Mineral Wells Index, Mineral Wells, TX

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December 8, 2012

Hospital incentives help babies determine own birth dates

The evidence has been in for some time. Scheduling births may be convenient for physicians, hospitals and expectant parents, but it generally isn't good for the health of mothers and children. It's expensive to boot.

To get a baby to arrive on schedule, doctors often perform a cesarean section, the most common surgery in the United States Since 1996, C-section rates have risen every year to 33 percent of all births in 2009. According to the World Health Organization, the right figure for any country is about 15 percent. The desire to deliver by appointment also prompts doctors to induce labor, for instance by injecting mothers with a hormone or breaking the amniotic sac. Induction rates have doubled over two decades to 23 percent in 2009.

These procedures are sometimes medically necessary — a cesarean, for instance, when the baby is in the breech position, or induction when the baby is more than two weeks overdue. Their elective use, however, has contributed to babies being born too early. From 1990 to 2009, the percentage of U.S. babies delivered at 37 to 38 weeks increased from 19 percent to 27 percent. These newborns aren't technically premature, but a growing body of research shows they are vulnerable. According to a study published last year, children born at 37 weeks are twice as likely to die in their first year as those born at 40 weeks. They have significantly more health problems as well.

These complications tax the health system. Weak newborns often wind up in neonatal intensive care units, which can cost $2,500 a day. Even when all goes well, a cesarean section, because it is surgery, costs 60 percent more than a vaginal delivery, averaging $24,300 versus $15,200.

As hospitals and insurers struggle to contain expenses, a confluence of interests emerges. By reducing elective birth interventions, providers and insurers can cut costs while mothers and newborns achieve better health.

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  • 'Rebel' mascot rising from the dead

    Students and alumni from a Richmond, Va.-area high school are seeking to revive the school's historic mascot, a Confederate soldier known as the "Rebel Man," spurring debate about the appropriateness of public school connections to the Civil War and its icons.

    July 28, 2014

  • Dangerous Darkies Logo.png Redskins not the only nickname to cause a stir

    Daniel Snyder has come under fire for refusing to change the mascot of his NFL team, the Washington Redskins. The Redskins, however, are far from being the only controversial mascot in sports history.  Here is a sampling of athletic teams from all areas of the sports world that were outside the norm.

    July 28, 2014 3 Photos

  • Screen Shot 2014-07-28 at 2.21.22 PM.png VIDEO: Dog 'faints' from excitement of seeing owner

    A reunion between a Pennsylvania woman who had been living overseas for two years and her pet schnauzer has gone viral, garnering nearly 20 million views on YouTube.

    July 28, 2014 1 Photo

  • 20140727-AMX-GUNS271.jpg Beretta, other gun makers heading to friendlier states

    In moving south and taking 160 jobs with it, Beretta joins several other prominent gunmakers abandoning liberal states that passed tough gun laws after the Newtown shooting.

    July 28, 2014 1 Photo

  • taylor.armerding.jpg Inequality crisis shot with factual problems, hypocrisy

    President Obama, various media and political liberals say inequality, of all things, is the defining issue of our times. Yet this message is delivered by multimillionaires and a president who jets from tee time to stump speech on the taxpayer's dime.
     

    July 25, 2014 1 Photo

  • Lindley, Tom.jpg Better police needed for college teams enticed to cheat

    The NCAA once cracked down on colleges that went too far luring top prospects, then it targeted teams that lathered players with special treatment. That was until the NCAA's get-tough approach backfired, rendering it ineffective and creating an opportunity for those who want to play dirty.

    July 25, 2014 1 Photo

  • cleaning supplies Don't judge mothers with messy homes

    I was building shelves in my garage when a neighbor girl, one of my 4-year-old daughter's friends, approached me and said, "I just saw in your house. It's pretty dirty. Norah's mommy needs to clean more."

    July 25, 2014 1 Photo

  • Russia's war on McDonald's takes aim at the Filet-o-Fish

    Russia said earlier this week that it had no intention of answering Western sanctions by making it harder for Western companies to conduct business in Russia.
    But all bets are off, apparently, when you threaten the Russian waistline.

    July 25, 2014

  • Police Brutality screen shot. Technology plays key part in battling police brutality (VIDEO)

    Allegations of police brutality are nothing new -- as long as there has been law enforcement, citizens have registered claims that some officers cross the line. But in the last few years, the claims of excessive force are being corroborated with new technology from cell phone cameras, police dash-cams and surveillance videos. 

    July 24, 2014 1 Photo

  • Arizona's prolonged lethal injection is fourth in U.S. this year

    Arizona's execution of double-murderer Joseph Wood marked the fourth time this year that a state failed to dispatch a convict efficiently, according to the Constitution Project, a bipartisan legal group.3

    July 24, 2014

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