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https://www.readbyqxmd.com/read/28222431/the-routine-use-of-intrapartum-ultrasound-in-clinical-decision-making-during-the-second-stage-of-labor-does-it-have-any-impact-on-delivery-outcomes
#1
Oren Barak, Roni Levy, Orna Flidel, Svetlana Zaks, Moshe Gillor, Zion Hagay, Edi Vaisbuch
BACKGROUND/AIMS: The study aimed to assess whether the use of intrapartum transperineal ultrasound (US) can reduce the rate of failed vacuum extraction (VE). METHODS: This is a retrospective cohort study including all women delivering at term with the diagnosis of protracted second stage of labor. The mode of delivery and rate of failed VE were compared between women who underwent a US examination prior to the decision on obstetrical interventions ("+US" group) and those in whom clinical decisions were based upon digital assessment only ("no-US" group)...
February 22, 2017: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/28222233/case-mix-adjusted-variation-in-cesarean-section-rate-in-sweden
#2
Johan Mesterton, Lars Ladfors, Anna Ekenberg Abreu, Peter Lindgren, Sissel Saltvedt, Marianne Weichselbraun, Isis Amer-Wåhlin
INTRODUCTION: Cesarean section (CS) rate is a well-established indicator of performance in maternity care and is also related to resource use. Case mix adjustment of CS rates when performing comparisons between hospitals is important. The objective of this study was to estimate case mix adjusted variation in CS rate between hospitals in Sweden. MATERIAL AND METHODS: In total, 139756 deliveries in 2011 and 2012 were identified in administrative systems in 7 regions covering 67% of all deliveries in Sweden...
February 21, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28220534/electromyographic-assessment-of-women-s-pelvic-floor-what-is-the-best-place-for-a-superficial-sensor
#3
Eduarda Moretti, Alberto Galvão de Moura Filho, Judite Correia de Almeida, Camilla Medeiros Araujo, Andrea Lemos
AIMS: To compare the electromyographic signal of different surface electrodes and to identify the channel that presents the highest level of electromyographic activity through the mean and peak of Root Mean Square (RMS). METHODS: Thirty healthy women participated in this study. Each woman completed three collections (on different days) of electromyographic data. Three maximal voluntary contractions of the pelvic floor muscles were requested. The electromyographic signal was recorded by intravaginal probe and surface electrodes placed on the perianal region and on the region immediately below the labia majora...
February 21, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28219313/trial-of-labour-after-caesarean-tolac-is-associated-with-increased-risk-for-instrumental-delivery
#4
Rotem Inbar, Shali Mazaaki, Anat Kalter, Itai Gat, Eyal Sivan, Eyal Schiff, Israel Hendler
: We compared the rates of instrumental delivery in a cohort of nulliparous women at term (n = 19,416), to primiparous women who attempted labour after prior caesarean (TOLAC) (n = 1747). The rate of instrumental deliveries was higher in the TOLAC group compared to nulliparous gravidas (17.3 vs. 15% respectively, p = 0.001). The difference was more prominent for women who eventually had successful vaginal delivery (TOLAC: 23.9% vs. CONTROLS: 17.1%, p < 0...
January 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28219015/the-expectations-of-antenatal-screening-and-experiences-of-the-first-trimester-screening-scan
#5
Maarit Nykänen, Katri Vehviläinen-Julkunen, Reija Klemetti
AIM: to describe the expectations to and knowledge of antenatal screening of expecting parents, and their experiences concerning the first-trimester screening scan. DESIGN: survey study with a consecutive sampling method. SETTING: two hospital districts in Finland, namely the capital area and Eastern Finland. Together these two districts include the six different municipal units in which the first-trimester screening scans discussed in the study were done during spring 2015...
