keyword
https://read.qxmd.com/read/38484254/pelvic-floor-physical-therapy-attendance-among-high-risk-postpartum-patients
#1
JOURNAL ARTICLE
Coralee Toal, Noa Goodman, Rachel Durst, Lauren Giugale
IMPORTANCE: Limited data describe attendance to pelvic floor physical therapy (PFPT) in a postpartum patient population. OBJECTIVES: The objective was describe attendance to PFPT in a cohort of postpartum women at high-risk of pelvic floor concerns. We secondarily compared attendance between patients with and without evaluation in a postpartum pelvic floor healing clinic (PPFHC). STUDY DESIGN: This was a retrospective cohort study of 2 convenience samples from an academic hospital...
March 1, 2024: Urogynecology (Phila)
https://read.qxmd.com/read/38462264/the-odonassist-inflatable-device-for-assisted-vaginal-birth-the-assist-ii-study-united-kingdom
#2
RANDOMIZED CONTROLLED TRIAL
Emily J Hotton, Nichola Bale, Claire Rose, Paul White, Julia Wade, Nicolas Mottet, Abi J Loose, Mohamed Elhodaiby, Erik Lenguerrand, Tim J Draycott, Joanna F Crofts
BACKGROUND: Decreasing rates of assisted vaginal birth have been paralleled with increasing rates of cesarean deliveries over the last 40 years. The OdonAssist is a novel device for assisted vaginal birth. Iterative changes to clinical parameters, device design, and technique have been made to improve device efficacy and usability. OBJECTIVE: This study aimed to determine if the feasibility, safety, and efficacy of the OdonAssist device were sufficient to justify conducting a future randomized controlled trial...
March 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38462251/parturition-at-term-induction-second-and-third-stages-of-labor-and-optimal-management-of-life-threatening-complications-hemorrhage-infection-and-uterine-rupture
#3
EDITORIAL
Roberto Romero, Virginia Sabo Romero, Karim D Kalache, Joanne Stone
Childbirth is a defining moment in anyone's life, and it occurs 140 million times per year. Largely a physiologic process, parturition does come with risks; one mother dies every two minutes. These deaths occur mostly among healthy women, and many are considered preventable. For each death, 20 to 30 mothers experience complications that compromise their short- and long-term health. The risk of birth extends to the newborn, and, in 2020, 2.4 million neonates died, 25% in the first day of life. Hence, intrapartum care is an important priority for society...
March 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38441866/first-and-second-stage-risk-factors-associated-with-perineal-lacerations
#4
JOURNAL ARTICLE
Alexander M Saucedo, Methodius G Tuuli, W Thomas Gregory, Holly E Richter, Jerry L Lowder, Candice Woolfolk, Aaron B Caughey, Sindhu K Srinivas, Alan T N Tita, George A Macones, Alison G Cahill
OBJECTIVE: To determine intrapartum factors associated with perineal laceration at delivery. METHODS: This was a planned secondary analysis of a multicenter randomized clinical trial of delayed versus immediate pushing among term nulliparous women in labor with neuraxial analgesia conducted in the United States. Intrapartum characteristics were extracted from the medical charts. The primary outcome was perineal laceration, defined as second degree or above, characterized at delivery in women participating in longer term pelvic floor assessments post-delivery...
March 5, 2024: Maternal and Child Health Journal
https://read.qxmd.com/read/38434131/structured-workshop-for-repair-of-high-grade-perineal-lacerations-among-obstetrics-and-gynecology-residents-the-need-for-repetition-and-retraining
#5
JOURNAL ARTICLE
Zinat Ghanbari, Arefeh Eshghinejad, Marjan Ghaemi, Alireza Hadizadeh, Khadijeh Adabi, Nafiseh Hivechi, Maryam Yazdizadeh, Maryam Deldar Pasikhani
OBJECTIVE: The objective of this study was to evaluate the effectiveness of structured workshops in improving the knowledge and skills of obstetrics and gynecology residents for repairing high-grade perineal lacerations. MATERIALS AND METHODS: This quasi-experimental multicenter study evaluated the baseline knowledge of obstetrics and gynecology residents using an online patient-management problem (PMP) tool. After the initial evaluation, a workshop was conducted using sponge models to teach the practical technique for repairing high-grade perineal lacerations, including external and internal anal sphincter repair...
