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Florida becomes first state to allow women to get C-sections outside of hospitals

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Florida becomes first state to allow women to get C-sections outside of hospitals

Florida recently became the first state to allow cesarean sections (C-sections) to be performed outside of hospitals, as reported by KFF News.

New legislation enacted in March 2024 allows physicians to deliver babies — either naturally or via C-section — at “advanced birth centers.”

Women who are deemed at “low risk of complications” are eligible to receive these services in the clinics. 

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They will be able to stay overnight after the procedure.

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A private equity-owned physicians’ group, Women’s Care Enterprises, was a proponent of this change, claiming the option would result in lower costs and a “homier birthing atmosphere,” as KFF reported.

Florida recently became the first state to allow cesarean sections to be performed outside of hospitals, as reported by KFF News. (iStock)

The move is also seen as a way to expand access to care, as some Florida hospitals have closed their maternity wards, KFF also reported.

Nearly 20% of Florida counties qualify as “maternity care deserts,” according to industry associations. 

Some industry experts and organizations, however, have expressed concerns about potential safety risks.

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“I think this is a dangerous idea,” Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, told Fox News Digital.

“A lot can go wrong with C-sections,” he warned. “We need in-hospital support, including anesthesia and the neonatal ICU, at our disposal.”

He added, “Even if it is OK 95% of the time, it is the other unpredictable 5% that I worry about.”

“I think this is a dangerous idea,” one doctor told Fox News Digital. (iStock)

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Cole Greves, an Orlando perinatologist who chairs the Florida chapter of the American College of Obstetricians and Gynecologists, recognized that Florida is suffering from a shortage of maternity care, but echoed Siegel’s safety concerns.

“It is critical for patient safety to remain a top priority when seeking to improve maternal health care,” Greves said via email to Fox News Digital. 

“Even if it is OK 95% of the time, it is the other unpredictable 5% that I worry about.”

“A pregnant patient who is considered ‘low risk’ in one moment can suddenly need lifesaving care in the next. Advanced birth centers, even with increased regulation, cannot guarantee the level of safety that patients would receive within a hospital.”

The move is also seen as a way to expand access to care, as some Florida hospitals have closed their maternity wards. (iStock)

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Mary Mayhew, CEO of the Florida Hospital Association, warned of the many risks associated with C-sections, such as hemorrhaging.

“We have serious concerns about the impact this model has on our collective efforts to improve maternal and infant health,” Mayhew said to KFF. 

“Our hospitals do not see this in the best interest of providing quality and safety in labor and delivery.”

As KFF News noted, “the Florida Hospital Association did not fight passage of the overall bill because it also included a major increase in the amount Medicaid pays hospitals for maternity care.”

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Florida state Sen. Gayle Harrell, the Republican who sponsored the bill, noted that birth centers will have to meet the same high standards for staffing, infection control and other aspects as those at outpatient surgery centers, KFF reported.

“Given where we are with the need, and maternity deserts across the state, this is something that will help us and help moms get the best care,” she said.

As of 2022, 32.1% of live births in the U.S. were delivered via C-section, according to the National Center for Health Statistics. (iStock)

As of 2022, 32.1% of live births in the U.S. were delivered via C-section, according to the National Center for Health Statistics.

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That is approximately 22.5 out of every 100 live births.

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Health care professionals may recommend a C-section if the mother is having trouble progressing through labor, the baby is in distress or in a dangerous position, the mother is carrying multiple babies, the umbilical cord has prolapsed or there is a problem with the placenta, according to the Mayo Clinic website.

“A pregnant patient who is considered ‘low risk’ in one moment can suddenly need lifesaving care in the next.”

The procedure may also be advised if the mother has health issues that could make traditional delivery dangerous, or if she previously had a C-section.

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Fox News Digital reached out to the Florida Hospital Association and the Florida Department of Health requesting comment.

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GLP-1 Drugs Linked to Osteoporosis and Gout: Here’s How To Stay Safe

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GLP-1 Drugs Linked to Osteoporosis and Gout: Here’s How To Stay Safe


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Ozempic-style drugs could slash complication risks after heart attacks, research suggests

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Ozempic-style drugs could slash complication risks after heart attacks, research suggests

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A popular class of weight-loss drugs may prevent life-threatening cardiac complications by opening microscopic blood vessels that often remain blocked after a heart attack, according to a study published this week in Nature Communications.

The research, led by the University of Bristol and University College London, identified a biological brain-gut-heart signaling pathway. 

This discovery appears to explain how GLP-1 drugs — which mimic glucagon-like peptide-1, a hormone that helps regulate blood sugar and appetite — protect heart tissue from a condition known as “no-reflow.”

“In nearly half of all heart attack patients, tiny blood vessels within the heart muscle remain narrowed, even after the main artery is cleared during emergency medical treatment,” Dr. Svetlana Mastitskaya, the study’s lead author and a senior lecturer at Bristol Medical School, said in a press release.

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“This results in a complication known as ‘no-reflow,’ where blood is unable to reach certain parts of the heart tissue.”

In nearly half of all heart attack patients, tiny capillaries (blood vessels) remain narrowed even after the main blocked artery is cleared. (iStock)

This lack of blood flow increases the risk of heart failure and death within a year. GLP-1 medications could prevent this, according to the researchers.

How it works

When the GLP-1 hormone is released in the gut or administered as a drug, it sends a signal to the brain, which then sends a signal to the heart that switches on special potassium channels in tiny cells called pericytes.

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When these channels open, the pericytes relax, which allows the small blood vessels (capillaries) to widen and improve blood flow to the heart muscle, the researchers noted.