February 15, 2017: Midwifery
https://www.readbyqxmd.com/read/28215891/thoracic-ultrasound-assessment-of-lung-consolidation-at-weaning-in-holstein-dairy-heifers-reproductive-performance-and-survival
#6
A G V Teixeira, J A A McArt, R C Bicalho
The objective of this study was to determine the association of lung consolidation at weaning with later reproductive performance and survival. Ultrasonography of the lungs was performed at 60 d of life in recently weaned Holstein heifer calves from a single farm in New York State. Thoracic screening covered the right 2nd through 10th and left 3rd through 9th intercostal spaces and was performed using a 6.2-MHz linear transducer. Each calf was classified as not having lung consolidation (hyperechoic line with reverberation artifact with or without comet tail) or with lung consolidation (any detectable heterogeneous hypoechoic area)...
February 16, 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/28214494/intravenous-leiomyomatosis-of-the-subclavian-vein
#7
Huimin Fang, Yun You, Fei Cai, Yunsong Yang, Chao Yang, Ping Lv
Intravenous leiomyomatosis is a benign smooth muscle tumor that often occurs in the internal iliac vein and is closely associated with a fibroid. Intravenous leiomyomatosis usually starts in the veins of the uterus. It can grow within the veins and extend into the inferior vena cava and ultimately extend into the right-sided heart chambers and pulmonary arteries. Other sites are less common, and a venous primary site is very rare. We report a case of subclavian vein tumor that was diagnosed as an unusual leiomyoma in a 21-year-old nulliparous woman...
March 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28213060/prediction-of-cesarean-delivery-in-the-term-nulliparous-woman-results-from-the-prospective-multi-center-genesis-study
#8
Naomi Burke, Gerard Burke, Fionnuala Breathnach, Fionnuala Mcauliffe, John J Morrison, Michael Turner, Samina Dornan, John R Higgins, Amanda Cotter, Michael Geary, Peter Mcparland, Sean Daly, Fiona Cody, Pat Dicker, Elizabeth Tully, Fergal D Malone
BACKGROUND: In contemporary practice many nulliparous women require intervention during childbirth such as operative vaginal delivery or Cesarean delivery (CD). Despite the knowledge that the rising CD rate is associated with increasing maternal age, obesity and larger infant birthweight, we lack a reliable method to predict the requirement for such potentially hazardous obstetric procedures during labor and delivery. This issue is important as there are higher rates of morbidity and mortality associated with unplanned CD performed in labor compared to scheduled Cesarean deliveries...
February 14, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28212108/the-association-between-pre-pregnancy-obesity-and-screening-results-of-depression-for-all-trimesters-of-pregnancy-postpartum-and-1-year-after-birth-a-cohort-study
#9
Hanieh Salehi-Pourmehr, Sakineh Mohammad-Alizadeh, Nayyer Jafarilar-Agdam, Somayyeh Rafiee, Azizeh Farshbaf-Khalili
OBJECTIVE: To determine the relationship between pre-pregnancy obesity and screening results of gestational and post-delivery depression in women referred to the health centers of Tabriz, Iran. METHODS: In this cohort study, 62 and 245 pregnant women with class 2-3 obesity [body mass index (BMI)≥35 kg/m2] and normal-weight (BMI 18.5-24.9 kg/m2) were enrolled, respectively, in the first trimester of pregnancy from December 2012 to January 2016. For matching of groups, nulliparous and multiparous mothers aged 18-35 years were selected with the ratio of 1:4 in obese and normal BMI groups from the same recruitment center and to controlling the confounder factors, inclusion criteria were considered...
February 17, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/28208158/epidemiologic-factors-that-predict-long-term-survival-following-a-diagnosis-of-epithelial-ovarian-cancer
#10
Shana J Kim, Barry Rosen, Isabel Fan, Anna Ivanova, John R McLaughlin, Harvey Risch, Steven A Narod, Joanne Kotsopoulos
BACKGROUND: Various epidemiologic factors have been shown to influence the risk of ovarian cancer development. Given the high fatality associated with this disease, it is of interest to evaluate the association of prediagnostic hormonal, reproductive, and lifestyle exposures with ovarian cancer-specific survival. METHODS: We included 1421 patients with invasive epithelial ovarian cancer diagnosed in Ontario, Canada. Clinical information was obtained from medical records and prediagnostic exposure information was collected by telephone interview...
