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Birth, labor and delivery

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https://www.readbyqxmd.com/read/29655965/cesarean-delivery-in-the-united-states-2005-2014-a-population-based-analysis-using-the-robson-ten-group-classification-system
#1
Mark P Hehir, Cande V Ananth, Zainab Siddiq, Karen Flood, Alexander M Friedman, Mary E D'Alton
BACKGROUND: Cesarean delivery has increased steadily in the United States over recent decades with significant downstream health consequences. The World Health Organization has endorsed the Robson Ten Group Classification System (TGCS) as a global standard to facilitate analysis and comparison of cesarean delivery rates. OBJECTIVE: Our objective was to apply the TGCS to a nationwide cohort in the United States over a 10-year period. STUDY DESIGN: This population-based analysis applied the TGCS to all births in the United States from 2005-2014, recorded in the 2003-revised birth certificate format...
April 12, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29655964/infant-outcome-after-complete-uterine-rupture
#2
Iqbal Al-Zirqi, Anne Kjersti Daltveit, Siri Vangen
BACKGROUND: Complete uterine rupture is a rare peripartum complication often associated with a catastrophic outcome for both mother and child. However, little has been written based on large data sets about maternal and infant outcome after complete ruptures. This is partly due to the rarity of the event and the serious maternal and infant outcome; it is also partly due to the use of international diagnostic codes that do not differentiate between the less catastrophic partial rupture and more catastrophic complete uterine rupture...
April 12, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29642747/elevated-maternal-serum-free-%C3%AE-human-chorionic-gonadotropin-%C3%AE-hcg-and-reduced-risk-of-spontaneous-preterm-delivery
#3
Shelly Soni, David A Krantz, Matthew J Blitz, Nidhi Vohra, Burton Rochelson
OBJECTIVE: To evaluate the relationship between first and second trimester maternal serum-free β-hCG and the risk of spontaneous preterm delivery (PTD). STUDY DESIGN: This was a case-control study of women evaluated and delivered at our institution from 2011 to 2015. Spontaneous PTD was defined as delivery before 37 weeks due to spontaneous preterm labor or premature rupture of membranes. Patient with multifetal gestation and those with medically indicated term or PTD were excluded...
April 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29630015/maternal-pyrexia-and-villitis-of-unknown-etiology
#4
Dorothy F Graham, Eileen Sung, Bligh Berry
BACKGROUND: Villitis of unknown etiology is an inflammatory placental condition associated with adverse pregnancy outcomes, including fetal growth restriction and preterm birth. CASE: We describe maternal pyrexia with daily rigors in the third trimester of two consecutive pregnancies in the same woman. In her second pregnancy, we found no evidence of infection despite an extensive antenatal investigation (blood and urine cultures, serologies, chest X-ray, abdominal ultrasonogram, echocardiogram)...
April 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29626709/impact-of-the-mode-of-delivery-on-maternal-and-neonatal-outcome-in-spontaneous-onset-breech-labor-at-32-0-36-6-weeks-of-gestation-a-retrospective-cohort-study
#5
Elli Toivonen, Outi Palomäki, Päivi Korhonen, Heini Huhtala, Jukka Uotila
OBJECTIVE: To compare neonatal and maternal outcomes in spontaneously onset preterm breech deliveries after trial of labor (BTOL) and intended cesarean section (BCS), and between BTOL and vertex control deliveries, in singleton fetuses at 32+0 -36+6  weeks of gestation. STUDY DESIGN: Retrospective single center cohort study in a Finnish University Hospital including all spontaneous-onset preterm breech deliveries with 32 completed gestational weeks in 2003-2015...
March 30, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29626275/antenatal-management-for-women-with-inflammatory-bowel-disease-experience-from-our-ibd-mom-clinic
#6
Ariella Bar-Gil Shitrit, Yael Cohen, Ori Hassin, Ami Ben Ya'acov, Rivkah Farkash, Benjamin Koslowsky, Yael Milgrom, Dan Meir Livovsky, Arnon Samueloff, Eran Goldin, Sorina Grisaru-Granovsky
BACKGROUND: Inflammatory bowel disease affects women during their reproductive years and thus pregnancy outcomes. IBD MOM is a multidisciplinary, single-center clinic established to benefit women with IBD and their neonates. AIM: The aim of this study was to evaluate the perinatal outcomes of the IBD MOM clinic patients compared to patients who attended antenatal and gastrointestinal disease community clinics (IBD CC). METHODS: This single-center, prospective study was conducted from 2011 to 2015...