February 2024: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/38409800/incidence-of-shoulder-dystocia-and-risk-factors-for-recurrence-in-the-subsequent-pregnancy-a-historical-register-based-cohort-study
#6
JOURNAL ARTICLE
Maria Jeppegaard, Marie H Larsen, Amalie B Thams, Amalie B Schmidt, Steen C Rasmussen, Lone Krebs
INTRODUCTION: Shoulder dystocia is a rare obstetric complication, and the risk of recurrence is important for planning future deliveries. MATERIAL AND METHODS: The objectives of our study were to estimate the incidence and risk factors for recurrence of shoulder dystocia and to identify women at high risk of recurrence in a subsequent vaginal delivery. The study design was a nationwide register-based study including data from the Danish Medical Birth Registry and National Patient Register in the period 2007-2017...
February 26, 2024: Acta Obstetricia et Gynecologica Scandinavica
https://read.qxmd.com/read/38386227/the-da-vinci-robotic-surgery-system-for-the-management-of-endometrial-cancer-a-single-center-experience
#7
JOURNAL ARTICLE
Hassan M Latifah, Mahmoud Anis Khan, Farah Nadreen, Abdullah Latifah, Alanoud Asaad, Saeed Baradwan
The aim of this study was to report our single-center experience of the da Vinci robotic surgery system in the management of endometrial cancer (EC) patients during 2019-2023. We descriptively summarized the preoperative, intraoperative, and postoperative outcomes. Moreover, we conducted subgroup analyses based on obesity (BMI ≥ 30 kg/m2 ) and the intraoperative use of indocyanine green dye (ICG). Overall, 100 patients were analyzed. Eighty-five patients (85%) were obese. The mean operative time and estimated blood loss (EBL) were 240...
February 22, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38375535/pelvic-floor-dysfunction-after-intervention-compared-with-expectant-management-in-prolonged-second-stage-of-labour-a-population-based-questionnaire-and-cohort-study
#8
JOURNAL ARTICLE
Sandra Bergendahl, Anna Sandström, Hongwei Zhao, Jonathan M Snowden, Sophia Brismar Wendel
OBJECTIVE: To investigate the effect of vacuum extraction (VE) or caesarean section (CS), compared with expectant management, on pelvic floor dysfunction (PFD) 1-2 years postpartum in primiparous women with a prolonged second stage of labour. DESIGN: A population-based questionnaire and cohort study. SETTING: Stockholm, Sweden. POPULATION: A cohort of 1302 primiparous women with a second stage duration of ≥3 h, delivering from December 2017 to November 2018...
February 20, 2024: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/38363949/a-case-report-of-vaginal-delivery-in-the-second-trimester-of-severe-uterine-prolapse-complicated-with-cervical-incarceration
#9
JOURNAL ARTICLE
Xiaoyue Yang, Tongfu Feng
BACKGROUND: Uterine prolapse is a rare complication of pregnancy, and there is still no consensus on the choice of delivery method. METHODS: The patient's reproductive history included an abortion and eutocic delivery of a girl weighing 3200 g; the current pregnancy was the third pregnancy. Her cervical region was outside the vaginal opening and was red in color, with evident enlargement (6 × 4 cm) and a broken surface. The cervical area also showed white discharge...
February 16, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38314771/maternal-obstetrical-and-neonatal-outcomes-in-celiac-disease
#10
JOURNAL ARTICLE
Khaled Alsabbagh Alchirazi, Claire Jansson-Knodell, Yazan Abu-Omar, Mohammad Aldiabat, Andrew Ford, Ahmed Telbany, Thabet Qapaja, Osama Hamid, Osama Abu Shawer, Alberto Rubio-Tapia
OBJECTIVES: Some studies have suggested a link between celiac disease (CD) and adverse maternal, obstetrical, and neonatal outcomes. Using a large database, we evaluated the effect of CD on pregnancy outcomes. METHODS: We conducted a retrospective cohort study using the National Inpatient Sample (NIS) of all deliveries from 2015 to 2019 in the United States. Using ICD-10 codes, we identified pregnant patients who had CD and those who did not. A multivariate logistic regression was used to generate odds ratios (ORs) with 95% confidence intervals (CIs) for maternal, obstetrical, and neonatal outcomes...