February 16, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28208053/retrospective-cohort-study-of-hydrotherapy-in-labor
#11
Jennifer Vanderlaan
OBJECTIVE: To describe the use of hydrotherapy for pain management in labor. DESIGN: This was a retrospective cohort study. SETTING: Hospital labor and delivery unit in the Northwestern United States, 2006 through 2013. PARTICIPANTS: Women in a nurse-midwifery-managed practice who were eligible to use hydrotherapy during labor. METHODS: Descriptive statistics were used to report the proportion of participants who initiated and discontinued hydrotherapy and duration of hydrotherapy use...
February 13, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28198038/likelihood-of-cesarean-delivery-after-applying-leading-active-labor-diagnostic-guidelines
#12
Jeremy L Neal, Nancy K Lowe, Julia C Phillippi, Sharon L Ryan, Amy M Knupp, Mary S Dietrich, Stephen F Thung
BACKGROUND: Friedman, the United Kingdom's National Institute for Health and Care Excellence (NICE), and the American College of Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine (ACOG/SMFM) support different active labor diagnostic guidelines. Our aims were to compare likelihoods for cesarean delivery among women admitted before vs in active labor by diagnostic guideline (within-guideline comparisons) and between women admitted in active labor per one or more of the guidelines (between-guideline comparisons)...
February 15, 2017: Birth
https://www.readbyqxmd.com/read/28188301/hospital-variations-in-unexpected-complications-among-term-newborns
#13
Yuri V Sebastião, Lindsay S Womack, Humberto López Castillo, Maya Balakrishnan, Karen Bruder, Paige Alitz, Linda A Detman, Emily A Bronson, John S Curran, William M Sappenfield
OBJECTIVES: To examine contributing factors and potential reasons for hospital differences in unexpected newborn complication rates in Florida. METHODS: We conducted a population-based retrospective cohort study of linked birth certificate and hospital discharge records from 2004 to 2013. The study population included 1 604 774 term, singleton live births in 124 hospitals. Severe and moderate complications were identified via a published algorithm. Logistic mixed-effects models were used to examine risk factors for complications and to estimate the percentage of hospital variation explained by factors...
February 10, 2017: Pediatrics
https://www.readbyqxmd.com/read/28187401/a-preliminary-study-to-assess-the-impact-of-maternal-age-on-stress-related-variables-in-healthy-nulliparous-women
#14
Ana García-Blanco, Alberto Monferrer, Jorge Grimaldos, David Hervás, Vicent Balanzá-Martínez, Vicente Diago, Máximo Vento, Consuelo Cháfer-Pericás
PURPOSE: Childbearing age has progressively increased in industrialized countries. The impact of this delay on motherhood, however, requires further research. METHODS: The study sample included a prospective cohort of healthy nulliparous pregnant women aged between 18 and 40 years (n=148) assessed at 38 weeks gestation (Time#1, T1), 48h after birth (Time#2, T2), and 3 months after birth (Time#3, T3). The effect of age on psychological, biological, and social variables was evaluated...
January 24, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/28187344/evaluation-of-implementing-a-community-based-exercise-intervention-during-pregnancy
#15
Lene A H Haakstad, Birgitte Sanda, Ingvild Vistad, Linda Reme Sagedal, Hilde Lohne Seiler, Monica K Torstveit
OBJECTIVE: to evaluate the implementation of a community-based exercise intervention (the Norwegian Fit for Delivery study) during pregnancy. DESIGN: descriptive, explorative. SETTING: healthcare clinics in southern Norway, including urban and rural settings. PARTICIPANTS: healthy, nulliparous women with singleton pregnancy of ≤20 gestational weeks, age ≥18 years and body mass index ≥19kg/m(2). METHODS: women were randomised to either twice-weekly supervised exercise sessions combined with nutritional counselling (n=303) or standard prenatal care (n=303)...
