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Hoy — Diciembre 16th 2025Tus fuentes RSS

Midwife-led care for the induction of labour with a Foley catheter and subsequent amniotomy is associated with equivalent maternal outcomes but worse neonatal outcomes

Por: Phillipi · M. · Caughey · A. B.

Commentary on: Velthuijs ELM, Jacod BC, Videler-Sinke L, et al. Outcome of induction of labour at 41 weeks with Foley catheter in midwifery-led care. Midwifery 2024 Aug;135:104026. doi: 10.1016/j.midw.2024.104026. Epub 9 May 2024. PMID: 38781793.

Implications for practice and research

  • Performing induction of labour with a Foley catheter and subsequent amniotomy in midwife-led care is associated with worse neonatal outcomes and equivalent maternal outcomes compared with consultant-led care.

  • Future research should further explore the cost-effectiveness, feasibility and neonatal outcomes associated with midwife-led care in different patient populations.

  • Context

    Although care for low-risk births in the Netherlands is primarily conducted by midwives, the use of consultant-led care has been increasing for a variety of indications, leading to a high patient burden for consultants. The induction of labour (IOL) of late-term pregnancies has historically been an indication for consultant-led care. This study by Velthuijs et...

    Plastic exposure may be associated with the deposition of microplastics in reproductive tissues and adverse clinical outcomes

    Por: Phillipi · M. · Caughey · A. B.

    Commentary on: Hunt K, Davies A, Fraser A, Burden C, Howell A, Buckley K, Harding S, Bakhbakhi D. Exposure to microplastics and human reproductive outcomes: A systematic review. BJOG. 2024 Apr;131(5):675-683. doi: 10.1111/1471-0528.17756. Epub 2024 Jan 29. PMID: 38287142.

    Implications for practice and research

  • Plastic exposure may be associated with increased deposition of microplastics in reproductive tissues, and the quantity of microplastics in these tissues may lead to adverse clinical outcomes.

  • Future research should aim to provide high-quality, generalisable evidence to further demonstrate the impact of plastic exposure and microplastics on reproductive outcomes in humans.

  • Context

    As a result of the mass scale of production of plastics since the 1950s, microplastics, defined as particles 1 Microplastics have been linked to reproductive toxicity in both cell culture...

    AnteayerTus fuentes RSS

    Interactive and constructive childbirth education is more effective than traditional methods in improving knowledge, attitudes and self-efficacy towards the upright position and mobility in labour

    Por: Phillipi · M. · Caughey · A. B.

    Commentary on: Borer H, Dubovi I. Fostering childbirth education on upright positions and mobility during labour in nulliparous women. BMC Pregnancy Childbirth 2023;23:870. doi: 10.1186/s12884-023-06166-4.

    Implications for practice and research

  • Childbirth education can be delivered in interactive and constructive formats to more effectively promote evidence-based interventions that improve maternal satisfaction.

  • Future research can explore the implementation and effectiveness of the ICAP framework in childbirth education in more diverse settings and environments.

  • Context

    Recent literature has demonstrated benefits of the upright position and mobility during labour, including a reduction in caesarean birth incidence and the promotion of positive childbirth experiences. However, mobilisation during labour is still not a common practice worldwide. This study by Borer and Dubovi investigates the use of interactive-constructive forms of childbirth instruction to improve maternal education of the benefits of mobility and foster positive attitudes towards this style of labouring. Chi...

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