Aug 26, 2010  |
In The News,  |
Kellie Moeller, CNM

A recent decision by a federal administrative judge ruled against birth centers in a Texas Medicaid case, stating that CMS is not required to pay any state their federal match for birth center facility fees. Without payment of the birth center facility fees, birth centers in all states could be pushed to the brink of closure.

Aug 8, 2010  |
In The News,  |
Kellie Moeller, CNM

The cesarean delivery rate in the US increased dramatically over the past four decades, from 5% in 1970 to over 31% in 2007. Before 1970, the standard practice was to perform a repeat cesarean after a prior cesarean birth. During the 1970s, as women achieved successful VBACs, it became viewed as a reasonable option for some women. Over time, the VBAC rate increased from just over 5% in 1985 to 28% by 1996, but then began a steady decline. By 2006, the VBAC rate fell to 8.5%, a decrease that reflects the restrictions that some hospitals and insurers placed on trial of labor after cesarean (TOLAC) as well as decisions by patients when presented with the risks and benefits.

Jul 1, 2009  |
In The News,  |
Kellie Moeller, CNM

OBJECTIVE: To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC.

Apr 22, 2009  |
In The News,  |
Kellie Moeller, CNM

The largest UK study of its kind has found that for low-risk women, giving birth at home is as safe as doing so in hospital with a midwife. UK obstetricians welcomed the study - published in the journal BJOG - but said it may not apply universally. Louise Silverton, deputy general secretary of the Royal College of Midwives, said, the study was "a major step forward in showing that home is as safe as hospital, for low risk women giving birth when support services are in place.

Mar 15, 2009  |
In The News,  |
Kellie Moeller, CNM

Houston, TX, is among a growing number of cities that has forgon hospitals to deliver babies in home-like settings, attended by certified nurse-midwives and registered nurses.

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