February 5, 2024: Scandinavian Journal of Gastroenterology
https://read.qxmd.com/read/38305584/occurrence-and-risk-factors-for-second-degree-perineal-tears-a-prospective-cohort-study-using-a-detailed-classification-system
#11
JOURNAL ARTICLE
Marthe D Macedo, Jeanette Risløkken, Tuva Halle, Marie Ellström Engh, Franziska Siafarikas
BACKGROUND: The amount of tissue trauma within second-degree perineal tears varies widely. Therefore, subcategorization of second-degree tears and a better understanding of their occurrence and risk factors are needed. The aim of this study was to assess the occurrence of perineal tears when second-degree tears were subcategorized. Furthermore, we aimed to assess the association between variables related to perineal anatomy and other potential risk factors, with second-degree tear subcategories...
February 2, 2024: Birth
https://read.qxmd.com/read/38289443/death-and-injuries-caused-by-cattle-a-forensic-overview
#12
REVIEW
Roger W Byard
Lethal episodes arising from interactions with cattle may be the result of a response of the animals to simple handling and herding, or from reactions to deliberate provocation or goading intended to incite aggressive behavior for public entertainment purposes. Deaths may be considered to be unprovoked and unanticipated, or provoked and predictable. Cattle cause significant numbers of deaths globally and are considered the most dangerous large animal in Britain. Behavior may be unpredictable even in apparently docile domesticated animals, and attacks may be by a single animal or a herd and result in injuries from kicking, head/butting/charging, stomping, goring, and crushing...
January 30, 2024: Forensic Science, Medicine, and Pathology
https://read.qxmd.com/read/38283323/asian-white-disparities-in-obstetric-anal-sphincter-injury-a-systematic-review-and-meta-analysis
#13
REVIEW
Meejin Park, Susitha Wanigaratne, Rohan D'Souza, Roxana Geoffrion, Sarah Williams, Giulia M Muraca
OBJECTIVE: Obstetrical anal sphincter injury describes a severe injury to the perineum and perianal muscles after birth. Obstetrical anal sphincter injury occurs in approximately 4.4% of vaginal births in the United States; however, racial and ethnic inequities in the incidence of obstetrical anal sphincter injury have been shown in several high-income countries. Specifically, an increased risk of obstetrical anal sphincter injury in individuals who identify as Asian vs those who identify as White has been documented among residents of the United States, Australia, Canada, Western Europe, and the Scandinavian countries...
February 2024: AJOG global reports
https://read.qxmd.com/read/38262232/maternal-outcomes-using-delayed-pushing-versus-immediate-pushing-in-the-second-stage-of-labour-an-umbrella-review
#14
REVIEW
Paula Deusa-López, Ferran Cuenca-Martínez, Vanessa Sánchez-Martínez, Núria Sempere-Rubio
INTRODUCTION: Different systematic reviews have been developed in the last decades about maternal risks of immediate pushing and delayed pushing, depending on the duration of the second stage of labour, but they do not provide conclusive evidence. AIM: The main aim of this overview of systematic reviews was to assess the maternal outcomes using delayed pushing and immediate pushing in the second stage of labour in women receiving epidural analgesia. METHODS: We searched systematically in PubMed (Medline), EMBASE, CINAHL, and Scopus (October 26th, 2023)...
January 14, 2024: International Journal of Nursing Studies
https://read.qxmd.com/read/38248761/the-utility-of-co-2-laser-treatment-of-pelvic-symptoms-in-women-with-previous-perineal-trauma-during-delivery
#15
JOURNAL ARTICLE
Maurizio Filippini, Roberto Angioli, Daniela Luvero, Margaret Sammarini, Giovanna De Felice, Silvia Latella, Neila Maria de Góis Speck, Miriam Farinelli, Francesco Giuseppe Martire, Ferdinando Antonio Gulino, Giosuè Giordano Incognito, Stella Capriglione
This study aimed to examine the impact of fractional CO2 laser treatment of pelvic symptoms in women who have undergone perineal trauma from vaginal delivery. It was a retrospective, monocentric analysis that encompassed all women assessed for pelvic discomfort or signs of vulvovaginal atrophy following vaginal delivery between 2013 and 2018. The severity of symptoms was assessed using the Visual Analogue Scale (VAS). Twenty-seven patients met the inclusion criteria and were sorted into two groups: (1) women who had undergone episiotomies during labor ( n = 11); and (2) women who had experienced spontaneous tears during vaginal delivery ( n = 16)...
