875: 4871: 4860: 4856: 4855: 4851: 4841: 4839: 4826: 4825: 4821: 4782: 4778: 4768: 4766: 4762: 4751: 4747: 4746: 4742: 4732: 4730: 4717: 4716: 4712: 4667: 4663: 4653:Wayback Machine 4644: 4640: 4630: 4628: 4624: 4613: 4609: 4608: 4604: 4594: 4592: 4587:. Mayo Clinic. 4581: 4577: 4567: 4565: 4563: 4541: 4537: 4531: 4513: 4509: 4470: 4466: 4429: 4425: 4415: 4413: 4400: 4399: 4388: 4349: 4345: 4308: 4304: 4275:(12): 1090–94. 4265: 4261: 4251: 4249: 4234: 4230: 4220: 4218: 4213: 4212: 4208: 4198: 4196: 4189: 4171: 4167: 4122: 4118: 4108: 4106: 4091: 4087: 4048: 4044: 4009: 4005: 3978: 3974: 3964: 3962: 3949: 3948: 3944: 3934: 3932: 3919: 3918: 3914: 3904: 3902: 3901:. 27 April 2020 3893: 3892: 3888: 3878: 3876: 3868: 3867: 3863: 3853: 3851: 3838: 3837: 3833: 3823: 3821: 3810: 3803: 3793: 3791: 3778: 3777: 3768: 3758: 3756: 3752: 3741: 3737: 3736: 3727: 3717: 3715: 3700: 3691: 3681: 3679: 3666: 3665: 3658: 3627:(7): CD004074. 3613: 3606: 3599: 3597: 3589: 3587: 3574: 3573: 3562: 3552: 3550: 3531: 3530: 3523: 3513: 3511: 3503: 3502: 3498: 3488: 3486: 3479: 3463: 3459: 3420:(3): CD000352. 3406: 3402: 3391: 3375: 3371: 3361: 3359: 3346: 3345: 3341: 3331: 3329: 3316: 3315: 3311: 3300: 3284: 3277: 3232: 3225: 3217: 3211: 3200: 3194: 3193: 3180: 3169: 3153: 3146: 3099: 3095: 3082: 3081: 3077: 3067: 3065: 3052: 3051: 3047: 3042: 3037: 2955:Maternal health 2950:Ferguson reflex 2908: 2896: 2876: 2871: 2779: 2658:Medical doctors 2584: 2560:birthing centre 2506: 2466:the Netherlands 2458: 2452: 2411: 2379:Luristan bronze 2351: 2330:puerperal fever 2314:family planning 2306:severe bleeding 2290: 2284: 2267: 2261: 2241: 2220: 2191: 2170: 2162:neurobiological 2135: 2130: 2120: 2088: 2082: 2039: 2033: 2002:from the mother 1987: 1986: 1982: 1980: 1979: 1500–1850 1976: 1974: 1973: 1350–1500 1970: 1968: 1967: 1200–1350 1964: 1962: 1961: 1050–1200 1958: 1956: 1952: 1950: 1946: 1944: 1940: 1938: 1934: 1932: 1928: 1926: 1922: 1920: 1916: 1914: 1910: 1886: 1880: 1856: 1850: 1848:Post-term birth 1838:glucocorticoids 1823:gestational age 1819: 1813: 1786:developed world 1767: 1761: 1745: 1665: 1663:Maternity blues 1645:Main articles: 1643: 1630: 1624: 1607: 1601: 1592: 1586: 1571: 1565: 1545: 1539: 1534: 1528: 1504: 1483: 1466: 1456: 1429:tocodynamometer 1419:, similar to a 1409:cardiotocograph 1407:(CTG), using a 1379: 1370:conjoined twins 1352: 1346: 1344:Multiple births 1325: 1319: 1286: 1251: 1218: 1213: 1207: 1189:extraction and 1183: 1177: 1149:Cochrane review 1144: 1119: 1098: 1035:oligohydramnios 1009: 980: 968:Main articles: 966: 953: 919:La Leche League 898:Cochrane review 873: 803: 793: 722: 712: 665:vaginal opening 656: 582:. In contrast, 569: 564: 502: 500:Onset of labour 425: 419: 403: 387: 340: 300:birthing deaths 227:, while in the 172:maternal deaths 33: 28: 17: 12: 11: 5: 15108: 15098: 15097: 15092: 15075: 15074: 15072: 15071: 15070: 15069: 15059: 15057:Parenting plan 15054: 15049: 15044: 15039: 15034: 15029: 15024: 15019: 15014: 15009: 15004: 14998: 14996: 14992: 14991: 14989: 14988: 14983: 14978: 14973: 14968: 14963: 14958: 14953: 14948: 14943: 14941:Infant carrier 14938: 14928: 14923: 14918: 14913: 14908: 14903: 14898: 14893: 14888: 14883: 14881:Baby transport 14878: 14873: 14868: 14863: 14858: 14853: 14848: 14839: 14834: 14828: 14826: 14822: 14821: 14819: 14818: 14813: 14808: 14803: 14798: 14793: 14788: 14783: 14782: 14781: 14771: 14766: 14761: 14756: 14751: 14745: 14743: 14739: 14738: 14736: 14735: 14730: 14725: 14720: 14715: 14710: 14705: 14700: 14695: 14690: 14685: 14680: 14675: 14670: 14665: 14660: 14655: 14650: 14645: 14640: 14635: 14630: 14625: 14620: 14615: 14609: 14607: 14603: 14602: 14600: 14599: 14594: 14589: 14584: 14579: 14578: 14577: 14567: 14562: 14557: 14552: 14547: 14545:Infant massage 14542: 14540:Infant formula 14537: 14532: 14530:Infant feeding 14527: 14525:Infant bathing 14522: 14517: 14512: 14507: 14502: 14497: 14492: 14490:Bottle feeding 14487: 14482: 14477: 14472: 14467: 14462: 14456: 14454: 14446: 14445: 14443:and their care 14437: 14436: 14429: 14422: 14414: 14405: 14404: 14402: 14401: 14386: 14383: 14382: 14380: 14379: 14374: 14372:Maternal death 14369: 14368: 14367: 14362: 14357: 14346: 14344: 14340: 14339: 14337: 14336: 14331: 14326: 14321: 14316: 14311: 14306: 14301: 14296: 14291: 14286: 14285: 14284: 14279: 14268: 14266: 14260: 14259: 14257: 14256: 14251: 14246: 14241: 14236: 14231: 14226: 14221: 14220: 14219: 14207: 14202: 14201: 14200: 14190: 14185: 14180: 14178:Fetal distress 14175: 14174: 14173: 14163: 14158: 14152: 14150: 14144: 14143: 14140: 14139: 14137: 14136: 14135: 14134: 14129: 14124: 14119: 14114: 14109: 14097: 14096: 14095: 14085: 14084: 14083: 14078: 14073: 14068: 14063: 14047: 14042: 14041: 14040: 14038:Polyhydramnios 14035: 14027:amniotic fluid 14022: 14020: 14008: 14007: 14004: 14003: 14001: 14000: 13995: 13989: 13987: 13981: 13980: 13978: 13977: 13971: 13969: 13967:Nervous system 13963: 13962: 13960: 13959: 13954: 13949: 13944: 13939: 13934: 13929: 13924: 13918: 13916: 13905: 13904: 13902: 13901: 13896: 13891: 13886: 13881: 13875: 13873: 13864: 13858: 13857: 13855: 13854: 13849: 13848: 13847: 13845:HELLP syndrome 13837: 13831: 13829: 13814: 13813: 13811: 13810: 13805: 13800: 13795: 13790: 13785: 13784: 13783: 13778: 13773: 13768: 13763: 13758: 13748: 13742: 13740: 13736:Pregnancy with 13729: 13723: 13722: 13706: 13705: 13698: 13691: 13683: 13674: 13673: 13671: 13670: 13664: 13662: 13658: 13657: 13654: 13653: 13651: 13650: 13645: 13640: 13635: 13629: 13627: 13623: 13622: 13620: 13619: 13614: 13609: 13604: 13602:Health visitor 13599: 13593: 13591: 13587: 13586: 13584: 13583: 13578: 13573: 13568: 13563: 13558: 13553: 13547: 13545: 13538: 13532: 13531: 13528: 13527: 13525: 13524: 13519: 13517:Nonstress test 13514: 13509: 13504: 13498: 13496: 13492: 13491: 13489: 13488: 13487: 13486: 13485: 13484: 13479: 13474: 13469: 13464: 13459: 13451: 13450: 13449: 13444: 13439: 13433:Skin diseases 13431: 13430: 13429: 13424: 13419: 13414: 13406: 13405: 13404: 13399: 13391: 13390: 13389: 13384: 13376: 13375: 13374: 13369: 13364: 13359: 13349: 13344: 13339: 13331: 13326: 13321: 13320: 13319: 13314: 13309: 13301: 13295: 13293: 13287: 