Older mothers may benefit from being induced on their due date Thursday 16 November "Inducing birth one to two weeks earlier in first-time mothers over 35 could reduce stillbirths by two-thirds, large study finds," reports the Mail Online. In the UK, the practice in most cases is to wait until week 42 of pregnancy to see if labour begins naturally before offering to induce the pregnancy.
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Under-reporting of inductions was suspected. For mothers with these known complications, it's standard practice in the NHS to monitor them closely and offer earlier induction with balanced information on the benefits and risks.
The researchers looked at first-time mothers aged 35 to 50 who were induced at 39, 40 or 41 weeks. This study therefore okder not provide strong evidence that an earlier induction than is currently recommended is beneficial for all expectant mothers. BBC News reported the story fairly accurately, pointing out that inductions are offered to first-time mothers aged 35 or older because this group is "generally at a higher risk of birth complications".
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Induction at week 39 Compared with no intervention often called "expectant management"induction at 39 weeks was associated with: No difference in perinatal death or stillbirth. Forms of support may include: family and friends, who can be a powerful support system communicating with other people in the same situation finding out as much as possible about your condition not trying to do too much or overexerting yourself making time for yourself Find out more about living with breast cancer.
Furthermore, the observed of perinatal deaths was comparatively small 0.
Also, if there was an expected benefit to having an early induction, then giving it to one group and not the other could be seen as unethical. Diagnosing breast cancer After examining your breasts, a GP may refer you to a specialist breast cancer clinic for further tests. Womsn randomised controlled trial would be most appropriate to determine causation but, in the case of pregnant mothers, this would be complicated because stillbirths and perinatal deaths are quite rare.
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Breast cancer is treated using a combination of: surgery radiotherapy Surgery is usually the first type of treatment you'll have, followed by chemotherapy or radiotherapy or, in some cases, hormone or targeted treatments. Other, less common types looming breast cancer include: invasive and pre-invasive lobular breast cancer inflammatory breast cancer It's possible thwn breast cancer to spread to other parts of the body, usually through the blood or the axillary lymph nodes.
The researchers examined "hospital episode statistics" HES gathered between April and March In the UK, the practice in most cases is to wait until week 42 of pregnancy to see if labour begins naturally before offering to induce the pregnancy. Breast cancer screening Mammographic screeningwhere X-ray images of the breast are taken, is the most commonly available way of finding a change womwn your breast tissue lesion at an early stage.
Types of breast cancer There are several different womzn of breast cancer, which develop in different parts of the breast. Increased risk of low oxygen in the baby during labour 5.
They identified 77, women, 25, Its strengths lie in the large cohort of women, which was made possible by taking advantage of hospital episode data over a 5-year period. The type of surgery and the treatment you have afterwards will depend on the type of breast cancer you have. Find out more about the symptoms of breast cancer.
How people cope with the diagnosis and treatment varies from person to person.
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They wanted to see if the time of induction made any difference to perinatal death rates in comparison with "watching and waiting" until week The Mail Online, however, added an inaccurate point that offering earlier inductions across the board to older mothers would have w "enormous" effect on the cost to the NHS of giving birth. No sources of financial support were reported. Both reports failed to mention the limited generalisability of this research — it's more relevant to women aged 35 or older who already have a medical complication.
Studies have looked at the link between breast cancer and diet. If you have an increased risk of developing the condition, some treatments are available to reduce your risk.
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As the risk of breast cancer increases with age, all women who are 50 to 70 years old are invited for breast cancer screening every 3 years. The study did not evaluate the cost impact at all.
HES are made up of information routinely collected by hospital staff during a patient's general use of hospital services. Find out more about treating breast cancer. We also don't know why some womab the women needed to be induced.
Perinatal death was defined as stillbirth or in-hospital death of the baby within 7 days of birth. However, although the figures in the headlines sound major, they relate to very small s of cases: perinatal deaths occurred in 0.
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Most breast lumps are not cancerous, but it's always best to have them checked by a doctor. Although there are no definite conclusions, there are benefits for women who:.
Induction of labour involves putting into the vagina a hormone tablet or gel that softens the cervix and may stimulate contractions. This means they may forr be representative of older mothers in general. It was published in the peer-reviewed journal PLOS Medicine on an open-access basis, so it's free to read online.
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Clinical guidelines are frequently revised and updated and, while a single study is unlikely to lead to a change, this evidence will come under consideration. There are several forms of support available, if you need it. The researchers stated that for women aged 35 years or older and expecting their first child: "Bringing forward the routine offer of induction of labour from the current recommendation of weeks to [after] 40 weeks of gestation