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Simone M T A Goossens, Sabine Ensing, Mark A H B M van der Hoeven, Frans J M E Roumen, Jan G Nijhuis, Ben W Mol
OBJECTIVE: To compare, in women with twin pregnancy with the first twin in cephalic position, neonatal morbidity and mortality rates after planned caesarean delivery (CD) versus planned vaginal delivery (VD). STUDY DESIGN: A nationwide cohort study on women pregnant with twins and the first child in cephalic position, who delivered between 32 + 0-41 + 0 weeks between 2000 and 2012 in the Netherlands, using multivariate logistic regression analysis to compare neonatal morbidity and mortality according to planned delivery mode, and looking at subgroups 32 + 0-36 + 6 and 37 + 0-41 + 0 weeks...
February 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
G Ducellier-Azzola, M Pontvianne, A S Weingertner, M Kohler, B Viville, M Weil, N Sananès, R Favre
OBJECTIVE: Erythrocyte allo-immunization's rate has decreased but without adapted treatment the prognosis is still poor. The aim of our study was to evaluate the fetal prognosis, the complication's rate and the risk factors of complications of the intrauterine transfusion. METHODS: Retrospective study about 37 fetus and 86 intrauterine transfusions between 2001 and 2017. Our main criterion in judging was the occurrence of procedure related complications: premature membrane rupture or premature delivery within seven days from the procedure, chorioamnionitis, abnormal fetal heart rate indicating an emergency ceasarean section within the 24hours from the procedure, in utero death or neonatal death related to the procedure...
January 2018: Gynecologie, Obstetrique, Fertilite & Senologie
Yossi Mizrachi, Elad Barber, Michal Kovo, Jacob Bar, Samuel Lurie
PURPOSE: A model exists that predicts the probability of vaginal birth after cesarean (VBAC). That model is not stratified by indication at first cesarean. The aim of the study was to identify factors that may predict successful VBAC in patients operated for arrest of dilatation or descent at their first cesarean. METHODS: Retrospective analysis of all women with trials of labor after one cesarean (TOLAC) for non-progressive labor between November 2008 and October 2015 was performed (n = 231)...
January 2018: Archives of Gynecology and Obstetrics
Lucy F van der Voet, Inge P M Jordans, Hans A M Brölmann, Sebastiaan Veersema, Judith A F Huirne
AIM: To study changes in a ceasarean section (CS) scar during the first year after a CS using gel installation sonography (GIS). METHODS: Proof-of-concept study, prospective cohort study. Twenty women who delivered by their first CS were evaluated by both transvaginal sonography and GIS 2 months and 1 year after CS. A niche was defined as an anechogenic space at the uterine caesarean scar with a depth >2 mm. The primary outcome was any change in the thickness of the residual myometrium (RMT) as evaluated by GIS...
September 29, 2017: Gynecologic and Obstetric Investigation
S Rouf, A W Chowdhury
Congenital complete heart block presenting for the first time in pregnancy is a rare occurrence posing a therapeutic challenge. We present a case of unpaced preexisting congenital complete heart block in pregnancy diagnosed for the first time during routine prenatal care at her early weeks of gestation. Our patient was asymptomatic and haemodynamically stable and was managed conservatively with a multidisciplinary term approach. Intrauterine growth retardation (IUGR) was present and she was delivered by ceasarean section at term for foetal distress with IUGR...
October 2016: Mymensingh Medical Journal: MMJ
(no author information available yet)
A monitoring system which measures oxygen levels in babies' blood during labourmay cut the number of Ceasarean sections performed each year, and could help explain how and why some babies become brain-damaged.
January 20, 1993: Nursing Standard
Semra Akköz Çevik, Mürüvvet Başer
AIMS AND OBJECTIVES: The purpose of this study was to determine the effects of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge on women who have given birth at the Cengiz Gökçek Gynecology and Obstetrics Hospital surgery services in Gaziantep city centre. BACKGROUND: Caesarean operation is the most significant surgical intervention that affects central nervous system and decelerates bowel movements in the postoperative period...
