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It should be noted that Physicians may be reluctant to prescribe NCHD with concerns over the increase in interventions and use of vascular access.
We have seen an increase in interventions during this period of 994%, especially in compatibility studies (4,017%), drug interactions (2,150%), and adverse drug reactions (1,000%).
Fortunately, the use of ultrasound did not lead to an increase in interventions and the method's effectiveness was demonstrated at all three hospitals.
The increase in interventions observed in the women with prolonged pre-hospital labour may be due to dysfunctional labour manifesting in the latent phase or may be iatrogenic, subsequent to longer time spent in hospital.
We lacked the data to examine intervention rates at a trust level, but the increase in interventions observed in 'low-risk' planned OU births in trusts with more non-OU births was relatively small in comparison, suggesting that any increase would be more than offset by the reduction in interventions in the 'low-risk' planned non-OU births.
The importance of effective care during the inpatient period has been highlighted, not only due to the increase in interventions leading to higher maternal physical and psychological morbidity, but also as a consequence of pressures on resources reducing hospital turnover intervals and reduction in the number of midwife contacts a woman may receive once home [ 3].
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Results also demonstrated a greater increase in intervention practices in diagnosis of latent TB.
For example, a 1,000 steps/day increase in intervention mean steps/day resulted in a 0.1% decrease in %BF.
Using %BF as an example, a 1,000 steps/day increase in intervention mean and similar change in intervention mean steps/day resulted in 0.2% decreases in %BF.
There was a notable increase in intervention and decline in normal vaginal birth as the interventions accumulated (induction of labour, epidural and augmentation of labour).
Early initiation of breastfeeding did not significantly increase in intervention areas in Bangladesh, suggesting that the programme needs to examine how to improve promotion and support of breastfeeding.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com