December 30, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/38173883/a-rare-case-of-massive-intrapartum-hemorrhage-followed-by-inner-myometrial-laceration-during-a-vaginal-delivery-a%C3%A2-case-report
#16
Bahareh Khakifirooz, Arian Shojaei, Amirhossein Hajialigol
KEY CLINICAL MESSAGE: Considering the laceration of the inner layer of the myometrium as an important and controllable cause of bleeding during childbirth can lead to saving the mother's life. ABSTRACT: Laceration of the inner layer of the myometrium can cause massive bleeding during and after childbirth, which can lead to the death of the mother if it is not diagnosed in time.we presented a rare case of massive intrapartum bleeding following myometrial laceration that diagnosed correctly and the patient survived with in-time treatments...
January 2024: Clinical Case Reports
https://read.qxmd.com/read/38172805/pelvic-floor-function-after-third-and-fourth-degree-perineal-lacerations-a-case-control-study-on-quality-of-life
#17
JOURNAL ARTICLE
Andrea Sartore, Maria Sole Scalia, Francesco Paolo Mangino, Giulia Savastano, Elena Magni, Giuseppe Ricci
BACKGROUND: The primary aim of this study was to compare the quality of life between women with obstetric anal sphincter injury (OASI) and women with intact perineum or minor vaginal tears following their first vaginal birth through a validated urogynaecological questionnaire. As a secondary aim, we wanted to identify the specific symptoms for pelvic floor dysfunction after a vaginal birth. METHODS: One hundred thirty-three cases (III- and IV-degree vaginal tears) and 133 controls (intact perineum or I- and II-degree vaginal tear) were asked to fill the PFDI-20 condition-specific and quality of life survey at three and 12 months after vaginal delivery...
January 3, 2024: BMC Women's Health
https://read.qxmd.com/read/38158784/drivers-of-variation-in-postpartum-opioid-prescribing-across-hospitals-participating-in-a-statewide-maternity-care-quality-collaborative
#18
JOURNAL ARTICLE
Alex F Peahl, Lisa Kane Low, Elizabeth S Langen, Michelle H Moniz, Bryan Aaron, Hsou Mei Hu, Jennifer Waljee, Courtney Townsel
BACKGROUND: We describe variation in postpartum opioid prescribing across a statewide quality collaborative and assess the proportion due to practitioner and hospital characteristics. METHODS: We assessed postpartum prescribing data from nulliparous, term, singleton, vertex births between January 2020 and June 2021 included in the clinical registry of a statewide obstetric quality collaborative funded by Blue Cross Blue Shield of Michigan. Data were summarized using descriptive statistics...
December 30, 2023: Birth
https://read.qxmd.com/read/38134086/maternal-and-neonatal-consequences-of-cystocele-and-rectocele-in-the-delivery-process
#19
JOURNAL ARTICLE
Yusuf Başkiran, Kazim Uçkan, İzzet Çeleğen, Fatma Başak Tanoğlu
The study aimed to investigate the effects of cystocele and rectocele on the stages of vaginal birth and maternal and newborn outcomes. A total of 672 multiparous pregnant women between the ages of 18 to 40 who underwent normal vaginal delivery in our tertiary center between November 2022 and February 2023, were included in this prospective study. Among the participants, 348 (51.8%) had no abnormalities, 78 (11.6%) had rectocele only, 112 (16.7%) had cystocele only, and 134 (19.9) had both cystocele and rectocele...
December 22, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38125555/measurement-of-perineal-tears-as-an-additional-tool-for-laceration-assessment-during-vaginal-birth
#20
JOURNAL ARTICLE
Maristela B M Urasaki, Marlise O P Lima, Roselane Gonçalves, Natalucia M Araújo, Carolina G S Pereira
INTRODUCTION: Spontaneous lacerations at vaginal birth are everyday events, but their classification and management still challenge midwifery care. This study aims to measure and describe first-degree and second-degree perineal lacerations resulting from vaginal birth, describe their repair, and the education provided for care. METHODS: A descriptive study was conducted in a public maternity hospital in São Paulo, Brazil, with 87 parturients. Data were collected between October 2017 and June 2018 using a structured instrument containing obstetric variables and a description of lacerations...
2023: European journal of midwifery
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