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Pain management in labor

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https://www.readbyqxmd.com/read/27912790/fetal-malformation-in-maternal-toxoplasma-and-rubella-co-infection-in-cameroon-a-case-report
#1
Andreas Ateke Njoh, Sarah Namondo Njoh, Messang Blandine Abizou
BACKGROUND: There has been a recent increase in the number of newborns with brain malformations due to congenital infections, but the impact of these diseases remains largely under ascertained in middle-income and low-income countries. This case report presents a fetal anencephaly following maternal toxoplasma and rubella co-infection in a resource-limited setting and the challenges faced by the patient and the health care provider in the management of the condition. CASE PRESENTATION: A 25-year-old black Cameroonian woman of Bakossi origin, gravida3 para1010, presented with a positive rubella and toxoplasma immunoglobulin G serologic test at 21 weeks of pregnancy; she could not benefit from a fetal morphologic ultrasound partly because there was none at the site of her antenatal clinic and because there were accessibility constraints getting to the nearest referral hospital approximately 100 km away...
December 3, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27863615/the-effect-of-aromatherapy-with-lavender-essence-on-severity-of-labor-pain-and-duration-of-labor-in-primiparous-women
#2
Mansoreh Yazdkhasti, Arezoo Pirak
OBJECTIVE: The aim of this study was to investigate the effect of Lavender essence inhalation on severity of labor pain and duration of labor. METHODS AND MATERIALS: This single-blind, randomized clinical trial was conducted on 120 pregnant women in two groups. The experimental group received 2 drops of Lavender essence inhaled at three stages (4-5, 6-7, 8-9 cm cervical dilation) and severity of the labor pain and duration of labor was measured before and after intervention...
November 2016: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/27831958/anesthetic-and-obstetrical-factors-associated-with-the-effectiveness-of-epidural-analgesia-for-labor-pain-relief-an-observational-population-based-study
#3
Marie-Pierre Bonnet, Caroline Prunet, Christophe Baillard, Laure Kpéa, Béatrice Blondel, Camille Le Ray
BACKGROUND AND OBJECTIVES: The effectiveness of labor epidural analgesia is difficult to explore, as it includes the maternal satisfaction with analgesia as well as the overall childbirth experience. In this population-based study, we sought to identify factors associated with the effectiveness of epidural analgesia for labor pain relief. METHODS: We performed a secondary analysis of the 2010 French National Perinatal Survey, a cross-sectional study of a representative sample of births in France...
November 9, 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27802555/promote-study-safety-of-osteopathic-manipulative-treatment-during-the-third-trimester-by-labor-and-delivery-outcomes
#4
Kendi L Hensel, Brandy M Roane, Anita Vikas Chaphekar, Peggy Smith-Barbaro
BACKGROUND: Few quality data exist on the safety of osteopathic manipulative treatment (OMT) during pregnancy. The Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects (PROMOTE) study was a randomized controlled clinical trial that studied the application of an OMT protocol to manage pain and dysfunction in pregnant patients during their third trimester. OBJECTIVE: To evaluate the safety of an OMT protocol applied during the third trimester of pregnancy by analyzing incidence of high-risk status and labor and delivery outcomes...
November 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27778527/a-qualitative-interview-study-into-experiences-of-management-of-labor-pain-among-women-in-midwife-led-care-in-the-netherlands
#5
Trudy Klomp, Anke B Witteveen, Ank de Jonge, Eileen K Hutton, Antoine L M Lagro-Janssen
INTRODUCTION: Many pregnant women are concerned about the pain they will experience in labor and how to deal with this. This study's objective was to explore women's postpartum perception and view of how they dealt with labor pain. METHODS: Semistructured postpartum interviews were analyzed using the constant comparison method. Using purposive sampling, we selected 17 women from five midwifery practices across the Netherlands, from August 2009 to September 2010...
