keyword
https://read.qxmd.com/read/38532503/the-repair-study-oral-antibiotics-to-prevent-infection-and-wound-dehiscence-after-obstetric-perineal-tear-a-double-blinded-placebo-controlled-randomized-trial
#1
JOURNAL ARTICLE
Kathrine Perslev, Niels Klarskov, Thomas Bergholt, Hanna Jangö
BACKGROUND: Approximately 85% of women experience an obstetric tear at delivery and up to 25% subsequently experience wound dehiscence and/or infection. Previous publications suggest that intravenous antibiotics administrated during delivery reduces this risk. We do not know if oral antibiotics given after delivery can reduce the risk of wound dehiscence or infection. Our aim is to investigate whether three doses of oral antibiotics (amoxicillin 500 mg/clavulanic acid 125 mg) given after delivery can reduce the risk of wound dehiscence and infection in patients with a second-degree obstetric tear or episiotomy...
March 27, 2024: Trials
https://read.qxmd.com/read/38495733/double-true-umbilical-cord-knots-coexisting-with-a-nuchal-cord-with-successful-fetal-outcome-a-case-report
#2
George Uchenna Eleje, Chijioke Brenda Nwammuo, Kenechi Ogbodo Nnamani, Emeka Philip Igbodike, Ekeuda Uchenna Nwankwo, Chigozie Geoffrey Okafor, Tobechi Kingsley Njoku, Onyeka Chukwudalu Ekwebene, Emmanuel Chukwubuikem Egwuatu, Divinefavour Echezona Malachy, Ogechi Odinakachukwu Dimgba, Eric Chukwudi Ihekwoaba, Onyekachi Amos Onu, Emeka Stephen Edokwe, Chika Ifeoma Ofiaeli, Kenechukwu Ezekwesili Obi, Chizoba Ndidiamaka Okwuosa, Adanna Vivian Egwim, Chukwuemeka Chukwubuikem Okoro, Chukwudubem Chinagorom Onyejiaka, Henry Chinedu Nneji, Obiora Donatus Ugwu, Chijioke Ogomegbunam Ezeigwe, Casmir Chukwudi Madubuko, Alexander Arinze Mathias, Gerald Okanandu Udigwe
Umbilical nodes and cords play a crucial role in fetal development and are essential for the transfer of nutrients and oxygen between the mother and the fetus. Sonographic diagnosis of umbilical nodes and cords has become an integral part of prenatal care, allowing for the early detection of abnormalities and potential complications. The umbilical cord is a vital structure connecting the fetus to the placenta, providing essential nutrients and oxygen for fetal growth and development. Sonographic examination of the umbilical cord and its associated nodes has become an indispensable tool in prenatal care, enabling the early detection of abnormalities and potential complications...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38462265/safety-and-efficacy-of-the-odonassist-inflatable-device-for-assisted-vaginal-birth-the-besancon-assist-study
#3
RANDOMIZED CONTROLLED TRIAL
Nicolas Mottet, Emily Hotton, Astrid Eckman-Lacroix, Aude Bourtembourg, Jean Patrick Metz, Sophie Cot, Emilie Poitrey, Léa Delhomme, Eric Languerrand, Camille Nallet, Marine Lallemant, Tim Draycott, Didier Riethmuller
BACKGROUND: The first feasibility study of the OdonAssist inflatable device for use in clinically indicated assisted vaginal birth reported a success rate of 48% with no significant safety concerns. Additional studies exploring the device performance in other clinical settings are warranted before definitive conclusions can be drawn about its safety and efficacy in current practice. OBJECTIVE: This study aimed to investigate the safety and efficacy of the OdonAssist before conducting a randomized controlled trial...
March 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38391816/analysis-of-maternal-positions-during-the-dilation-and-expulsive-phase-and-their-relationship-with-perineal-injuries-in-eutocic-deliveries-attended-by-midwives
#4
JOURNAL ARTICLE
Cristian Martín-Vázquez, Noelia Goás-Gómez, Natalia Calvo-Ayuso, Laura Rosón-Matilla, Enedina Quiroga-Sánchez, Rubén García-Fernández
This cross-sectional descriptive study aimed to analyze the relationship between maternal positions during the expulsion phase and perineal outcomes in 367 eutocic births attended by midwives or midwifery residents at a public hospital in northern Spain in 2018. A total of 94.3% of women opted for horizontal positions. Limited sacral retroversion was observed in 71.7%, potentially influencing perineal outcomes. A low incidence of tears indicated effective management during the expulsive phase, with an episiotomy rate of 15...
