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https://www.readbyqxmd.com/read/29735533/mode-of-delivery-after-a-previous-cesarean-birth-and-associated-maternal-and-neonatal-morbidity
#1
Carmen B Young, Shiliang Liu, Giulia M Muraca, Yasser Sabr, Tracy Pressey, Robert M Liston, K S Joseph
BACKGROUND: The mode of delivery for women with a previous cesarean delivery remains contentious. We conducted a study comparing maternal and infant outcomes after attempted vaginal birth after cesarean delivery versus elective repeat cesarean delivery. METHODS: We used data from the Discharge Abstract Database that includes all hospital deliveries in Canada (excluding Quebec). In our analysis, we included singleton deliveries to women between 37 and 43 weeks gestation who had a single prior cesarean delivery between April 2003 and March 2015...
May 7, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29719929/the-effect-of-parity-on-risk-of-complications-in-pregnant-women-with-epilepsy-a-population-based-cohort-study
#2
Kim C Danielsson, Ingrid Borthen, Nils E Gilhus, Nils H Morken
INTRODUCTION: Women with epilepsy have increased risk of complications in pregnancy with consequences for the mother and child. There are no studies on the influence of parity on complications in women with epilepsy. MATERIAL AND METHODS: This was a population-based cohort study of all first and second births in the Medical Birth Registry of Norway 1999-2013. Risks were estimated and complication rates were compared in distinct women with epilepsy treatment categories...
May 2, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29709454/are-there-differences-between-women-who-choose-elective-repeat-caesarean-versus-trial-of-labour-in-st-john-s-nl
#3
Paul Groves, Joannie Neveu, Colleen Cook, Phil Murphy, Joan M G Crane
OBJECTIVES: To compare the demographic and clinical characteristics between women who chose elective repeat Caesarean section (ERCS) versus trial of labour after Caesarean section (TOLAC) in St. John's, Newfoundland and Labrador (NL). METHODS: We conducted a retrospective case control study of women with live singleton gestations delivering at term in St. John's, NL between January 1, 2001 and December 31, 2014. Inclusion criteria were women who had a previous single lower segment Caesarean section (LSCS)...
April 27, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29700811/timing-of-elective-pre-labour-caesarean-section-a-decision-analysis
#4
Freke A Wilmink, Clarabelle T Pham, Nicole Edge, Chantal W P M Hukkelhoven, Eric A P Steegers, Ben W Mol
BACKGROUND: Since caesarean sections (CSs) before 39+0  weeks gestation are associated with higher rates of neonatal respiratory morbidity, it is recommended to delay elective CSs until 39+0  weeks. However, this bears the risk of earlier spontaneous labour resulting in unplanned CSs, which has workforce and resource implications, specifically in smaller obstetric units. AIM: To assess, in a policy of elective CSs from 39+0  weeks onward, the number of unplanned CSs to prevent one neonate with respiratory complications, as compared to early elective CS...
April 26, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29674193/does-induction-of-labour-in-nulliparous-hypertensive-women-result-in-vaginal-birth-a-descriptive-study-utilising-birth-registry-data
#5
REVIEW
Charlene Eliza Thornton, Hannah Grace Dahlen, Annemarie Hennessy
BACKGROUND: Induction of labour (IOL) is a common procedure yet we have little information on the efficacy of the process for women with a hypertensive disorder of pregnancy (HDP). OBJECTIVE: To describe the birth type and associated factors in nulliparous HDP women undergoing an induction of labour. STUDY DESIGN: Statutorily collected datasets on every birth and hospital admission which occurred in the state of NSW Australia between the years 2000-2011 were analysed...
January 31, 2018: Pregnancy Hypertension
https://www.readbyqxmd.com/read/29672825/estimating-success-of-vaginal-birth-after-caesarean-section-in-a-regional-australian-population-validation-of-a-prediction-model
#6
Samantha S Mooney, Richard Hiscock, Inkeri D'Arcy Clarke, Simon Craig
BACKGROUND: Following a primary caesarean section (CS), women must decide between attempted vaginal birth after caesarean (VBAC) and elective repeat caesarean section (ERCS) in subsequent pregnancies. Both options carry potential morbidity and mortality for mother and child, with the most feared being uterine rupture and its consequences. In attempts to reduce morbidity, several predictive nomograms have been developed to assist in delivery mode decisions. AIM: To assess the validity of the predictive nomogram developed by Grobman et al...
April 19, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29604108/lower-apgar-scores-and-caesarean-sections-are-related-to-attention-deficit-hyperactivity-disorder
#7
Minna Sucksdorff, Liisa Lehtonen, Roshan Chudal, Auli Suominen, Mika Gissler, Andre Sourander
AIM: We examined the associations between prenatal, birth-related and newborn risk factors and attention-deficit/hyperactivity disorder (ADHD). METHODS: In this population-based study, 10 409 subjects diagnosed with ADHD by 31 December 2011 and 39 124 controls, born between 1 January 1991 and 31 December 2005, were identified from Finnish nationwide registers. Perinatal data were obtained from the Birth Register. Conditional logistic regression was used to examine the associations after controlling for confounders...