October 25, 2016: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27766971/labor-and-birth-care-by-nurse-with-midwifery-skills-in-brazil
#6
Silvana Granado Nogueira da Gama, Elaine Fernandes Viellas, Jacqueline Alves Torres, Maria Helena Bastos, Odaléa Maria Brüggemann, Mariza Miranda Theme Filha, Arthur Orlando Correa Schilithz, Maria do Carmo Leal
BACKGROUND: The participation of nurses and midwives in vaginal birth care is limited in Brazil, and there are no national data regarding their involvement. The goal was to describe the participation of nurses and nurse-midwives in childbirth care in Brazil in the years 2011 and 2012, and to analyze the association between hospitals with nurses and nurse-midwives in labor and birth care and the use of good practices, and their influence in the reduction of unnecessary interventions, including cesarean sections...
October 17, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27760979/intra-amniotic-hemorrhage-imitating-gastroschisis-a-case-report-and-review-of-the-literature
#7
Everett F Magann, Kinsey I Dinnel, Nader Z Rabie, Amanda L Shoemaker, Nirvana A Manning
BACKGROUND A spontaneous intra-amniotic hemorrhage is rarely encountered during pregnancy. The correct diagnosis and management are problematic because of the infrequency of this condition and the high likelihood of a misdiagnosis. CASE REPORT A primigravida with an uncomplicated pregnancy and a normal targeted ultrasound presented late in the second trimester of pregnancy with antepartum bleeding of unknown origin. A repeat ultrasound was suggestive of an abdominal wall defect (gastroschisis). The patient continued to have antepartum bleeding and developed uterine contractions and abdominal pain necessitating frequent visits to labor and delivery...
October 20, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27713343/role-of-non-steroidal-anti-inflammatory-drugs-in-gynecology
#8
Anna Livshits, Daniel S Seidman
This review summarizes the current use of non-steroidal anti-inflammatory drugs (NSAIDs) in obstetrics, gynecology and infertility. These medications are commonly used in different fields of reproductive medicine, for pain management after operative procedures and to relieve dysmenorrhea. In addition to their analgesic effect, NSAIDs are helpful in the management of menorrhagia by decreasing menstrual blood loss. NSAIDs alleviate pain associated with medical abortion, assist in undertaking natural cycle in-vitro fertilization by preventing follicular rupture and reducing premature ovulation, and serve as tocolytics in preterm labor...
July 5, 2010: Pharmaceuticals
https://www.readbyqxmd.com/read/27681779/-effect-of-oxytocin-on-human-pain-perception
#9
A-C Pfeifer, B Ditzen, E Neubauer, M Schiltenwolf
BACKGROUND: Over the years the effect of the neuropeptide oxytocin and its possible utilization for pain management has been increasingly more investigated and discussed. Initial results emphasized the effects of oxytocin with respect to labor and breastfeeding. Diverse animals studies were also able to demonstrate the effectiveness of the peptide in attachment behavior and pain perception; however, it is still unclear how oxytocin affects pain perception in humans. The potential therapeutic effectiveness of oxytocin could be particularly important for primary and secondary treatment of pain patients because chronification of pain can occur more frequently in this area...
October 2016: Der Schmerz
https://www.readbyqxmd.com/read/27670710/management-of-spontaneous-labour-at-term%C3%A2-in-healthy-women
#10
Lily Lee, Jessica Dy, Hussam Azzam
OBJECTIVE: The purpose of this guideline is to provide guidance for the intrapartum management of spontaneous labour, whether normal or abnormal, in term, healthy women, and to provide guidance in the management of first and second stage dystocia to increase the likelihood of a vaginal birth and optimize birth outcomes. EVIDENCE: Published literature was retrieved through searches of PubMed and the Cochrane Library in October 2011 using appropriate, controlled vocabulary (e...
