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Appartement superbe avec une vue magnifique sur les montagnes slovènes !! Nous avons adoré notre séjour à Tolminski Lom, merci beaucoup à Romana pour sa gentillesse et sa disponibilité !Tiphaine2015-08-03T00:00:00Z
Very nice apartment, a great location and view from the balcony. Highly recommended, we hope to return.Steen2013-10-02T00:00:00Z
Romana and Darian were amazing! They were very helpful even before we arrived by answering all of our questions, and looking into New Years options for us. They greeted us very warmly -- we felt like family members coming to visit :). We ended up staying at Tolminski for New Years, and had a wonderful evening in the beautiful mountain environment shooting fireworks, sharing champagne and celebrating with our hosts and the other AirB'n'B guests. The flat is amazingly modern and cozy, with wood-fired floor heating and all of the amenities you need for a long weekend stay. We trekked around the nearby national park and even just in the neighborhood -- it was so peaceful and beautiful! Highly recommend.György2016-01-05T00:00:00Z
Romana was very welcoming and they have created a beautiful apartment with some seriously stunning views! Incredible location. The decor of the property is also really well done. Highly recommend staying here!Harry2016-06-21T00:00:00Z
I would truly recommend this place. The location is wonderful, surrounded by trees and with great views. The appartment is tiny but totally new, tasteful and spotless. The owners couldn't be nicer to us: they invited us to have some strudel, tea and grappa when we arrive and they gave us some apples and basil from their garden. The perfect place to explore Soča Valley amd the Triglav National Park.Mikel2013-08-17T00:00:00Z
Host are great and the place is beautiful. Will come again.Robert2016-07-04T00:00:00Z
Romana is a very friendly and welcoming host. Upon our arrival she was already waiting for us. Romana and her husband were always helpful and gave us useful tipps and recommendations on what to see. The apartment is beautifully situated with a fantastic view over the mountains. What is more, the accomodation is very modern, fully equipped with everything you need. Highly recommend staying here!Ariane 2016-07-17T00:00:00Z
We had a wonderful stay in The chestnut flat. The surroundings are amazing and the view from the balcony stunning. Romana was a great host and when we arrived she invited us for some coffe and beer and told us what we could experience in the area. She gave us vegetables from her garden and mushrooms that she picked and we used it to cook dinner. The family had two adorable kittens that were very playful! It was close to Tolmin were we went to so rafting. You could also go swimming in rivers , Romana told us how to get there.Camilla2014-07-19T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Tolminski Lom, Tolmin, Slovenië
It was a very friendly welcome by Romana and Darian and we find a perfect fitted and realy modern apartment. We can recommend it for all guests who love nature.Annette2016-05-23T00:00:00Z
Accueil très chaleureux des propriétaires lors de notre arrivée et durant tout notre séjour, Romana est une hôte au petit soin pour ses locataires (conseils touristiques, mise à disposition du potager, etc.). L'appartement était superbe et parfaitement équipé pour une famille avec 3 enfants. Location idéale (avec une vue magnifique) pour profiter des beautés naturelles de cette région ainsi que des nombreuses activités sportives pouvant s'y pratiquer. Je ne peux que chaudement recommander ce logement.Pierre2014-08-23T00:00:00Z
Go there-when you are searching for: Tranquility, familial atmosphere, the alps in a very original way, your own organic garden, a new-build house in a modern and cosy style, a room with a surprisingly high standard. The view out of the window is one of the most fantastic we ever had, hills and mountaintops wherever you look without seeing anyone else. Thank you Romana and Darjan for some great days!Sarah and Sebastian2014-08-12T00:00:00Z
Wir haben uns kurzfristig entschieden, die Zeit um Sylvester im Haus von Romana und ihrer Familie zu verbringen - und wurden nicht enttäuscht. Das Haus liebt alleine an einem Hügel mit grandiosem Blick auf den südlichen Teil der Bergwelt des Triglavi-Nationalparks. Die Wohnung ist genau wie auf den Bildern - groß, sehr schön und elegant, genug Platz für 6 Personen.Man fühlt sich sofort wohl. Romana und ihre Familie standen uns bei allen Fragen zur Verfügung und haben und die Zeit so angenehm wie möglich gemacht. Kinder können bei Bedarf lernen, wie man Holz hackt und eine Feuerstelle gibt es auch... Wichtig für alle Winterfahrer: es sind teilweise eher kleine Straßen. Schneeketten sind normalerweise unverzichtbar. Gerne wieder!Peter2016-01-03T00:00:00Z
Romana Thank you for your kind hospitality. We really enjoyed the panorama and the fabulous situation of your place. We recommend your place to everybody who loves hiking and who loves nature. Kind regards Adinda, Paul and ZircoAdinda2015-08-05T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Tolminski Lom, Slovenië
I have stayed in places through AirBnB all over the world and Vesna was the sweetest and most accommodating host I've ever had. We were greeted with refreshments when we arrived after a long day of traveling and every morning she left fresh fruit and vegetables at our doorstep. The view is exactly, if not even more beautiful, as it appears in the photos. Such a fairytale setting! We thoroughly enjoyed our time here and thank the hosts so very much for a lovely experience.Molly2016-08-05T00:00:00Z
Very good value for money - great view on river, spacious and modern apartment, maps available to bike, hike on the valley. The apartment is brand new so there is still missing some decoration and some equipments (coffee machine, laundry line, etc) but overall it's great! The host were nice and available.Maxime2016-08-21T00:00:00Z
Accommodation was great . Access the owners was perfect. We felt very comfortable. The location is also good for the Slovenian . I would definitely recommend this accommodation.Jiri2016-08-15T00:00:00Z
Our Stay at Vesna´s House was just great. The location is quiet and green with a beautiful view over the river valley. It was the best accomodation of our one week holiday in Slovenia. Vesna and Lovro were great host, they welcomed us with snacks and drinks and told us about the country. I can totally recommend a stay at their place.Elena2016-08-19T00:00:00Z
This apartment, and the hosts, were fantastic! Great and gorgeous location, great spacious and clean apartment to stay in. Vesna and Lovro are so so nice, they checked on us each day to make sure things were going fine. We hope to be able to return in the future!!Julie2016-09-25T00:00:00Z
These guys are running world-class accomodation - both in style and placement. Thank You Lovro and Vesna for a very warm welcome, it was a pleasure to spend a night in a such beautiful place. We wish You a guests, that reflects Your hospitality.Anna2016-08-25T00:00:00Z
Vesna & Lovro were very kind with us taking care of every single detail. Excellent house: clean, new and with perfect location for whom would like to pivot all around the beautiful north region of Slovenia. In addition you will be able to have an amazing view from the house to Most na Soci town and river. Highly recommended!!!Martin 2016-09-28T00:00:00Z
Vesna & Lovro's place is amazing! Such a beautiful location, with great view over Most na Soci! It was very clean and the communication was good too. We could really recommend the place!Thomas2016-09-26T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Most na Soči, Tolmin, Slovenië
We had a wonderful time at Tolminski Lom, which started by a very warm welcome. The flat is big and provides a beautiful view on the surrondings mountains. It is very well located in the Socca River Valley. Romana and her husband were very kind with us. You get even access to their own garden and can pick fresh vegetables.Patrick2016-08-04T00:00:00Z
We enjoyed our stay in every way. First of all the owners (Daniël and Romana) are great; they know everything about the environment and nature in the area. From finding eatable mushrooms till best places to sport, shop or eat. The appartment is amazing, it is decorated with style and very well equiped with everything you can think of. We are looking forward to visit them again!Marc2014-08-10T00:00:00Z
Our stay in Romanas flat was amazing. All of us (we were six adults) enjoyed the view, the vegetables in the garden and the fire place. Romana and her husband are extremely nice people and very courteous. I can recommend this place to everyone.Daniel2014-09-07T00:00:00Z
The view is breathtaking, the place is equipped with everything you can need and beyond, we enjoyed the stay a lot!Anna2017-01-03T00:00:00Z
It was a great place, we stayed there for 5 nights the sights out the window were breathtaking, the house was great, and the hosts were amazing, they provided us with everything we asked for. if your looking for a peace of mind and soul this is a great choice.khaled bastaki2014-09-13T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Tolminski Lom, Slovenië
The village is beautiful. The place is a bit small, especially the kitchen, but there are most of the amenities. Good pizzeria nearby. There is a petrol station and a good confectionery. You can rent kayak in the vicinity. It has a private parking too. Tina was very nice and responsive and helped us in choosing the places of interest.Mariella2016-09-08T00:00:00Z
It was a great stay, we'd come back once again for sure. I don't detail the nature, probably it is located at one of the most magicful spots on the planet. The price-value ratio is great of this place: it is not posh, but good quality, very clean and well equipped. - Bedroom: Beds are comfy for two, and good quality sheets. - Bathroom is a bit small, but it is perfectly usable, equipped with towels, soap, shampoo, and Girls: HAIRDRYER (my wife loved it). Sometimes we needed to wait 1-2 min till the hot water arrived to the first floor from the cellar, but we could have a hot shower anytime during the day. - Kitchen: very tiny, but you can find every basic things you'll need, even more: you can cook a pasta or scrambled eggs easily with the tools Tina was flexible at the check-in, very smooth communication and helped with the local sightseeing a lot.Kristof2017-04-17T00:00:00Z
It was a reservation I made for my parents and they were really happy about picking the accom at Tina Bremec. She was warm, welcoming and caring if they need anything. They really appreciated the attitude of hers and are seriously thinking about coming back to this particular place next year again.Johny2016-08-21T00:00:00Z