April 6, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29617838/improving-immediate-newborn-care-practices-in-philippine-hospitals-impact-of-a-national-quality-of-care-initiative-2008-2015
#7
Maria Asuncion A Silvestre, Priya Mannava, Marie Ann Corsino, Donna S Capili, Anthony P Calibo, Cynthia Fernandez Tan, John C S Murray, Jacqueline Kitong, Howard L Sobel
Objective: To determine whether intrapartum and newborn care practices improved in 11 large hospitals between 2008 and 2015. Design: Secondary data analysis of observational assessments conducted in 11 hospitals in 2008 and 2015. Setting: Eleven large government hospitals from five regions in the Philippines. Participants: One hundred and seven randomly sampled postpartum mother-baby pairs in 2008 and 106 randomly sampled postpartum mothers prior to discharge from hospitals after delivery...
March 31, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29609190/stillbirth-inflammatory-markers-and-obesity-results-from-the-stillbirth-collaborative-research-network
#8
Margo S Harrison, Vanessa R Thorsten, Donald J Dudley, Corette B Parker, Matthew A Koch, Carol J R Hogue, Barbara J Stoll, Robert M Silver, Michael W Varner, M Halit Pinar, Donald R Coustan, George R Saade, Radek K Bukowski, Deborah L Conway, Marian Willinger, Uma M Reddy, Robert L Goldenberg
BACKGROUND:  Obesity is associated with increased risk of stillbirth, although the mechanisms are unknown. Obesity is also associated with inflammation. Serum ferritin, C-reactive protein, white blood cell count, and histologic chorioamnionitis are all markers of inflammation. OBJECTIVE:  This article determines if inflammatory markers are associated with stillbirth and body mass index (BMI). Additionally, we determined whether inflammatory markers help to explain the known relationship between obesity and stillbirth...
April 2, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29607580/effectiveness-of-antenatal-perineal-massage-in-reducing-perineal-trauma-and-post-partum-morbidities-a-randomized-controlled-trial
#9
Emmanuel Onyebuchi Ugwu, Eric Sunday Iferikigwe, Samuel Nnamdi Obi, George Uchenna Eleje, Benjamin Chukwuma Ozumba
AIM: The study aimed to evaluate the effectiveness of antenatal perineal massage (APM) in reducing perineal trauma and post-partum morbidities. METHODS: A randomized controlled trial of 108 primigravidae at the University of Nigeria Teaching Hospital, Enugu, Nigeria, was conducted from January 2013 to May 2014. The intervention group received APM, while the control group did not receive APM. RESULTS: Women who received APM were significantly more likely to have an intact perineum after childbirth [27/53 (50...
April 2, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29603853/a-comprehensive-review-of-guidelines-on-prevention-of-preterm-birth-albeit-lacking-in-consensus-in-clinical-recommendations
#10
Leen Al-Hafez, Suneet P Chauhan
Across the globe, approximately 14.9 million of the annual 135 million births were preterm birth (PTB). While the rate of delivery before 37 weeks varies between countries, the widely acknowledged associated morbidity and mortality, is undeniable and daunting (Blencowe H et al. Lancet. 2012;379:2162-72). One viable strategy to alleviate the adverse outcomes linked with PTB is to use evidence-based recommendations that are promulgated in national guidelines, for the management of preterm labor (PTL). This article is protected by copyright...
