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forceps delivery

Rosa Maria Soares Madeira Domingues, Marcos Augusto Bastos Dias, Arthur Orlando Corrêa Schilithz, Maria do Carmo Leal
BACKGROUND: Maternal near-miss (MNM) audits are considered a useful approach to improving maternal healthcare. The aim of this study was to evaluate the factors associated with maternal near-miss cases in childbirth and the postpartum period in Brazil. METHODS: The study is based on data from a nationwide hospital-based survey of 23,894 women conducted in 2011-2012. The data are from interviews with mothers during the postpartum period and from hospital medical files...
October 17, 2016: Reproductive Health
A Kacvinska, M Drab, A Totka, K Holoman, M Gabor
OBJECTIVES: To determine the effect of labor induction using prostaglandin, gestation period and delivery type on the cause and extent of birth-canal injuries. METHODS: A retrospective study based on the records of II. GPK UNB Ružinov. The total set (n = 1377) consisted of patients who went into labor in second half of the year 2014 at this clinic. The research used categorical data divided into groups of factors (induction, week of delivery, type of delivery) and birth injuries...
2016: Bratislavské Lekárske Listy
Giulia M Muraca, Yasser Sabr, Rollin Brant, Geoffrey W Cundiff, K S Joseph
OBJECTIVE: To describe temporal and regional variations in Canada in the use of operative vaginal delivery (OVD) at term for singleton pregnancies by pelvic station between 2004 and 2013. METHODS: Rates of OVD among term singleton pregnancies in Canada (excluding Quebec) were estimated using information from the Discharge Abstract Database of the Canadian Institute for Health Information for the years 2004-2012 (n = 2 284 109). Deliveries were stratified by pelvic station...
July 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Petar N Ignatov, Jennifer E Lutomski
OBJECTIVE: To evaluate the effectiveness of a computerized decision support system, referred to as "quantitative cardiotocography" (qCTG), to reduce adverse birth outcomes compared to conventional CTG with fetal blood sampling. STUDY DESIGN: A preliminary parallel randomized control trial in a tertiary maternity hospital (Sofia, Bulgaria) was conducted with a sample size of 360 women per trial arm (N=720). Women in labor were recruited between March 2008 and March 2011...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
I Hendler, M Kirshenbaum, M Barg, S Kees, S Mazaki-Tovi, O Moran, A Kalter, E Schiff
OBJECTIVE: To determine the preferred mode of delivery (vacuum, forceps or cesarean delivery) for second stage dystocia. METHODS: Retrospective cohort study of women delivered by forceps, vacuum or cesarean delivery due to abnormalities of the second stage of labor. Primary outcome included neonatal and maternal composite adverse effects. RESULTS: 547 women were included: 150 (27.4%) had forceps delivery, 200 (36.5%) had vacuum extraction and 197 (36...
August 23, 2016: Journal of Maternal-fetal & Neonatal Medicine
Denise Howard, Michel Makhlouf
INTRODUCTION AND HYPOTHESIS: Significant breakthroughs in our understanding of pelvic floor dysfunction have occurred in the past two decades. The next step is to translate this understanding into effective preventative and early intervention strategies to minimize maternal morbidity from vaginal birth. We have learned enough to chart a course toward prevention. METHODS: This article outlines some major advances in understanding the pathophysiology of pelvic floor dysfunction and suggests strategies for future prevention research...
August 15, 2016: International Urogynecology Journal
Andrea Dall'Asta, Tullio Ghi, Giuseppe Pedrazzi, Tiziana Frusca
INTRODUCTION: Vacuum extractor has been increasingly used over the last decades and is acknowledged as a risk factor for shoulder dystocia (SD). In this meta-analysis we assess the actual risk of SD following a vacuum delivery compared to spontaneous vaginal delivery (SVD) and forceps. MATERIALS AND METHODS: Systematic literature search (English literature only) on MEDLINE, EMBASE, ScienceDirect, the Cochrane library and conducted up to May 2015...