13286: 13284: 13283: 13278: 13273: 13268: 13263: 13258: 13252: 13250: 13244: 13243: 13241: 13240: 13235: 13230: 13225: 13223:Amniotic fluid 13219: 13217: 13210: 13206: 13205: 13202: 13201: 13199: 13198: 13193: 13188: 13183: 13178: 13173: 13171:Multiple birth 13168: 13163: 13158: 13153: 13148: 13143: 13142: 13141: 13136: 13131: 13121: 13116: 13111: 13106: 13105: 13104: 13099: 13094: 13079: 13077: 13073: 13072: 13070: 13069: 13064: 13059: 13054: 13053: 13052: 13042: 13037: 13032: 13027: 13022: 13021: 13020: 13010: 13004: 13002: 12998: 12997: 12995: 12994: 12989: 12984: 12979: 12977:Bradley method 12973: 12971: 12964: 12958: 12957: 12955: 12954: 12949: 12944: 12939: 12934: 12929: 12924: 12919: 12914: 12909: 12904: 12898: 12896: 12892: 12891: 12889: 12888: 12883: 12878: 12877: 12876: 12869:Pregnancy test 12866: 12861: 12855: 12853: 12849: 12848: 12846: 12845: 12840: 12835: 12834: 12833: 12828: 12823: 12818: 12813: 12802: 12800: 12794: 12793: 12791: 12790: 12785: 12780: 12775: 12769: 12767: 12761: 12760: 12749: 12748: 12741: 12734: 12726: 12717: 12716: 12714: 12713: 12708: 12707: 12706: 12701: 12696: 12691: 12683: 12678: 12672: 12670: 12666: 12665: 12663: 12662: 12657: 12652: 12647: 12641: 12639: 12635: 12634: 12632: 12631: 12630: 12629: 12624: 12622:teen pregnancy 12614: 12613: 12612: 12604: 12599: 12594: 12589: 12584: 12579: 12574: 12568: 12566: 12562: 12561: 12559: 12558: 12553: 12552: 12551: 12541: 12536: 12531: 12526: 12520: 12518: 12514: 12513: 12511: 12510: 12505: 12500: 12495: 12490: 12485: 12480: 12474: 12472: 12466: 12465: 12463: 12462: 12457: 12452: 12447: 12442: 12436: 12434: 12430: 12429: 12427: 12426: 12421: 12416: 12411: 12406: 12401: 12396: 12391: 12386: 12381: 12376: 12370: 12368: 12362: 12361: 12359: 12358: 12357: 12356: 12348: 12347: 12346: 12336: 12330: 12328: 12322: 12321: 12319: 12318: 12313: 12308: 12307: 12306: 12301: 12293: 12288: 12282: 12280: 12272: 12271: 12269: 12268: 12263: 12258: 12253: 12248: 12243: 12237: 12235: 12229: 12228: 12226: 12225: 12220: 12219: 12218: 12213: 12203: 12198: 12188: 12186: 12180: 12179: 12177: 12176: 12171: 12166: 12160: 12158: 12154: 12153: 12151: 12150: 12149: 12148: 12143: 12133: 12128: 12123: 12118: 12112: 12110: 12104: 12103: 12096: 12095: 12088: 12081: 12073: 12064: 12063: 12061: 12060: 12055: 12049: 12047: 12043: 12042: 12040: 12039: 12034: 12033: 12032: 12027: 12022: 12012: 12011: 12010: 12005: 12000: 11998:Preadolescence 11990: 11989: 11988: 11987: 11986: 11976: 11971: 11966: 11957: 11955: 11951: 11950: 11948: 11947: 11942: 11937: 11932: 11927: 11926: 11925: 11920: 11915: 11905: 11899: 11897: 11893: 11892: 11890: 11889: 11884: 11879: 11874: 11869: 11863: 11861: 11857: 11856: 11849: 11848: 11841: 11834: 11826: 11817: 11816: 11814: 11813: 11801: 11789: 11776: 11773: 11772: 11770: 11765: 11760: 11759: 11758: 11748: 11743: 11738: 11736: 11733:Women's health 11730: 11729: 11727: 11726: 11721: 11716: 11711: 11706: 11700: 11697: 11696: 11694: 11693: 11688: 11682: 11680: 11674: 11673: 11671: 11670: 11665: 11660: 11655: 11650: 11644: 11642: 11640:United Nations 11633: 11632:& advocacy 11627: 11626: 11624: 11619: 11614: 11609: 11604: 11599: 11594: 11589: 11584: 11582: 11579:Sociocultural 11576: 11575: 11573: 11572: 11571: 11570: 11565: 11560: 11550: 11549: 11548: 11547: 11546: 11536: 11525: 11522: 11521: 11519: 11518: 11513: 11512: 11511: 11510: 11509: 11494: 11493: 11492: 11482: 11476: 11473: 11472: 11470: 11469: 11467:Ovarian cancer 11464: 11463: 11462: 11461: 11460: 11450: 11443:Uterine cancer 11440: 11435: 11429: 11427: 11418: 11410: 11409: 11407: 11406: 11401: 11396: 11395: 11394: 11387:Sexual assault 11384: 11379: 11374: 11369: 11368: 11367: 11357: 11351: 11349: 11338: 11332: 11331: 11328: 11327: 11325: 11324: 11319: 11314: 11309: 11304: 11299: 11294: 11289: 11288: 11287: 11277: 11272: 11267: 11265:Child marriage 11262: 11260:Breast ironing 11257: 11252: 11250:Breast binding 11247: 11246: 11245: 11240: 11238:Clitoridectomy 11229: 11226: 11225: 11223: 11222: 11217: 11216: 11215: 11205: 11200: 11194: 11192: 11181: 11175: 11174: 11171: 11170: 11168: 11167: 11166: 11165: 11155: 11150: 11145: 11140: 11139: 11138: 11133: 11128: 11123: 11116:Menstrual aids 11113: 11108: 11103: 11098: 11092: 11090: 11084: 11083: 11081: 11080: 11075: 11070: 11065: 11060: 11055: 11050: 11045: 11039: 11037: 11026: 11025: 11023: 11022: 11021: 11020: 11015: 11005: 11004: 11003: 10998: 10993: 10982: 10980: 10972: 10971: 10968: 10967: 10965: 10964: 10959: 10958: 10957: 10947: 10942: 10937: 10932: 10927: 10921: 10918: 10917: 10915: 10914: 10909: 10904: 10903: 10902: 10900:Husband stitch 10892: 10891: 10890: 10885: 10875: 10870: 10865: 10860: 10855: 10850: 10845: 10839: 10837: 10831: 10830: 10828: 10827: 10826: 10825: 10824: 10823: 10818: 10808: 10803: 10798: 10793: 10788: 10778: 10773: 10771:Antenatal care 10768: 10763: 10758: 10752: 10750: 10741: 10733: 10732: 10730: 10729: 10724: 10719: 10717:Fallopian tube 10714: 10709: 10704: 10699: 10698: 10697: 10692: 10687: 10686: 10685: 10669: 10667: 10663:Reproductive 10656: 10649: 10646: 10645: 10642:Women's health 10633: 10632: 10625: 10618: 10610: 10601: 10600: 10597: 10596: 10581: 10565: 10560: 10559: 10557: 10556:Classification 10550: 10549: 10540: 10528: 10520: 10519:External links 10517: 10514: 10513: 10483: 10476: 10470:. p. 56. 10460:, ed. (2005). 10449: 10411: 10383: 10368: 10341: 10327:978-1926452326 10326: 10308: 10274: 10244: 10213: 10183: 10157: 10143:978-1772581355 10142: 10119: 10108: 10088: 10065: 10035: 10008: 9988: 9957: 9921:(1): e004017. 9901: 9875: 9832: 9797: 9756: 9707: 9678: 9644:(6): 1386–97. 9621: 9585: 9552: 9536: 9531:10.1086/432233 9506: 9460: 9453: 9429: 9422: 9404: 9375:10.1086/493779 9350: 9320: 9314:978-0443010118 9313: 9304:Gray's Anatomy 9293: 9272: 9238: 9186: 9160: 9117: 9088: 9065:(3): 160–165. 9045: 9010: 8944: 8893: 8862: 8792: 8762: 8732: 8683: 8653: 8623: 8593: 8557: 8518: 8488: 8442: 8399: 8393:978-1907830495 8392: 8374: 8331: 8288: 8255: 8236:(6): 348–355. 8216: 8171: 8120: 8071: 8006: 7936: 7901: 7866: 7823: 7810:978-9241546669 7809: 7787: 7756: 7719: 7689: 7658: 7627: 7602: 7580: 7550: 7514: 7453: 7433: 7411: 7362: 7326: 7283: 7256:Anesthesiology 7242: 7199: 7147: 7112: 7065: 7034: 6999: 6950: 6904: 6853: 6804: 6774: 6725: 6668: 6619: 6570: 6509: 6474: 6439: 6390: 6359: 6329: 6290:(8): 658–664. 