September 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27557028/-possibilities-of-inclusion-of-the-partner-in-deliveries-in-public-institutions
#11
Odaléa Maria Brüggemann, Erika Simas Ebsen, Romana Raquel Ebele, Bruna Daniela Batista
Qualitative research, with an exploratory and descriptive approach, was conducted between September 2011 and February 2012, aimed at revealing the possibility of inclusion of the partner in deliveries in institutions that currently restrict their presence. Twelve nurses responsible for obstetric centers and five technical directors of health institutions of Santa Catarina, who did not allow or infrequently allowed the presence of the partner during delivery, were interviewed. Data were analyzed using Bardin Content Analysis, with the support of ATLAS...
August 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27552458/successful-nonoperative-management-of-hagl-humeral-avulsion-of-glenohumeral-ligament-lesion-with-concurrent-axillary-nerve-injury-in-an-active-duty-us-navy-seal
#12
Justin J Ernat, Craig R Bottoni, Douglas J Rowles
Humeral avulsion of the glenohumeral ligament (HAGL) is a lesion that has been recognized as a cause of recurrent shoulder instability. To our knowledge there are no reports of successful return to full function in young, competitive athletes or return to manual labor following nonoperative management of a HAGL lesion. A 26-year-old Navy SEAL was diagnosed with a HAGL injury, and associated traction injury of the axillary nerve as well as a partial tear of the rotator cuff. Operative intervention was recommended; however, due to issues with training and with inability to properly rehab with the axillary nerve injury, surgical plans were delayed...
July 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27502808/birth-ball-or-heat-therapy-a-randomized-controlled-trial-to-compare-the-effectiveness-of-birth-ball-usage-with-sacrum-perineal-heat-therapy-in-labor-pain-management
#13
Simin Taavoni, Fatemeh Sheikhan, Somayeh Abdolahian, Fatemeh Ghavi
OBJECTIVE: Labor pain and its management is a major concern for childbearing women, their families and health care providers. This study aimed to investigate the effects of two non-pharmacological methods such as birth ball and heat therapy on labor pain relief. MATERIAL & METHODS: This randomized control trial was undertaken on 90 primiparous women aged 18-35 years old who were randomly assigned to two intervention (birth ball and heat) and control groups. The pain score was recorded by using Visual Analogue Scale (VAS) before the intervention and every 30 min in three groups until cervical dilatation reached 8 cm...
August 2016: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/27169159/deltoid-flap-for-management-of-massive-irreparable-rotator-cuff-tears-case-series
#14
Sami Roukoz, Linda Nabhane, Ali al-rida Aidibi, Amer Sebaaly
BACKGROUND: Muscle transfer has been reported as a good surgical option to reconstruct the deficient rotator cuff. The purpose of this study is to report the outcome of deltoid muscle flap transfer to restore shoulder function in patients with massive irreparable rotator cuff tear. MATERIAL AND METHODS: This is a retrospective descriptive case series. Included patients had a lesion of two or more tendons of the rotator cuff or lesion of one tendon of more than 5 cm in width and no lesion to the subscapularis...
January 2016: Le Journal Médical Libanais. the Lebanese Medical Journal
https://www.readbyqxmd.com/read/27065688/plexiform-angiomyxoid-myofibroblastic-tumor-pamt-of-stomach-with-synchronous-bilateral-cystic-ovarian-neoplasms-a-rare-case-presentation
#15
Jagannath Dattatreya Dixit, Shiraz Ahamed Sharief, Manish Kumar Goyal, Sameeha Khan, Lubna Kauser
Plexiform Angiomyxoid Myofibroblastic Tumor (PAMT) is a recently identified mesenchymal tumor of the stomach, which was first described in the year 2007 and was added in the 2010 WHO classification of tumors of the digestive system World J Gastroenterol 16(6): 2835-2840, 2010. It closely resembles with other gastric tumors but distinctly varies in clinical management as well as the histopathology. We had a 51 year, female patient, laborer by profession with low socio economic status, who had abdominal pain with vomiting since 6 months...