Tina var väldigt trevlig och hjälpte oss före resan med tips, tog emot oss sent på natten med ett leende och gav oss extra kuddar då vi frågade. Boendet ligger i en liten by som är hur mysig som helst och rummet har en underbar balkong med utsikt mot vattnet! Där kan man äta frukost då dimman sakta skingrar sig och bergen tittar fram. Boendet hade allt man behövde och parkering finns tillgänglig på gården vilket var väldigt praktiskt då vi kom med bil. Rekommenderar varmt detta boende för andra!Camilla2016-08-30T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Most na Soči, Tolmin, Slovenië
Manik e Snezana sono stati ospiti gentilissimi e disponibili, tutto era corrispondente all'annuncio, in più la fantastica vista dalla casa. Siamo stati benissimo, lo consigliamo sicuramente, il parco del Tricorno è un posto meraviglioso e l'alloggio è in una posizione strategica, comoda per raggiungere moltissimi luoghi d'interesse. Molto gradevole la sensazione di privacy dell'alloggio.Cristiano2015-08-19T00:00:00Z
Snezana et Manik nous ont très bien accueilli. La chambre était confortable et bien agencée. De plus la maison était fraîche , ce qui était agréable compte tenu de la température extérieure en ce mois de juillet. La maison était très propre et nos hôtes vraiment sympathique et à l'écoute.RENAUD2015-07-20T00:00:00Z
It was really good place to stay, owners were really friendly and house was clean with a lot of privacy. The house itself is placed in very peaceful place in mountains with stunning view. This accomodation is highly recommended.Denisa2016-07-10T00:00:00Z
Snezana and Manic were very welcomming and nice hosts, provided everything i needed. The listing was quite accurate, room is large enough for a short stay of two persons, althogh i was alone. Nice and clean bathroom with everything you need, even a hairdrayer. Kitchen is also available, space in a fridge and all the equipment in the kitchen itself, so if you want to cook - there is everything you need. WiFi was good and stable, never had any problems. 10min drive from Tolmin, you would need to have a car anyway, to visit all of the touristic attactions. I can recommend this space if you want to visit Slovenia.Максим2016-05-29T00:00:00Z
We spend three wonderful days at Snezana's house. You can sit outside the house and have a beautiful view on the nearby mountains. It's really very quiet and you can relax perfectly there. Snezana and Manik were very welcoming and had many tips for good local restaurants, shops, cafés and excursion places. Thank you very much for the great time at your lovely place!Sarah2016-08-08T00:00:00Z
Wir haben unseren Aufenthalt hier wirklich sehr genossen.Das Haus liegt etwas abseits von der Hauptstraße.Dahinter beginnt sofort der Wald.Eine Bank davor läd ein zu Verweilen und die atemberaubende Aussicht zu (URL HIDDEN) ist sehr ruhig und entspannend.Der Raum mit den Betten ist groß genug um sich wohl zu fühlen und in den Kästen ist genug Platz um seine Sachen zu verstauen.Die Küche ist groß und gut (URL HIDDEN) gibt auch die Möglichkeit gleich dort Platz zu nehmen.Szezana und ihr Ehemann sind sehr freundliche und wirklich hilfsbereite Leute.Wir haben uns in jedem Moment willkommen gefühlt.Thomas2016-08-01T00:00:00Z
We felt well. To reach the Soca and his environment very fast it is a good opportunity to book here. Thanks for the hospitality! Greetings, Julia + BenjaminBenjamin2015-06-07T00:00:00Z
Upon arrival to Slovenia, we were greeted very kindly by our hosts, who transferred us to their house. It is in a beautiful and very friendly village which their is a restaurant within walking distance. Absolutely loved my time with Snezana and would highly recommend this room!Brennah2016-08-14T00:00:00Z
Privé Kamer
Type woning
Geschikt voor
Čiginj, Slovenië
The host canceled this reservation 349 days before arrival. This is an automated posting.Charlotte2016-08-22T00:00:00Z
Nice appartement! Very friendly welcome. It was also very clean. We had a nice stay!Ilse2017-03-28T00:00:00Z
It has been a great stay at Anja's beautiful apartment. Thank you very much for an easy and friendly communication! We would come back at any time! :-)Lea2016-09-24T00:00:00Z
Anja was easy to communicate with and helpful. Her apartment is beautiful and perfectly located. There is a place to rent bikes right across the street and the information centre right around the corner. Lots of cafes in the area as well. Overall a great experience!Tara2016-10-04T00:00:00Z
Anja is a great host, kind and helpful. The appartment have everything is neaded for a good stay. It have also a great location in the center of Tolmin with easy parking nearby. Nothing but good thinks to say! :) Thank you Anja.Thomas2016-11-01T00:00:00Z
Cool apartment in the second floor! Really nice host!Stephanie2016-09-06T00:00:00Z
It was easy to arrange everything with Anja. Apartment is spacious and clean. Location is fantastic: in the center (but it is quiet), parking is very close, pub and restaurant are just around the corner, as well as grocery shop. I would highly recommend this accommodation and I will come back as soon as I can!Milan2016-11-14T00:00:00Z
Very nice apartment. Anja made us very welcome. The apartment is right in the centre with all amenities around us. Many thanksDennis2016-08-28T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Tolmin, Tolmin, Slovenië
Beautiful location in an amazing area. Great starting point for exploring the Triglav park area.Yehuda2016-07-13T00:00:00Z
The house is beautiful and clean, we felt good staying in Situla.Anat2015-09-09T00:00:00Z
We loved staying in apartment Situla! Most na Soči is a beautiful village along the Soči river, surrounded by the mountains. You have one convenience store around the corner and really nice pizzeria as well as a couple of local restaurants. The apartment is very cosy and clean. You have everything you need for a perfect stay and cooking facilities are good. The apartment really feels like home. Oton is very helpful and kind. Did I already say that we definately loved our stay in Oton's place?! ;)Johanna2017-04-29T00:00:00Z
We had a lovely time at the Situla apartment. The house is beautiful and very comfortable. Everything has been considered to make you feel at home - very clean and full of those details that make the difference. We loved the lavender in the house as many other things. Photos are very accurate and the place is even nicer! Visit Oton and his wife and you'll be happy. We had very nice trips along the Soca river and had a lot of fun. Thanks, Oton!!!Giovanna2015-08-13T00:00:00Z
Die Wohnung Situla in Most na Soči lädt zum Verweilen ein - sie ist geräumig, liebevoll eingerichtet, gut ausgestattet, sauber und äußerst gemütlich. Auch im eigenen Garten mit kleiner Terrasse lassen sich angenehme Stunden verbringen. Most na Soči liegt günstig, um das wunderbare Soča-Tal zu erkunden, zu wandern, im Fluss zu baden und anderes mehr. Oton und seine Frau waren sehr nette Gastgeber. Rundum empfehlenswert.Helene2016-08-28T00:00:00Z
We had a wonderful stay in Oton's house. As Oton was on holidays, that's his daughter Urschka who welcomed us, with a basket of fresh tomatoes and basilic from the garden (great taste !). The apartment, on the ground floor of the house, is lovely, large enough for 5, very clean and well furnished. We appreciated all the small attention and the discretion of Oton and his family.There's plenty of things to do in the area : visit the beautiful Soca valley, swim in the rivers and the lakes, walk in the mountains, kayak,..Most Na Soci is a peaceful place, our best moment in Slovenia. Wish we could spend more time there. Highly recommended !florence2015-08-11T00:00:00Z
L'accoglienza è stata molto piacevole, Oton è stato gentile e ci ha fornito tutte le informazioni necessarie. La casa è molto bella e perfettamente accessoriata: i letti comodissimi, la doccia spaziosa, la cucina con tutti i comfort. Inoltre la cittadina è veramente tranquilla e rilassante, per noi che viviamo in città è stato un soggiorno molto piacevole. Consigliatissimo!Paola2016-08-14T00:00:00Z
A beautyfully renewed family appartment we enjoyed being welcomed to by Oton and his wife, who were nice hosts. Temperatures were low when we arrived in tfhe middle of may, so they had the old tiled stove in operation for us. Everything had been prearranged thoughtfully and we felt at home immediately. The appartment is fully equipped and flawlessly cleaned. A little terrace saw as enjoying breakfast at one sunny morning. Most Na Soci worked out as a wonderful base for trips to tolminska korita, a visit to the museum at Kobarid or a day trip to lake bled by train. Two little supermarkets and a very nice pizzerija in the small villages center provided what we needed for breakfast and dinner. Very Recommended! Thanks a lot!Judith2016-05-23T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Most na Soči, Slovenië
Milenka was an amazing host. she welcome me in the house with a big smile and showed me off the bedroom, kitchen and bathroom. all the rooms were clean and bed were nicely made. the room had even some flowers she had just picked up from her field, ana amazing touch. i stayed with her for 3 nights and she was very quiet in the house. she has a private parking and she is always willing to helo you out on what to do around Tolmin. the room has severla guide books and maps. i am already thinking of going back in summer time. Tolmin is an amazing city where to stay for cycling, hiking, rafting and even to eat!Davide2016-05-06T00:00:00Z
Had an amazing stay at Milenkas! She was super helpful and had heaps of information about where to eat / places to go pinned in the bedroom and also in the guidebook! Supermarket 1 min away, bus stop 5 minutes away. Bedroom was perfect and spacious with private balcony. We got along quite well I can highly recommend her place to everyone! Easy to do day trips to Bovec, korabid, Tolmin gorge is in walkable distance and so is the beach (which is amazing). Overall great stay and well worth the $.Stephanie2016-08-25T00:00:00Z
