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Judy Slome Cohain

Publications and source records attributed to Judy Slome Cohain.

9 recordsLinked to original sources
PubMed2006

Vaginal births after C-section are not necessarily riskier in a birth center than in the hospital.

Recent research concluded that VBACs are riskier in a birth center than in the hospital. This conclusion is only true if the woman is sure she will not have any more pregnancies and if she does not suffer from "Fear of Hospitals." Since childbirth centers offered a VBAC rate of 87%, whereas US hospitals currently offer a VBAC rate of less than 10%, the woman has a much higher risk of a repeat cesarean if she delivers in hospital, which increases her risk on subsequent pregnancies.

Birthing Centers↗
PubMed2006

Is my baby yellow?

In July 2004, The American Academy of Pediatrics (AAP) summarized the latest medical research regarding newborn jaundice and updated the current clinical guidelines. The AAP recommends that clinicians 1) promote breastfeeding and not routinely supplement newborns with water; 2) assess the risk of severe hyperbilirubinemia before discharge; 3) provide follow-up visits after discharge to assess jaundice; and 4) when indicated, treat newborns with phototherapy or exchange transfusion to prevent the development of severe hyperbilirubinemia and kernicterus. This article summarizes the new guidelines.

Breast Feeding↗
PubMed2006

Jaundice dictionary.

Explore the source record for details and available documents.

Dictionaries, Medical as Topic↗
PubMed2004

The many ways to sew up a uterus. "Single-layer" vs. "double-layer" cesarean repair: what's best?

Some clinicians have used a single, poorly-designed, retrospective study of single-layer vs. double-layer repair of the uterus during cesarean surgery to justify denying women the option of a trial of labor on subsequent pregnancies. This paper reviews the latest research and suggests the adoption of four new protocols for women after a cesarean. Women should receive a full summary of the repair methods used during their surgery; Women should be counseled as to the risk of delivering another child less than two years after uterine surgery; On subsequent pregnancies after cesarean birth, women should have an ultrasound near the end of the pregnancy looking for evidence of placental growth in the area of the scar and implications of this should be explained; and Vicryl sutures should be used for sewing up the uterus.

Adult↗
PubMed2004

Midwifery in Israel.

Socialized medicine provides free and easily accessible prenatal and intrapartum care in Israel. Mothers also receive the equivalent of dollars 100 to dollars 300 after delivering in hospital. The infant mortality rate is 5.5 per 1000 live births. Uncomplicated births (80%) are attended by midwives. Midwives routinely rupture membranes, attach electronic fetal monitoring, give intravenous fluids and deliver in lithotomy position. Approximately 15% of women undergo induction, 20% augmentation, 40% epidural, 30% episiotomy, 17% cesarean section. In 2003, 1% of births were cesareans by maternal request, rather than medical necessity, and 0.1% of births were planned homebirths. The system processes 140,000 births per year with good medical outcomes, especially considering Israel is only 56 years old.

Birth Rate↗
PubMed2004

GBS, pregnancy and garlic: be a part of the solution.

In 2002 the Centers for Disease Control (CDC) wrote new GBS protocols that call for the 4,000,000 pregnant women in the US each year to have a rectal/vaginal culture for GBS at 36 weeks. The protocols recommend that the 800,000 women per year who will have a GBS-positive result receive IV antibiotics during labor, costing $20,000,000 a year, at a low estimate of $25 per woman. This will prevent the deaths of about 100 infants a year from early onset GBS, while 80 newborns a year will still die of the disease. It will prevent about 4,000 (60% of the total) newborn early onset GBS infections. Garlic kills GBS, but because no profit can be made from its use, no research exists on the use of garlic to prevent GBS in newborns. Women are encouraged to consider following the protocols described in this article at 35 weeks and culturing for GBS at 36 weeks, as a proactive way to research the use of garlic to prevent newborn GBS disease.

Administration, Intravaginal↗
PubMedDate not supplied

Caesareans and low-risk women in Israel.

Randomised retrospective study of the rise in caesarean surgery among low-risk women between 1990 and 2000 at Hadassah Ein Kerem Labor and Delivery Unit in Jerusalem. The CS rate in low-risk women increased from 4 per cent to 10.5 per cent. Approximately 90 per cent of the population was low risk.

Adult↗