March 2016: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27061848/continuous-chest-wall-ropivacaine-infusion-for-analgesia-in-children-undergoing-nuss-procedure-a-comparison-with-thoracic-epidural
#16
Dinesh K Choudhry, B Randall Brenn, Karen Sacks, Kirk Reichard
BACKGROUND: Pain following Nuss procedure is severe and its management is challenging. Many different pain treatment modalities are currently being used, but none of them have been found to be ideal. AIM: In this retrospective review, we compare our current multimodal approach, which involves continuous ropivacaine infusion through chest wall catheters (CWC), intravenous patient-controlled analgesia (IV-PCA), and adjunctive medications (gabapentin and clonidine), with the technique that we used in the past, the thoracic epidural catheter (TEC)...
June 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27043674/transiliac-osteotomy-in-surgical-management-of-pelvic-post-traumatic-malunions-a-retrospective-study
#17
Shun Lu, Junwei Wu, Baisheng Fu, Jinlei Dong, Yongliang Yang, Maoyuan Xin, Guodong Wang, Tong-Chuan He, Dongsheng Zhou
While uncommon, post-traumatic pelvic malunions present reconstructive challenges and are associated with significant disability and financial burden. A transiliac osteotomy is a surgical technique useful to correct certain types of pelvic fracture malunions, and is only used when the correction of a limb-length discrepancy is the primary goal. This study aims to present our experience with this technique in the treatment of post-traumatic pelvic malunions. Eight patients who underwent transiliac osteotomies for post-traumatic pelvic malunions at our department from 2006 to 2011 were included in this study...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27036652/management-of-ureteral-stenting-for-postrenal-failure-during-pregnancy-after-ureteral-reimplantation-a-case-report
#18
Yutaka Yoneoka, Shoji Kaku, Shunichiro Tsuji, Hiroto Yamashita, Takashi Inoue, Fuminori Kimura, Takashi Murakami
BACKGROUND: Vesicoureteral reflux is thought to predispose to urinary tract infection and renal scarring, and ureteral reimplantation in childhood remains the gold standard for its treatment. It has been reported that the risk of postrenal failure during pregnancy is increased among women with Politano-Leadbetter ureteral reimplantation. In previous case reports on patients with progressive hydronephrosis and renal failure during pregnancy after ureteral reimplantation, percutaneous nephrostomy was always required, so there has been no information about the clinical management of such patients by ureteral stenting...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26981052/the-axillary-view-typically-does-not-contribute-to-decision-making-in-care-for-proximal-humeral-fractures
#19
Marschall B Berkes, Joshua S Dines, Jacqueline F Birnbaum, Lionel E Lazaro, Tristan C Lorich, Milton T M Little, Joseph T Nguyen, Dean G Lorich
BACKGROUND: Convention dictates that an axillary view be obtained when evaluating proximal humerus fractures (PHF). However, the axillary view is frequently omitted because of pain and technical considerations. Furthermore, its diagnostic utility is unclear in this setting. QUESTIONS/PURPOSES: The purpose of this study was to (1) determine the rate of obtaining an adequate axillary X-ray and complete shoulder series at a level I trauma center, (2) understand the cost of ordering and attempting an axillary radiograph, and (3) determine if axillary radiographs influence the management of PHF...
October 2015: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/26978558/managing-the-female-patient-with-hereditary-angioedema
#20
Aleena Banerji, Marc Riedl
Hereditary angioedema (HAE) is a rare disorder resulting from decreased functional levels of C1-inhibitor (C1-INH), which manifests as periodic episodes of localized edema which can be extremely painful, debilitating and even fatal if the swelling affects the larynx. HAE can complicate many aspects of obstetric/gynecologic care, and an awareness of the disease is critical for clinicians involved in the care of women because of potential HAE-related complications pertaining to pregnancy, labor and delivery, and other women's health issues...
June 2016: Women's Health
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