February 8, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38344327/impact-of-introducing-prompt-on-permanent-brachial-plexus-injury-and-tears-iii%C3%A2-iv%C3%A2-in-shoulder-dystocia-the-hanover-cohort-study
#5
JOURNAL ARTICLE
Spyridon Papageorgiou, Lars Brodowski, Halina Huppertz, Bettina Bohnhorst, Markus Flentje, Constantin von Kaisenberg
OBJECTIVE: To test the hypothesis that PROMPT reduces permanent brachial plexus palsy and perineal tears. DESIGN: A prospective/retrospective cohort study. Setting . Hanover Medical School, Germany. Population/Sample . A self-selected population. METHODS: The training period is from November 9th , 2017, until December 31st , 2019; control: January 1st , 2004, until November 8th , 2017. Main Outcome Measures . Shoulder dystocia, nonpermanent and permanent brachial plexus injuries (BPIs), perineal tears III°/IV°, manual manoeuvres, and asphyxia...
2024: Obstetrics and Gynecology International
https://read.qxmd.com/read/38320435/the-postnatal-effects-of-perineal-trauma-on-maternal-psychological-and-emotional-wellbeing-a-longitudinal-study
#6
JOURNAL ARTICLE
Rebecca Molyneux, Gillian Fowler, Pauline Slade
OBJECTIVE: To examine the postnatal psychological health and parenting adjustment of primiparous women experiencing perineal trauma. STUDY DESIGN: Longitudinal cohort study assessing body image, perceptions of traumatic birth, psychological distress, perineal pain, impact upon parental tasks and mother-infant bonding at 6-12 weeks (n = 103) and 6-10 months postnatally (n = 91). Primiparous women were recruited following vaginal birth and perineal suturing in a UK-based maternity hospital...
January 28, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38320359/the-severity-of-second-degree-perineal-tears-and-perineal-pain-during-three-months-postpartum-a-prospective-cohort-study
#7
JOURNAL ARTICLE
Jeanette Risløkken, Marthe Dalevoll Macedo, Kari Bø, Marie Ellström Engh, Franziska Siafarikas
BACKGROUND: Second-degree perineal tears are common and can vary widely in the extent of tissue trauma. Therefore, a better understanding of perineal pain based on tissue trauma severity in second-degree tears is needed. AIM: The primary aim of this study was to assess differences in perineal pain according to the severity of perineal tears, with a focus on subcategories of second-degree tears, during the first three months postpartum. The secondary aim was to assess the use of pain medication and breastfeeding patterns according to the severity of the second-degree tears...
January 23, 2024: Midwifery
https://read.qxmd.com/read/38306871/conservative-management-of-retroperitoneal-hematoma-expanded-to-prerenal-space-due-to-episiotomy-in-a-woman-with-vaginal-delivery-a-case-report
#8
Mohammad Haddadi, Sedigheh Hantoushzadeh, Maryam Deldar Pesikhani, Fatemeh Asadi, Sima Amini, Marjan Ghaemi
INTRODUCTION: Episiotomy is a procedure during vaginal delivery to facilitate a safer delivery. However, it can also have complications including hemorrhage, perineal tears, infections, and vaginal hematoma which should be managed and monitored carefully. PRESENTATION OF CASE: A 27-year-old woman with term pregnancy, had a normal vaginal delivery at 39 weeks of gestation, and a large episiotomy was performed due to the estimated neonate weight to prevent shoulder dystocia...
January 27, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38305584/occurrence-and-risk-factors-for-second-degree-perineal-tears-a-prospective-cohort-study-using-a-detailed-classification-system
#9
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
#10
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/38248761/the-utility-of-co-2-laser-treatment-of-pelvic-symptoms-in-women-with-previous-perineal-trauma-during-delivery
#11
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/38219814/-evolution-of-the-rate-of-episiotomies-and-obstetric-anal-sphincter-injuries-since-the-last-recommendations-of-2018
#12
JOURNAL ARTICLE
Caroline Leclercq, Sophia Braund, Eric Verspyck
OBJECTIVES: There is a progressive reduction in the rate of episiotomies since the recommendations of the french college of gynaecologists. Our objective was to study the evolution of the rate of episiotomies and Obstetric Anus Sphincter Injury (OASI) since the restriction of episiotomies in our department. METHODS: Observational monocentric retrospective study performed at the Rouen University Hospital. The inclusion criteria were monofetal pregnancies, delivery at a term greater than or equal to 37 weeks of amenorrhea of a living, viable child and by cephalic presentation...