September 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Gary A Dildy, Michael A Belfort, Steven L Clark
Both resident training in the use of obstetric forceps and forceps deliveries are experiencing precipitous declines in the United States. Current minimum training requirements are insufficient to ensure competency in this skill. These trends bear striking similarities to observations regarding the decline and ultimate extinction of biologic species and portend the inevitable disappearance of this valuable skill from the obstetric armamentarium. Attempts by experienced teaching faculty to provide residents with experience in a few forceps deliveries are of little value and may do more harm than good...
September 2016: Obstetrics and Gynecology
Dana R Gossett, Douglas Gilchrist-Scott, Diane B Wayne, Susan E Gerber
OBJECTIVE: To evaluate the association of a forceps simulation training curriculum for obstetrics residents on rates of severe perineal lacerations after forceps deliveries. METHODS: This was a retrospective cohort study. We created a novel simulation curriculum for forceps-assisted vaginal delivery based on the best practices of local experts, and trained all residents beginning in 2013. We then retrospectively reviewed all forceps deliveries performed in the 2...
September 2016: Obstetrics and Gynecology
O Šimetka, I Michalec
UNLABELLED: This article is meant to be a complement to the new statement "Assisted vaginal delivery" of the Section of perinatal and fetomaternal medicine (SPFM) of the Czech Society of Gynecology and Obstetrics ČLS JEP, which is also published in this issue of Czech gynecology. The new statement has been formed as a synthesis of two previous separate statements of the SPFM "Vacuumextraction" and "Forceps delivery" and has also been updated based on new scientific knowledge. This review publication summarizes latest knowledge on vacuumextraction and forceps delivery and adds comments to certain points from the statement...
April 2016: Ceská Gynekologie
Kelly Yamasato, Chieko Kimata, Bruce Huegel, Marsha Durbin, Melinda Ashton, Janet M Burlingame
PURPOSE: There is relatively little information on episiotomies in the context of restricted episiotomy use. This study sought to examine maternal and neonatal injuries with restricted episiotomy use. METHODS: We performed a retrospective database analysis of vaginal deliveries at a tertiary care maternity hospital from June 2010 to June 2015. Maternal injuries (third- or fourth-degree lacerations) and neonatal injuries (birth trauma) were identified through the International Classification of Diseases, Ninth Revision, codes...
July 21, 2016: Archives of Gynecology and Obstetrics
A V Dharmesh Kumar Raja, T Jones, N Venkadasalapathi, K G Srinivasan
Congenital trismus is quite rare especially when its etiology is not the usual. In our case report an 8 year old female patient with no history of forcep delivery, no history of trauma or infection and a non syndromic presents with trismus since birth. After thorough examination we could conclude that the cause is due to hypertonia of the temporalis muscle and its etiology is discussed.
July 2016: Journal of Maxillofacial and Oral Surgery
Shelly Wang, James Drake, Abhaya V Kulkarni
OBJECTIVE Spontaneous subaponeurotic fluid collection (SSFC) is an uncommon and newly described entity of unknown etiology, observed in infants less than 1 year of age. The authors report on series of infants who presented to the Hospital for Sick Children (HSC) with SSFC, focusing on the natural history of this condition. METHODS Data from the Hospital for Sick Children were retrospectively reviewed for the period between January 2004 and June 2015. Patient age and sex, birth history, medical history, laboratory findings, and symptoms were reviewed...
July 8, 2016: Journal of Neurosurgery. Pediatrics
Wai-Hou Li, Ming-Jie Yang, Peng-Hui Wang, Chi-Mou Juang, Yi-Wen Chang, Hsing-I Wang, Chih-Yao Chen, Ming-Shyen Yen
OBJECTIVE: Because of the increased risk of uterine rupture and other morbidities, instances of trial of labor after cesarean (TOLAC) have decreased in number each year. Nevertheless, under careful assessment and advanced medical care, TOLAC is still a safe option for delivery. The objective of this study is to find the factors that impact the success rate for TOLAC and to compare the results with Taiwan national registry data. MATERIALS AND METHODS: A longitudinal cohort study that includes a total of 254 cases of women receiving TOLAC in a tertiary medical center over a period of 10 years...