6270: 6231:(3): 233–238. 6211: 6181: 6102: 6061: 6036: 5995: 5965: 5945:March of Dimes 5924: 5887:(3): 300–309. 5867: 5828: 5777: 5747: 5713: 5684:(4): 445–453. 5661: 5631: 5602: 5553: 5504: 5473: 5456: 5426: 5399: 5373: 5343: 5294: 5264: 5237: 5206: 5157: 5128: 5086: 5037: 5010: 4991:(6): 1103–17. 4975: 4934: 4885: 4849: 4819: 4776: 4740: 4710: 4661: 4638: 4602: 4575: 4561: 4535: 4507: 4464: 4443:(3): 396–400. 4423: 4386: 4343: 4302: 4259: 4228: 4206: 4187: 4165: 4136:(4): 445–453. 4116: 4085: 4042: 4023:(3): 300–303. 4003: 3972: 3942: 3912: 3886: 3861: 3831: 3801: 3766: 3725: 3689: 3656: 3604: 3580:Women's Health 3560: 3541:(6 ed.). 3521: 3496: 3477: 3457: 3400: 3389: 3369: 3339: 3309: 3298: 3275: 3240:Women's Health 3223: 3209: 3178: 3167: 3144: 3093: 3075: 3044: 3043: 3041: 3038: 3036: 3035: 3030: 3025: 3020: 3009: 3008: 3006:Vernix caseosa 3003: 2998: 2993: 2988: 2983: 2978: 2973: 2970:Naegele's rule 2967: 2962: 2960:Multiple birth 2957: 2952: 2947: 2942: 2937: 2932: 2926: 2921: 2915: 2909: 2907: 2904: 2895: 2892: 2886:and umbilical 2875: 2872: 2870: 2869: 2864: 2859: 2854: 2849: 2844: 2839: 2834: 2829: 2824: 2819: 2814: 2809: 2803: 2796:umbilical cord 2778: 2775: 2763:health visitor 2583: 2580: 2579: 2578: 2567: 2556: 2549: 2532:that provides 2518:maternity unit 2516:, also called 2514:maternity ward 2505: 2502: 2494:exact location 2451: 2448: 2410: 2407: 2350: 2347: 2286:Main article: 2283: 2280: 2263:Main article: 2260: 2257: 2240: 2237: 2233:twilight sleep 2219: 2216: 2190: 2187: 2169: 2166: 2134: 2131: 2119: 2116: 2084:Main article: 2081: 2078: 2074:cerebral palsy 2035:Main article: 2032: 2029: 1981: 1975: 1969: 1963: 1957: 1955: 900–1050 1951: 1945: 1939: 1933: 1927: 1921: 1915: 1909: 1908: 1901:birth asphyxia 1882:Main article: 1879: 1876: 1852:Main article: 1849: 1846: 1815:Main article: 1812: 1809: 1763:Main article: 1760: 1757: 1744: 1741: 1642: 1639: 1626:Main article: 1623: 1620: 1603:Main article: 1600: 1597: 1588:Main article: 1585: 1582: 1567:Main article: 1564: 1561: 1541:Main article: 1538: 1535: 1530:Main article: 1527: 1524: 1503: 1500: 1482: 1479: 1464:maternal death 1460:Neonatal death 1455: 1452: 1378: 1375: 1374: 1373: 1366: 1363: 1354:In cases of a 1350:Multiple birth 1348:Main article: 1345: 1342: 1333:Perineal tears 1318: 1315: 1285: 1282: 1250: 1249:Pharmaceutical 1247: 1217: 1214: 1209:Main article: 1206: 1203: 1179:Main article: 1176: 1173: 1143: 1140: 1118: 1115: 1107:March of Dimes 1097: 1094: 1073: 1072: 1069: 1064: 1055: 1045: 1040: 1037: 1027: 1022: 1008: 1005: 965: 962: 952: 949: 940: 939: 938: 937: 934: 931: 928: 872: 869: 792: 789: 773:umbilical cord 716:Umbilical cord 711: 708: 704:perineal tears 655: 652: 568: 565: 563: 560: 532: 531: 528: 525: 501: 498: 440:ischial spines 418: 415: 402: 399: 386: 383: 339: 336: 176: 175: 168: 164: 163: 160: 156: 155: 146: 142: 141: 136: 132: 131: 122: 118: 117: 111:birth asphyxia 92: 86: 85: 76: 70: 69: 66:vernix caseosa 57: 56: 48: 47: 44: 40: 39: 31: 15: 9: 6: 4: 3: 2: 15107: 15096: 15093: 15091: 15088: 15087: 15085: 15068: 15065: 15064: 15063: 15060: 15058: 15055: 15053: 15050: 15048: 15045: 15043: 15040: 15038: 15035: 15033: 15032:Open adoption 15030: 15028: 15025: 15023: 15020: 15018: 15015: 15013: 15012:Child neglect 15010: 15008: 15005: 15003: 15000: 14999: 14997: 14993: 14987: 14984: 14982: 14979: 14977: 14974: 14972: 14969: 14967: 14964: 14962: 14959: 14957: 14954: 14952: 14949: 14947: 14944: 14942: 14939: 14936: 14932: 14929: 14927: 14924: 14922: 14919: 14917: 14914: 14912: 14909: 14907: 14904: 14902: 14899: 14897: 14894: 14892: 14889: 14887: 14884: 14882: 14879: 14877: 14874: 14872: 14869: 14867: 14864: 14862: 14859: 14857: 14854: 14852: 14849: 14847: 14846:Hidden camera 14843: 14840: 14838: 14835: 14833: 14830: 14829: 14827: 14823: 14817: 14814: 14812: 14809: 14807: 14804: 14802: 14799: 14797: 14794: 14792: 14789: 14787: 14784: 14780: 14777: 14776: 14775: 14772: 14770: 14769:Child custody 14767: 14765: 14762: 14760: 14757: 14755: 14752: 14750: 14747: 14746: 14744: 14740: 14734: 14731: 14729: 14726: 14724: 14721: 14719: 14716: 14714: 14711: 14709: 14706: 14704: 14701: 14699: 14696: 14694: 14691: 14689: 14686: 14684: 14683:Nursery rhyme 14681: 14679: 14676: 14674: 14673:Kangaroo care 14671: 14669: 14668:Infant crying 14666: 14664: 14661: 14659: 14656: 14654: 14651: 14649: 14646: 14644: 14641: 14639: 14636: 14634: 14631: 14629: 14626: 14624: 14621: 14619: 14616: 14614: 14611: 14610: 14608: 14604: 14598: 14595: 14593: 14590: 14588: 14585: 14583: 14582:Preterm birth 14580: 14576: 14573: 14572: 14571: 14568: 14566: 14563: 14561: 14558: 14556: 14553: 14551: 14548: 14546: 14543: 14541: 14538: 14536: 14533: 14531: 14528: 14526: 14523: 14521: 14518: 14516: 14513: 14511: 14508: 14506: 14503: 14501: 14498: 14496: 14493: 14491: 14488: 14486: 14483: 14481: 14478: 14476: 14475:Breastfeeding 14473: 14471: 14468: 14466: 14463: 14461: 14458: 14457: 14455: 14452: 14447: 14442: 14435: 14430: 14428: 14423: 14421: 14416: 14415: 14412: 14400: 14399: 14395: 14388: 14387: 14384: 14378: 14375: 14373: 14370: 14366: 14363: 14361: 14358: 14356: 14353: 14352: 14351: 14348: 14347: 14345: 14341: 14335: 14332: 14330: 14327: 14325: 14322: 14320: 14317: 14315: 14312: 14310: 14307: 14305: 14302: 14300: 14297: 14295: 14292: 14290: 14287: 14283: 14280: 14278: 14275: 14274: 14273: 14270: 14269: 14267: 14265: 14261: 14255: 14254:Uterine atony 14252: 14250: 14247: 14245: 14242: 14240: 14237: 14235: 14232: 14230: 14227: 14225: 14224:Preterm birth 14222: 14218: 14215: 14214: 14213: 14212: 14208: 14206: 14203: 14199: 14196: 14195: 14194: 14191: 14189: 14186: 14184: 14181: 14179: 14176: 14172: 14169: 14168: 14167: 14164: 14162: 14159: 14157: 14154: 14153: 14151: 14149: 14145: 14133: 14130: 14128: 14125: 14123: 14120: 14118: 14115: 14113: 14110: 14108: 14105: 14104: 14103: 14102: 14098: 14094: 14091: 14090: 14089: 14086: 14082: 14079: 14077: 14074: 14072: 14069: 14067: 14064: 14062: 14059: 14058: 14057: 14056: 14052: 14048: 14046: 14043: 14039: 14036: 14034: 14031: 