January 12, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38211770/-obstetrical-and-neonatal-prognosis-of-patients-with-a-history-of-female-genital-mutilation
#13
JOURNAL ARTICLE
Sarah Selides, Camille Nallet, Manon Vouga, Nicolas Mottet, Rajeev Ramanah
OBJECTIVE: Female genital mutilation (FGM) covers all procedures involving partial or total removal of the external genitalia for non-therapeutic purposes. The period of pregnancy and childbirth is probably more at risk of complications for these women. The main aim of this study was to compare obstetrical, maternal and neonatal outcomes in patients with a history of female genital mutilation with patients without such a history. METHODS: All deliveries taking place between January 2005 and June 2022 at Besançon University Hospital in patients with a history of FGM were included...
January 9, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38201377/three-dimensional-transperineal-ultrasound-guiding-early-secondary-repair-of-obstetric-anal-sphincter-injury-in-an-incontinent-patient-without-suture-dehiscence
#14
JOURNAL ARTICLE
Michele Orsi, Giuseppe Cappuccio, Hayato Kurihara, Gabriele Rossi, Giuseppe Perugino, Enrico Ferrazzi, Carmela Coppola
We present the case of a 36-year-old primigravida who gave birth to a 3200 g baby by vacuum-assisted (Kiwi OmniCup™) operative vaginal delivery with mediolateral episiotomy. A "y"-shaped perineal tear with a grade IIIC obstetric anal sphincter injury (OASI) was diagnosed and repaired. Two days after delivery, in the absence of suture dehiscence, she started experiencing complete anal incontinence. A decision was made in association with a proctologic surgeon for an early secondary repair. Before surgery, a Three-dimensional transperineal ultrasound (TPUS) was performed...
December 27, 2023: Diagnostics
https://read.qxmd.com/read/38172805/pelvic-floor-function-after-third-and-fourth-degree-perineal-lacerations-a-case-control-study-on-quality-of-life
#15
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/38168908/pelvic-floor-injury-during-vaginal-birth-is-life-altering-and-preventable-what-can-we-do-about-it
#16
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/38153261/childbirth-related-episiotomy-and-tear-in-relation-to-risk-of-postpartum-depression-a-retrospective-cohort-study-on-omani-mothers
#17
JOURNAL ARTICLE
Atika Khalaf, Nawal Al Amri, Mohammad Al Qadire
AIMS/BACKGROUND: Studies on the association between perineal trauma (episiotomy and tear) and the risk of postpartum depression in Omani mothers are scarce. This study aimed to screen women for the risk of postpartum depression and associated maternal adverse outcomes (episiotomy and tear) in newly delivered Omani mothers. DESIGN/METHODS: Mothers were screened for postpartum depression using only the Edinburgh Postnatal Depression Scale (EPDS), with cut-offs of 1-12 indicating low risk and 13-30 indicating high risk...
December 28, 2023: Journal of Reproductive and Infant Psychology
https://read.qxmd.com/read/38147896/cold-compared-with-room-temperature-compress-on-the-repaired-primiparous-perineum-following-injury-at-normal-vaginal-delivery-a-randomized-controlled-trial
#18
JOURNAL ARTICLE
Khaliza Kazrin Karim, Farah Gan, Jesrine Hong, Mukhri Hamdan, Nuguelis Razali, Peng Chiong Tan
BACKGROUND: The perineum is typically injured at the first vaginal birth. The application of a cold compress to the perineal repair site can reduce pain but the effect usually dissipates after a couple of hours. Repeated applications may be needed for sustained analgesia. However, the medium-term effect of repeated applications of cold compress on the perineal repair site on the recovery of sexual function and perineal healing is not known. OBJECTIVE: To evaluate repeated applications of cold versus room temperature (placebo control) compress to the repaired primiparous perineum on pain upon movement...
December 24, 2023: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38140841/influence-of-pelvic-floor-muscle-training-alone-or-as-part-of-a-general-physical-activity-program-during-pregnancy-on-urinary-incontinence-episiotomy-and-third-or-fourth-degree-perineal-tear-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#19
REVIEW
Dingfeng Zhang, Kari Bo, Rocío Montejo, Miguel Sánchez-Polán, Cristina Silva-José, Montse Palacio, Rubén Barakat
INTRODUCTION: The complex process of pregnancy and childbirth significantly influences the well-being of both mother and child. Today all pregnant women without medical contraindications are recommended to start or continue regular aerobic and strength training for at least 150 min per week to prevent pregnancy-related diseases and conditions. Urinary incontinence in pregnancy, episiotomy and third- or fourth-degree perineal tear during labor can greatly impact womens' health, quality of life and ability to be physically active...
December 23, 2023: Acta Obstetricia et Gynecologica Scandinavica
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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