June 2016: Taiwanese Journal of Obstetrics & Gynecology
Lyndsey Vandament, Naminga Chintu, Nanako Yano, Owen Mugurungi, Bushimbwa Tambatamba, Gertrude Ncube, Sinokuthemba Xaba, Felton Mpasela, Edward Muguza, Tichakunda Mangono, Ngonidzashe Madidi, Alick Samona, Elva Tagar, Karin Hatzold
BACKGROUND: Results from recent costing studies have put into question potential Voluntary Medical Male Circumcision (VMMC) cost savings with the introduction of the PrePex device. METHODS: We evaluated the cost drivers and the overall unit cost of VMMC for a variety of service delivery models providing either surgical VMMC or both PrePex and surgery using current program data in Zimbabwe and Zambia. In Zimbabwe, 3 hypothetical PrePex only models were also included...
June 1, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
C Saunier, E Raimond, A Dupont, A Pelissier, S Bonneau, R Gabriel, O Graesslin
OBJECTIVES: To evaluate French residents in Obstetrics and Gynaecology's training in instrumental deliveries in 2015. PATIENTS AND METHODS: We conducted a national descriptive survey among 758 residents between December 2014 and January 2015. Respondents were invited by email to specify their University Hospital, their current university term, the number of instrumental deliveries performed by vacuum extractor, forceps or spatulas, and whether they made systematic ultrasound exams before performing the extraction...
June 13, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Ka Lai Shek, Vincent Della Zazzera, Ixora Kamisan Atan, Rodrigo Guzman Rojas, Susanne Langer, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Obstetric anal sphincter injuries (OASI) are a major form of maternal birth trauma. Ultrasound imaging is commonly used to evaluate the condition. We undertook a study to compare the sonographic appearance of the external anal sphincter (EAS) 3 to 6 months and 2 to 3 years after a first birth. METHODS: A retrospective analysis of data of primiparous women obtained in a prospective perinatal imaging study. Women were invited for postnatal assessment 3 - 6 months and 2 - 3 years after a first delivery...
June 1, 2016: International Urogynecology Journal
Matthew Cauldwell, Kate Von Klemperer, Anselm Uebing, Lorna Swan, Philip J Steer, Michael Gatzoulis, Mark R Johnson
OBJECTIVE: To identify the factors associated with an increased post-partum blood loss in women with congenital heart disease (CHD). METHODS: The study was a retrospective cohort study, which included 366 nulliparous women with CHD and a singleton pregnancy cared for in a single tertiary centre (Chelsea and Westminster Hospital) between 1994 and 2014. The women were classified into one of 12 different functional groups and univariate and multivariate regression analysis were used to identify factors associated with increased blood loss at delivery...
September 1, 2016: International Journal of Cardiology
Aisling Smith, Nandini Kandamany, Ikechukwu Okafor, Ian Robinson, Adrienne Foran, Roisin McNamara
BACKGROUND: Although subgaleal hemorrhage can present very soon after delivery with catastrophic consequences, subaponeurotic or subgaleal fluid collections are rare and clinically distinct causes of infant scalp swelling that present weeks to months after birth. Their exact etiology remains uncertain; however, they are frequently associated with instrumental and traumatic delivery. AIM & METHODS: To characterize 11 subaponeurotic fluid collections that presented to the Temple Street Children's University Hospital Emergency Department (TSCUHED) from July 2013 to July 2015 by a retrospective chart review...
June 2016: Journal of Emergency Medicine
Momoe T Hyakutake, Vanessa Han, Geoffrey W Cundiff, Lauren Baerg, Nicole A Koenig, Terry Lee, Roxana Geoffrion
OBJECTIVES: Pelvic floor disorders commonly affect women's quality of life. Their etiology is multifactorial, yet pregnancy and vaginal delivery (VD) are major inciting risk factors. Our objectives were to assess pelvic floor health information given by maternity providers to their pregnant patients, to create a pelvic floor health information workshop, and to determine its impact on women's preferences for mode of delivery. METHODS: This descriptive study recruited primiparous women with a singleton gestation at St Paul's Hospital in Vancouver, Canada...
September 2016: Female Pelvic Medicine & Reconstructive Surgery
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