May 2016: Journal of Clinical Nursing
Anselm S Berde, Siddika Songül Yalcin
BACKGROUND: Provision of mother's breast milk to infants within one hour of birth is referred to as Early Initiation of Breast Feeding (EIBF) which is an important strategy to reduce perinatal and infant morbidities and mortality. This study aimed to use recent nationally representative survey data to identify individual, household and community level factors associated with EIBF and to update on previous knowlegde with regards to EIBF in Nigeria. METHODS: We used cross-sectional data from the 2013 Nigerian Demographic and Health Survey (NDHS)...
February 6, 2016: BMC Pregnancy and Childbirth
S L Nause, J Spiegler, J Weichert, D R Hartge
A 31-year-old 2 G 1 P was referred to our unit of prenatal medicine at 35+3 weeks of gestation with a spontaneously conceived singleton pregnancy of a female fetus without detectable anomalies. Maternal hematological evaluation revealed an Evans-syndrome-related thrombocytopenia based on a lupus erythematosus. The former delivery was aggravated by a severe hemorrhage several years before. Anti-autoimmunologic therapy was started and maternal platelets count increased to physiological values. Uneventful ceasarean section was performed at 37 weeks of gestation with favourable outcome for mother and child...
August 2015: Zeitschrift Für Geburtshilfe und Neonatologie
B Bechev, A Nacheva, N Magunska, Iv Kostov
OBJECTIVE: To investigate the risk of adhesions after laparoscopic myomectomy (LM). To establish the percentage of adhesions, their kind, situation and magnitude. MATERIALS AND METHODS: For the period form June 2011 to November 2013 totally 81 patients were operated by LM. In the study only patients with intramural leymyomas bigger than 5 sm were included. For this period 14 patients had second-look because of the need of another operation--LS or Ceasarean section...
2014: Akusherstvo i Ginekologii︠a︡
Ismet Gün, Mehmet Akif Sargın, Ali Babacan
Urinary tract injuries are one of the most serious complications of pelvic surgery and its incidence is about 0.1-1.5%. A 28 year-old woman who had delivered by emergency cesarean section in the second stage of labour presented at the emergency department with pain commencing on the fifth day of the birth. The diagnosis was left ureteral angulation due to deep myometrial suturing during surgery. The patient was regularly followed-up by ultrasonography once a week until the left pelvic ectasia disappeared. Medical therapy is given when necessery...
2009: Journal of the Turkish German Gynecological Association
M Poláková, D Alexander, J Sulc, L Zetová, R Vlk, A Křepelová, D Zantová
TYPE OF STUDY: Summary review and a case report. SETTINGS: GEST IVF, Centre of Reproductive Medicine, Prague. INTRODUCTION: In scientific literature there two syndrome have been described in the presence of pure 46,XY karyotype when an individual is phenotypically and psychosexually identified as a woman. Androgen insensitivity syndrome (AIS) and pure gonadal dysgenesis XY (GD XY, Swyer syndrome). Thanks to the presence of a uterus in Swyer syndrome we can treat this type of sterility with donated oocytes...
November 2013: Ceská Gynekologie
C S Tadmor, J M Brandes
The Perceived Personal Control Model (PPC), a novel crisis intervention model for Ceasarean Birth (C/B) populations, is used at Rambam Medical Center by medical caregivers trained in the principles of the crisis intervention model. This model tackles risk factors in the environment by manipulating such situational variables as natural and organized support systems, information, sharing the decision making process, and developing task oriented activity geared to enhance emotional, cognitive, and behavioral control...
June 1984: Journal of Primary Prevention
I Petrova, A Nikolov, P Markov, B Slancheva, N Yarakova
OBJECTIVES: The aim of this research was to find out the average gestational age of delivery in multiple pregnancy and to compare the results with world trend. MATERIAL AND METHODS: Retrospective and prospective comparative analysis was used. The study covered 20 years from 1991 to 2011, included 71114 births, 1436 twins, 67 triplets and I quadruplets. RESULTS: The number of multiple pregnancies in 1991 was 64 and in 2011 was 118. The frequency of twins increased from 1...
