keyword
https://read.qxmd.com/read/38349501/primary-and-secondary-postpartum-haemorrhage-a-review-for-a-rationale-endovascular-approach
#1
REVIEW
Alberto Alonso-Burgos, Ignacio Díaz-Lorenzo, Laura Muñoz-Saá, Guillermo Gallardo, Teresa Castellanos, Regina Cardenas, Luis Chiva de Agustín
Postpartum haemorrhage (PPH) is a significant cause of maternal mortality globally, necessitating prompt and efficient management. This review provides a comprehensive exploration of endovascular treatment dimensions for both primary and secondary PPH, with a focus on uterine atony, trauma, placenta accreta spectrum (PAS), and retained products of conception (RPOC). Primary PPH, occurring within 24 h, often results from uterine atony in 70% of causes, but also from trauma, or PAS. Uterine atony involves inadequate myometrial contraction, addressed through uterine massage, oxytocin, and, if needed, mechanical modalities like balloon tamponade...
February 13, 2024: CVIR Endovascular
https://read.qxmd.com/read/38306291/evidence-based-management-of-labor
#2
JOURNAL ARTICLE
Linda M Zambrano Guevara, Caledonia Buckheit, Jeffrey A Kuller, Beverly Gray, Sarah Dotters-Katz
IMPORTANCE: Induction of labor (IOL) is a common obstetric intervention. Augmentation of labor and active management of the second stage is frequently required in obstetric practice. However, techniques around labor and induction management vary widely. Evidence-based practice regarding induction and labor management can reduce birth complications such as infection and hemorrhage and decrease rates of cesarean delivery. OBJECTIVE: To review existing evidence on IOL and labor management strategies with respect to preparing for induction, cervical ripening, induction and augmentation, and second stage of labor techniques...
January 2024: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/38168908/pelvic-floor-injury-during-vaginal-birth-is-life-altering-and-preventable-what-can-we-do-about-it
#3
REVIEW
John O L DeLancey, Mariana Masteling, Fernanda Pipitone, Jennifer LaCross, Sara Mastrovito, James A Ashton-Miller
Pelvic floor disorders after childbirth have distressing lifelong consequences for women, requiring more than 300,000 women to have surgery annually. This represents approximately 10% of the 3 million women who give birth vaginally each year. Vaginal birth is the largest modifiable risk factor for prolapse, the pelvic floor disorder most strongly associated with birth, and is an important contributor to stress incontinence. These disorders require 10 times as many operations as anal sphincter injuries. Imaging shows that injuries of the levator ani muscle, perineal body, and membrane occur in up to 19% of primiparous women...
January 1, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38097899/effect-of-perineal-massage-and-warm-compresses-technique-in-postpartum-pelvic-floor-dysfunction-a-secondary-analysis-from-a-randomised-controlled-trial
#4
JOURNAL ARTICLE
Silvia Rodrigues, Paulo Silva, Ana Catarina Borges, Natacha Quintal de Sousa, João Neves Silva, Ramon Escuriet
Pelvic floor dysfunction (PFD) is common to be associated with pregnancy and birth. To date, no research has been done to understand whether the perineal massage and warm compresses technique has an impact on pelvic floor dysfunction. To assess the impact of perineal massage and warm compresses technique during the second stage of labor in pelvic floor dysfunction at 3 and 6 months postpartum. Of the 800 women recruited to randomised controlled trial to prevent perineal trauma, 496 were included in the study, with 242 (48...
December 14, 2023: Reproductive Sciences
https://read.qxmd.com/read/37762976/antenatal-intrapartum-and-postpartum-interventions-for-preventing-postpartum-urinary-and-faecal-incontinence-an-umbrella-overview-of-cochrane-systematic-reviews
#5
REVIEW
Juliette Sananès, Sophie Pire, Anis Feki, Michel Boulvain, Daniel L Faltin
Post-partum, women can suffer from urinary and faecal incontinence. It is important to assess interventions to prevent this problem. Cochrane systematic reviews summarize the data available from systematic reviews of randomized trials assessing interventions. We conducted an umbrella overview of Cochrane systematic reviews encompassing antenatal, intrapartum and postpartum interventions for preventing postpartum urinary and faecal incontinence. We searched the Cochrane Database of Systematic Reviews on the 9 May 2023...