January 21, 2017: Midwifery
https://www.readbyqxmd.com/read/28180019/spontaneous-pushing-in-lateral-position-versus-valsalva-maneuver-during-second-stage-of-labor-on-maternal-and-fetal-outcomes-a-randomized-clinical-trial
#16
Farideh Vaziri, Amene Arzhe, Nasrin Asadi, Saeedeh Pourahmad, Zeinab Moshfeghy
BACKGROUND: There are concerns about the harmful effects of the Valsalva maneuver during the second stage of labor. OBJECTIVES: Comparing the effects of spontaneous pushing in the lateral position with the Valsalva maneuver during the second stage of labor on maternal and fetal outcomes. METHODS: Inclusion criteria in this randomized clinical trial conducted in Iran were as follows: nulliparous mothers, live fetus with vertex presentation, gestational age of 37 - 40 weeks, spontaneous labor, and no complications...
October 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/28178064/association-between-senior-obstetrician-supervision-of-resident-deliveries-and-mode-of-delivery
#17
Jonah Bardos, Holly Loudon, Patricia Rekawek, Frederick Friedman, Michael Brodman, Nathan S Fox
OBJECTIVE: In December 2012, the Mount Sinai Hospital implemented a program to have senior obstetricians (more than 20 years of experience) supervise residents on labor and delivery during the daytime. The objective of this study was to estimate the association of resident supervision by senior obstetricians with mode of delivery. METHODS: This was a retrospective cohort study of all resident deliveries at Mount Sinai from July 2011 to June 2015. We included all patients with live, term, singleton, vertex fetuses...
March 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28176944/parity-association-with-clinicopathological-factors-in-invasive-breast-cancer-a-retrospective-analysis
#18
Sandi Shen, Shizhen Zhong, Gaofang Xiao, Haibo Zhou, Wenhua Huang
The aim of this study was to determine the relationship between parity and age at diagnosis, primary tumor size, axillary lymph node (ALN) metastasis, histological grade, and subtype classification in patients with breast cancer. Data from 392 patients with invasive breast cancer were collected and divided into four groups: nulliparous (parity 0), parity 1, parity 2, and parity ≥3. The relationship between parity and age at diagnosis was assessed using post hoc Dunnett's T3 test, and tumor size, the number of ALN metastases, and histological grade were analyzed using Spearman's rho test...
2017: OncoTargets and Therapy
https://www.readbyqxmd.com/read/28176334/cesarean-section-trends-in-the-nordic-countries-a-comparative-analysis-with-the-robson-classification
#19
Aura Pyykönen, Mika Gissler, Ellen Løkkegaard, Thomas Bergholt, Steen C Rasmussen, Alexander Smárason, Ragnheiður I Bjarnadóttir, Birna Björg Másdóttir, Karin Källén, Kari Klungsoyr, Susanne Albrechtsen, Finn Egil Skjeldestad, Anna-Maija Tapper
INTRODUCTION: The cesarean rates are low but increasing in most Nordic countries. Using the Robson classification, we analyzed which obstetric groups have contributed to the changes in the cesarean rates. MATERIAL AND METHODS: Retrospective population-based registry study including all deliveries (3,398,586) between 2000 and 2011 in Denmark, Finland, Iceland, Norway and Sweden. The Robson group distribution, cesarean rate and contribution of each Robson group were analyzed nationally for four three-year time periods...
February 7, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28168656/the-impact-of-mode-of-delivery-on-the-sexual-function-of-primiparous-women-a-prospective-study
#20
Ilker Kahramanoglu, Merve Baktiroglu, Kubra Hamzaoglu, Ozge Kahramanoglu, Fatma Ferda Verit, Oguz Yucel
AIM: The purpose of this study was to evaluate the impact of mode of delivery on the sexual function of women using the Female Sexual Function Index (FSFI). METHODS: This was a prospective study of 452 nulliparous women, comparing their sexual function before and after birth. A Turkish version of the FSFI questionnaire was administered within the first 8 weeks of pregnancy, at 3 and 6 months postpartum in a face-to-face manner and subsequently at the 12th month and 24th month over the telephone...
February 6, 2017: Archives of Gynecology and Obstetrics
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