On a two week road trip around multiple countries in Europe, Tolmin easily became our favourite stay in no small part due to our incredible hosts. Although we didn't meet Milenka (their mother) until the final day, she was warm and gracious and Monika and Irena were impeccable hosts. We arrived during hours when they were at a family picnic but the directions to their place were so detailed that we had absolutely no problems finding the place and once there were greeted with little welcome notes and chocolates. The bedroom itself is bigger and even nicer than pictured and an absolute tourists dream with pamphlets and suggestions to all their favourite restaurants, grocery stores, activities and basic needs in the area - they even had suggestions in case of rain! By the end of our initial conversation with Monika and Irena, we felt extremely welcome and clicked immediately. I felt as if I was visiting old friends and they were generous in every way they could be, offering us use of their kitchen and making space for our perishables in their fridge. These women are extremely interesting, well travelled individuals who are a pleasure to talk to, extremely conscientious of the needs of travellers and will make your Slovenian experience better than you could have ever imagined. They really guide you to some of the best local secrets of the area. One of the restaurants Irena suggested we returned to three times in three days because the experience simply blew us away. We highly, highly recommend staying with Milenka and Monika and hope to see them again ourselves, very soon!Natalie 2015-08-18T00:00:00Z
Feel in love with Tomlin, the surrounding area and this Air BnB. Monika made us feel like we were welcome from the moment we entered the house. She is down to earth, friendly and happy to help in any way possible. The kitchen, lounge and bathroom areas are shared with no issue at all. We had a shelf in the fridge to ourselves and our own fruit bowl to fill with local goodies. Made ourselves breakfast each day and a few evening meals were enjoyed staying in with great conversation. The room is a large, comfortable and relaxing space. WiFi and laptop was great to use to catch up on a few things. The area is quiet and handy to the town and supermarkets for groceries etc. Great base to explore the local gems like Tolmin Gorge, Javorca Valley and the Soca Valley. We hope to return one day and thank you for our stay!Tim2015-08-28T00:00:00Z
Monika is really nice and friendly host :). I spent 3 stunning nights at her home and everything was perfect. I absolutely recommend.Lucie2016-04-27T00:00:00Z
Monika was a very nice host. She drove us around the town showed us everything there is to see and gave us a lot of tips. The room was nice and big the bathroom big as well. The internet we had to restart a lot but when it worked it worked fine. There is a cat in the house, nice and a little shy. Comes in to eat twice at day.Rikke2015-08-11T00:00:00Z
Monika was such a wonderful host-- I immediately felt welcomed into her home, and it was so nice to be able to use the kitchen to cook my own food. My whole experience felt like staying with an old friend, and my three nights there were very comfortable. Monika also speaks English really well, and I had a great time talking to her and getting to know her a bit during my four days :) Everything just felt super relaxed about my stay, and the house was also in a great location to visit the gorges as well!Kyrie2016-05-15T00:00:00Z
Monica was a fantastic host. April being lean season and some travel info not available in English online, Monica guided me through every step and was always helpful right from catching a bus in the Italy border to the last step. She has tons of information about places to visit and can offer some nice guidance if you are not sure. The house by itself is located just 5 minutes from the bus station. We had a very nice conversation about Slovenia and the people in the country to understand about their culture.Vivek2016-04-23T00:00:00Z
Privé Kamer
Type woning
Geschikt voor
Tolmin, Tolmin, Slovenië
Wow!! Did we feel welcome in this place! There was a vase of flowers, coffee, biscuits, fresh bread, local cheese and a bottle of beautiful Slovenian wine to greet us on the kitchen table upon arrival! The Carpenters Workshop is a stunning place which has all the comforts you will require to relax and enjoy your holiday in the Soca Valley. We loved everything about staying here and can highly recommend it!!Renee2014-08-31T00:00:00Z
Matthew's house is wonderful - full of beautiful objects and images, and located in a lovely, quiet village. We had a perfect stay - Matthew has provided everything you need, including a lovely BBQ on the balcony. The house provides a brilliant base for exploring the area - which is full of stunning walks and amazing spots for swimming. We would love to return. Thank you!Jana2015-07-19T00:00:00Z
My wife and I went to Slovenia for our honeymoon and stayed here for a few days before heading into Ljubljana. Because of an unfortunate water leak in the smaller Workshop, Matthew put us up in the Lodge at no extra expense (which was a very welcome surprise!) He had got us a couple of gifts to celebrate our marriage, and was an absolute gent from start to finish. He had recommendations for sights and restaurants in the area, and even for our onward stay in the capital. He remained contactable throughout, and was very swift and helpful when the water was cut off in the area for a few hours. The house itself was beautiful, and very lovingly designed and decorated. We felt very much at home from the moment we walked in the door. It was clean, and everything we needed was provided. It is remote, but we were looking to escape the stress and chaos of wedding planning so it was exactly what we needed! We took a day trip over to the beautiful lakes Bled and Bohinj, but I think it's fair to say we enjoyed staying inside just as much! I cannot recommend this property highly enough - our only regret was not having booked a longer stay. Thank you so much Matthew, I'm sure we'll be back one day.Tom2017-03-02T00:00:00Z
Wir hatten traumhafte Tage in Matthews Haus in Podmelec. Die Unterkunft ist wunderschön eingerichtet, in dem Örtchen Podmelec gibt es nichts - außer Natur - und das war genau das, wonach wir gesucht haben. Wir wurden herzlich empfangen, hatten die Möglichkeit, uns mit sämtlichen Fragen per SMS an Matthew und Stefka zu wenden und haben absolut nichts zu bemängeln. Vielen Dank an die beiden :-)Ricarda2016-08-08T00:00:00Z
A beautiful house in a beautiful setting. This is the perfect place to get away from everything. I couldn't recommend it enough. I wish I'd stayed longer!Eleri2015-08-20T00:00:00Z
Fantastic retreat, lots to see and do near by. Property is finished with good architectural detail, a comfortable stay, and warm during the winter. Not too tricky to find, and a warm welcome from Stefka.gabriel2015-12-31T00:00:00Z
If all Slovenian people are like Stefka (the host), it must be great to live in this country. If all English designers are as creative as Matthew, I would live in England. We stayed ther five nights without leaving anywhere as we really enjoyed just being there. the place has a heart and soul. It is rare to find this hight level of design and style in Airbnb homes: the sense for detail and authentic materials blended with modern usability. Stefka is a very nice person and was always ready to help. Thank you!Lýdia2016-12-27T00:00:00Z
Matthew's Kobarid home is absolutely lovely. Highlights include the fully stocked kitchen (which we used after buying some local ingredients at the Planika market), lovely bedrooms, large tub, front porch with a view of the tower and thoughtful design. Thank you Matthew, for being a wonderful and attentive host.Evan2017-04-15T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Podmelec, Slovenië
Really enjoyed our stay at Franc's apartment, very clean, well equipped and near to Tolmin (walking distance). Franc was there to meet us, flexible with check in and check out times, and a lovely guy to talk to. We weren't there to fish but he had a lot of knowledge about the nearby rivers if that's your thing!Lizzie2016-09-02T00:00:00Z
Zatolmin was beautiful- we arrived in the afternoon and Franc was waiting at the apartment to greet us. The apartment was lovely, clean, and very cozy. Franc gave us a tour of the region and made extensive recommendations about the fishing. We had a delicious dinner in Kobarid and two amazing days of fishing thanks to Franc. We will definitely be returning to Zatolmin to visit again! Thank you so much FrancRobert2016-04-26T00:00:00Z
We are looking forward to book this apartment again because it has anything you need and more. Our host, Franc, welcomed us very friendly and gave us a lot of information about the area. He was always available on phone if we had any specific questions. The rooms were tidy and nice. The kitchen had a greatly varied equipment. Especially for fishermen like I am Franc` apartment ist marvelous. Because the accommodation is very central you can reach the soča and its distributaries in under 10 minutes. Thumbs up for Franc and his apartment!Max2016-05-09T00:00:00Z
English : Franc is a really great host. Communication with him is really pleasant and his english is perfect. He always respond very fast and even during our stay in Zatolmin to guide us or when we had questions. Appartment is clean and bed are really nice. Kitchen is well equiped. Everything is conform with description. The place is really nice for hikings and beautiful landscapes (Kobarid / Tolmin / Smartno / Kanal / etc.). Franc gives a lot of flyers in several languages concerning activities around Tolmin. He can also help you to organise fishing or others activities. Extremely caring with his customers, he has offered roses to my wife for her birthday. I strongly recommand Franc to have a stay in this beautiful part of Slovenia and we probably be back in the futur at Zatolmin. French : Franc est un hôte fabuleux. La communication avec lui est vraiment très aisée et son anglais est impeccable. Il répond toujours très rapidement même lors de notre voyage sur Zatolmin lorsque nous avions des questions. L'appartement est très bien équipé avec une literie confortable et une cuisine bien équipée. Tout est conforme par rapport à l'annonce. L'emplacement est idéal pour de belles randonnées en pleine air avec des paysages magnifiques (Kobarid / Tolmin / Smartno / Kanal / etc.). Franc a pris soin de mettre à disposition de nombreux flyers concernant les activités à faire autour. Il propose également d'aider à l'organisation d'activité si l'on veut. Très attentionné envers ses hôtes, il a offert pour son anniversaire un bouquet de roses à ma conjointe. Je recommande vraiment de rester là-bas pour des vacances en plein air et nous retournerons très certainement à l'avenir là-bas.Fabrice2016-08-07T00:00:00Z