September 18, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37657664/the-effect-of-pelvic-floor-muscle-training-and-perineal-massage-in-late-pregnancy-on-postpartum-pelvic-floor-function-in-nulliparas-a-randomised-controlled-clinical-trial
#6
JOURNAL ARTICLE
RuiJu He, XiaoXiao Wang, SongWen Nian, XiaoQing Wang, Lei Zhang, Ye Lu
OBJECTIVE: To evaluate the effects of pelvic floor muscle training (PFMT) and perineal massage during late pregnancy on postpartum pelvic floor function in nulliparas. DESIGN: Randomised controlled trial. SETTING: The Peking University First Hospital,a teaching hospital in China. PARTICIPANTS: Two-hundred nulliparas were included. INTERVENTIONS: Nulliparas were randomised into four groups in a 1:1:1:1 ratio...
August 30, 2023: Complementary Therapies in Medicine
https://read.qxmd.com/read/37652827/the-natural-non-invasive-erection-test-is-it-a-reliable-alternative-to-the-artificial-erection-test
#7
JOURNAL ARTICLE
Ahmed T Hadidi, Mohamed Fawzy, Michael Sennert, Johannes Wirmer
AIM OF THE STUDY: To test the accuracy and reliability of the natural erection test (NET) as compared to the artificial erection test in assessing penile curvature in hypospadias. MATERIALS AND METHODS: 50 children underwent both natural and artificial erection tests intraoperatively between January 2020 and October 2021. These included 5 glandular, 26 distal, 9 proximal, and 10 perineal hypospadias patients with curvature. The mean follow up period was 20 months (range 16-37)...
August 18, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37635056/the-prevention-of-perineal-trauma-during-vaginal-birth
#8
REVIEW
Nicola Adanna Okeahialam, Abdul H Sultan, Ranee Thakar
Perineal trauma after vaginal birth is common, with approximately 9 of 10 women being affected. Second-degree perineal tears are twice as likely to occur in primiparous births, with a incidence of 40%. The incidence of obstetrical anal sphincter injury is approximately 3%, with a significantly higher rate in primiparous than in multiparous women (6% vs 2%). Obstetrical anal sphincter injury is a significant risk factor for the development of anal incontinence, with approximately 10% of women developing symptoms within a year following vaginal birth...
August 11, 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/37482613/effectiveness-of-physical-therapy-interventions-in-women-with-dyspareunia-a-systematic-review-and-meta-analysis
#9
JOURNAL ARTICLE
Paula Fernández-Pérez, Raquel Leirós-Rodríguez, Mª Pilar Marqués-Sánchez, María Cristina Martínez-Fernández, Fernanda Oliveira de Carvalho, Leonardo Y S Maciel
BACKGROUND: Dyspareunia is defined as the occurrence of pain during or after sexual intercourse, which directly affects physical, sexual, and mental health. This condition can lead to depression, anxiety, and low self-esteem in women who experience it. OBJECTIVES: The aim of this research was to evaluate the effectiveness of physical therapy interventions for the treatment of female dyspareunia. DESIGN: A systematic review and meta-analysis was conducted...
July 24, 2023: BMC Women's Health
https://read.qxmd.com/read/37414371/antenatal-perineal-massage-risk-of-perineal-injuries-pain-urinary-incontinence-and-dyspereunia-a-systematic-review
#10
REVIEW
Weronika Milka, Weronika Paradowska, Daria Kołomańska-Bogucka, Agnieszka I Mazur-Bialy
BACKGROUND: Natural childbirth is associated with the risk of damage to the perineum - a tears or a episiotomy. Adequate preparation of the woman for childbirth is essential to minimize the occurrence of perinatal injuries. AIM: The aim of the review is to assess and analyze the impact of APM (antental perineal massage) on perinatal perineal injuries and the development of pelvic pain and other complications in postpartum women, such as dyspareunia, urinary (UI), gas (GI), and fecal incontinence (FI)...