14030: 14029: 14028: 14024: 14023: 14021: 14019: 14015: 14009: 13999: 13996: 13994: 13991: 13990: 13988: 13986: 13982: 13976: 13973: 13972: 13970: 13968: 13964: 13958: 13957:Stretch marks 13955: 13953: 13950: 13948: 13945: 13943: 13940: 13938: 13935: 13933: 13930: 13928: 13925: 13923: 13920: 13919: 13917: 13915: 13910: 13906: 13900: 13897: 13895: 13892: 13890: 13887: 13885: 13882: 13880: 13877: 13876: 13874: 13872: 13868: 13865: 13859: 13853: 13850: 13846: 13843: 13842: 13841: 13840:Pre-eclampsia 13838: 13836: 13833: 13832: 13830: 13828: 13823: 13819: 13815: 13809: 13806: 13804: 13801: 13799: 13796: 13794: 13791: 13789: 13786: 13782: 13779: 13777: 13774: 13772: 13769: 13767: 13764: 13762: 13759: 13757: 13754: 13753: 13752: 13749: 13747: 13744: 13743: 13741: 13739: 13733: 13730: 13728: 13724: 13720: 13716: 13712: 13709:Pathology of 13704: 13699: 13697: 13692: 13690: 13685: 13684: 13681: 13669: 13666: 13665: 13663: 13659: 13649: 13646: 13644: 13641: 13639: 13636: 13634: 13631: 13630: 13628: 13624: 13618: 13615: 13613: 13612:Monthly nurse 13610: 13608: 13605: 13603: 13600: 13598: 13595: 13594: 13592: 13588: 13582: 13579: 13577: 13574: 13572: 13569: 13567: 13564: 13562: 13559: 13557: 13554: 13552: 13549: 13548: 13546: 13542: 13539: 13537: 13533: 13523: 13520: 13518: 13515: 13513: 13510: 13508: 13505: 13503: 13502:Amniocentesis 13500: 13499: 13497: 13493: 13483: 13480: 13478: 13475: 13473: 13470: 13468: 13465: 13463: 13462:Vaginal flora 13460: 13458: 13455: 13454: 13452: 13448: 13445: 13443: 13440: 13438: 13435: 13434: 13432: 13428: 13425: 13423: 13420: 13418: 13415: 13413: 13410: 13409: 13407: 13403: 13400: 13398: 13395: 13394: 13392: 13388: 13385: 13383: 13380: 13379: 13377: 13373: 13370: 13368: 13365: 13363: 13360: 13358: 13355: 13354: 13353: 13352:Substance use 13350: 13348: 13345: 13343: 13340: 13338: 13335: 13334: 13332: 13330: 13327: 13325: 13322: 13318: 13315: 13313: 13310: 13308: 13305: 13304: 13302: 13300: 13297: 13296: 13294: 13292: 13288: 13282: 13279: 13277: 13274: 13272: 13269: 13267: 13266:Fundal height 13264: 13262: 13259: 13257: 13254: 13253: 13251: 13249: 13245: 13239: 13236: 13234: 13231: 13229: 13226: 13224: 13221: 13220: 13218: 13214: 13211: 13207: 13197: 13194: 13192: 13189: 13187: 13184: 13182: 13179: 13177: 13174: 13172: 13169: 13167: 13164: 13162: 13159: 13157: 13154: 13152: 13149: 13147: 13144: 13140: 13137: 13135: 13132: 13130: 13127: 13126: 13125: 13122: 13120: 13117: 13115: 13112: 13110: 13107: 13103: 13100: 13098: 13095: 13093: 13090: 13089: 13088: 13084: 13081: 13080: 13078: 13074: 13068: 13065: 13063: 13060: 13058: 13055: 13051: 13048: 13047: 13046: 13043: 13041: 13038: 13036: 13033: 13031: 13028: 13026: 13023: 13019: 13018:Preterm birth 13016: 13015: 13014: 13011: 13009: 13006: 13005: 13003: 12999: 12993: 12990: 12988: 12985: 12983: 12982:Hypnobirthing 12980: 12978: 12975: 12974: 12972: 12968: 12965: 12963: 12959: 12953: 12950: 12948: 12945: 12943: 12940: 12938: 12935: 12933: 12930: 12928: 12925: 12923: 12920: 12918: 12915: 12913: 12910: 12908: 12905: 12903: 12900: 12899: 12897: 12893: 12887: 12884: 12882: 12879: 12875: 12872: 12871: 12870: 12867: 12865: 12862: 12860: 12859:3D ultrasound 12857: 12856: 12854: 12850: 12844: 12841: 12839: 12836: 12832: 12829: 12827: 12824: 12822: 12819: 12817: 12814: 12812: 12809: 12808: 12807: 12804: 12803: 12801: 12799: 12795: 12789: 12786: 12784: 12781: 12779: 12776: 12774: 12773:Birth control 12771: 12770: 12768: 12766: 12762: 12758: 12754: 12747: 12742: 12740: 12735: 12733: 12728: 12727: 12724: 12712: 12709: 12705: 12702: 12700: 12699:child benefit 12697: 12695: 12692: 12690: 12687: 12686: 12684: 12682: 12679: 12677: 12674: 12673: 12671: 12667: 12661: 12658: 12656: 12653: 12651: 12648: 12646: 12643: 12642: 12640: 12636: 12628: 12627:birth control 12625: 12623: 12620: 12619: 12618: 12617:United States 12615: 12611: 12608: 12607: 12605: 12603: 12600: 12598: 12595: 12593: 12590: 12588: 12585: 12583: 12580: 12578: 12575: 12573: 12570: 12569: 12567: 12563: 12557: 12554: 12550: 12547: 12546: 12545: 12542: 12540: 12537: 12535: 12532: 12530: 12527: 12525: 12522: 12521: 12519: 12515: 12509: 12506: 12504: 12501: 12499: 12496: 12494: 12491: 12489: 12486: 12484: 12481: 12479: 12476: 12475: 12473: 12471: 12467: 12461: 12458: 12456: 12453: 12451: 12448: 12446: 12443: 12441: 12438: 12437: 12435: 12431: 12425: 12422: 12420: 12417: 12415: 12414:Prenatal care 12412: 12410: 12407: 12405: 12402: 12400: 12397: 12395: 12392: 12390: 12387: 12385: 12382: 12380: 12377: 12375: 12372: 12371: 12369: 12367: 12363: 12355: 12352: 12351: 12349: 12345: 12342: 12341: 12340: 12337: 12335: 12332: 12331: 12329: 12327: 12323: 12317: 12314: 12312: 12309: 12305: 12302: 12300: 12297: 12296: 12294: 12292: 12289: 12287: 12284: 12283: 12281: 12279: 12273: 12267: 12266:Sterilization 12264: 12262: 12259: 12257: 12254: 12252: 12249: 12247: 12244: 12242: 12239: 12238: 12236: 12234: 12233:Contraception 12230: 12224: 12221: 12217: 12214: 12212: 12209: 12208: 12207: 12204: 12202: 12201:Birth spacing 12199: 12197: 12196:childlessness 12193: 12192:Childfreeness 12190: 12189: 12187: 12185: 12181: 12175: 12172: 12170: 12167: 12165: 12164:Sex education 12162: 12161: 12159: 12155: 12147: 12144: 12142: 12139: 12138: 12137: 12134: 12132: 12129: 12127: 12124: 12122: 12119: 12117: 12114: 12113: 12111: 12109: 12105: 12101: 12094: 12089: 12087: 12082: 12080: 12075: 12074: 12071: 12059: 12056: 12054: 12051: 12050: 12048: 12044: 12038: 12035: 12031: 12028: 12026: 12023: 12021: 12018: 12017: 12016: 12013: 12009: 12006: 12004: 12001: 11999: 11996: 11995: 11994: 11991: 11985: 11982: 11981: 11980: 11977: 11975: 11972: 11970: 11967: 11965: 11962: 11961: 11959: 11958: 11956: 11952: 11946: 11943: 11941: 11938: 11936: 11933: 11931: 11928: 11924: 11921: 11919: 11916: 11914: 11911: 11910: 11909: 11906: 11904: 11901: 11900: 11898: 11894: 11888: 11885: 11883: 11880: 11878: 11875: 11873: 11870: 11868: 11865: 11864: 11862: 11858: 11854: 11847: 11842: 11840: 11835: 11833: 11828: 11827: 11824: 11812: 11811: 11802: 11800: 11799: 11790: 11788: 11787: 11778: 11777: 11774: 11769: 11766: 11764: 11761: 11757: 11754: 11753: 11752: 11749: 11747: 11744: 11742: 11739: 11737: 11731: 