We had an amazing time at Franc's apartment! The apartment was spotlessly clean and had everything we needed. It is situated in beautiful surroundings with the Tolmin gorges within walking distance. There is a selection of delightful restaurants close by and Tolmin is only a short walk away. We were lucky to be staying there during the marble trout festival where we saw fly tying demonstrations and in the evening, watched a big band which was fantastic. What made our stay most memorable of all was Franc himself. He answered all our questions quickly before our stay and ensured we had clear directions to the apartment. During our stay, Franc took us for a guided fishing trip which was great! He is so knowledgeable and helpful in every way. One of the nicest guys we have ever met. We are hoping to come back to stay again soon.William2016-09-18T00:00:00Z
Franc was a great host! He was very knowledgable about the area and gave us lots of ideas of things to do in Slovenia. Very helpful and friendly! The apartment was perfect and as described. The area around the house was beautiful, and there is a hiking tour of the Tolmin gorge within walking distance from the house (about 5-7 min walk). We had a really great stay and would return to Franc's apartment again! It was also very near to the soca river and other (warmer) rivers to swim in!Megan2016-07-24T00:00:00Z
I visited with my girlfriend for three nights and we used the apartment as a base to explore the Soca valley as well the beautiful lakes of Bled and Bohinj. Zatolmin is also about a 15 min walk from the spectacular Tolmin Gorges - a real highlight of the trip. I also took Franc up on his kind offer to guide me fishing on the Soca River - thanks to his careful guidance and knowledge of the local rivers, I managed not to come home empty handed! Franc is a superb host, really taking the time to offer advice on the best places to visit and eat. The apartment is very comfortable and clean, with a great view of the local countryside. I'd highly recommend Franc's apartments and would love to go back.Ben2017-04-22T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Zatolmin, Tolmin, Slovenië
Zeer leuk huis langs de mooie rivier Idrija. Prachtig lokatie, heel rustig, zuivere lucht en veel vogels en vissen. Romina heeft ons heel goed geholpen met verwarming. Het vuur was al lekker aan toen we toekwamen. Een hele goede verwarming door een bakoven waardoor het huis verschillende dagen warm bleef. Ook kregen we onmiddellijk feedback toen de WIFI het liet afweten.Caroline2015-10-10T00:00:00Z
We had a lovely time at the Summer house by the river in Slap ob Idrijci. Romina was very proactive in keeping in touch and when we arrived an hour early she was already there waiting for us. Romina was very friendly and spoke good English. She showed us where everything was, and there was an English language list of local shops and restaurants with their opening hours. There was even a box of potatoes and onions from the garden and Romina said we were welcome to help ourselves to the other vegetables - tomatoes, cucumbers etc from the allotment. The house was charmingly decorated and well-equipped with plenty of pots and pans in the kitchen and there were basic ingredients for use - tea, coffee, various cooking oils, sugar, salt etc. There is plenty of hot water for showers and it isn't listed on the description but there is a washing machine. We had a brilliant time messing about in the river, and further down near the village there is a makeshift diving board, and for the intrepid you can jump off the bridge. Would definitely recommend the house for a good holiday. It is probably not suitable if you have young children or are a little elderly as the stairs are quite steep and the river is very close and not shallow.Michelle2015-08-08T00:00:00Z
Vielen Dank an Romina für vier fantastische Augustwochen in ihrem schönen Haus "Obrekar" am Fluss! Romina, du bist super nett und hast für alle unsere Wünsche gesorgt. Als wir Probleme mit dem geringen Wasserdruck hatten, hast Du eine Pumpe installiert, die alles perfekt löste. Zwischendurch gab es auch noch Bohnen, Zwiebeln, Kartoffeln und Eier aus dem eigenen Garten. Das ganz große Highliht ist der Fluss vor dem Haus, ca. 25 m breit, kristallklar, keine starke Strömung, und überall ca. 1 m bis 1,50m tief in der Höhe des Hauses - ideal zum Schwimmen auch für ängstlichere Naturen. Wir waren nahezu jeden Tag im Wasser. Die Umgebung ist fantastisch und bietet Naturliebhabern tausende tolle Möglichkeiten - und dabei wilder und längst nicht so touristisch wie z.B. das Gebiet um den Bohinj-See. Die Berge (mit Blick von den Alpen bis zur Adria) erreicht man über zahlreiche kleine Sepentinenstraßen, auch offene und selbst zu erkundende Höhlen sind reichlich vorhanden. Einziger kleiner Schwachpunkt der ansonsten tollen Lage des Hauses ist die in ca. 150 Entfernung auf der anderen Talseite verlaufende Verbindungsstraße 102 zwischen Idrija und dem Socatal. Ist man selbst aktiv, stört sie gar nicht, aber wenn man ruhig sitzt, sind Motorräder und Lastwagen deutlich zu hören. Die kleine Stichstraße direkt vor dem Haus (führt noch zu vier weiteren Häusern und einigen Bademöglichkeiten und endet dann) wird hingegen nur selten befahren - an schönen Wochenenden von ca. 20 PKW pro Tag und Richtung, unter der Woche und an Regentagen deutlich weniger. Das Gelände rings um das Haus hat im August von ca. 7:45 bis ca. 16:45 Sonne und wir haben diesen wundervollen Ort sehr genießen können.Friedemann2016-08-28T00:00:00Z
A wonderfully remote and rustic house. The house has clearly been loved for many years, yet retains a modern feel. The house itself offers anything you may need such as kitchen utensils and appliances, a comfy living room and well lit rooms throughout. The view is magical. The river is quite cold, but easy to access and picturesque. Romina is a wonderful host and is easy to communicate with. She is helpful and eager to please. The town itself is very small and offers minimal amenities. There is a small supermarket with limited hours and a restaurant within walking distance from the house, but be sure to bring plenty of supplies with you.Eric2017-04-17T00:00:00Z
A lovely old house in a secluded pretty location (but only 5 mins walk from a shop) on the edge of the Julian Alps. It was pretty much as described and we had a superb holiday and would certainly return again. Romina was very friendly and helpful with advice about the area and very generous with produce from her vegetable garden. Worth being aware that this part of Slovenia is very mountainous and that almost all travel takes longer than it might appear if you are coming from a flatter part of the worldChris2015-08-24T00:00:00Z
Romina was a fantastic and generous host. She was really friendly and nothing was too much trouble. The house itself was very peaceful in a lovely location, right on the river. The rooms were spacious and Romina really has thought about the sort things guests need, so the house was well equipped with everything from a coffee plunger to a barbeque. The general area is very beautiful. We'd recommend the Tolmin Gorge, Cerkev svetega Duha and some walks in the foothills of the Julian Alps. Piran and Izola are a relatively easy day trip away and well worth a visit. It's an hour and a half drive to Ljubljana, which is convenient for flights. I'd highly recommend this property and it's certainly somewhere I'd stay again.Rory2015-08-03T00:00:00Z
We had a great time staying at Romina's house. It is a clean, well equipped, spacious house only a few meters away from a good fishing river. We were four adults travelling with one kid,- and it was the perfect place to stay for us. We very much enjoyed the outdoor barbeque, and the possibility to make pizza in the big oven/fireplace indoors. With only a few minutes walk from the house, you will be in Slap where there's a small grocery shop. If you drive a few minutes, you'll get to a bit bigger town with more stores (like a fly fishing store were you can hire a fishing guide etc.) Romina and her family are very friendly, and they reply quickly if you have any questions. All in all: very good!Ida2016-04-25T00:00:00Z
Romina was waiting at the house, showed us around and made us feel very welcome. The house is in a beautiful place, right on the pristine river Idrijca. It is tastefully decorated with many original features still present. The water that you see in the picture is shallow and warm enough for swimming. Ideal for kids. The village is convenient for exploratory trips and has its own supermarket.Martin2015-09-01T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Slap ob Idrijci, Tolmin, Slovenië
Bedankt voor de hartelijke ontvangst. Huis ligt vlakbij Tolmin, waar je alle winkels/supermarkten hebt voor de dagelijkse aankopen; Hofer is onze favoriet. Het is een heel mooie streek. Zeker wie van natuur houdt en outdoor sporten (raften, paragliding, wandelen etc). Het was heel warm weer (tussen 27 en 35°C), maar het is een bebost gebied en overal kan je baden en zwemmen in de rivier en watervallen. In het huisje lag een kaft met allemaal aanbevelingen, zowel voor uitstappen als voor restaurants, echt handig. De eigenaars hebben een hond en er loopt ook een kat in de buurt rond, tot grote vreugde van onze kinderen. Een absolute aanrader is Tolminska Korita, waar je aan de ingang ook best lekker en goedkoop kan eten. Ook aan te bevelen zijn de Kozjak waterval (nabij Kobarid) en de waterval vlakbij het verblijf (Slap Beri). Zwemmen kan je best onderaan de spoorbrug van Most na Soci of in Tolmin (bij het buitenrijden vlak over de brug links). Zelf boekten we 5 nachten, maar voor wie van de natuur houdt is er genoeg te doen voor 1 week.Luc2015-07-19T00:00:00Z
We loved our stay with Katrina, Laurence and Ellie. The Playhouse is a reminder of how joyful childhood should be. We sat on the balcony and watched our children play in the garden. We also played some classic games with them that we hadn't played for years - jenga, in particular, was a big hit. The house is set in a beautiful environment next to a creek with a waterfall a vigorous walk away. Katrina and Laurence set up a treasure hunt for us. The house manual has wonderful tips about restaurants, activities, playgrounds and everything else the area has to offer. A wonderful place with wonderful hosts.Barney2016-07-23T00:00:00Z
We stayed at The Playhouse for Metaldays 2016, and we loved it! The house was big and well kept, and the surrounding area had a nice village and great nature close by. The hosts were very kind and welcoming, would definitely recommend The Playhouse!Adrian2016-07-31T00:00:00Z