October 2023: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/37385009/perineal-massage-and-warm-compresses-randomised-controlled-trial-for-reduce-perineal-trauma-during-labor
#11
RANDOMIZED CONTROLLED TRIAL
Silvia Rodrigues, Paulo Silva, Fátima Rocha, Ligia Monterroso, João Neves Silva, Natacha Quintal de Sousa, Ramon Escuriet
OBJECTIVE: The aim of this study is to evaluate the effect of perineal massage and warm compresses technique on the perineum integrity during second stage of labor. DESIGN AND SETTING: A single-center, prospective, randomized controlled trial was conducted between March 1st, 2019, and December 31st, 2020, at Hospital of Braga. PARTICIPANTS: Women with 18 years or older, between 37 weeks and 41 weeks pregnant, in whom a vaginal birth of a fetus in the cephalic presentation was planned were recruited...
September 2023: Midwifery
https://read.qxmd.com/read/37329513/predictive-factors-for-obstetric-anal-sphincter-injury-in-primiparous-women-systematic-review-and-meta-analysis
#12
REVIEW
B Packet, A-S Page, L Cattani, J Bosteels, J Deprest, J Richter
OBJECTIVES: The primary objective was to perform a systematic review of predictive factors for obstetric anal sphincter injury (OASI) occurrence at first vaginal delivery, with the diagnosis made by ultrasound (US-OASI). The secondary objective was to report on incidence rates of sonographic anal sphincter (AS) trauma, including trauma that was not clinically reported at childbirth, among the studies providing data for our primary objective. METHODS: We conducted a systematic search of MEDLINE, EMBASE, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials...
October 2023: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/37094636/evidence-based-labor-management-postpartum-care-after-vaginal-delivery-part-6
#13
REVIEW
Fabrizio Zullo, Daniele Di Mascio, Vincenzo Berghella
In the setting of postpartum care after vaginal delivery: Rooming in is associated with a higher rate of exclusive breastfeeding rate at hospital discharge, but there is insufficient evidence to support or refute rooming in order to increase breastfeeding at 6 months. Education and support for breastfeeding is a valuable intervention to promote initiation of breastfeeding whether it is offered by a healthcare professional, a non-healthcare professional or a peer. A combined intervention, a professional provider led intervention, having a protocol available for the provider training program, and implementation during both the prenatal and postnatal periods, increased the rate of exclusive breastfeeding for 6 months...
April 22, 2023: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/37051935/posterior-femoral-cutaneous-nerve-impingement-post-marathon-a-case-report
#14
Kirk A Sheplay, Anthony W Sheplay
INTRODUCTION: Posterior femoral cutaneous nerve (PFCN) neuropathy is an uncommon, potentially under-recognized cause of low back, buttock, perineal, and posterior and lateral thigh pain and numbness. Most PFCN injuries are caused by intramuscular injections; however, this is the first reported case of a PFCN injury of hamstring pathology due to tendonitis caused by long-distance running. CASE REPORT: A middle-aged man presented with right lower buttock pain, which started 2 weeks after running a marathon...
April 13, 2023: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/37039858/knowledge-attitude-and-acceptability-regarding-antenatal-perineal-massage-in-thai-pregnant-women
#15
JOURNAL ARTICLE
Tamonwan Meeprom, Purim Ruanphoo, Suvit Bunyavejchevin, Keerati Chiengthong
INTRODUCTION AND HYPOTHESIS: Antenatal perineal massage for obstetric anal sphincter injury prevention is not routinely performed in Thailand. Due to the cultural conservatism in the country, attitudes and acceptability need to be evaluated before procedure implementation. This research was conducted to evaluate knowledge, attitudes, and acceptability of antenatal perineal massage and identify associated factors for acceptability in antenatal perineal massage among Thai pregnant women...
April 11, 2023: International Urogynecology Journal
https://read.qxmd.com/read/37005099/pharmacologic-and-nonpharmacologic-options-for-pain-relief-during-labor-an-expert-review
#16
REVIEW
Sivan Zuarez-Easton, Offer Erez, Noah Zafran, Julia Carmeli, Gali Garmi, Raed Salim
Labor pain is among the most severe types of physical pain that women may experience during their lifetime. Thus, pain relief is an essential part of medical care during childbirth. Epidural analgesia is considered to be the most efficient method of pain relief during labor. Nevertheless, patient preferences, contraindications, limited availability, and technical failure may require the use of alternative pain reliving methods during labor including systemic pharmacologic agents, and nonpharmacologic methods...
