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Birth, labor and delivery

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https://www.readbyqxmd.com/read/29909749/a-comparison-of-maternal-and-neonatal-outcomes-with-forceps-delivery-versus-cesarean-delivery
#1
Xiaohua Liu, Mark B Landon, Weiwei Cheng, Yan Chen
OBJECTIVE: To compare maternal and neonatal outcomes by forceps vaginal delivery versus cesarean delivery during the second stage of labor. METHODS: We conducted a retrospective cohort study in a large tertiary maternity center in Shanghai, China through 2007-2016. A total of 7046 women carrying a singleton term nonanomalous fetus with vertex presentation who underwent forceps vaginal delivery, or cesarean delivery from a low station in the second stage of labor were included...
June 18, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29909269/can-uterocervical-angles-successfully-predict-induction-of-labor-in-nulliparous-women
#2
Emrah Dagdeviren, Berna Aslan Çetin, Begum Aydogan Mathyk, Nadiye Koroglu, Elif Goknur Topcu, Mehmet Aytac Yuksel
PURPOSE: Induction of labor is a common practice in obstetrics. In recent years, a newer ultrasonographic parameter called the uterocervical angle (UCA) has been identified as a predictive tool for births. Our purpose is to investigate the role of UCA in predicting successful induction of labor. METHODS: The nulliparous term pregnancies (n:150) were grouped into successful/failed inductions of labor based on their progress into the active phase of labor after the administration of prostaglandin E2 (dinoprostone)...
June 11, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29902983/health-providers-pass-knowledge-and-abilities-acquired-by-training-in-obstetric-emergencies-to-their-peers-the-average-treatment-on-the-treated-effect-of-pronto-on-delivery-attendance-in-mexico
#3
Jimena Fritz, Héctor Lamadrid-Figueroa, Gustavo Angeles, Alejandra Montoya, Dilys Walker
BACKGROUND: A significant proportion of newborn and maternal deaths can be prevented through simple and cost-effective strategies. The main aim of this study was to evaluate the impact of the PRONTO obstetric-emergency management training for improving evidence-based birth attendance practices among providers attending the training at 12 hospitals in three states of Mexico from 2010 to 2012, and to estimate dissemination of the training within the hospitals. METHODS: The average treatment on the treated effect of the PRONTO intervention for the probability of performing certain practices during birth attendance was estimated in a sample of 310 health providers...
June 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29902446/a-conceptual-framework-for-the-impact-of-obesity-on-risk-of-cesarean-delivery
#4
Anna Joy G Rogers, Lorie M Harper, Giancarlo Mari
Cesarean deliveries accounted for 32.2% of nearly 4 million births in the United States in 2014. Obesity affects a third of reproductive age women and is associated with worse cesarean delivery outcomes. Studies have shown that increasing maternal body mass index correlates linearly with cesarean delivery rates, but little is known about the potential mediating and moderating mechanisms. Thus, a conceptual framework for understanding how obesity correlates with risk of cesarean delivery is crucial to determining safe ways to reduce the cesarean delivery rate among obese gravidas...
June 11, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29900579/women-s-experiences-with-water-birth-a-matched-groups-prospective-study
#5
Anthony Lathrop, Carrie F Bonsack, David M Haas
BACKGROUND: Water birth has become an increasingly popular childbirth option, but has also come under scrutiny because of its possible risks and benefits. The primary objective of this study was to explore potential benefits of water birth by comparing the experiences of women who gave birth in water versus conventionally. We also compared maternal and newborn outcomes. METHODS: We performed a prospective study of 66 women who had water births and 132 who had conventional births...