The Playhouse in Poljubinj was a great place to stay. When we arrived, the beds were made and a bottle of Slovenian wine was waiting for us in the fridge. The children (and we as parents) loved the treasurehunt, which took us to the waterfall (Slap Beri), the source of Slovenian language, as we have read in Katrina's book. The gorges of the Tolminska river were within walking distance and really worth the visit, even in rainy weather. Because of the painted stairs, we know how to count in Slovenian now! Thank you very much for the nice stay!Astrid2015-05-05T00:00:00Z
Katerina e Archie sono stati molto accoglienti e disponibili e ci hanno fatto subito un'ottima impressione. C'era pure una bottiglia di vino bianco in frigorifero, un'ottima sorpresa dopo il lungo viaggio dall'Italia e la giornata afosa in cui siamo arrivati. Molto utili le indicazioni consigliate nel quaderno che trovate all'interno della casa. Ci sono mappe, foto e consigli sui posti più carini da visitare e i ristoranti e le specialità locali. La casa è fresca, pulita e ben organizzata. Si trova alla fine di una strada chiusa, vicino al fiume. La posizione è tranquilla e sicura per i bambini, perfetta come inizio della passeggiata lungo il fiume, per arrivare alla cascata di Slap Beri. Katerina e Archie abitano al piano di sopra ma non si sentono particolari rumori. Molto bello il BBQ sul terrazzo esterno. La casa è decorata con ottimo gusto, un paradiso per le famiglie con i bambini. E' fornita di giochi in scatola, giochi creati da loro e libri di favole scritti da Katerina, che sono stupendi (mi piacerebbe comprarli se possibile). Abbiamo usato molto il gioco del "corn hole" ed il "tris" realizzati da loro, i retini da pesca e le racchette da ping-pong. I miei bambini (5 e 2 anni) non volevano più uscire di casa da quanto si sono divertiti con i loro giochi. La cosa più speciale di tutte è stata la caccia al tesoro che hanno organizzato per i nostri bambini, terminata con il ritrovamento del tesoro alla cascata di Slap Beri, uno dei posti più incantevoli che abbiamo visitato. Nei dintorni ci sono bellissime passeggiate da fare. L'area della Socey Valley è tutta molto bella ma raccomandiamo le visite alla cascata di Slap Sopota, alle Tolmin Gorges, alle trincee di kobarit ed il battello sul lago di Most na Soci. Un angolo di paradiso dove fare il bagno è il punto di incontro di due fiumi, chiamato Sociocje, dove l'acqua è color smeraldo ed è perfetto per i bimbi. Se volete visitare il lago di Bled una bella opportunità è prendere il treno che da Mosta na soci va a Bohinj bistrica che taglia la montagna. Si sale sul treno con la propria macchina e si rimane all'interno della vettura, il panorama è bellissimo ed i bambini hanno amato questa avventura. Per mangiare ci è piaciuto moltissimo il ristorante Labrca.Paola2015-08-20T00:00:00Z
We had a lovely 5 night stay at The Playhouse. It's very child friendly with lots of games and play equipment provided. You can sit on the balcony and watch your kids play safely in the garden. The spacious house nestles at the foot of some beautiful mountains with a river flowing right next to it - perfect for playing and paddling in. It's only a 5 minute drive into Tolmin where there are shops, banks and restaurants. Katrina and Laurence are wonderful hosts. They live upstairs and can't do enough to help. But also they will provide you with as much privacy as you require. The area is absolutely beautiful and thus far unspoilt by touristic development. Loads to do from high octane rafting, gorge hikes down to gentle strolls by the amazingly green river Soca. Highly recommended!jawad2016-08-07T00:00:00Z
One of our all time favorite airbnb stays. The water fall and river nearby were amazing. The notebook written by the hosts was a wonderful guide to the area. A really perfect vacation.Jamie2016-07-12T00:00:00Z
Staying at Katrina's house was an excellent experience in all ways: THE HOUSE is lovely, spacious and well-equipped. Katrina and her husband redecorated it themselves, and they have done a really beautiful job. The house has a large number of spaces -- kitchen, living and dining rooms -- for hanging out, and three very comfortable bedrooms. Standards are excellent throughout. THE HOSTS were perfect: friendly and helpful, but never intrusive. They live on the top floor of the house, but have a separate entrance -- we wouldn't have known they were there if they hadn't told us. Not only did they welcome us with a bottle of wine and the fixings for a pasta dinner when we arrived, but they had also prepared a treasure map and a scavenger hunt for the kids! THE NEIGHBOURHOOD is peaceful and quiet. The house sits alongside a small river that runs down from the mountain overhead (from which we saw numerous paragliders and hangliders taking off when the weather was good). The picture of the garden is misleading: the house is at the end of the lane, directly leading to the forest, stream and mountain -- who needs a garden? The walk upstream to the waterfall is great for adults and kids, and there is a small swimming hole where we happily spent time paddling, skipping stones, and rock hopping. Thoroughly pleasant. THE AREA is also very lovely. The Soce Valley is very picturesque, and we enjoyed activities ranging from walking to whitewater rafting. The people are wonderfully friendly and relaxed, and we had good affordable food in the main town. We only stayed four nights, and were sorry to leave. There is clearly so much more to do there. Overall, a really lovely stay and we're all hoping we can go back!William2014-08-18T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Poljubinj, Slovenië
Nous avons passé 3 excellentes journées ici ! L'appartement est très agréable et en plein centre de Tolmin (mais calme dans une petite rue). Tout est très propre, largement assez grand pour deux et le lit vraiment bon. Boris a été un très bon hôte, très agréable, et qui prend le temps de nous parler de sa région et des activités alentours. Si nous revenons dans la région, nous savons où nous arrêter !Jérémy2016-08-31T00:00:00Z
Boris and his partner were brilliant hosts. We couldn't have asked for more helpful, kind and lovely people. We had a car problem and Boris was most kind in helping us sort it. The room was perfect, very clean and comfortable with everything you need and lovely wee extras like a chocolate on your pillow. Would strongly recommend them as hosts!!Ciara2016-07-28T00:00:00Z
We had a wonderfull trip in Slovenia. Boris is very nice, he is always ready to help and advise you. The apartment is easy to find and ideal for visiting the area. Tolmin is near all the things to see. It's a very nice place.Jean-François2016-08-26T00:00:00Z
Absolutely cosy place with very nice hosts!Stefanie2016-08-11T00:00:00Z
Great location and easy communication, thanks!Anneke2016-08-08T00:00:00Z
Super cute apartment right in the middle of Tolmin. Boris was very welcoming and a great host. We would love to stay there again when we come back for paragliding.Catharina2016-09-26T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Tolmin, Slovenië
The host canceled this reservation 88 days before arrival. This is an automated posting.sascha2017-04-30T00:00:00Z
Privé Kamer
Type woning
Geschikt voor
Modrejce, Tolmin, Slovenië
Tina and her BF are very good persons and helpful I really appreciated to knows them They are so friendly and they let me feel like in home. I recommend this place for everyone . Attractions very near .Ali2016-08-17T00:00:00Z
Tina, the host is really sweet n friendly. She was very helpful. The location is lovely. The room had a decent view of the lake. But the room was a little small n the bathroom was really tiny. We had problems with hot water. The WiFi was also was not very good. I don't think the place was worth what we Paid. It's good for a short stay but I wouldn't recommend it for a longer stay.Priyamvada2017-04-16T00:00:00Z
Tina was super helpful in providing us information about the area and gave us ideas of what to do and where to eat. Tina was easy to communicate with and quick to respond. Great river views from the room and easily accessible by foot from the train station.Sheryl & Jason2016-08-20T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Most na Soči, Tolmin, Slovenië
Great guy, great appartement!Gerald2016-08-11T00:00:00Z
Nik was very nice and helpful. Also the family was really nice. The flat is cute and we felt very welcome and cosy. The area is absolutely beautiful and the Soce-river and all the mountains are close by.Michaela2016-08-07T00:00:00Z
Nik è stato un host perfetto, ci ha accolto molto cordialmente e ci ha dato tutte le informazioni sul luogo. La cittadina è molto bella e non distante da Canale d' Isonzo e Caporetto.anna2016-08-04T00:00:00Z
Very pleasant stay. Familiar atmosphere in the beautiful mountains in a very special place. Thank you and your family for this trip.Axel2016-08-17T00:00:00Z
It was great to be there! Everything was good, clean. Owners were kind. I recommend it! If we go to the neighbourhood again, we plan to stay there.Tamás2016-08-15T00:00:00Z
Privé Kamer
Type woning
Geschikt voor
Modrej, Tolmin, Slovenië
Klasse Appartment und tolle Gastgeber! Die Umgebung ist prima und der direkte Zugang zum Fluss Baccia (?) sorgt für Abkühlung, wenn man nicht gerade im Pool planschen mag. Nicht nur beim gemeinsamen Grill-Abend sondern auch sonst waren die Gastgeber immer mit Rat & Tat für uns da. Absolut zu empfehlen!Andreas2016-08-07T00:00:00Z
I would highly recommend Iztok's place. Iztok and his wife are such a nice people, very friend and kind to us. We were there for just one night, so we missed to have a barbecue with them. The place was very neat and the surrounding was super exotic. I would love to visit the place again. Thanks to Iztok and his wife :)Elango2017-04-17T00:00:00Z
propriétaires très chaleureux, discrets mais très disponibles. Emplacement très calme, mais facile à circuler. Localisation enchanteur.Pierre2016-07-31T00:00:00Z
Iztok's place is truly amazing and unforgettable. It is one of our best stays so far! The place is a cottage/cabin next to iztok's house, it may look small from the entrance but once you enter into it it is super spacious and big! Everything looks newly renovated and equipped, supper clean and tidy. The house itself is like a mansion with amazing view. The house is located in a small village which is 15 mins drive to soca river. Iztok and his family was super welcoming and friendly really wish we could have more time to spend with them! I highly recommend to stay with iztok when in the region!!! Thank you so much iztok!Janice2016-06-13T00:00:00Z
Gehele woning/appartement
Type woning
Geschikt voor
Most na Soči, Tolmin, Slovenië


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Volcker rule catalyst for hedge fund development
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1-5 of 5 retirement properties to rent in Rother.