May 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/36827751/the-effectiveness-of-interventions-in-the-prevention-of-perineal-trauma-in-parturients-a-systematic-review-with-meta-analysis
#17
REVIEW
Marianne Lucena da Silva, Thaísy Andressa Bastos Primo de Sousa Santos, Lindely Wane Carvalho Leite, Carlos Emanoel Chaves da Silva, Alef Oliveira do Nascimento, Aline Teixeira Alves, Patrícia Driusso, Katiane da Costa Cunha
AIM: To investigate the effectiveness of interventions to prevent the occurrence of perineal trauma in parturients. METHODS: A bibliographic search was carried out in Cochrane Library, MEDLINE via PUBMED, LILACS via Virtual Health Library (VHL), Embase, Scopus, CINAHL, Scielo, Web of Science, and PEDro databases. Randomized clinical trials evaluating the effects of any intervention to prevent perineal trauma during pregnancy and/or childbirth were included. There were no temporal or language restrictions...
April 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/36808391/efficacy-of-perineal-massage-during-the-second-stage-of-labor-for-the-prevention-of-perineal-injury-a-systematic-review-and-meta-analysis
#18
REVIEW
Andrea Marcos-Rodríguez, Raquel Leirós-Rodríguez, Pablo Hernandez-Lucas
BACKGROUND: Numerous interventions to reduce perineal trauma during childbirth have been studied in recent years, including perineal massage. OBJECTIVE: To determine the efficacy of perineal massage during the second stage of labor to prevent perineal damage. SEARCH STRATEGY: Systematic search in PubMed, Pedro, Scopus, Web of Science, ScienceDirect, BioMed, SpringerLink, EBSCOhost, CINAHL, and MEDLINE with the terms Massage, Second labor stage, Obstetric delivery, and Parturition...
September 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/36569262/perineal-massage-for-prevention-of-perineal-trauma-and-episiotomy-during-labor-a-systematic-review-and-meta-analysis
#19
REVIEW
Vijayakumar Venugopal, Boopalan Deenadayalan, Kuppusamy Maheshkumar, Cithamparam Yogapriya, Anandhan Akila, Muthupandi Pandiaraja, Shanmugam Poonguzhali, Ravi Poornima
Objective: Vaginal births are associated with a certain degree of trauma to the genital tract, with significant short-term and long-term morbidity. Awareness of morbidity following perineal trauma has led to application of different interventions during the late first stage and second stage of labour to prevent severe perineal trauma. This includes techniques such as perineal massage, warm and cold compresses, and perineal management techniques. Objective of this meta-analysis is to evaluate the effect of perineal massage during the late first stage and second stage of labour on the rate of episiotomy and risk of perineal trauma...
September 2022: Journal of Family & Reproductive Health
https://read.qxmd.com/read/36524142/the-relationship-between-perineal-trauma-and-striae-gravidarum-a-systematic-review-and-meta-analysis
#20
REVIEW
Fatemeh Khademol Khamseh, Samira Ebrahimzadeh Zagami, Vahid Ghavami
BACKGROUND: Perineal trauma is a common problem seen after vaginal delivery, which has negative effects on different aspects of women's lives. Poor skin elasticity has been introduced as a predictor of perineal trauma, and the appearance of striae gravidarum is associated with poor skin elasticity. This review aimed to determine the association between perineal trauma and striae gravidarum through a systematic review and meta-analysis. MATERIALS AND METHODS: We searched with MeSH terms ("Perineum" AND "Lacerations" OR "Rupture" AND "Striae Distensae") and their equivalents in databases PubMed, Scopus, Science direct, Web of Science, ProQuest, Scientific Information Database (SID), Magiran, and Google Scholar search engine without time and language restrictions from the beginning of May until the beginning of September 2020...
2022: Iranian Journal of Nursing and Midwifery Research
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