June 13, 2018: Birth
https://www.readbyqxmd.com/read/29899607/improvements-in-essential-newborn-care-and-newborn-resuscitation-services-following-a-capacity-building-and-quality-improvement-program-in-three-districts-of-uttar-pradesh-india
#6
Manoja Kumar Das, Chetna Chaudhary, Sadhu Charan Mohapatra, Vinod Kumar Srivastava, Najam Khalique, Santosh Kumar Kaushal, Rajesh Khanna, Surojit Chatterji
Background: Neonatal death remains a global challenge contributing to 45% of underfive deaths. With rising institutional delivery, to accelerate decline in neonatal mortality rate (NMR) improvement in the quality of perinatal care requires attention. Objectives: This implementation research targeted improving service delivery readiness for quality of newborn care at public health facilities in three districts of Uttar Pradesh, India, with high NMR. Materials and Methods: This before-after study assessed the facility readiness and quality of newborn services at 42 health facilities...
April 2018: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29895276/improvement-in-the-active-management-of-the-third-stage-of-labor-for-the-prevention-of-postpartum-hemorrhage-in-tanzania-a-cross-sectional-study
#7
Dunstan R Bishanga, John Charles, Gaudiosa Tibaijuka, Rita Mutayoba, Mary Drake, Young-Mi Kim, Marya Plotkin, Neema Rusibamayila, Barbara Rawlins
BACKGROUND: Tanzania has a maternal mortality ratio of 556 per 100,000 live births, representing 21% of all deaths of women of reproductive age. Hemorrhage, mostly postpartum hemorrhage (PPH), is estimated to cause at least 25% of maternal deaths in Tanzania. In 2008, the Ministry of Health, Community Development, Gender, Elderly and Children launched interventions to improve efforts to prevent PPH. Competency-based training for skilled birth attendants and ongoing quality improvement prioritized the practice of active management of the third stage of labor (AMTSL)...
June 13, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29889761/association-of-obstetrician-gender-with-obstetric-interventions-and-outcomes
#8
Lynn M Yee, Emily S Miller
OBJECTIVE: To estimate whether there are differences in obstetric interventions or outcomes by the gender of the delivering physician. METHODS: We conducted a retrospective cohort study of all nulliparous women delivering singleton, vertex, live births at 37 weeks of gestation or greater at a tertiary care institution (2014-2015). Patient clinical characteristics were analyzed by delivering physician gender. The primary outcomes were delivery mode and episiotomy...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29889747/evaluation-of-a-quality-improvement-intervention-to-increase-vaginal-birth-for-twins
#9
Sarah Rae Easter, Carolina Bibbo, Danielle Panelli, Sarah E Little, Daniela Carusi, Julian N Robinson
OBJECTIVE: To evaluate whether there was an association between the systematic promotion of twin vaginal delivery and an increase in the rates of twin vaginal birth. METHODS: We conducted a retrospective cohort study. We implemented a quality improvement initiative promoting twin vaginal delivery at an academic tertiary care center in 2013. The program included a needs assessment, simulation of vaginal twin delivery, online educational material, and the expansion of a dedicated twin clinic...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29886811/an-integrated-model-with-classification-criteria-to-predict-vaginal-delivery-success-after-cesarean-section
#10
Sebastian Manzanares, Susana Ruiz-Duran, Andrea Pinto, Alicia Pineda, Alberto Puertas, Sebastian Manzanares
BACKGROUND: Cesarean delivery (CD) is the most frequently performed surgical procedure worldwide. Trial of labor after cesarean (TOLAC) is associated with an increase in perinatal complications related to uterine rupture. However, in general, vaginal birth after cesarean (VBAC) is considered safe and women have less morbidity than those who undergo an elective repeat cesarean delivery. OBJECTIVE: To develop an integrated model with the best performance criteria for predicting vaginal delivery success after cesarean delivery...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29886805/psychosocial-and-biological-paternal-role-in-pregnancy-outcomes