Terminus Road, Bexhill-on-Sea, East Sussex, TN39 3LL.
Retirement/sheltered housing
2 Cranfield Road, Bexhill-on-Sea, East Sussex, TN40 1PZ.
0333 321 4041 (management) or 0333 321 4072 (sales)
Email your enquiry
Brookfield Road, Bexhill-on-Sea, East Sussex, TN40 1PN.
De La Warr Parade, Bexhill-on-Sea, East Sussex, TN40 1PL.
"Homewarr House is right on the beach front - lovely walks on the promenade, and benches to sit and wtch the sea in summer. Many flats have levely sea views"
Bexhill-on-Sea, East Sussex, TN40 2LW.
"Wrestwood Close is set in a secluded cul-de-sac in Bexhill-on-Sea. It is particularly suitable for those wishing for a little bit more independence but with the security of having a Court Manager. The close consists of 20 one bed flats conv..."
0345 606 6363 (lettings), 0370 192 4000 (general)
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Shania, back in Europe after being expelled from the United States, has resumed her work with Orion and his shadowy organisation. Undercover as an interpreter at the European Parliament in Strasbourg, she is tasked with getting close to an extremist suspected of preparing a terrorist attack. The whole mission spirals out of control when she rushes to Portugal, after the CIA contacts her to tell her they've found a man who calls himself Abel Rivkas - her father!Biografía del autor:
With a penchant for addictive action and fantasy, Jean Van Hamme is one of Belgium's most successful contemporary novelists and comic-book writers. Since 1968, his most popular successes have been "Thorgal" (illustrated by Rosinski), "Largo Winch" (illustrated by Francq), and "XIII" (illustrated by Vance), all published in English by Cinebook. By 2003, Philippe Aymond, a 34-year-old artist, had already published 13 books. Enticed by Aymond's neat and restrained drawings, Van Hamme entrusted him with the graphic destiny of "Lady S.," which possesses all the assets of a great series.
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text:
Definition of 'individuate'
verb (transitive)
to give individuality or an individual form to
to distinguish from others of the same species or group; individualize
Collins English Dictionary. Copyright © HarperCollins Publishers
Derived formsindividuator (ˌindiˈviduˌator)
verb transitiveWord forms: ˌindiˈviduˌated or ˌindiˈviduˌating
to make individual or distinct; specif., to differentiate from others of the same species or kind
to form into an individual; develop as a separate organic unit
Webster's New World College Dictionary, 4th Edition. Copyright © 2010 by Houghton Mifflin Harcourt. All rights reserved.
Derived formsindividuation (ˌindiˌviduˈation)
Word origin of 'individuate'< ML individuatus, pp. of individuare < L individuus: see individual
Trends of 'individuate'
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text:
Four Great Things about Lumen Christi Catholic Schools
Catholic Identity and Faith Infused With Learning
Working together, our schools help one another to develop and implement dynamic programs designed to provide a spiritual and moral base to students during their formative years. Our Board of Directors supports a distinct committee the sole focus of which is to assess and develop Catholic Identity within each of our member schools. This committee is strengthened by the perspective of various individuals, including vocations and religious ministers, who have a special passion for integrating faith into all aspects of student life.
Academic Quality
As a system, we leverage our position and expertise to maximize the incorporation and use of educational best practices and technologies throughout our schools. With an emphasis on targeted professional development for instruction, curriculum development and assessment, we optimize teacher effectiveness and student performance. We will also work together to analyze and improve our school's academic programs and objectively measure and celebrate our successes, while identifying and addressing areas for growth.
Safety, Structure & Discipline
Consultation with experts on facility safety, addressed at a system level, elevates security across all schools and creates consistent policies and procedures. The system structure facilitates joint efforts by school administrators to effectively address issues concerning classroom management, student mentoring, and standards of conduct.
Activities & Leadership
Working together, our schools maximize use of funds through consolidating purchasing of necessary supplies thereby ensuring up to date and top notch resources for all schools. System-wide fundraising and development efforts generate additional revenue through well-coordinated, professional quality programs, activities and events. A strong unified presence throughout the community and a concerted marketing effort continuously enhances public awareness as to the value of a Catholic education.


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Amherst, Virginia
Poplar Grove Golf Course
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129 Tavern Lane
Amherst, VA 24521, United States
Sam Snead's final design effort reflects a culmination of a lifetime in championship golf. Carved through native Virginia forest, the layout features rolling terrain, natural streams and lakes, and sweeping mountain views. Five sets of tees provide challenges for all levels of golfers to enjoy, while finely maintained bent grass greens, tees, and fairways will ensure superior playing conditions for everyone. Indeed the legendary vision of Sam Snead will establish Poplar Grove as a contemporary classic. Poplar Grove was nationally recognized as #8 Best New Upscale.
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LucindaVeitch - 4/30/17
Wonderful post and you share excellent content in this post i am happy to comment on this Online Fashion.
RonaldChiaramonte - 3/25/17
The golf is one game which I never understand the rules and way of playing it. In the articles of rushessay.com there are tips and tutorials but still I am not free with this game. I hope your learning process is quite easy. I would like to know the details of it.
SteadyHoo - 4/16/12
This is one of the best designs in the state, and the course is almost always empty. Pretty surroundings and an interesting layout. A lot of strategy here.
alnova1 - 10/17/10
Played again and everyone should play this course...Its the best course around. Its not easy but a beautiful course.
C-Dub77 - 6/3/10
beautiful Course in the Mountains... The only bad thing is that ti rained the day before and the sand traps were not manicured
BLoughren - 7/22/14
Chipgolf68 - 7/20/13
ptg - 7/24/10
scootermac13 - 6/5/10
ibhossey45 - 5/14/10
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Nearby Courses
Shadow Ridge Golf Course
Amherst , VA (4 miles)
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Mountain View Golf Course
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Peaks Par-3 Golf Course
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A look at this week's latest failures in the white man's world
There's been some not inconsiderable upset following last Saturday's disastrous anti-immigration march by the far-right in Croydon.
First of all, apologies from my youthful colleague Sarah Archibald. She got the dead John Tyndall mixed up with the other very dead Enoch Powell; yes, it was Enoch Powell's voice that the fascists were playing to themselves, not the founder of the British National Party (BNP).
TWAFA Comment: One of the great things about Britain is that the rule of law, generally speaking. is sacrosanct. This is one of our great traditions, so it is somewhat ironic to see Britain First so blatantly flouting the rule of law.
Not very British are they?
(c) TWAFA May 2017
read article from Hope not hate here


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Please note that the address for this place is approximate. Upon booking a stay, the rental owner will provide an exact address. Why stay in a home when you can relax in a retreat. Your remote office awaits you and when you are done with your day slip your stressed body into the hot tub and unwind under the stars. The waterfall will calm your senses as the wind gently rustl... Child's Highchair, Dining Room, CD Player, DVD Player, Music Library, Satellite / Cable, Stereo, Television, VCR, Video Library, Air Conditioning, Broadband Access, Clothes Dryer, Fireplace, Garage, Hair Dryer, Internet, Iron & Board, Linens Provided, Parking Off Street, Washing Machine, Wireless Internet, Wood Fireplace, Wood Stove, Blender, Coffee Maker, Cooking Utensils, Dishwasher, Ice Maker, Kitchen, Microwave, Oven, Pantry Items, Refrigerator, Stove, Toaster, Beach Towels, Bicycles, Deck / Patio, Gazebo, Outdoor Grill, Outdoor Grill Gas, Patio, Wood Deck, house, children welcome, non smoking only, pets not allowed, Away From It All, Family, Romantic, Guests provide their own meals, house, cinemas, health/beauty spa, museums, restaurants, theme parks, zoo, antiquing, miniature golf, shopping, sight seeing, Mountain View, fitness center, basketball court, cycling, golf, hiking, mountain biking, racquetball, swimming, tennis
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Baron Chen6,071 fans
- Age: 36
- Birthday: May 9, 1981
- Height: 5' 10" (179 cm)
- Weight: 149 lbs. (68 kg)
Baron Chen is a Taiwanese actor and model. His late father was a reputed gang leader in Taiwan. Baron graduated from the Chinese Cultural University in Taipei with a degree in tourism. He then studied at the Beijing Film Academy. He started appearing on TV variety shows and music videos, and received positive recognition for his debut performance in the film, Kung Fu Dunk (2008).
He rose to fame playing the second male lead in the record-breaking idol-drama series, Fated to Love You (2008). From then on, he started receiving leading roles in dramas such as Because of You (2010), Butterfly Sword (2010), My Daughter (2011) and Battle of the Beauty (2012). He also continued with roles in films such as The Treasure Hunter (2009), Moonlight Love (2012) and No Losers (2012).
Lately, Baron Chen has focused his acting career in mainland China. He is also actively involved in charity work.
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The potential benefit in preventing pelvic floor disorders (PFDs) is a frequently cited reason for requesting or performing cesarean delivery on maternal request (CDMR). However, for primigravid women without medical/obstetric indications, the lifetime cost-effectiveness of CDMR remains unknown, particularly with regard to lifelong pelvic floor consequences. Our objective was to assess the cost-effectiveness of CDMR in comparison to trial of labor (TOL) for primigravid women without medical/obstetric indications with a single childbirth over their lifetime, while explicitly accounting for the management of PFD throughout the lifetime.
