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It's a counterintuitive hypothesis, but past research suggests that more lives are saved with less intervention.
Midwife-led care, as practised in this study, is as safe as consultant-led care and is associated with less intervention during labour and delivery.
The results reported here show that midwife-led care, as practised in this study in an 'alongside' MLU, is as safe as consultant-led care and is associated with less intervention.
Staff were provided follow-up and assistance through remote support (ie, telephone contact), as compared with in-person support by the ON study 19 to assess for continued feasibility with less intervention.
The implications of this for maternity care are profound, particularly in Ireland where at least 40% of women are eligible, and suitable, for midwife-led care (using strict criteria), which has been shown to be as safe as consultant-led care but associated with less intervention when provided in an 'alongside' MLU.
5 In their intrapartum care guidelines, the UK's National Institute for Health and Clinical Excellence concluded that if a low-risk woman plans to give birth in a midwife-led unit she will have a higher likelihood of a normal birth with less intervention.
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In the large sheep producing nations of South America, Australia and New Zealand sheep are usually bred on large tracts of land with much less intervention from the graziers or breeders.
The likelihood of biochemically verified smoking cessation was 32% higher in patients who received more intensive intervention compared with less intensive intervention, although this effect was not significant (RR 1.32, 95% CI 0.23 to 7.43).
"The approach of the commission to regulating the mobile-phone sector has morphed from aiming at creating legal certainty with the emphasis on less intervention, to one that grants maximum flexibility for competition officials to police the market," Mr. Alexiadis said.
The EBDG study is a multicenter study conducted in Brazil in the 1990's with a less strict protocol, in a scenario of less intervention, following women with a wider range of hyperglycemia.
In the review of the international literature on evidence-based treatment of substance abuse, Berglund et. al. concluded that a) a focus on the substance use, b) high treatment structure, c) continuous intervention lasting for at least three months and d) a focus on comorbidity was associated with effective treatment interventions in comparison with less effective interventions [ 11].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com