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Induction labor

Cara L English, Kathryn R Alden, Meg Zomorodi, Debbie Travers, Malcolm S Ross
PURPOSE: The Internet is a common source of information for women during pregnancy. A multitude of data about birth can be found on the Internet, yet there are few guidelines to direct women to credible Web sites. Providers are often unaware of the health sites their patients access. The purpose of this study was to evaluate the quality of the written content on Web sites about induction of labor and pain management during labor. STUDY DESIGN AND METHODS: Descriptive study of 11 Web sites on induction of labor and pain management during labor...
September 2018: MCN. the American Journal of Maternal Child Nursing
Athula Kaluarachchi, Gardie Role Malwattage Udara Ganthika Peiris Jayawardena, Augustus Keshala Probhodana Ranaweera, Mohamed Riyal Mohamed Rishard
The presence of highly echogenic amniotic fluid (AF) is uncommon, and presence creates a dilemma in the mind of the clinician. Echogenic AF has been attributed to meconium, blood, and vernix caseosa. Many studies have shown that the presence of meconium is unlikely in most cases. We report a case of highly echogenic AF detected at 37 weeks which was managed conservatively with careful fetal monitoring for further 2 weeks expecting spontaneous onset of labor. Labor was induced due to reduced fetal movements at 39 weeks...
May 2018: Journal of Family Medicine and Primary Care
Kelly B Zafman, Eric Bergh, Nathan S Fox
OBJECTIVE: Macrosomia has increased risk of serious adverse outcomes for both infants and their mothers. As such, many providers recommend induction of labor or cesarean delivery based on sonographic estimated fetal weight (sonoEFW) cutoffs. It is known that sonoEFW is a poor predictor of birthweight (BW), especially at the extremes of weight. It is not clear, however, whether sonoEFWs tend to underestimate or overestimate the true BW among fetuses with suspected macrosomia. The objective of this study was to compare rates of overestimation of BW among women with suspected macrosomia by sonoEFW...
August 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
(no author information available yet)
No abstract text is available yet for this article.
August 7, 2018: American Journal of Obstetrics and Gynecology
Maya Ram, Howard Berger, Michael Geary, Sarah D McDonald, Beth Murray-Davis, Catherine Riddell, Haroon Hasan, Jon Barrett, Nir Melamed
OBJECTIVE: To assess whether routine induction of labor at 38 or 39 weeks in women with chronic hypertension is associated with the risk of superimposed preeclampsia or cesarean delivery. METHODS: We conducted a retrospective population-based study of women with chronic hypertension who had a singleton hospital birth at 38 0/7 weeks of gestation of gestation in Ontario, Canada, between 2012 and 2016. Women who underwent induction of labor at 38 0/7 to 38 6/7 weeks of gestation for chronic hypertension (n=281) were compared with those who were managed expectantly during that week and remained undelivered at 39 0/7 weeks of gestation (n=1,606)...
August 6, 2018: Obstetrics and Gynecology
Ashley E Skeith, Amy M Valent, Nicole E Marshall, Leonardo M Pereira, Aaron B Caughey
OBJECTIVE: To examine the association of a quality improvement effort that was mediated through weekly review of all criteria for cesarean delivery on cesarean delivery prevalence and indications. METHODS: We conducted a retrospective cohort study using a natural experiment model that compared two timeframes, from 2009 to 2013, at a single institution. We introduced a weekly retrospective review conference to discuss all cesarean deliveries in 2010 that continued over time...
August 6, 2018: Obstetrics and Gynecology
Çigdem Yayla Abide, Meryem Kurek Eken, Enis Ozkaya, Ilter Yenidede, Evrim Bostanci Ergen, Cetin Kilicci, Ilhan Sanverdi, Mustafa Eroğlu
AIM: Prostaglandins have a dual action of cervical ripening and induction of uterine contraction. This study was designed to compare the effectiveness of vaginal washing just before insertion of intravaginal dinoprostone. METHODS: A randomized controlled trial was conducted at the Zeynep Kamil Women and Children's Health Training and Research Hospital. One hundred and ninety-one women with singleton, term pregnancy who underwent labor induction were randomly assigned to two groups: Group 1 consisted of 95 pregnant women with vaginal washing before intravaginal dinoprostone (Propess system for slow release system of 10 mg of dinoprostone) insertion (study group), and 96 pregnant women constituted the control group who did not undergo vaginal washing before intravaginal dinoprostone insertion...