March 31, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29587540/risk-of-recurrent-shoulder-dystocia-are-we-any-closer-to-prediction
#8
Shadha Al-Hawash, Clare L Whitehead, Dan Farine
OBJECTIVE: To determine the incidence and risk factors for recurrent shoulder dystocia in women. METHODS: We searched Medline, Pubmed, Embase, and CINAHL for relevant articles in English and French from 1980 to February 2018 that described risks of recurrent shoulder dystocia undergoing a trial of labour in subsequent pregnancies. A total of 684 articles were found, of which 13 were included as they met criteria. We extracted data on study characteristics, incidence of recurrent shoulder dystocia, degree of neonatal injury, and presence of known risk factors...
March 27, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29571040/different-concentration-of-human-cord-blood-hmgb1-according-to-delivery-and-labour-a-pilot-study
#9
G D'Angelo, L Marseglia, R Granese, A Di Benedetto, A Giacobbe, P Impellizzeri, A Alibrandi, E Ferro, A Palmara, S Manti, T Arrigo, C Salpietro, G Buonocore, R J Reiter, E Gitto
OBJECTIVE: Oxidative stress is involved in several maternal conditions characterized both by an increase in free radicals synthesis and a parallel decrease in the antioxidant activity. Parturition induces considerable oxidative stress and many inflammatory mediators, among which HMGB1, are involved from the beginning of pregnancy to the birth of the infant. We evaluated serum cord blood HMGB1 levels in a population of neonates to investigate correlation with mode of delivery, as well as the influence of labour...
March 20, 2018: Cytokine
https://www.readbyqxmd.com/read/29567515/in-hospital-complication-rate-following-microendoscopic-versus-open-lumbar-laminectomy-a-propensity-score-matched-analysis
#10
Takeshi Oichi, Yasushi Oshima, Hirotaka Chikuda, Junichi Ohya, Hiroki Matsui, Kiyohide Fushimi, Sakae Tanaka, Hideo Yasunaga
BACKGROUND CONTEXT: The incidence of postoperative complications after microendoscopic laminectomy (MEL) has not been compared with that of open laminectomy in a large study, so it is not clear whether MEL is a safer procedure. PURPOSE: To compare postoperative morbidity and mortality following lumbar laminectomy between patients treated with MEL and open laminectomy. STUDY DESIGN: Retrospective cohort study with propensity score-matched analysis...
March 19, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29519668/ultrasonographic-evaluation-of-gastric-contents-in-term-pregnant-women-fasted-for-six-hours
#11
S Hakak, C L McCaul, L Crowley
BACKGROUND: Current fasting guidelines suggest six hours are adequate to minimise the aspiration risk after a light meal consumed by pregnant women undergoing elective caesarean section. We assessed gastric contents in non-labouring pregnant women, using ultrasonographic analysis. METHODS: In a prospective study, pregnant women ≥36 weeks' gestation, without conditions likely to influence gastric emptying, underwent ultrasonographic analysis of their gastric antrum, after six hours of fasting following a standardised light meal...
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29481680/landlordism-rent-regulation-and-the-labour-party-in-mid-twentieth-century-britain-1950-64
#12
Phil Child
This article examines the politics of private renting in 1950s and early 1960s Britain, through the radical approach taken by Labour Party towards private landlords. Through setting the radical aims of Labour in a mid-twentieth-century context of decrepit housing, rising rents and sluggish public housing programmes, Labour's rationale in arguing for the 'abolition' of the private landlord is more transparent. This article takes a chronological approach, investigating what actions Labour actors took, at local and national level, and what effect this had on the wider housing market...
March 1, 2018: 20 Century British History
https://www.readbyqxmd.com/read/29477952/the-effects-of-immigration-on-nhs-waiting-times
#13
Osea Giuntella, Catia Nicodemo, Carlos Vargas-Silva
This paper analyzes the effects of immigration on waiting times for the National Health Service (NHS) in England. Linking administrative records from Hospital Episode Statistics (2003-2012) with immigration data drawn from the UK Labour Force Survey, we find that immigration reduced waiting times for outpatient referrals and did not have significant effects on waiting times in accident and emergency departments (A&E) and elective care. The reduction in outpatient waiting times can be explained by the fact that immigration increases natives' internal mobility and that immigrants tend to be healthier than natives who move to different areas...