March 31, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29603114/maternal-quality-of-life-in-routine-labor-epidural-analgesia-versus-labor-analgesia-on-request-results-of-a-randomized-trial
#11
A A S van den Bosch, M Goossens, K Bonouvrié, B Winkens, J G Nijhuis, F J M E Roumen, M M L H Wassen
INTRODUCTION: The purpose of this study was to evaluate the changes in maternal quality of life (QOL) from pregnancy to 6 weeks after delivery between routine labor epidural analgesia (EA) and pain relief on maternal request only. METHODS: \Women delivering of a singleton in cephalic presentation beyond 36 + 0 weeks' gestation were randomly allocated to EA as a routine during labor (routine EA group), or to any kind of analgesia on request only (control group)...
March 30, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29602844/impact-of-gestational-weight-gain-and-prepregnancy-body-mass-index-on-the-prevalence-of-large-for-gestational-age-infants-in-two-cohorts-of-women-with-type-1-insulin-dependent-diabetes-a-cross-sectional-population-study
#12
Ketrell L McWhorter, Katherine Bowers, Lawrence M Dolan, Ranjan Deka, Chandra L Jackson, Jane C Khoury
OBJECTIVES: Despite improvements in treatment modalities, large-for-gestational age (LGA) prevalence has remained between 30% and 40% among infants of mothers with type 1 insulin-dependent diabetes mellitus (TIDM). Our objective was to estimate LGA prevalence and examine the association between gestational weight gain (GWG) and prepregnancy body mass index (BMI) with LGA among mothers with TIDM. DESIGN: Cross-sectional study. SETTING: Regional data in Cincinnati, Ohio, from the Diabetes in Pregnancy Program Project (PPG), a prospective cohort for the period 1978-1993; national data from Consortium on Safe Labor (CSL), a multicentre cross-sectional study for the period 2002-2008...
March 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/29590302/surfactant-protein-sp-a-suppresses-preterm-delivery-induced-by-live-e-coli-in-mice
#13
Varkha Agrawal, Mukesh K Jaiswal, Kenneth D Beaman, Emmet Hirsch
Preterm birth accounts for the majority of neonatal morbidity and mortality in the developed world. A significant proportion of cases of spontaneous preterm labor are attributable to infections within gestational tissues. Surfactant protein A (SP-A), a collectin produced in the fetal lung and other tissues, has been shown previously in mice to suppress preterm delivery due to intrauterine (IU) instillation of sterile pro-inflammatory substances. Here we report a powerful anti-labor effect for SP-A after IU infection with live E...
March 24, 2018: Biology of Reproduction
https://www.readbyqxmd.com/read/29587802/disrespect-and-abuse-of-women-during-the-process-of-childbirth-in-the-2015-pelotas-birth-cohort
#14
Marilia Arndt Mesenburg, Cesar Gomes Victora, Suzzane Jacob Serruya, Rodolfo Ponce de León, Andrea Homsi Damaso, Marlos Rodrigues Domingues, Mariangela Freitas da Silveira
BACKGROUND: The disrespect and abuse of women during the process of childbirth is an emergent and global problem and only few studies have investigated this worrying issue. The objective of the present study was to describe the prevalence of disrespect and abuse of women during childbirth in Pelotas City, Brazil, and to investigate the factors involved. METHODS: This was a cross-sectional population-based study of women delivering members of the 2015 Pelotas birth cohort...
March 27, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29587658/de-medicalization-of-birth-by-reducing-the-use-of-oxytocin-for-augmentation-among-first-time-mothers-a-prospective-intervention-study
#15
L C Gaudernack, K F Frøslie, T M Michelsen, N Voldner, M Lukasse
BACKGROUND: The use of synthetic oxytocin for augmentation of labor is rapidly increasing worldwide. Hyper-stimulation is the most significant side effect, which may cause fetal distress and operative delivery. We performed an intervention consisting of an educational program and modified guidelines to achieve a more appropriate use of oxytocin. METHODS: This prospective intervention study included 431 first-time mothers at term with spontaneous onset of labor before (October 2012 to May 2013), and 664 after the intervention (April 2014 to April 2015)...