We used Monte Carlo simulation of a decision model containing 249 chance events and 101 parameters depicting lifelong maternal and neonatal outcomes in the following domains: actual mode of delivery, emergency hysterectomy, transient maternal morbidity and mortality, perinatal morbidity and mortality, and the lifelong management of PFDs. Parameter estimates were obtained from published literature. The analysis was conducted from a societal perspective. All costs and quality-adjusted life-years (QALYs) were discounted to the present value at childbirth.
The estimated mean cost and QALYs were $14,259 (95% confidence interval [CI] $8,964-$24,002) and 58.21 (95% CI 57.43-58.67) for CDMR and $13,283 (95% CI $7,861-$23,829) and 57.87 (95% CI 56.97-58.46) for TOL over the combined lifetime of the mother and the child. Parameters related to PFDs play an important role in determining cost and quality of life.
When a woman without medical/obstetric indications has only one childbirth in her lifetime, cost-effectiveness analysis does not reveal a clearly preferable mode of delivery.
Cesarean delivery is the most commonly performed operating room procedure in the United States.1 In addition to being major abdominal surgery, cesarean delivery is associated with increased risk of neonatal respiratory morbidity and can cause complications in subsequent pregnancies, such as uterine rupture, placenta previa, and placenta accreta.2 Cesarean delivery on maternal request (CDMR), defined as cesarean delivery for a singleton pregnancy on maternal request at term in the absence of any medical or obstetric indications,3 has generated nationwide debate as the cesarean delivery rate reaches its highest level (31.1% of all births in 2006).4 The widespread concern that some of this increase may be attributable to an increase in CDMR5,6 provided impetus for the National Institutes of Health (NIH) 2006 State-of-the-Science Conference on CDMR.3
Patients and healthcare providers frequently report prevention of pelvic floor disorders (PFDs) as the primary reason for choosing cesarean delivery.6,7 PFDs include several clinical conditions, such as urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP). Among women 20 and older in the United States, the prevalences of UI, FI, and POP are 15.7%, 9.0%, and 2.9%, respectively.8 These debilitating conditions significantly impact women's quality of life (QOL) and increase healthcare costs. Each year in the United States, UI costs $19.5 billion,9 and over 200,000 women undergo inpatient surgery for POP.10,11
Although there is evidence supporting an association between vaginal birth and the development of PFDs,3 only two cost-effectiveness studies12,13 comparing modes of delivery have incorporated PFDs as a maternal outcome. One examined vaginal birth after a previous cesarean delivery,12 and the other compared planned cesarean delivery with trial of labor (TOL) for primigravid women with macrosomic infants.13 For primigravid women without medical or obstetric indications, however, the lifetime cost-effectiveness of CDMR vs. TOL remains unknown, particularly with regard to lifelong pelvic floor consequences. This subgroup of pregnant women is at the center of the CDMR debate.
The choice between CDMR and TOL is complex, involving both maternal and neonatal factors with short-term and long-term implications. Drawing on the advantage of decision analysis, which allows for multiple, often conflicting, factors to be analyzed in a single model, this study makes an important first step toward addressing this complex question by investigating the lifelong cost-effectiveness of CDMR vs. TOL for primigravid women without medical or obstetric indications having only one childbirth in their lifetime. A single birth model provides important insights for future studies of two or more childbirths.
Cost-effectiveness analysis is a method designed to assess the comparative impacts (i.e., cost and effectiveness) of different health interventions.14 It involves estimating the incremental costs and effects of an intervention compared with some alternatives.14 The method has been widely applied to inform difficult clinical and public health decisions and has been used to assess the relative cost and benefit trade-offs of alternative healthcare interventions in gynecologic oncology, gynecologic surgery, maternal-fetal medicine, infertility treatment, and other subspecialties in the field of obstetrics and gynecology.15–17
A decision tree is a visual tool to illustrate how each compared intervention relates to the possible outcomes.18 In this study, a decision tree model containing 249 chance events and 101 parameters was constructed mapping the sequence of most relevant clinical outcomes after each delivery management scheme (CDMR or TOL) throughout the mother and the newborn's lifetime (Fig. 1).
The patient in this analysis was defined as a 25-year-old (i.e., the mean age of American women at first childbirth19), primigravid woman with a term singleton birth without medical or obstetric indications (e.g., known fetal or maternal risk factors) favoring either management strategy. The woman has no history of PFD before delivery. We assumed that women who opt for CDMR undergo a cesarean delivery before onset of labor and that women undergoing TOL could not have a cesarean delivery without medical reasons. The analysis was conducted from a societal perspective, including all costs to the healthcare system and the patient.
Our analysis focused on women who actually have only one birth over their lifetime, who account for 21.6% of parous women in the United States.20 We limited our analysis to a single birth because of lack of data on the differential risk of PFD consequences in women with different delivery modes at successive childbirths (e.g., an instrumental vaginal delivery followed by a CDMR vs. a CDMR followed by a spontaneous vaginal delivery). Single birth is also the scenario most favorable to CDMR and often is discussed as a specific situation in which it might be appropriate.
Our model incorporated the following PFDs: stress UI (SUI), FI, and POP. SUI is believed to be primarily a result of the childbirth experience, which can cause injury to muscles, connective tissues, and nerves.16 In contrast, the etiology of urge UI, the other main type of UI in women, is less well characterized and, therefore, was not included in our model.21 The definition of FI varies in the literature, with some studies including flatus incontinence whereas others consider involuntary loss of stool only.22 Because prior studies show that flatal incontinence has less impact on QOL and there is confusion in women reporting voluntary vs. involuntary passing of flatus,23 we defined FI as involuntary leakage of liquid/solid stool in our analysis. We did not include female sexual dysfunction (FSD)5 because the published data on FSD do not provide sufficient detail to suit our analysis.
Our selection of other maternal and perinatal morbidities was guided by the 2006 Visco et al.24 systematic review of research comparing outcomes of CDMR and TOL and supplemented by our review of more recent studies. Visco et al.24 indicated moderate quality or some limited evidence for differential incidence of infection, hemorrhage/blood transfusion, and surgical complications between CDMR and TOL, as well as differences in the rate of neonatal respiratory morbidity. More recent studies also suggested evidence of differential rates of peripartum hysterectomy between CDMR and TOL.25–27
Estimates of the base value and plausible ranges for the probability, cost, and utility parameters associated with each health state were obtained from the published literature (Tables 1, ,2,2, ,3,3, and and4).4). A utility value, ranging from 0 (death) to 1 (perfect health), quantifies an individual's perception and preference for a health state. All parameter estimates were reviewed by an expert panel, including two obstetricians and the two clinical authors with considerable clinical and research experience (D.F. and J.O.L.D). Because this study analyzed published data, it was not human subject research and, hence, did not require Institutional Review Board oversight.
We accounted for the major cost items during and after childbirth over the course of the woman's and newborn's lifetimes, including delivery, maternal and neonatal mortality and morbidity, management and treatment of PFDs, and productivity loss (Table 3). Hospital facility costs and physicians' professional fees associated with the delivery were estimated using the Medicare fee schedules,98 which are developed to measure the costs of providing medical services to Medicare patients and widely used in economic evaluations to represent the societal cost of healthcare.109 Because the medically recommended period of recovery for cesarean delivery is usually 2 weeks longer than that for vaginal delivery, we incorporated a 2-week difference in productivity loss between these delivery modes.123,124 (A sensitivity analysis was conducted varying the difference in this recovery period between vaginal and cesarean delivery. There was no statistically meaningful difference in our findings.) Lost productivity in the event of maternal and neonatal death was estimated based on a work life from age 25 to 65 and 18 to 65 for the mother and the child, respectively. For PFDs, we only modeled the routine care cost, diagnostic evaluation and surgery costs, and productivity loss for the subset of women who actively seek healthcare for the condition (used as an indicator for having bothersome symptoms) because some women may not have symptoms bothersome enough to entail such costs. Behavioral and pharmacological therapies of PFDs were not included in the model because of their relatively lower cost compared with surgical treatment and the limited availability of such data for FI and POP. Moreover, costs associated with reoperations for PFDs were not considered because of a lack of quality data on the timing of such reoperations. All cost estimates were adjusted to 2007 U.S. dollars.125 Future costs were discounted to the time at childbirth using a 3% discount rate.
Effectiveness was measured by quality-adjusted life-years (QALYs) over the combined lifetime of the mother and the newborn. QALYs were computed by multiplying the number of expected life-years in each health state by the utility associated with that health state. Our model assumed the utility for maternal outcomes was independent from the utility for neonatal outcomes and the QALYs were additive. For example, we assumed the utility of maternal death and the utility of a healthy neonate after cesarean delivery were independent, such that each future year in the woman's and the newborn's life was counted as 0 and 1 QALY, respectively, with the overall QALYs being the sum of the numbers. For concurrent maternal outcomes (e.g., maternal infection and surgical injury), we assumed the utilities were independent and multiplicative. Only women actively seeking healthcare for a PFD condition were assumed to incur disutility. QALY estimates later in life were discounted to the time at childbirth using a 3% discount rate.
We used Monte Carlo simulation (n=5000 iterations) to determine the expected cost and expected QALY throughout the lifetime of the woman and newborn for CDMR and TOL, respectively. Monte Carlo simulation is a method of using repeated random sampling to compute the results. Possible values of each input parameter were defined by a prespecified distribution. In each iteration, a random set of values for all input parameters was drawn from such prespecified distributions, entered in the model, and used to calculate the outcome measures. By doing so, the simulation accounted for the variability of parameter values and identified important factors influencing the cost-effectiveness outcome.