11725: 11722: 11720: 11717: 11715: 11712: 11710: 11707: 11705: 11702: 11701: 11692: 11689: 11687: 11684: 11683: 11681: 11679: 11678:United States 11675: 11669: 11666: 11664: 11661: 11659: 11656: 11654: 11651: 11649: 11646: 11645: 11643: 11641: 11637: 11634: 11628: 11623: 11620: 11618: 11615: 11613: 11610: 11608: 11605: 11603: 11600: 11598: 11595: 11593: 11592:Disadvantaged 11590: 11588: 11585: 11583: 11577: 11569: 11566: 11564: 11561: 11559: 11556: 11555: 11554: 11553:Urinary tract 11551: 11545: 11542: 11541: 11540: 11537: 11535: 11532: 11531: 11530: 11529:Mental health 11527: 11526: 11517: 11514: 11508: 11505: 11504: 11503: 11500: 11499: 11498: 11495: 11491: 11488: 11487: 11486: 11483: 11481: 11478: 11477: 11468: 11465: 11459: 11456: 11455: 11454: 11451: 11449: 11446: 11445: 11444: 11441: 11439: 11438:Breast cancer 11436: 11434: 11431: 11430: 11428: 11426: 11422: 11419: 11417: 11411: 11405: 11402: 11400: 11397: 11393: 11390: 11389: 11388: 11385: 11383: 11380: 11378: 11375: 11373: 11370: 11366: 11363: 11362: 11361: 11358: 11356: 11353: 11352: 11350: 11348: 11347:against women 11342: 11339: 11333: 11323: 11322:Sex education 11320: 11318: 11315: 11313: 11310: 11308: 11305: 11303: 11300: 11298: 11295: 11293: 11290: 11286: 11283: 11282: 11281: 11278: 11276: 11273: 11271: 11268: 11266: 11263: 11261: 11258: 11256: 11255:Breast health 11253: 11251: 11248: 11244: 11241: 11239: 11236: 11235: 11234: 11231: 11230: 11227: 11221: 11218: 11214: 11211: 11210: 11209: 11206: 11204: 11201: 11199: 11196: 11195: 11193: 11191: 11185: 11182: 11176: 11164: 11161: 11160: 11159: 11156: 11154: 11151: 11149: 11146: 11144: 11141: 11137: 11134: 11132: 11129: 11127: 11126:Menstrual cup 11124: 11122: 11119: 11118: 11117: 11114: 11112: 11109: 11107: 11104: 11102: 11099: 11097: 11094: 11093: 11091: 11089: 11085: 11079: 11076: 11074: 11071: 11069: 11066: 11064: 11061: 11059: 11056: 11054: 11051: 11049: 11046: 11044: 11041: 11040: 11038: 11036: 11031: 11030:Contraception 11027: 11019: 11016: 11014: 11011: 11010: 11009: 11006: 11002: 10999: 10997: 10994: 10992: 10991:Childlessness 10989: 10988: 10987: 10984: 10983: 10981: 10979: 10976:Reproductive 10973: 10963: 10960: 10956: 10953: 10952: 10951: 10950:Sterilization 10948: 10946: 10943: 10941: 10938: 10936: 10933: 10931: 10928: 10926: 10923: 10922: 10919: 10913: 10910: 10908: 10905: 10901: 10898: 10897: 10896: 10893: 10889: 10886: 10884: 10881: 10880: 10879: 10876: 10874: 10871: 10869: 10866: 10864: 10861: 10859: 10856: 10854: 10851: 10849: 10848:Preterm birth 10846: 10844: 10841: 10840: 10838: 10836: 10832: 10822: 10819: 10817: 10814: 10813: 10812: 10809: 10807: 10804: 10802: 10799: 10797: 10794: 10792: 10789: 10787: 10784: 10783: 10782: 10779: 10777: 10774: 10772: 10769: 10767: 10764: 10762: 10759: 10757: 10754: 10753: 10751: 10749: 10745: 10742: 10740: 10734: 10728: 10725: 10723: 10720: 10718: 10715: 10713: 10710: 10708: 10705: 10703: 10700: 10696: 10693: 10691: 10688: 10684: 10683:Clitoral hood 10681: 10680: 10679: 10676: 10675: 10674: 10671: 10670: 10668: 10666: 10660: 10657: 10654: 10651:Reproductive 10647: 10643: 10639: 10631: 10626: 10624: 10619: 10617: 10612: 10611: 10608: 10595: 10591: 10590: 10586: 10582: 10580: 10576: 10575: 10571: 10567: 10566: 10563: 10558: 10554: 10548: 10544: 10541: 10539: 10535: 10532: 10529: 10526: 10523: 10522: 10501: 10497: 10493: 10487: 10479: 10473: 10469: 10465: 10464: 10459: 10453: 10445: 10441: 10437: 10433: 10430:(3): 321–27. 10429: 10425: 10418: 10416: 10407: 10403: 10399: 10392: 10390: 10388: 10379: 10375: 10371: 10365: 10361: 10354: 10352: 10350: 10348: 10346: 10337: 10333: 10329: 10323: 10319: 10312: 10304: 10300: 10296: 10292: 10288: 10284: 10278: 10262: 10258: 10254: 10248: 10232: 10228: 10224: 10217: 10201: 10197: 10193: 10187: 10171: 10167: 10161: 10153: 10149: 10145: 10139: 10135: 10128: 10126: 10124: 10115: 10111: 10105: 10101: 10100: 10092: 10084: 10080: 10076: 10069: 10053: 10049: 10045: 10039: 10023: 10019: 10015: 10011: 10009:9781904752363 10005: 10001: 10000: 9992: 9976: 9972: 9968: 9961: 9953: 9946: 9942: 9937: 9932: 9928: 9924: 9920: 9916: 9912: 9905: 9897: 9893: 9889: 9882: 9880: 9871: 9867: 9863: 9859: 9855: 9851: 9847: 9843: 9836: 9828: 9824: 9820: 9816: 9813:(4): 145–54. 9812: 9808: 9801: 9793: 9789: 9784: 9779: 9775: 9771: 9767: 9760: 9752: 9748: 9743: 9738: 9734: 9730: 9726: 9722: 9718: 9711: 9695: 9691: 9685: 9683: 9663: 9659: 9655: 9651: 9647: 9643: 9639: 9632: 9625: 9606: 9602: 9595: 9589: 9573: 9569: 9565: 9559: 9557: 9549: 9543: 9541: 9532: 9528: 9525:(2): 235–48. 9524: 9520: 9513: 9511: 9502: 9498: 9493: 9488: 9484: 9480: 9476: 9469: 9467: 9465: 9456: 9450: 9446: 9442: 9441: 9433: 9425: 9419: 9415: 9408: 9400: 9396: 9392: 9388: 9384: 9380: 9376: 9372: 9368: 9364: 9357: 9355: 9347: 9341: 9339: 9337: 9335: 9333: 9331: 9329: 9327: 9325: 9316: 9310: 9306: 9305: 9297: 9283: 9279: 9275: 9273:9780444528919 9269: 9265: 9261: 9257: 9253: 9249: 9242: 9234: 9230: 9225: 9220: 9216: 9212: 9209:(7): 645–54. 9208: 9204: 9200: 9193: 9191: 9174: 9170: 9164: 9156: 9152: 9148: 9144: 9140: 9136: 9132: 9128: 9121: 9105: 9098: 9092: 9076: 9072: 9068: 9064: 9060: 9056: 9049: 9033: 9029: 9025: 9021: 9014: 8998: 8994: 8990: 8986: 8982: 8978: 8974: 8970: 8966: 8962: 8958: 8954: 8948: 8940: 8936: 8931: 8926: 8921: 8916: 8912: 8908: 8907:PLOS Medicine 8904: 8897: 8881: 8877: 8873: 8866: 8850: 8846: 8842: 8838: 8834: 8830: 8826: 8822: 8818: 8814: 8810: 8806: 8799: 8797: 8780: 8776: 8772: 8766: 8750: 8746: 8742: 8736: 8728: 8724: 8720: 8716: 8711: 8706: 8702: 8698: 8694: 8687: 8671: 8667: 8663: 8657: 8641: 8637: 8633: 8627: 8611: 8607: 8603: 8597: 8578: 8574: 8567: 8561: 8545: 8541: 8537: 8536:"Stillbirths" 8531: 8529: 8527: 8525: 8523: 8506: 8502: 8498: 8492: 8484: 8480: 8476: 8472: 8468: 8464: 8460: 8456: 8449: 8447: 8438: 8434: 8430: 8426: 8422: 8418: 8415:(2): 107–12. 8414: 8410: 8403: 8395: 8389: 8385: 8378: 8370: 8366: 8362: 8358: 8354: 8350: 8346: 8342: 8335: 8327: 8323: 8319: 8315: 8311: 8307: 8304:(3): 113–22. 8303: 8299: 8292: 8276: 8272: 8268: 8262: 8260: 8251: 8247: 8243: 8239: 8235: 8231: 8227: 8220: 8212: 8208: 8203: 8198: 8194: 8190: 8187:(3): 99–106. 