March 27, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29583056/effect-of-an-educational-program-based-on-cognitive-behavioral-techniques-on-fear-of-childbirth-and-the-birth-process
#16
Tuba Uçar, Zehra Golbasi
OBJECTIVE: This study determined the effect of an educational program based on cognitive behavioral techniques (CBT) provided for pregnant women to address their fear of childbirth. METHODS: This study was conducted experimentally using pretest-posttest and a control group. A total of 111 Turkish pregnant women were recruited with 52 in the intervention group and 59 in the control group. The intervention group attended the educational program on coping with childbirth fears based on CBT, which took 3 weeks over six sessions...
March 27, 2018: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29577380/the-effect-of-medical-and-operative-birth-interventions-on-child-health-outcomes-in-the-first-28-days-and-up-to-5-years-of-age-a-linked-data-population-based-cohort-study
#17
Lilian L Peters, Charlene Thornton, Ank de Jonge, Ali Khashan, Mark Tracy, Soo Downe, Esther I Feijen-de Jong, Hannah G Dahlen
BACKGROUND: Spontaneous vaginal birth rates are decreasing worldwide, while cesarean delivery, instrumental births, and medical birth interventions are increasing. Emerging evidence suggests that birth interventions may have an effect on children's health. Therefore, the aim of our study was to examine the association between operative and medical birth interventions on the child's health during the first 28 days and up to 5 years of age. METHODS: In New South Wales (Australia), population-linked data sets were analyzed, including data on maternal characteristics, child characteristics, mode of birth, interventions during labor and birth, and adverse health outcomes of the children (ie, jaundice, feeding problems, hypothermia, asthma, respiratory infections, gastrointestinal disorders, other infections, metabolic disorder, and eczema) registered with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification codes...
March 25, 2018: Birth
https://www.readbyqxmd.com/read/29575180/sonographic-assessment-of-the-anal-sphincter-after-obstetric-anal-sphincter-injury-oasi-using-transperineal-ultrasound-tpus
#18
EDITORIAL
Vered H Eisenberg, Dan V Valsky, Simcha Yagel
Obstetric anal sphincter injury (OASI) is the most common cause of anal incontinence and ano-rectal symptoms in women1 . Reported rates of anal incontinence following primary repair of OASI range between 15-61%, with a mean of 39%2, 3 . Other possible complications of OASI include perineal pain, dyspareunia, and less commonly, abscess formation, wound breakdown, and rectovaginal fistulae. Symptom onset may occur immediately, several years postpartum, or only late in life when aging of tissues adds to the delivery insult...
March 24, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29570455/computerized-prediction-system-for-the-route-of-delivery-vaginal-birth-versus-cesarean-section
#19
Mehmet Sinan Beksac, Atakan Tanacan, Hikmet Ozge Bacak, Kemal Leblebicioglu
AIM: To develop a supportive computerized prediction system for the route of delivery. MATERIALS AND METHODS: This study consisted of 2127, 3548 and 1723 deliveries for the years 1976, 1986 and 1996, respectively. We have developed a supervised artificial neural network (ANN) for predicting the delivery route. We have used a back-propagation learning algorithm for this purpose. The data used for the computerized system were obtained during the admission of the patients to the delivery room at the beginning of the first stage of labor after pelvic examination and examination/evaluation of the mother and fetus...
March 23, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29566659/accelerating-newborn-survival-in-ghana-through-a-low-dose-high-frequency-health-worker-training-approach-a-cluster-randomized-trial
#20
Patricia P Gomez, Allyson R Nelson, Amos Asiedu, Etta Addo, Dora Agbodza, Chantelle Allen, Martha Appiagyei, Cynthia Bannerman, Patience Darko, Julia Duodu, Fred Effah, Hannah Tappis
BACKGROUND: Newborn deaths comprise nearly half of under-5 deaths in Ghana, despite the fact that skilled birth attendants (SBAs) are present at 68% of births, which implies that evidence-based care during labor, birth and the immediate postnatal period may be deficient. We assessed the effect of a low-dose, high-frequency (LDHF) training approach on long-term evidence-based skill retention among SBAs and impact on adverse birth outcomes. METHODS: From 2014 to 2017, we conducted a cluster-randomized trial in 40 hospitals in Ghana...
March 22, 2018: BMC Pregnancy and Childbirth
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