Rural hospital and specialty care unit closures have left some patients who have breast cancer without a nearby facility for radiotherapy, according to a study in The Journal of Rural Health. The average distance to a radiation treatment facility is just below 22 miles for rural women, compared with less than 5 miles for urban women, and since treatment typically occurs five days a week for five to seven weeks, a rural woman's course of treatment can involve traveling 2,000 miles or more.
Pregnant women with undiagnosed type 2 diabetes had higher risk of cesarean section, preeclampsia and shoulder dystocia, as well as adverse pregnancy outcomes such as perinatal mortality, delivery before 37 weeks, delivery before 34 weeks and neonatal ICU visits compared with women who had gestational diabetes. The study in Diabetic Medicine found that complication rates were comparable for women with undiagnosed type 2 diabetes and diabetes diagnosed before pregnancy.
Race, location and limitations to abortion access and family-planning services are contributing factors to maternal mortality in the US, and restricting access to such care will only cause rates to rise, writes Summer Sherburne Hawkins, associate professor of social work. For instance, black women in Washington, D.C., have an average maternal mortality rate of 59.7 deaths per 100,000 live births, compared with 5.6 per 100,000 in Nevada.
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Researchers found that moderate and late preterm babies were discharged from the hospital at a mean 36 3/7 weeks postmenstrual age. However, the findings in the American Journal of Perinatology showed significantly longer hospital lengths of stay among those born late preterm with respiratory distress syndrome and those who were small for gestational age, as well as infants with neonatal abstinence syndrome, hypoxic ischemic encephalopathy, hydrops, biliary emesis, ABO incompatibility, meconium aspiration syndrome and genetic diagnoses at admission.
Children's Minnesota is expanding neonatal care through a connected health program with six area medical centers and hospitals, which will use a telemedicine platform to for audio-visual access to the hospital's Level IV neonatal clinicians.
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