8186: 8182: 8175: 8167: 8163: 8158: 8153: 8148: 8143: 8140:(2): 158–61. 8139: 8135: 8131: 8124: 8116: 8112: 8107: 8102: 8098: 8094: 8090: 8086: 8082: 8075: 8067: 8063: 8059: 8055: 8050: 8045: 8041: 8037: 8033: 8029: 8025: 8021: 8017: 8010: 8002: 7998: 7994: 7990: 7986: 7982: 7977: 7972: 7967: 7962: 7958: 7954: 7950: 7943: 7941: 7932: 7928: 7924: 7920: 7917:(4): 242–48. 7916: 7912: 7905: 7897: 7893: 7889: 7885: 7881: 7877: 7870: 7862: 7858: 7854: 7850: 7846: 7842: 7839:(4): 282–87. 7838: 7834: 7827: 7816: 7812: 7806: 7799: 7798: 7791: 7775: 7771: 7767: 7760: 7741: 7737: 7730: 7723: 7707: 7703: 7699: 7693: 7677: 7673: 7669: 7662: 7646: 7642: 7638: 7631: 7624: 7609: 7605: 7599: 7595: 7591: 7584: 7568: 7564: 7560: 7554: 7535: 7531: 7524: 7518: 7502: 7498: 7494: 7489: 7484: 7480: 7476: 7472: 7468: 7464: 7457: 7440: 7436: 7430: 7426: 7422: 7415: 7407: 7403: 7398: 7393: 7389: 7385: 7381: 7377: 7373: 7366: 7347: 7343: 7336: 7330: 7322: 7318: 7314: 7310: 7306: 7302: 7299:(3): 641–49. 7298: 7294: 7287: 7279: 7275: 7270: 7265: 7262:(2): 300–08. 7261: 7257: 7253: 7246: 7238: 7234: 7230: 7226: 7222: 7218: 7215:(3): 153–65. 7214: 7210: 7203: 7195: 7191: 7186: 7181: 7177: 7173: 7169: 7165: 7161: 7154: 7152: 7143: 7139: 7135: 7131: 7127: 7123: 7116: 7108: 7104: 7100: 7096: 7092: 7088: 7085:(5): 425–27. 7084: 7080: 7076: 7069: 7053: 7049: 7045: 7038: 7030: 7026: 7022: 7018: 7015:(3): 179–93. 7014: 7010: 7003: 6995: 6991: 6986: 6981: 6977: 6973: 6969: 6965: 6961: 6954: 6939: 6935: 6931: 6927: 6923: 6919: 6915: 6908: 6900: 6896: 6891: 6890:11573/1473752 6886: 6881: 6876: 6873:(4): 758–61. 6872: 6868: 6864: 6857: 6849: 6845: 6840: 6835: 6831: 6827: 6823: 6819: 6815: 6808: 6792: 6788: 6784: 6778: 6770: 6766: 6761: 6756: 6752: 6748: 6744: 6740: 6736: 6729: 6721: 6717: 6712: 6707: 6703: 6699: 6695: 6691: 6687: 6683: 6679: 6672: 6664: 6660: 6655: 6650: 6646: 6642: 6638: 6634: 6630: 6623: 6615: 6611: 6606: 6601: 6597: 6593: 6589: 6585: 6581: 6574: 6558: 6554: 6550: 6545: 6540: 6536: 6532: 6528: 6524: 6520: 6513: 6505: 6501: 6497: 6493: 6489: 6485: 6478: 6470: 6466: 6462: 6458: 6455:(3): 319–28. 6454: 6450: 6443: 6435: 6431: 6426: 6421: 6417: 6413: 6409: 6405: 6401: 6394: 6378: 6374: 6370: 6363: 6347: 6343: 6339: 6333: 6317: 6313: 6309: 6305: 6301: 6297: 6293: 6289: 6285: 6281: 6274: 6258: 6254: 6250: 6246: 6242: 6238: 6234: 6230: 6226: 6222: 6215: 6199: 6195: 6191: 6185: 6177: 6171: 6163: 6159: 6155: 6151: 6147: 6143: 6138: 6133: 6129: 6125: 6121: 6117: 6113: 6106: 6087: 6083: 6079: 6072: 6065: 6050: 6046: 6040: 6029: 6025: 6021: 6017: 6013: 6006: 5999: 5983: 5979: 5975: 5969: 5950: 5946: 5942: 5935: 5928: 5920: 5916: 5911: 5906: 5902: 5898: 5894: 5890: 5886: 5882: 5878: 5871: 5852: 5848: 5846: 5838: 5832: 5824: 5820: 5815: 5810: 5805: 5800: 5796: 5792: 5788: 5781: 5765: 5761: 5757: 5751: 5735: 5731: 5727: 5720: 5718: 5709: 5705: 5700: 5695: 5691: 5687: 5683: 5679: 5675: 5668: 5666: 5649: 5645: 5641: 5635: 5619: 5615: 5609: 5607: 5598: 5594: 5589: 5584: 5580: 5576: 5572: 5568: 5564: 5557: 5549: 5545: 5540: 5535: 5531: 5527: 5523: 5519: 5515: 5508: 5492: 5488: 5484: 5477: 5470: 5466: 5460: 5444: 5440: 5436: 5430: 5414: 5410: 5403: 5387: 5383: 5377: 5361: 5357: 5353: 5347: 5339: 5335: 5331: 5327: 5322: 5317: 5313: 5309: 5308:Contraception 5305: 5298: 5282: 5278: 5271: 5269: 5260: 5256: 5252: 5248: 5241: 5225: 5221: 5217: 5210: 5202: 5198: 5193: 5188: 5184: 5180: 5176: 5172: 5168: 5161: 5150: 5146: 5139: 5132: 5124: 5120: 5116: 5112: 5108: 5104: 5100: 5096: 5090: 5082: 5078: 5073: 5068: 5064: 5060: 5057:(3): 207–15. 5056: 5052: 5048: 5041: 5033: 5029: 5025: 5021: 5014: 5006: 5002: 4998: 4994: 4990: 4986: 4979: 4971: 4967: 4962: 4957: 4954:(3): 362–69. 4953: 4949: 4945: 4938: 4930: 4926: 4921: 4916: 4912: 4908: 4904: 4900: 4896: 4889: 4870: 4866: 4859: 4853: 4837: 4833: 4829: 4823: 4815: 4811: 4807: 4803: 4799: 4796:(4): 824–28. 4795: 4791: 4787: 4780: 4761: 4757: 4750: 4744: 4728: 4724: 4720: 4714: 4706: 4702: 4697: 4692: 4688: 4684: 4680: 4676: 4672: 4665: 4658: 4654: 4650: 4647: 4642: 4623: 4619: 4612: 4606: 4590: 4586: 4579: 4564: 4558: 4554: 4549: 4548: 4539: 4528: 4524: 4523: 4518: 4511: 4503: 4499: 4495: 4491: 4487: 4483: 4479: 4475: 4468: 4460: 4456: 4451: 4446: 4442: 4438: 4434: 4427: 4411: 4407: 4403: 4397: 4395: 4393: 4391: 4382: 4378: 4374: 4370: 4366: 4362: 4359:(2): 169–78. 4358: 4354: 4347: 4339: 4335: 4330: 4325: 4322:(3): 420–25. 4321: 4317: 4313: 4306: 4298: 4294: 4290: 4286: 4282: 4278: 4274: 4270: 4263: 4247: 4243: 4239: 4232: 4216: 4210: 4194: 4190: 4184: 4180: 4176: 4169: 4161: 4157: 4152: 4147: 4143: 4139: 4135: 4131: 4127: 4120: 4104: 4100: 4096: 4089: 4081: 4077: 4072: 4067: 4064:(4): 392–97. 4063: 4059: 4058: 4053: 4046: 4038: 4034: 4030: 4026: 4022: 4018: 4014: 4007: 3999: 3995: 3991: 3987: 3983: 3976: 3960: 3956: 3952: 3946: 3930: 3926: 3922: 3916: 3900: 3896: 3890: 3875: 3871: 3865: 3849: 3845: 3841: 3835: 3819: 3815: 3808: 3806: 3789: 3785: 3781: 3775: 3773: 3771: 3751: 3747: 3740: 3734: 3732: 3730: 3713: 3709: 3705: 3698: 3696: 3694: 3677: 3673: 3672:www.bidmc.org 3669: 3663: 3661: 3652: 3648: 3643: 3638: 3634: 3630: 3626: 3622: 3618: 3611: 3609: 3601: 3585: 3581: 3577: 3571: 3569: 3567: 3565: 3548: 3544: 3540: 3539: 3534: 3528: 3526: 3510: 3506: 3500: 3484: 3480: 3474: 3470: 3469: 3461: 3453: 3449: 3444: 3439: 3435: 3431: 3427: 3423: 3419: 3415: 3411: 3404: 3396: 3392: 3386: 3382: 3381: 3373: 3357: 3353: 3349: 3343: 3327: 3323: 3319: 3313: 3305: 3301: 3295: 3291: 3290: 3282: 3280: 3271: 3267: 3262: 3257: 3253: 3249: 3245: 3241: 3237: 3230: 3228: 3216: 3212: 3206: 3199: 3198: 3191: 3189: 3187: 3185: 3183: 3174: 3170: 3164: 3160: 3159: 3151: 3149: 3140: 3136: 3131: 3126: 3121: 3116: 3112: 3108: 3104: 3097: 3089: 3085: 3079: 3063: 3059: 3055: 3049: 3045: 3034: 3031: 3029: 3026: 3024: 3021: 3019: 3016: 3015: 3014: 3013: 3007: 3004: 3002: 2999: 2997: 2994: 2992: 2989: 2987: 2984: 2982: 2979: 2977: 2974: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2951: 2948: 2946: 2943: 2941: 2938: 2936: 2933: 2930: 2927: 2925: 2922: 2919: 2916: 2914: 2911: 2910: 2903: 2901: 2900:placentophagy 2894:Placentophagy 2891: 2889: 2885: 2881: 2868: 2865: 2863: 2860: 2858: 2855: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2835: 