Giulia Muraca and colleagues argue that Canada’s high rates of maternal and neonatal trauma following operative vaginal delivery warrant urgent recognition, transparency, and action
Operative vaginal deliveries forceps and vacuum assisted deliveries are recommended as safe, acceptable alternatives to caesarean delivery for women in the second stage of labour when descent of the fetal head is arrested, there is imminent risk to the baby, or there are conditions that contraindicate pushing (expulsive) efforts.123 Although available data on maternal and neonatal mortality and morbidity show no clear advantage of operative vaginal delivery over caesarean delivery, such comparisons often fail to recognise the impact of maternal trauma, the most common injury associated with operative vaginal delivery.3 This is particularly pertinent in Canada, which has the highest rate of maternal trauma after operative vaginal deliveries among high income countries (fig 1).4
Fig 1
Rate of obstetric
Creating Atals of Endometriosis Cells: Major Advancement miragenews.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from miragenews.com Daily Mail and Mail on Sunday newspapers.
Seroprevalence surveys found that fewer than half of people older than 60 years had been exposed to the virus. The researchers suggest that this age group be prioritized for vaccination.
In a retrospective cohort study from Canada, Dr Mary Kennedy and colleagues explore the effect of discontinuation and tapering of prescribed opioids on risk of overdose among people on long-term opioid therapy for pain with and without opioid use disorder.
In a retrospective cohort study from Canada, Dr Mary Kennedy and colleagues explore the effect of discontinuation and tapering of prescribed opioids on risk of overdose among people on long-term opioid therapy for pain with and without opioid use disorder.