2013: Akusherstvo i Ginekologii︠a︡
Angélica de Fátima de Assunção Braga, José Aristeu Fachini Frias, Franklin Sarmento da Silva Braga, Rosa Inês Costa Pereira, Stella Marys Meirelles Campos Titotto
PURPOSE: To comparatively study the efficacy and maternal and fetal side-effects of two doses of bupivacaine associated with morphine and clonidine, administered by the subarachnoid route for cesarean section. METHODS: The study included 66 pregnant women at term, distributed into two groups. GI: bupivacaine 8.0 mg (1.6 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1.0 mL) and GII: bupivacaine 10 mg (2.0 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1...
January 2013: Acta Cirúrgica Brasileira
Zarko Alfirevic, Tamara Stampalija, Devender Roberts, Andrea L Jorgensen
BACKGROUND: Cervical cerclage is a well-known surgical procedure carried out during pregnancy. It involves positioning of a suture (stitch) around the neck of the womb (cervix), aiming to give a mechanical support to the cervix and thereby reducing the risk of preterm birth. The effectiveness and safety of this procedure remains controversial. OBJECTIVES: To assess whether the use of cervical stitch in singleton pregnancy at high risk of pregnancy loss based on a woman's history and/or ultrasound finding of 'short cervix' and/or physical exam improves subsequent obstetric care and fetal outcome...
April 18, 2012: Cochrane Database of Systematic Reviews
Veena Paliwal, Sushma Dikhit, Sonal Singh
OBJECTIVES: The aim of this study is to determine safety of induction of labor with vaginal Prostaglandins (E2) in Grand Multipara. METHODS: Prostaglandin E2 was used in the form of vaginal tablets or gel in post fornix for induction as per protocol. Maternal and fetal data collected included age, parity, and indication of induction, bishops score, total dose of PGE2 used & complications of induction of labor. The data was collected and analyzed using Epi info - 6...
July 2009: Oman Medical Journal
Hsiu-Huei Peng, Chuan-Chi Kao, Shuenn-Dyh Chang, An-Shine Chao, Yao-Lung Chang, Chao-Nin Wang, Po-Jen Cheng, Yun-Shien Lee, Tzu-Hao Wang, Hsin-Shih Wang
Labor and its associated pain are thought to have unique impacts on parturient women. The goal of this study was to investigate the effects of labor and associated pain on differential gene expression profiles in the maternal, fetal, and placental compartments. We used microarrays to analyze maternal blood (MB), fetal cord blood (CB), and placental tissue samples in pregnant women after term vaginal deliveries (laboring group) and in term pregnant women after scheduled Ceasarean sections (nonlaboring group)...
November 2011: Kaohsiung Journal of Medical Sciences
H Creux, J-N Hugues, C Sifer, I Cédrin-Durnerin, C Poncelet
OBJECTIVES: The endometrial osseous metaplasia is a rare disease which is characterized by the presence of osseous tissue in endometrium. It is often diagnosed in women with secondary infertility. The main objective of this work is to evaluate fertility after elective resection of osteoid metaplasia endometrial lesions by operative hysteroscopy in infertile women. PATIENTS AND METHOD: Retrospective and descriptive series of 7 cases observed in the Woman and Child department, CHU Jean-Verdier...
July 2010: Gynécologie, Obstétrique & Fertilité
Tatjana Potpara, Miodrag Grujić, Jelena Marinković, Miodrag Ostojić, Bosiljka Vijisić-Tesić, Marija Polovina, Nobojsa Mujović, Aleksandar Kocijancić
INTRODUCTION: The use of epidural anaesthesia in delivery with the purpose to reduce pain and fear in a pregnant woman has the influence on the physiological status of the woman in childbirth and the course of delivery. From the epidural space of the pregnant woman, one part of free anaesthetic comes in the foetal circulation through the mother's circulation and placenta and connects with the foetal proteins. A lower value of albumins and serum proteins in the foetal circulation give bigger free fraction of anaesthetic which is accumulated in the foetal liver, brain and heart full of blood...
March 2010: Srpski Arhiv za Celokupno Lekarstvo
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