2833: 2830: 2828: 2825: 2823: 2820: 2818: 2815: 2813: 2810: 2808: 2805: 2804: 2802: 2799: 2797: 2791: 2787: 2784: 2774: 2772: 2768: 2764: 2760: 2756: 2752: 2749: 2745: 2743: 2739: 2735: 2731: 2729: 2725: 2721: 2717: 2713: 2709: 2708:anaesthetists 2705: 2704:Anaesthetists 2701: 2699: 2695: 2691: 2687: 2683: 2679: 2675: 2671: 2667: 2663: 2662:obstetricians 2659: 2655: 2653: 2648: 2646: 2645:Turtle Island 2640: 2638: 2633: 2629: 2626: 2622: 2620: 2615: 2611: 2609: 2604: 2601: 2593: 2588: 2576: 2572: 2568: 2565: 2561: 2557: 2554: 2550: 2547: 2543: 2539: 2535: 2531: 2527: 2526:delivery ward 2523: 2519: 2515: 2511: 2510: 2509: 2501: 2499: 2495: 2490: 2487: 2483: 2479: 2474: 2471:In rural and 2469: 2467: 2463: 2457: 2447: 2444: 2439: 2436: 2431: 2429: 2424: 2415: 2406: 2404: 2395: 2394:Louvre museum 2391: 2387: 2383: 2380: 2375: 2371: 2364: 2360: 2355: 2346: 2342: 2338: 2335: 2331: 2327: 2322: 2319: 2315: 2311: 2307: 2303: 2294: 2289: 2279: 2277: 2273: 2266: 2256: 2254: 2250: 2246: 2236: 2234: 2230: 2226: 2215: 2213: 2207: 2202: 2200: 2196: 2186: 2182: 2178: 2176: 2165: 2163: 2159: 2155: 2154:kangaroo care 2150: 2148: 2143: 2141: 2133:Role of males 2129: 2125: 2115: 2113: 2109: 2105: 2101: 2097: 2093: 2087: 2077: 2075: 2071: 2067: 2063: 2059: 2055: 2051: 2047: 2043: 2038: 2028: 2026: 2025:birth defects 2022: 2017: 2015: 2011: 2007: 2003: 1999: 1998: 1994: 1949: 750–900 1943: 600–750 1937: 450–600 1931: 300–450 1925: 150–300 1913: no data 1906: 1902: 1898: 1894: 1890: 1885: 1875: 1873: 1869: 1865: 1861: 1855: 1845: 1843: 1839: 1835: 1830: 1828: 1824: 1818: 1817:Preterm birth 1811:Preterm birth 1808: 1806: 1802: 1797: 1795: 1791: 1787: 1783: 1778: 1776: 1775:signs of life 1772: 1766: 1756: 1749: 1740: 1738: 1734: 1730: 1726: 1724: 1720: 1716: 1712: 1708: 1704: 1700: 1696: 1691: 1687: 1684: 1680: 1678: 1672: 1670: 1664: 1660: 1656: 1652: 1648: 1638: 1636: 1629: 1619: 1617: 1613: 1612:uterine atony 1606: 1596: 1591: 1581: 1579: 1578:pre-eclampsia 1575: 1570: 1560: 1558: 1554: 1550: 1544: 1533: 1523: 1521: 1516: 1514: 1509: 1499: 1495: 1491: 1489: 1478: 1470: 1465: 1461: 1454:Complications 1451: 1449: 1445: 1441: 1436: 1434: 1430: 1426: 1422: 1418: 1414: 1410: 1406: 1402: 1398: 1397: 1392: 1388: 1384: 1381:For external 1371: 1367: 1364: 1361: 1360: 1359: 1357: 1351: 1341: 1338: 1337:perineal skin 1334: 1330: 1327:For years an 1324: 1314: 1312: 1311:antispasmodic 1308: 1304: 1295: 1290: 1281: 1279: 1275: 1270: 1268: 1264: 1260: 1256: 1255:nitrous oxide 1246: 1244: 1240: 1235: 1232: 1227: 1223: 1212: 1202: 1200: 1196: 1192: 1188: 1182: 1172: 1170: 1166: 1165:chlorhexidine 1162: 1158: 1153: 1150: 1139: 1135: 1133: 1123: 1114: 1110: 1108: 1104: 1093: 1091: 1087: 1083: 1079: 1070: 1068: 1065: 1063: 1059: 1056: 1054: 1050: 1046: 1044: 1041: 1038: 1036: 1032: 1028: 1026: 1023: 1021: 1018: 1017: 1016: 1014: 1004: 1001: 997: 993: 992:prostaglandin 989: 985: 979: 975: 971: 961: 959: 948: 945: 935: 932: 929: 926: 925: 924: 923: 922: 920: 916: 912: 910: 906: 901: 899: 895: 894:kangaroo care 891: 885: 882:by father in 881: 880:Kangaroo care 877: 868: 866: 860: 857: 853: 852:fundal height 849: 845: 841: 837: 833: 828: 826: 822: 818: 817: 807: 802: 798: 788: 786: 782: 778: 774: 769: 767: 763: 759: 755: 751: 747: 742: 740: 735: 731: 727: 721: 717: 707: 705: 699: 697: 691: 689: 685: 681: 676: 674: 670: 666: 662: 651: 649: 645: 641: 637: 635: 631: 626: 623: 618: 609: 605: 603: 599: 595: 591: 587: 585: 581: 577: 572: 559: 557: 556:induce labour 553: 549: 544: 542: 538: 529: 526: 523: 519: 515: 514: 513: 506: 497: 495: 491: 487: 482: 478: 474: 469: 467: 462: 458: 454: 452: 447: 445: 441: 437: 429: 424: 417:Vaginal birth 414: 412: 408: 401:Psychological 398: 396: 392: 382: 380: 376: 372: 368: 363: 360: 356: 353: 349: 345: 335: 333: 329: 325: 321: 317: 313: 309: 305: 301: 297: 296:spinal blocks 293: 289: 283: 281: 280:breastfeeding 277: 273: 269: 265: 261: 257: 253: 249: 245: 241: 236: 234: 230: 226: 222: 218: 214: 210: 206: 202: 198: 194: 190: 186: 182: 173: 169: 165: 161: 157: 154: 150: 149:Birth control 147: 143: 140: 137: 133: 130: 126: 123: 119: 116: 112: 108: 104: 100: 96: 93: 91: 90:Complications 87: 84: 80: 77: 75: 71: 67: 63: 58: 54: 49: 45: 41: 36: 30: 26: 22: 14995:Other topics 14934: 14901:Cradle board 14896:Cloth diaper 14856:Baby shampoo 14842:Baby monitor 14832:Baby bouncer 14786:Circumcision 14637: 14633:Birth defect 14515:Immunization 14465:Birth weight 14396: 14389: 14249:Vasa praevia 14209: 14183:Locked twins 14099: 14049: 14025: 13771:Interstitial 13714: 13342:Hypertension 13329:Immunization 13312:in pregnancy 13228:Amniotic sac 13181:Silent birth 13124:Presentation 13087:Bishop score 13057:Obstetrician 12961: 12947:Interstitial 12874:home testing 12756: 12711:Abortion law 12694:bachelor tax 12388: 12344:vulvovaginal 12278:reproduction 12025:Middle adult 11960:Early years 11902: 11860:Before birth 11808: 11796: 11784: 11507:Hip fracture 11502:Osteoporosis 11243:Infibulation 11143:Dysmenorrhea 11136:Sanitary pad 11088:Menstruation 10834: 10816:Preeclampsia 10811:Hypertension 10695:Labia majora 10690:Labia minora 10583: 10568: 10504:. 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Retrieved 3321: 3312: 3288: 3243: 3239: 3196: 3157: 3110: 3107:BMC Medicine 3106: 3096: 3087: 3078: 3066:. Retrieved 3062:the original 3057: 3048: 3011: 3010: 2945:Coffin birth 2935:Birth defect 2924:Antinatalism 2897: 2877: 2800: 2792: 2788: 2780: 2753: 2746: 2732: 2702: 2694:primary care 2686:episiotomies 2656: 2649: 2641: 2630: 2623: 2612: 2605: 2597: 2592:Porto Alegre 2525: 2521: 2517: 2513: 2507: 2491: 2470: 2459: 2440: 2434: 2432: 2422: 2420: 2399: 2368: 2343: 2339: 2323: 2316:and skilled 2299: 2282:Epidemiology 2268: 2242: 2221: 2209: 2204: 2192: 2183: 2179: 2171: 2151: 2144: 2136: 2106:may lead to 2094:(big baby), 2089: 2070:brain damage 2040: 2018: 1995: 1990: 1905:birth trauma 1857: 1831: 1820: 1798: 1779: 1768: 1754: 1727: 1688: 1681: 1677:"baby blues" 1673: 1666: 1631: 1608: 1593: 1572: 1546: 1517: 1505: 1496: 1492: 1484: 1475: 1437: 1428: 1424: 1412: 1408: 1394: 1380: 1353: 1326: 1299: 1284:Augmentation 1271: 1252: 1236: 1219: 1205:Pain control 1184: 