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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.

For more Health articles, visit www.foxnews/health.

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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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Aging process could accelerate due to ‘forever chemicals’ exposure, study finds

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Aging process could accelerate due to ‘forever chemicals’ exposure, study finds

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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”

The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.

PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted. 

Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.

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Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.

A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)

The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.

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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.

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Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.

“People should not panic.”

The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.

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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital. 

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“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”

The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)

Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.

Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.

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While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure. 

That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.

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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.

The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)

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Study limitations

The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.

“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.

The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.

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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.

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Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.

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Melissa Joan Hart, 49, Opens up About Weight Loss in Perimenopause

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Melissa Joan Hart, 49, Opens up About Weight Loss in Perimenopause


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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.

The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.

Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.

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The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)

“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release. 

“Our new results uncovered new biology while also opening doors for new drug targets.”

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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted. 

“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said. 

The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)

That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.

In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.

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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.

The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.

“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)

“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.

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Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.

Limitations and caveats

The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.

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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.

Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.

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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”

“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”

The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.

It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.

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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.

Fox News Digital reached out to the drug manufacturer and the researchers for comment.

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