April 22, 2014
What is one of the first interventions we perform on a normal birth? What is so 'normal' that we don't even think of it as an intervention? Cutting the cord! Dr. Greene is asking questions about this intervention... what is the evidence for immediate cord clamping? Here is a Twitter record of a Twitter chat last night on the case for delayed cord clamping. At the moment of birth one-third of the baby's blood is still in the umbilical cord or placenta. What are the potential negative effects of cutting the cord immediately? Read this rather sobering exchange to follow and then take ACTION by spreading the word. RT @DrGreene: Interventions should have evidence! No evidence for first intervention - immediate stopping baby’s normal flow! #LTKH
April 02, 2014
Shoulder dystocia is form of obstructed labor. Most obstetricians and midwives will tell you that this problem strikes a bit of dread in teams attending a birth. Fortunately there are a series of clever maneuvers that can often help release a newborn's shoulder from behind the mother's pubic bone. However, in some cases the maneuvers themselves can be dangerous and in other cases they may not work. Dr. Abraham Yaari is a very experienced obstetrician (from Israel but working in the U.S. for deacdes) who has had his share of difficult deliveries. He became increasingly concerned over the last decade as babies have gotten bigger, making the risk of 'shoulder dystocia' higher.
March 19, 2014
She walks, barefooted, mile and miles to find water. She carries babies on her back and both hips. On her head is a basket. Her life is poor, hard, and often violent. Her babies die of diseases due to dirty water. There is war, civil war, and HIV, and TB, and malaria. She does not smile, she does not have hope.
March 04, 2014
Those who read our blog know that we are very focused on anemia-- and for good reason (we think). Despite increasing efforts to diagnose and treat anemia worldwide, anemia affects 28% of the global population. And for the specific populations of greatest interest to the Maternova team, anemia is of tremendous relevance-- affecting as much as 42% of pregnant women and 47% of preschool aged children internationally. But did you know that diagnosing anemia in pregnancy requires some additional information and different cutoff points? Did you know that there are trimester specific cutoff rates for anemia? Read on! Anemia is accompanied by symptoms including weakness, fatigue, difficulty concentrating, and
The new Rehydration Unit: Adapting ORS training and treatment for the mothers of Fakir Bagan in Calcutta
February 24, 2014
In the video, the Haitian child was listless: his eyes were sunken and his shriveled body was limp. His mouth curled, turtle-like, to prepare to cry, but no tears came. A gloved hand, arm hairs poking out, reached for the skin around the child’s abdomen. The hand of the clinician pulled gathered skin to form a sinusoid mound. Then, instead of snapping into place as skin normally does, the mound slowly melted back like silly putty. The words “SKIN PINCH” scrolled across the bottom of the video.