We simultaneously varied the value of 79 parameters from five domains: actual mode of delivery, transient maternal morbidity and mortality, paripartum hysterectomy, perinatal morbidity and mortality, and the lifelong management of PFDs (i.e., all parameters with a specified range in Tables 1, ,2,2, ,3,3, and and4).4). We assumed a RiskPert distribution for the probability and utility parameters (a special form of beta distribution).126 The base value identified for each parameter (Tables 1 and and4)4) corresponded to the mode of the RiskPert distribution. We also assumed that the lower and upper bounds of the parameters covered 95% of the values for the underlying distribution. For cost parameters, we drew on the desirable property of lognormal distributions (e.g., skewed distribution, positive and unbounded range).127 The parameter base value (Table 3) corresponded to the mode of the lognormal distribution, and the natural logs of the lower and upper bounds of the parameter were assumed to cover 95% of the values for the underlying normal distribution. We applied truncated lognormal distributions to age parameters in a similar manner except they were subject to certain minimum and maximum values, such as minimum age of 25 (i.e., age at delivery) and maximum age of 81 (i.e., 25 plus the life expectancy of American women at age 25) for onset of PFDs.
With 5000 iterations of data, the mean and 95% confidence intervals (CIs) for the expected cost and QALY associated with CDMR and TOL, respectively, were calculated. We also estimated the mean and 95% CIs for the expected incremental cost (i.e., CDMR cost−TOL cost), incremental QALY (i.e., CDMR QALY−TOL QALY), the average cost-effectiveness ratios (i.e., CDMR cost/CDMR QALY, TOL cost/TOL QALY), and the incremental cost-effectiveness ratio (ICER) (i.e., incremental cost divided by incremental QALY). An incremental cost-effectiveness plane and cost-effectiveness acceptability curve also were constructed to assess the probability distribution of the ICER. Because cost and ICER measures are typically not normally distributed and our results also suggested skewed distribution of QALY data, we estimated the 95% CIs based on a nonparametric method using the 2.5th and 97.5th percentiles.128 DecisionTools Suite® software (Palisade Corporation, Ithaca, NY) and SAS 9.1 (SAS Institute Inc., Cary, NC) were used for data analysis.
For a primigravid woman without medical or obstetric indications having only one childbirth in her lifetime, Monte Carlo simulation suggested that, on average, CDMR would cost $14,259 (95% CI $8,964-$24,002) over the combined lifetime of the mother and newborn, whereas TOL would cost $13,283 (95% CI $7,861-$23,829) (Table 5). The estimated mean incremental cost of CDMR (compared with TOL) was $976 (95% CI −$7,863-$7,935). In terms of QALY, undergoing CDMR would result in 58.21 QALYs (95% CI 57.43-58.67) over the lifetime of the mother and the newborn, and TOL was expected to generate 57.87 QALYs (95% CI 56.97-58.46). The estimated mean incremental QALY of CDMR (compared with TOL) was 0.35 (95% CI −0.24-1.10). Because the confidence intervals of both the estimated mean incremental cost and incremental QALY contain zero, there was no statistically significant difference in the expected cost or expected QALY between CDMR and TOL at the 0.05 level.
Figure 2 shows the incremental cost-effectiveness plane, which plots the joint distribution of the incremental cost and incremental QALY. Each dot on the plane corresponds to one incremental cost and QALY pair resulting from one iteration of the simulation. The incremental cost and QALY pairs were largely distributed across each quadrant of the incremental cost-effectiveness plane, primarily in the first, second, and fourth quadrants. In 12.14% of the iterations, CDMR was dominated by TOL (i.e., CDMR was more costly and less effective than TOL), whereas in 33.32% of the iterations, CDMR was the dominant strategy, with higher QALY and lower cost. In the other 54.54% of the iterations, one delivery scheme was less costly and the other generated higher QALY, with significant variability in the magnitude of the ICER (95% CI $352/QALY-$220,496/QALY).
Figure 3 illustrates the probability that CDMR is cost-effective compared with TOL for a given cutoff cost-effectiveness ratio that a society is willing to pay. For example, if a society is willing to pay $50,000 for one QALY, there is an 82% chance that undergoing CDMR is cost-effective compared with TOL (i.e., there is an 82% chance that the additional cost of CDMR is <$50,000 for each additional QALY gained). The null hypothesis that there is no net benefit of CDMR is rejected only when the cost-effectiveness acceptability curve is above 95%.129 In our simulation, the probability of CDMR being cost-effective never exceeded 88% for any cutoff cost-effectiveness ratio. Therefore, we could not reject the null hypothesis that there was no net benefit of CDMR in comparison to TOL.
Table 5 reports the factors identified as most influential in the simulation and their estimated effects on the incremental cost and QALY. The cost of CDMR and neonatal morbidity significantly affected the incremental cost between CDMR and TOL. PFD-related parameters also were found important. For example, based on the simulation data, a 1 standard deviation (SD) increase in the probability of developing SUI after CDMR was associated with a $2,509 increase in the incremental cost and a 0.17 reduction in incremental QALY. In contrast, a 1 SD increase in the probability of developing SUI after spontaneous vaginal delivery resulted in a $1,711 reduction in the incremental cost and a 0.10 increase in incremental QALY. In addition, the age of PFD onset, women's perceived quality of life when having POP or SUI, and the annual routine care cost for SUI all influenced the expected incremental cost and QALY between CDMR and TOL.
There has been a growing debate surrounding the appropriateness of CDMR, especially in view of the recent substantial increase in cesarean delivery rate in the United States. Using currently available evidence, we assessed the lifetime cost-effectiveness of CDMR compared with TOL from a societal perspective. Our results showed that for primigravid women without medical or obstetric indications and with only one childbirth over their lifetime, CDMR and TOL are associated with comparable costs and QALYs. Moreover, PFD-related parameters were found to be important factors in the cost-effectiveness assessment.
By modeling the impact of delivery mode on lifelong PFD outcomes, this study provides a more comprehensive view of the long-term cost and quality of life consequences of CDMR among primigravid women who have no medical or obstetric indications and do not go on to have future deliveries. The model structure developed in this analysis can be used as a basis for future cost-effectiveness analyses of CDMR that include multiple deliveries.
Although prevention of PFDs is a frequently cited reason for requesting or performing CDMR, our analyses suggest that even after considering the long-term pelvic floor consequences, CDMR is not superior to TOL in terms of lifelong cost and quality of life for a primigravid woman without medical or obstetric indications having only one childbirth over her lifetime. However, our findings also imply that CDMR is not worse than TOL in this subpopulation of women. This is consistent with the NIH State-of-the-Science statement that there are "relatively similar degrees of risk from both pathways in women intending to limit their childbearing to one or two children."3
Our finding, however, should not be generalized to women with multiple childbirths. Women with a primary cesarean delivery face increased risk for complications in subsequent pregnancies.2 This could substantially increase the cost while reducing QOL for women undergoing CDMR. Similarly, women with more than one vaginal delivery are at higher risk for PFDs, which could increase the lifetime cost while reducing the QALY for TOL patients. The overall impact of additional childbirths on the cost-effectiveness of CDMR will require further investigation as more data become available about maternal and neonatal outcomes associated with different modes of delivery at successive childbirths. Further, the cost-effectiveness of CDMR will likely differ for women with medical indications or in certain high-risk situations. For example, a planned cesarean delivery may prove beneficial for preterm or postterm births by preventing serious morbidity and mortality during labor. Further research analyzing this issue for subsets of women with certain indications would inform whether there are specific subpopulations who may benefit from CDMR.
The framework of cost-effectiveness analysis offers a unique opportunity to identify gaps in the current literature about CDMR and its relationship with PFDs. For example, we located only two studies examining women's utility related to their delivery experience and outcomes.117,118 This makes it difficult to evaluate the implications of CDMR for women's quality of life. In addition, the PFD-related parameters were found to be significant factors in our model; yet there is a fair amount of uncertainty surrounding these parameters. Future research providing better estimates of these parameters would facilitate more elaborated comparisons between CDMR and TOL.
Several additional factors must be kept in mind when interpreting our findings. First, to streamline the analytical model, we did not consider coexisting PFDs. Consequently, we might have overestimated the cost related to the care of PFDs, biasing our results in favor of CDMR. This could also cause underestimation of disutility associated with PFDs, however, biasing the QALY estimates in favor of TOL. Second, although there is evidence that forceps delivery may be more likely than vacuum delivery to cause PFDs,130 our analysis could not stratify on these two types of instrumental vaginal delivery because of a lack of detailed data.
This study makes an important first step toward addressing a complicated question: Is cesarean delivery on maternal request more cost-effective than trial of labor when lifelong pelvic floor consequences are considered? Our results suggest that in the absence of medical and obstetric indications, CDMR and TOL are not significantly different from each other in terms of lifelong cost and QALY for primigravid women having only one childbirth over their lifetime. Women's QOL related to delivery experience and the PFD-related factors should be studied more closely and incorporated in future decision analyses. This will help advance the understanding of the complex relationship between childbirth and long-term maternal outcomes and allow for more informed clinical and policy recommendations.
This work was supported in part by the Office for Research on Women's Health SCOR on Sex and Gender Factors Affecting Women's Health (National Institute of Child Health and Human Development grant number 1 P50 HD044406). D.A.P. is supported by a grant from the National Cancer Institute/National Institutes of Health (1 K07 CA120040-01). Preliminary results from this study were presented at the Institute for Operations Research and the Management Sciences (INFORMS) annual meeting in Pittsburgh, PA, November 5–8, 2006; the Healthcare Engineering Alliance (HEA)'s first annual Healthcare Engineering Symposium in Research Triangle Park, NC, April 6–8, 2008; and the 34th annual Operational Research Applied to Health Services (ORAHS) conference in Toronto, Ontario, Canada, July 28–August 1, 2008.
The authors have no conflicts of interest to report.
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