1154: 1145: 1136: 1128: 1111: 1102: 1099: 1074: 1058:Preeclampsia 1039:Fetal demise 1010: 981: 954: 941: 917: 913: 902: 888: 861: 829: 820: 814: 812: 770: 743: 729: 725: 723: 700: 692: 680:amniotic sac 677: 672: 661:pelvic inlet 657: 647: 646: 642: 638: 630:Bishop score 627: 617:active phase 616: 614: 588: 576:latent phase 575: 573: 570: 552:sac ruptures 548:amniotic sac 545: 536: 533: 511: 470: 461:Bishop score 456: 455: 450: 448: 435: 434: 404: 388: 364: 357: 341: 328:birth trauma 284: 237: 192: 188: 184: 180: 179: 62:newborn baby 29: 15007:Babywearing 15002:Baby shower 14976:Swim diaper 14866:Baby walker 14851:Baby powder 14791:Foster care 14759:Child abuse 14754:Babysitting 14606:Development 14592:Soy formula 14470:Breast pump 14188:Nuchal cord 13937:Linea nigra 13889:Hepatitis E 13822:proteinuria 13803:Miscarriage 13788:Embryo loss 13766:Heterotopic 13638:Apgar score 13422:Hepatitis C 13408:Infections 13248:Development 13233:Endometrium 13191:Water birth 13109:Bloody show 13040:Men's roles 12970:Preparation 12922:Heterotopic 12597:Philippines 12529:Infertility 12488:Gynaecology 12455:Transgender 12223:Sperm theft 12216:foster care 12030:Elder adult 12020:Young adult 12003:Adolescence 11867:Development 11810:WikiProject 11497:Bone health 11433:Lung cancer 11270:Dyspareunia 11213:HPV vaccine 11153:Amenorrhoea 11148:Menorrhagia 10986:Infertility 10935:Stillbirths 10796:Miscarriage 10496:Mayo Clinic 10176:20 February 9671:30 December 8666:UNICEF DATA 8347:(1): 5–10. 7780:14 February 7712:13 February 7682:13 February 6797:15 November 6054:26 November 5497:23 December 5419:23 December 5392:24 December 5287:22 December 4733:26 February 4406:Mayo Clinic 3925:Mayo Clinic 3794:21 December 3759:21 December 3718:21 December 3322:www.cia.gov 3068:23 November 3033:Water birth 2716:anaesthesia 2534:health care 2522:labour ward 2484:as well as 2334:germ theory 2326:antibiotics 2276:home births 2229:scopolamine 2223:The use of 2108:Erb's palsy 1897:prematurity 1868:stillbirths 1709:(including 1425:contraction 1276:(EDA), and 1243:Apgar score 1231:water birth 1226:acupuncture 1142:Preparation 1080:, complete 1078:vasa previa 785:haemoglobin 567:First stage 385:Labour pain 359:Back labour 332:prematurity 233:home births 189:parturition 64:shown with 60:Mother and 43:Other names 15090:Childbirth 15084:Categories 14986:Travel cot 14931:Infant bed 14926:High chair 14916:Baby wipes 14911:Diaper bag 14876:Baby swing 14764:Child care 14749:Attachment 14638:Childbirth 14500:Cradle cap 14451:Pediatrics 14198:Postpartum 14093:Antepartum 13808:Stillbirth 13719:puerperium 13717:, and the 13715:childbirth 13643:Child care 13536:Postpartum 13495:Procedures 13447:Dermatoses 13303:Nutrition 13161:Home birth 13083:Pelvimetry 12962:Childbirth 12942:Unintended 12798:Conception 12757:childbirth 12689:baby bonus 12685:Financial 12565:By country 12389:childbirth 12379:Obstetrics 12311:Sperm bank 11940:Senescence 11735:by country 11539:Depression 11190:infections 10895:Episiotomy 10835:Childbirth 10766:Obstetrics 10545:(1916) by 10253:"Our role" 10152:1012401274 10058:6 December 10028:22 October 9700:29 January 8697:The Lancet 8586:31 January 8573:The Lancet 8202:10642/2246 6867:Pediatrics 4655:, 2012 by 4595:31 January 4095:"Oxytocin" 3874:BabyCenter 3824:1 February 3040:References 2888:cord blood 2880:stem cells 2759:breastfeed 2748:Paramedics 2571:home birth 2546:postpartum 2504:Facilities 2456:Home birth 2428:California 2253:indication 2218:Medication 2140:home birth 2122:See also: 2019:Untreated 2014:meningitis 2008:, general 1834:tocolytics 1801:South Asia 1782:developing 1765:Stillbirth 1759:Stillbirth 1731:is a rare 1703:nightmares 1699:flashbacks 1669:tokophobia 1458:See also: 1401:monitoring 1383:monitoring 1329:episiotomy 1323:Episiotomy 1317:Episiotomy 1161:episiotomy 1117:Management 1088:or active 865:rooming-in 832:episiotomy 816:postpartum 746:uterotonic 669:defecation 537:lightening 490:live birth 473:shortening 391:myometrium 272:live birth 256:postpartum 244:shortening 181:Childbirth 145:Prevention 79:Obstetrics 38:Childbirth 15095:Midwifery 15062:Paternity 14971:Swaddling 14837:Baby gate 14816:Wet nurse 14806:Milk bank 14698:Parenting 14623:Baby talk 14575:Pedialyte 14505:Esotropia 14460:Baby food 14264:Puerperal 13852:Eclampsia 13756:Abdominal 13727:Pregnancy 13711:pregnancy 13151:Caesarean 12917:Abdominal 12753:Pregnancy 12602:Singapore 12517:Disorders 12478:Andrology 12366:Pregnancy 12350:Research 12206:Parenting 12157:Education 12015:Adulthood 11979:Childhood 11365:Pregnancy 11345:Violence 11285:Vaginitis 11158:Menopause 11018:Fostering 11008:Parenting 10978:life plan 10843:Midwifery 10821:Eclampsia 10748:Pregnancy 10737:Maternal 10458:Vernon DM 10406:748863692 10378:779676136 10336:949328683 10267:30 August 10237:30 August 10206:30 August 9614:9 January 9578:9 January 9399:144068193 9179:30 August 9155:205189572 9110:4 October 8977:0029-7844 8886:6 October 8829:0312-5963 8719:0140-6736 8646:4 October 8616:4 October 8511:4 October 8066:233447661 8040:1533-4406 7985:2214-109X 7749:29 August 7617:29 August 7445:23 August 7099:1476-5543 6702:1469-493X 6563:22 August 6383:23 August 6146:0968-8080 6095:29 August 5958:29 August 5901:2531-6745 5860:29 August 5330:0010-7824 4568:18 August 4199:18 August 4109:18 August 4080:144945177 4037:0952-7907 3434:1469-493X 3113:(1): 24. 2386:antelopes 2168:Hospitals 1860:gestation 1707:avoidance 1574:Eclampsia 1569:Eclampsia 1563:Eclampsia 1307:amniotomy 1274:epidurals 1222:analgesic 1062:eclampsia 951:Discharge 821:postnatal 678:When the 602:pregnancy 371:amniotomy 316:eclampsia 231:most are 225:hospitals 197:pregnancy 159:Frequency 139:Pregnancy 129:C-section 103:eclampsia 83:midwifery 74:Specialty 15022:Cry room 14961:Stroller 14951:Pacifier 14886:Bassinet 14861:Baby toy 14723:Teething 14703:Peekaboo 14643:Crawling 14628:Babbling 14449:Health ( 14398:Category 14211:placenta 14101:placenta 13761:Cervical 13746:Abortion 13544:Maternal 13522:Abortion 13467:Bleeding 13417:COVID-19 13382:Diabetes 13367:Cannabis 13317:prenatal 13238:Placenta 13209:Prenatal 13139:shoulder 13134:cephalic 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