The difference in daily birth patterns, the report says, is probably explained by obstetric practice.
An estimated 3, 700 new cases of obstetric fistula occur in Tanzania every year, but only about 1, 000 get treated.
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While our traditional obstetric mode is reactive, the style of midwifery demonstrated by the Frontier Nursing Service is proactive.
Our goal in the IHS Baby-Friendly Hospital Initiative is to have all 13 IHS hospitals with obstetric services achieve the designation.
Outsiders who unsettle the obstetric cartel meet clannish (and even self-interested) opposition.
She had never heard of obstetric fistula until she read a book featuring a detailed story of an African woman with the condition.
Rape is often accompanied by physical and psychological damage, like obstetric fistula, a condition whose physical pain is compounded by the sting of social stigma.
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That's because obstetric fistulas were largely eradicated from the United States by the 20th century, with strides in prenatal care and the use of cesarean section.
The trust is proposing to keep a consultant-led obstetric service and neonatal service at the Hastings and downgrade services at Eastbourne by having a midwife-led unit at the hospital.
He called on the UK's Department for International Development (DFID) to help developing countries improve data collection and extend access to free medication, as well as midwifery and obstetric care.
But Turkewitz notes a recent report on how Columbia-Presbyterian Hospital in New York cut malpractice payments by 90% by implementing strict safety controls and checklists in its obstetric department.
All hospitals with a consultant-led obstetric unit in the UK will be asked to complete a report card each month, and will be asked to report any cases of these conditions.
Several options are being considered, but the trust has said its preferred plan is to have consultant-led obstetric services, neonatal services including the special care baby unit, in-patient paediatric services and emergency gynaecology services at the Conquest Hospital in Hastings.
Although an estimated 2 million women in Asia and sub-Saharan Africa live with untreated obstetric fistula, according to the Fistula Foundation, it's unlikely for these women to meet or hear of anyone else suffering from the same injuries, because of the lack of modern forms of communication and also the women's reluctance to discuss the condition, Heller says.
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