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| Name | How pregnancy due dates ruin healthy childbirth |
| Video Uploader | Video From Dr Philip Bosanquet |
| Upload Date | This Video Uploaded At 16-07-2024 12:28:17 |
| Video Discription | Pregnancy due dates can lead to a feeling of pressure for mother's that they need to go into labour by a certain point, otherwise there will be problems. Running a pregnancy on a schedule can lead to unnecessary stress and anxiety for pregnant women, which can lead to a decrease in the hormone oxytocin, and interfere with the onset of labour. I also discuss the risks of stillbirth in relation to gestational age. Video on C-sections: https://www.youtube.com/watch?v=axHGldW7z5Q Buy The Concise Nutrition and Lifestyle Guide: https://www.bosanquethealth.com/book-purchase (available worldwide via Amazon). References / further reading: Estimated length of pregnancy is in dispute. https://www.nct.org.uk/pregnancy/your-pregnancy-week-week/first-trimester/pregnancy-week-1#:~:text=In%20France%20pregnancy%20is%20counted,on%20the%20due%20date%20calculated C-section rates and rates of induction going up, spontaneous onset labour down below 50% in the UK: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-maternity-statistics/2020-21/deliveries---time-series NHS pages on risk of inductions, and risks of stillbirth: 1. Higher risk of stillbirth or problems for the baby after 41 weeks. Risks of induction: longer in hospital, more examinations, more pain in labour, higher risk of forceps: https://www.nhs.uk/pregnancy/labour-and-birth/signs-of-labour/inducing-labour/ 2. Less satisfied with experience of birth, labour pain stronger. Induction and hyper-stimulation, extra monitoring, more difficult for women to move around during labour, not possible for homebirth), increased rate C-section and various other comparison stats: https://assets.nhs.uk/prod/documents/IOL-leaflet-40plus-weeks_vTDF3v5.pdf 3. You and your baby by week NHS pages: https://www.nhs.uk/pregnancy/week-by-week/28-to-40-plus/40-weeks/ 4. Stillbirth risk: 3 babies in 3000 at 40 weeks; 6 babies in 3000 at 43 weeks…..Induction: more internal examinations, more painful, more women need an epidural, increases chances of u needing an assisted vaginal delivery such as forceps delivery, or a caesarean section. https://www.swbh.nhs.uk/wp-content/uploads/2012/06/Induction-of-labour-ML5105.pdf 5. Stillbirth risk: 1 in 3,000 pregnancies at 37 weeks; 3 in 3,000 at 42 weeks; 6 in 3,000 over 42 weeks. https://www.kch.nhs.uk/wp-content/uploads/2023/01/pl-053.5-induction-of-labour-post-dates-overdue-pregnancies.pdf 6. Membrane sweep, prostaglandin pessaries, rupture your membranes, synthetic oxytocin drip. Risks: increased Discomfort, uterine hyperstimulation, shoulder Dystocia, instrumental delivery, an increased risk of heavy bleeding following the birth of your baby, failed Induction and C-section, cord Prolapse, uterine rupture. https://www.jpaget.nhs.uk/media/456052/MI-6-Induction-of-Labour-llt-v4-web.pdf Aims on induction: https://www.aims.org.uk/journal/item/induction-at-term?fbclid=IwAR07QfVMy2o8VUN8Z2XnlhxWf0L7dkJ6jB95 ONS data: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/datasets/birthcharacteristicsinenglandandwales I realised late I could calculate rates from 2022 data. In this year the incidence of still birth is slightly (0.02%) more at 42+ weeks than 40 weeks: 0.26% at 37 weeks, 0.09% at 40 weeks, 0.11% at 42+ weeks. 2017 (calculated from table 8): 0.29% at 37 weeks, 0.103% at 40 weeks, 0.096% at 42 weeks and above. 2016 (calculated from table 7): 0.35% at 37 weeks, 0.124% at 40 weeks, 0.118% at 42 weeks and above. 2015 (calculated from table 7): 0.39% at 37 weeks, 0.11% at 40 weeks, 0.07% at 42 weeks and above. 2014 (calculated from table 7): 0.45% at 37 weeks, 0.12% at 40 weeks, 0.14% at 42 weeks and above. Natural vs synthetic oxytocin: Oxytocin and the Effect of Stress During Childbirth: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578887/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979579/ https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2365-9 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494504/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947469/ Induction and autism, yes to association: https://pubmed.ncbi.nlm.nih.gov/34355687/ Induction and autism, no to association: https://www.ajogmfm.org/article/S2589-9333(23)00152-0/fulltext ‘Children with autism spectrum disorders (ASD) have lower levels of oxytocin in their blood’ https://autism.org/researchers-report-new-findings-about-oxytocin-and-asd/ Other risks: https://evidencebasedbirth.com/evidence-on-due-dates/ Stress and hospital environment shutting down labour: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595201/ Inductions at term: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0869-0#citeas ‘IOL(37+0 to 41+6 weeks)for non-medical reasons was associated with higher birth interventions..more adverse maternal, neonatal and child outcomes for most variables assessed.’ https://bmjopen.bmj.com/content/11/6/e047040.full [ASEe2pR-Vpg] |
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