August 10, 2018: Journal of Obstetrics and Gynaecology Research
William A Grobman, Madeline M Rice, Uma M Reddy, Alan T N Tita, Robert M Silver, Gail Mallett, Kim Hill, Elizabeth A Thom, Yasser Y El-Sayed, Annette Perez-Delboy, Dwight J Rouse, George R Saade, Kim A Boggess, Suneet P Chauhan, Jay D Iams, Edward K Chien, Brian M Casey, Ronald S Gibbs, Sindhu K Srinivas, Geeta K Swamy, Hyagriv N Simhan, George A Macones
BACKGROUND: The perinatal and maternal consequences of induction of labor at 39 weeks among low-risk nulliparous women are uncertain. METHODS: In this multicenter trial, we randomly assigned low-risk nulliparous women who were at 38 weeks 0 days to 38 weeks 6 days of gestation to labor induction at 39 weeks 0 days to 39 weeks 4 days or to expectant management. The primary outcome was a composite of perinatal death or severe neonatal complications; the principal secondary outcome was cesarean delivery...
August 9, 2018: New England Journal of Medicine
Antonio Hernández-Martínez, Angel Arias-Arias, Antonio Morandeira-Rivas, Ana I Pascual-Pedreño, Elias J Ortiz-Molina, Julian Rodriguez-Almagro
BACKGROUND: Oxytocin is the most widely used drug in the induction of labor, but it could have potential adverse effects that derive from uterine hyperstimulation. AIM: To determine the benefits and drawbacks of oxytocin continuation versus oxytocin discontinuation after the active phase of induced labor. METHODS: We systematically searched Pubmed, EMBASE, Scopus, and Cochrane Library Plus until October 2017, for randomized controlled trials comparing oxytocin continuation with oxytocin discontinuation when the active phase of labor is reached were included...
August 4, 2018: Women and Birth: Journal of the Australian College of Midwives
Jin-Wen Zhang, Ware Branch, Matthew Hoffman, Ank De Jonge, Sheng-Hui Li, James Troendle, Jun Zhang
OBJECTIVES: To identify obstetrical subgroups in which (1) the caesarean delivery (CD) rate may be reduced without compromising safety and (2) CD may be associated with better perinatal outcomes. DESIGN: A multicentre cross-sectional study. SETTING: 19 hospitals in the USA that participated in the Consortium on Safe Labor. PARTICIPANTS: 228 562 pregnant women in 2002-2008. MAIN OUTCOME MEASURES: Maternal and neonatal safety was measured using the individual Weighted Adverse Outcome Score...
August 5, 2018: BMJ Open
Bronson A Haynes, Ryan W Huyck, Ashley J James, Meghan E Carter, Omnia U Gaafar, Marjorie Day, Avennette Pinto, Anca D Dobrian
Obesity is accompanied by an extensive remodeling of adipose tissue primarily via adipocyte hypertrophy. Extreme adipocyte growth results in a poor response to insulin, local hypoxia, and inflammation. By stimulating the differentiation of functional white adipocytes from progenitors, radical hypertrophy of the adipocyte population can be prevented and, consequently, the metabolic health of adipose tissue can be improved along with a reduction of inflammation. Also, by stimulating a differentiation of beige/brown adipocytes, the total body energy expenditure can be increased, resulting in weight loss...
July 17, 2018: Journal of Visualized Experiments: JoVE
Ashraf Soliman, Husam Salama, Hilal Al Rifai, Vincenzo De Sanctis, Sawsan Al-Obaidly, Mai Al Qubasi, Tawa Olukade
AIMS OF THE STUDY: We describe the impact of different forms of dysglycemia on maternal and neonatal health. This research is a part of the PEARL-Peristat Maternal and newborn registry, funded by Qatar National Research Fund (QNRF) Doha, Qatar. METHODS: A population-based retrospective data analysis of 12,255 women with singleton pregnancies screened during the year 2016-2017, of which 3,027 women were identified with gestation diabetes mellitus (GDM) during pregnancy and 233 were diabetic before pregnancy...
May 23, 2018: Acta Bio-medica: Atenei Parmensis
Jodi S Dashe, Eva K Pressman, Judith U Hibbard
Polyhydramnios, or hydramnios, is an abnormal increase in the volume of amniotic fluid. Identification of polyhydramnios should prompt a search for an underlying etiology. Although most cases of mild polyhydramnios are idiopathic, the two most common pathologic causes are maternal diabetes mellitus and fetal anomalies, some of which are associated with genetic syndromes. Other causes of polyhydramnios include congenital infection and alloimmunization. The purpose of this document is to provide guidance on the evaluation and management of polyhydramnios...