#11
Maryam Kashanian, Masoomeh Faghankhani, Hasti Hadizadeh, MMasoud Salehi, Masoomeh YousefzadehRoshan, Mohammad EhsaniPour, Ladan Sayyah, Narges Sheikhansari
BACKGROUND: Pregnancy outcomes are affected by many different factors. One of the influential factors on pregnancy outcomes is the male partner as an important person to mother's wellbeing. OBJECTIVE: The aim of the present study was to investigate the effects of male partner's role including socioeconomic support, emotional support, accompanying pregnant women during prenatal care visits (PNC) and labor, and the level of pregnant women's satisfaction from their partners' support and involvement during pregnancy on pregnancy outcomes...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29886800/does-fetal-sex-affect-placental-delivery-times-a-prospective-observational-study
#12
Gökhan Tosun, Abdurrahman İnan, Göksel Kanmaz, Alper Biler, Alper İleri, Emrah Beyan, Ibrahim Egemen Ertas
OBJECTIVE: The aim of this study was to determine the potential effect of fetal sex on placental delivery times. STUDY DESIGN: This was a prospective observational study of term, singleton, and primiparous pregnant women who underwent vaginal delivery and subsequently delivered a phenotypically normal live infant. Women with labor or pregnancy complications and comorbid diseases were excluded. Women with factors that could lengthen the placental delivery time were also excluded...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29886774/labor-induction-in-indicated-moderate-to-late-preterm-birth
#13
Charline Bertholdt, Olivier Morel, Matthieu Dap, Marion Choserot, Hélène Minebois
INTRODUCTION: The primary objective of the study was to evaluate the success of labor induction for indicated moderate and late preterm birth. As secondary objectives, the mode of delivery was assessed. MATERIAL AND METHODS: This is an observational study conducted in a tertiary care unit between 2013 and 2015. All patients who underwent labor induction for indicated preterm birth between 32 + 0 and 36 + 6 weeks of gestation (as premature rupture of membranes, preeclampsia, intrauterine growth restriction, fetomaternal alloimmunization, or intrahepatic cholestasis) were included...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29880692/noninvasive-blood-tests-for-fetal-development-predict-gestational-age-and-preterm-delivery
#14
Thuy T M Ngo, Mira N Moufarrej, Marie-Louise H Rasmussen, Joan Camunas-Soler, Wenying Pan, Jennifer Okamoto, Norma F Neff, Keli Liu, Ronald J Wong, Katheryne Downes, Robert Tibshirani, Gary M Shaw, Line Skotte, David K Stevenson, Joseph R Biggio, Michal A Elovitz, Mads Melbye, Stephen R Quake
Noninvasive blood tests that provide information about fetal development and gestational age could potentially improve prenatal care. Ultrasound, the current gold standard, is not always affordable in low-resource settings and does not predict spontaneous preterm birth, a leading cause of infant death. In a pilot study of 31 healthy pregnant women, we found that measurement of nine cell-free RNA (cfRNA) transcripts in maternal blood predicted gestational age with comparable accuracy to ultrasound but at substantially lower cost...
June 8, 2018: Science
https://www.readbyqxmd.com/read/29880182/pregnancy-and-childbirth-in-a-patient-with-multiple-sclerosis-a-case-report-of-successful-management
#15
Chun-Kai Wang, Chi-Kang Lin, Tun-Jun Wang, Chen-Yu Wang, Po-Chao Hsu, Her-Young Su
OBJECTIVE: Multiple sclerosis (MS) preferentially affects females of reproductive age, making reproduction an important issue for women with MS. An increased incidence of poor labor progress often results in assisted vaginal delivery or a cesarean section. However, with good pre-pregnancy counseling and management, women with MS can conceive and give birth safely. Here, we present a case of pregnancy with MS, which was carried to term uneventfully and ended with unassisted vaginal delivery...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29880177/mechanical-induction-of-labor-and-ecbolic-less-vaginal-birth-after-cesarean-section-a-cohort-study
#16
Hytham Atia, Mohamed Ellaithy, Ahmed Altraigey, Mohamed Kolkailah, Amal Alserehi, Shabana Ashfaq