March 2018: Journal of Health Economics
https://www.readbyqxmd.com/read/29439923/less-or-more-maternal-requests-that-go-against-medical-advice
#14
Martine Hollander, Lianne Holten, Annemieke Leusink, Jeroen van Dillen, Esteriek de Miranda
PROBLEM AND BACKGROUND: This study explores the experiences of Dutch midwives and gynaecologists with pregnant women who request more, less or no care during pregnancy and/or childbirth. METHODS: All Dutch midwives and (trainee) gynaecologists were invited to fill out a questionnaire specifically designed for the purposes of this study. Holistic midwives were analysed separately from regular community midwives. FINDINGS: Most maternity care providers in the Netherlands receive requests for less care than recommended at least once a year...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29423911/planned-birth-at-or-near-term-for-improving-health-outcomes-for-pregnant-women-with-pre-existing-diabetes-and-their-infants
#15
REVIEW
Linda M Biesty, Aoife M Egan, Fidelma Dunne, Valerie Smith, Pauline Meskell, Eugene Dempsey, G Meabh Ni Bhuinneain, Declan Devane
BACKGROUND: Pregnant women with pre-existing diabetes (Type 1 or Type 2) have increased rates of adverse maternal and neonatal outcomes. Current clinical guidelines support elective birth, at or near term, because of increased perinatal mortality during the third trimester of pregnancy.This review replaces a review previously published in 2001 that included "diabetic pregnant women", which has now been split into two reviews. This current review focuses on pregnant women with pre-existing diabetes (Type 1 or Type 2) and a sister review focuses on women with gestational diabetes...
February 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29397441/evaluation-of-cesarean-scar-after-single-and-double-layer-hysterotomy-closure-a-prospective-cross-sectional-study
#16
Nur Betül Tekiner, Berna Aslan Çetin, Lale Susan Türkgeldi, Gökçe Yılmaz, İbrahim Polat, Ali Gedikbaşı
BACKGROUND: We aimed to determine if there is a difference in the size of the cesarean scar defect using saline infusion sonography (SIS) performed on the postoperative third month in patients who underwent single- or double-layered unlocked closure of their uterine incision during their first cesarean delivery. METHODS: This study was conducted as a prospective cross-sectional study between February 2015 and January 2016 in patients admitted to the labour ward of the Kanuni Sultan Suleyman Training and Research Hospital who subsequently underwent their first delivery by cesarean section...
May 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29368354/the-evaluation-of-public-health-nursing-students-skill-achievement-levels-by-educational-improvement
#17
Yoshimi Suzuki, Emiko Saito, Emiko Kishi, Minako Sawai, Satori Kakemoto, Chiyo Igarashi, Harumi Nakada, Kiyomi Asahara
OBJECTIVE: This study aimed to evaluate the educational improvement outcomes after introducing undergraduate public health nursing electives from the perspective of students, teachers, and public health nurses. DESIGN AND SAMPLE: Post-test design with control group was used. We surveyed three groups of participants on the relevance of achieved skill items. These groups were as follows: fourth-year students, teaching staff from seven universities, and public health nurses from special districts of Tokyo who had pioneered the introduction of public health nursing electives...
January 25, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29349229/does-gender-inequity-increase-men-s-mortality-risk-in-the-united-states-a-multilevel-analysis-of-data-from-the-national-longitudinal-mortality-study
#18
Shane A Kavanagh, Julia M Shelley, Christopher Stevenson
A number of theoretical approaches suggest that gender inequity may give rise to health risks for men. This study undertook a multilevel analysis to ascertain if state-level measures of gender inequity are predictors of men's mortality in the United States. Data for the analysis were taken primarily from the National Longitudinal Mortality Study, which is based on a random sample of the non-institutionalised population. The full data set included 174,703 individuals nested within 50 states and had a six-year follow-up for mortality...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29303230/planned-birth-at-or-near-term-for-improving-health-outcomes-for-pregnant-women-with-gestational-diabetes-and-their-infants
#19
REVIEW
Linda M Biesty, Aoife M Egan, Fidelma Dunne, Eugene Dempsey, Pauline Meskell, Valerie Smith, G Meabh Ni Bhuinneain, Declan Devane
BACKGROUND: Gestational diabetes is a type of diabetes that occurs during pregnancy. Women with gestational diabetes are more likely to experience adverse health outcomes such as pre-eclampsia or polyhydramnios (excess amniotic fluid). Their babies are also more likely to have health complications such as macrosomia (birthweight > 4000 g) and being large-for-gestational age (birthweight above the 90th percentile for gestational age). Current clinical guidelines support elective birth, at or near term in women with gestational diabetes to minimise perinatal complications, especially those related to macrosomia...
January 5, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29277266/changes-in-maternal-placental-growth-factor-levels-during-term-labour
#20
Liam Dunn, Christopher Flatley, Sailesh Kumar
Placental growth factor (PlGF) has important angiogenic function that is critical to placental development. Lower levels of PlGF are associated with fetal growth restriction, pre-eclampsia and intrapartum fetal compromise. The aim of this study was to investigate the effect of labour on maternal PlGF levels. METHOD: This was a prospective observational cohort study. Normotensive women with a singleton, normally grown, non-anomalous, fetus between 37 + 0 and 42 + 0 weeks gestation were eligible for inclusion...
January 2018: Placenta
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