July 23, 2018: American Journal of Obstetrics and Gynecology
Michael G Richardson, Britany L Raymond, Curtis L Baysinger, Bradley T Kook, David H Chestnut
BACKGROUND: A vast majority of women who choose nitrous oxide for labor report high satisfaction despite variable analgesic effectiveness. We analyzed comments provided by women who used nitrous oxide for labor, to identify determinants of satisfaction in this population, and to better understand reasons for continuing with nitrous oxide despite variable analgesic effectiveness. METHODS: We conducted qualitative content analysis of comments in a quality improvement database of routine follow-up assessments of women who delivered vaginally, using nitrous oxide as the sole labor analgesic...
July 22, 2018: Birth
Dan Zhang, Xinyue Sun, Liqin Ren, Chunyan Yang, Xianbing Liu, Haixia Zhang, Yuzhu Jiang, Xuemei Hu
A Toxoplasma gondii infection during pregnancy can result in spontaneous abortion, preterm labor, or congenital fetal defects. The decidual immune system plays a critical role in regulating the immune micro-environment and in the induction of immune tolerance. To better understand the factors that mediate the decidual immune response associated with the T. gondii infection, a large-scale study employing TMT proteomics was conducted to characterize the differential decidual immune proteomes from infected and uninfected human decidual immune cells samples...
August 30, 2018: Journal of Proteomics
Mercy Ngosa Mumba
Nurses constitute approximately 36% of all healthcare providers, and 2% of the labor force in the United States (American Nurses Association [ANA], 2016). However, about 8% of nurses suffer from substance use disorders ([SUD]; Kunyk, 2015) and must participate in peer assistance programs to maintain their licenses (Darbro & Malliarakis, 2012). The purpose of this study was to describe the lived experiences of nurses with SUD participating in peer assistance programs and the subsequent employment implications...
August 2018: Archives of Psychiatric Nursing
Asmaa M Zahran, Kamal M Zharan, Helal F Hetta
BACKGROUND AND AIM: Vitamin D insufficiency and deficiency have been associated with an increased risk of adverse pregnancy outcomes. Also, vitamin D is known to play a role in promoting the function of regulatory T-cells (Tregs). Tregs play an important role in suppressing the immune response during pregnancy. Our study aimed to investigate Tregs phenotypes in preterm and tem laboring women and its association with vitamin D level. METHODS: This cross-sectional study included 82 pregnant women, divided into 46 term and 36 preterm laboring women in addition to 30 healthy non-pregnant women...
July 17, 2018: Journal of Reproductive Immunology
Damian Warzecha, Eliza Kobryń, Marta Bagińska, Dorota Bomba-Opoń
BACKGROUND: Fetal growth restriction (FGR) is an unclearly defined condition described as a fetal weight which is too low in relation to gestational age. It is recognized in 10-15% of singleton pregnancies and can lead to severe complications, including stillbirth. To reduce the adverse fetal and neonatal outcomes, many medical interventions are being introduced by obstetricians. These, like all medical procedures, may induce further complications, such as preterm labor and its consequences...
July 19, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Takeshi Hara, Madoka Nakajima, Hidenori Sugano, Kostadin Karagiozov, Emiko Hirose, Keiko Goto, Hajime Arai
We report the case of a young woman who received intrathecal baclofen therapy (ITB) and subsequently became pregnant and had a normal delivery. A 28-year-old woman with flexion myelopathy had anterior decompression with fusion at C4/5 and C5/6 levels. Clinical symptoms improved after surgery. However, when she was 29 years old, her symptoms steadily advanced to Modified Ashworth Scale 3 spasticity level in the lower legs, with pain in both of them and urinary retention tendency. Since a 25 μg intrathecal baclofen injection improved her symptoms, an ITB pump system was implanted...
July 2018: NMC Case Report Journal
Tuija Hautakangas, Outi Palomäki, Karoliina Eidstø, Heini Huhtala, Jukka Uotila
BACKGROUND: Purpose of this study was to investigate differences between primiparous term pregnancies, one leading to vaginal delivery (VD) and the other to acute cesarean section (CS) due to labor dystocia in the first stage of labor. We particularly wanted to assess the influence of body mass index (BMI) on CS risk. METHODS: A retrospective case-control study in a tertiary delivery unit with 5200 deliveries annually. Cases were 296 term primiparous women whose intended vaginal labor ended in acute CS because of dystocia...
July 18, 2018: BMC Pregnancy and Childbirth
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