OBJECTIVE: During delivery counseling, some women with previous uncomplicated cesarean section (CS) wish mechanical induction of labor (IOL) but they are not accepting the added risk of using ecbolics to induce and/or augment labor. The objective of the study was to assess the safety and efficacy of the isolated use of transcervical Foley's catheter balloon as a mean of mechanical cervical ripening (CR)/IOL and successful ecbolic-less vaginal birth after cesarean section (VBAC). MATERIALS AND METHODS: A cohort study was conducted in two tertiary care maternity hospitals between October 2013 and July 2016 and recruited women with singleton pregnancy and cephalic presentation who had previous one uncomplicated CS and were scheduled for mechanical CR/IOL at term for routine obstetric indications...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29879855/predictors-of-cesarean-delivery-in-cervical-ripening-and-labor-induction-with-foley-catheter
#17
Beata Marciniak, Jolanta Patro-Małysza, Żaneta Kimber-Trojnar, Jan Oleszczuk, Bożena Leszczyńska-Gorzelak
PURPOSE: The aim of this paper is to identify predictors of cesarean delivery (CD) in patients with an unfavorable cervix undergoing cervical ripening and labor induction with Foley catheter. MATERIALS AND METHODS: A retrospective cohort study of singleton pregnancies induced using Foley catheter was performed to evaluate whether factors in the maternal history and during the process of labor induction are useful in predicting the risk of CD. RESULTS: During the study period there were 2...
June 7, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29878531/perinatal-outcomes-after-open-fetal-surgery-for-myelomeningocele-repair-a-retrospective-cohort-study
#18
Antonio Fernandes Moron, Mauricio Mendes Barbosa, Herbene José Figuinha Milani, Stephanno Gomes Sarmento, Eduardo Felix Martins Santana, Italo Capraro Suriano, Patrícia Alessandra Dastoli, Sergio Cavalheiro
OBJECTIVE: Describe outcomes of open fetal surgery for myelomeningocele (MMC) repair in two Brazilian hospitals and the impact of surgical experience on outcome. DESIGN: Retrospective cohort study. SETTING: Sao Paulo, Brazil. POPULATION: 237 pregnant women carrying a fetus with an open spinal defect. METHODS: Surgical details and maternal and fetal outcomes collected from all patients. MAIN OUTCOME MEASURES: Analysis of surgical and perinatal outcome parameters...
June 7, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29878044/long-chain-polyunsaturated-fatty-acids-gestation-duration-and-birth-size-a-mendelian-randomization-study-using-fatty-acid-desaturase-variants
#19
Jonathan Y Bernard, Hong Pan, Izzuddin M Aris, Margarita Moreno-Betancur, Shu-E Soh, Fabian Yap, Kok Hian Tan, Lynette P Shek, Yap-Seng Chong, Peter D Gluckman, Philip C Calder, Keith M Godfrey, Mary Foong-Fong Chong, Michael S Kramer, Neerja Karnani, Yung Seng Lee
Background: In randomized trials, supplementation of n-3 (ω-3) long-chain polyunsaturated fatty acids (LC-PUFAs) during pregnancy has resulted in increased size at birth, which is attributable to longer gestation. Objective: We examined this finding by using a Mendelian randomization approach utilizing fatty acid desaturase (FADS) gene variants affecting LC-PUFA metabolism. Design: As part of a tri-ethnic mother-offspring cohort in Singapore, 35 genetic variants in FADS1, FADS2, and FADS3 were genotyped in 898 mothers and 1103 offspring...
June 6, 2018: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29875914/-factors-associated-with-first-pregnancy-in-women-who-gave-birth-in-a-maternity-hospital-in-antananarivo-a-retrospective-cohort-study
#20
Eddie Rekoronirina, Justin Rahariniaina, Fanjandrainy Rasoaherinomenjanahary
Introduction: There are very few African and Malagasy literatures on general risk factors among primigravidae. This study aimed to determine the potential risk factors associated with a first pregnancy. Methods: We conducted a retrospective cohort study among primigravidae and multigravidae women at the Hospital Sainte Fleur Pavilion between October 2014 and December 2016. The relative risks were adjusted after examinations according to sociodemographic features...
2018: Pan African Medical Journal
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