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The new study used animal models and cellular imaging to track how GLP-1 interacts with heart tissue. When the researchers removed the potassium channels, the drugs no longer protected the heart — confirming they play a key role.

The findings suggest that existing GLP-1 medications, already used for type 2 diabetes and obesity, could be repurposed as emergency treatments. (iStock)

The findings suggest that existing GLP-1 medications, already used for type 2 diabetes and obesity, could be repurposed as emergency treatments during or immediately after a heart attack to reduce tissue damage.

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The researchers noted several limitations, including that the study relied on animal models.

Clinical trials are necessary to determine whether the brain-gut-heart pathway operates with the same timing and efficacy in humans.

While the study highlights the drug’s immediate benefits during a heart attack, it des not establish whether long-term use of these drugs provides a pre-existing level of protection. (iStock)

Additionally, while the study highlights the drug’s immediate benefits during a heart attack, it does not establish whether long-term use of the medication provides a pre-existing level of protection.

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The research was primarily funded by the British Heart Foundation.

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Do collagen supplements really improve skin? Major review reveals the truth

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Do collagen supplements really improve skin? Major review reveals the truth

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Collagen supplements have exploded in popularity, touted as everything from an anti-aging miracle to a muscle recovery booster.

But a sweeping new review conducted by U.K. researchers suggests that while collagen may help improve skin elasticity and ease arthritis pain, it does little for athletic performance or wrinkle reduction.

Researchers from Anglia Ruskin University analyzed 16 systematic reviews and 113 randomized controlled trials involving nearly 8,000 participants worldwide, which they say is the most extensive evaluation of collagen’s health effects to date. 

The review found consistent evidence that collagen supplementation improves skin elasticity and hydration over time and provides significant relief from osteoarthritis-related joint pain and stiffness, according to findings published in Aesthetic Surgery Journal Open Forum. 

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A large U.K. review found that collagen supplements may improve skin elasticity and hydration over time. (iStock)

The researchers, however, did not find meaningful improvements in post-exercise muscle recovery, soreness or tendon mechanical properties (strength, springiness and stretch resistance).

“Collagen is not a cure-all, but it does have credible benefits when used consistently over time, particularly for skin and osteoarthritis,” co-author Lee Smith, professor of public health at Anglia Ruskin University, said in a statement.

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“Our findings show clear benefits in key areas of healthy aging, while also dispelling some of the myths surrounding its use,” Smith added.

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Collagen, the most abundant protein in the body, supports skin, bones, tendons, cartilage and connective tissue, according to experts. Natural collagen production begins to drop in early adulthood and declines more sharply with age.

The study found that collagen supplements may help reduce joint pain and stiffness in people with osteoarthritis. (iStock)

The review found that long-term collagen supplementation was linked to improved skin firmness and hydration, but did not help skin roughness — a proxy for visible wrinkles. 

Benefits appear to accumulate gradually, suggesting that collagen should not be viewed as an “anti-wrinkle ‘quick fix,’ but as a foundational dermal support for individuals seeking holistic skin maintenance,” the researchers said.

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“If we define anti-aging as a product or technique designed to prevent the appearance of getting older, then I believe our findings do support this claim for some parameters,” Smith told the BBC. “For example, an improvement in skin tone and moisture is associated with a more youthful-looking appearance.”

Collagen supplementation was linked to reduced pain and stiffness in people with osteoarthritis, with stronger benefits seen over longer periods of use, and showed modest improvements in muscle mass and tendon structure that may support healthy aging. 

Collagen did not significantly improve skin roughness, a marker of visible wrinkles. (iStock)

However, it did not show meaningful results when used as a fast-acting sports performance supplement, and evidence for benefits related to cholesterol, blood sugar, blood pressure and oral health was mixed or inconclusive.

Dr. Daniel Ghiyam, a California-based physician and longevity specialist, said the findings align with what he sees in clinical practice.

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“Collagen is a targeted support tool, not a foundation of health or performance,” Ghiyam, who was not involved in the study, told Fox News Digital. “When marketed that way, it makes sense. When marketed as a cure-all, it doesn’t hold up to the data.”

The authors noted that while many previous collagen studies have received financial support from the supplement industry, the current review did not receive industry funding.

Experts say collagen supplements may offer modest benefits for skin hydration and joint comfort, but they are not a cure-all. (iStock)

The team called for more high-quality clinical trials examining long-term outcomes, optimal dosages and differences between collagen sources, such as marine, bovine and plant-based alternatives. 

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Among its limitations, the review could not determine whether certain forms of collagen work better than others or what the optimal regimen should be. 

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While the review included randomized controlled trials, the quality of the studies varied, with newer research generally showing stronger results.

Experts say more data and studies are needed to build on the findings. They also noted that diet plays a crucial role in skin health.

Collagen supplements, often sold as powders or pills, may improve skin elasticity and ease joint pain, experts say. (iStock)

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Dr. Erum Ilyas, a Pennsylvania-based dermatologist and chair of dermatology at Drexel University College of Medicine, noted that the review analyzed previously published meta-analyses rather than generating new primary data.

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“At this time, I have not seen sufficiently strong independent evidence to routinely recommend collagen supplements to my patients,” Ilyas, who was not involved in the review, told Fox News Digital.

“Although some studies show modest improvements in markers such as hydration and elasticity, there remains limited independent, biopsy-confirmed evidence demonstrating sustained increases in dermal collagen content,” she added.

Fox News Digital has reached out to the researchers for comment.

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