keyword
https://read.qxmd.com/read/38456522/implementation-of-sonopartogram-multicenter-feasibility-study
#21
JOURNAL ARTICLE
N M W Lee, S L Lau, Y K Yeung, C P H Chiu, F Liu, Y Y Lau, A M Fidalgo, M J Cuerva, A Aquise, L Nguyen-Hoang, M M Gil, L C Poon
OBJECTIVES: Well-established clinical practice to assess progress in labor involves routine abdominal palpation and vaginal examination (VE). However, VE is subjective, poorly reproducible and painful for women. In this study, our aim is to evaluate the feasibility of systematically integrating transabdominal and transperineal ultrasound assessment of fetal position, psAOP, HPD and SCD to monitor labor progress in women undergoing induction of labor (IOL). We also aim at determining if ultrasound can reduce women's pain during examinations...
March 8, 2024: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/38453730/the-utility-of-combined-utero-cervical-%C3%A4-ndex-in-predicting-preterm-delivery-in-pregnant-women-with-preterm-uterine-contractions
#22
JOURNAL ARTICLE
Atakan Tanacan, Bedri Sakcak, Ramazan Denizli, Zahid Agaoglu, Nihat Farisogullari, Ozgur Kara, Dilek Sahin
PURPOSE: To evaluate the utility of a novel ultrasound index "combined utero-cervical index (CUCI)" in the prediction of preterm delivery. METHODS: The present prospective cohort study was conducted in Ankara Bilkent City Hospital Perinatology Clinic between January 1, 2023, and March 31, 2023. Pregnant women with uterine contractions between 24 and 36th gestational weeks but did not have dilatation or effacement were included. CUCI was calculated as: (utero-cervical angle)/(anterior cervical lip thickness + fundal thickness + lower uterine segment thickness + cervical length)...
March 8, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38453019/changes-in-rate-pressure-product-associated-with-pregnancy
#23
JOURNAL ARTICLE
Claudio V Schenone, Mary A Cain, Aldo L Schenone, Teagen Smith, Athanasios Tsalatsanis, Judette M Louis, Daniela R Crousillat
BACKGROUND: In non-pregnant individuals, the rate-pressure product, the product of heart rate and systolic blood pressure, is used as a non-invasive surrogate of myocardial oxygen consumption during cardiac stress testing. Pregnancy is considered a physiologic cardiovascular stress test. Prior evidence describing the impact of pregnancy on myocardial oxygen demand, as assessed by the rate-pressure product, is limited. OBJECTIVES: To describe changes in rate-pressure product by pregnancy trimester, during labor and delivery, and postpartum among low-risk pregnancies...
March 5, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38439540/outcomes-of-thoracic-endovascular-aortic-repair-using-fenestrated-stent-grafts-in-patients-with-thoracic-aortic-distal-arch-aneurysms
#24
JOURNAL ARTICLE
Takeshi Okamoto, Yoshihiko Yokoi, Noriaki Sato, Shuhei Suzuki, Takashi Enomoto, Ryo Onishi, Norihito Nakamura, Yuka Okubo, Ayako Nagasawa, Takehito Mishima, Shuichi Shiraishi, Masanori Tsuchida
OBJECTIVES: TEVAR for aortic arch aneurysms is challenging because of anatomical restrictions and the presence of cervical branches. Revascularization of the cervical branch is required when conventional commercial stent grafts are used. TEVAR using fenestrated stent grafts often does not require additional procedures to revascularize cervical branches. This study aimed to evaluate the features and initial and midterm outcomes of TEVAR using fenestrated stent grafts. METHODS: From April 2007 to December 2016, 101 consecutive patients underwent TEVAR using fenestrated stent grafts for distal aortic arch aneurysms at a single center...
March 4, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38428382/perinatal-and-neonatal-outcomes-of-high-risk-asymptomatic-women-from-a-specialist-preterm-birth-surveillance-clinic
#25
JOURNAL ARTICLE
L Creswell, D L Rolnik, B Burke, S Daly, N O'Gorman
OBJECTIVES: To report the perinatal outcomes of high-risk asymptomatic women who attended a specialist preterm surveillance clinic (PSC) to undergo screening for spontaneous preterm birth (PTB) in Ireland. METHODS: Single center, retrospective cohort study of asymptomatic high risk women who attended the PSC between January 2019 and December 2022. A comprehensive database of all patients who attended the clinic during the study period was constructed and analyzed...
February 27, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38423450/new-labor-curves-of-dilation-and-station-to-improve-the-accuracy-of-predicting-labor-progress
#26
JOURNAL ARTICLE
Emily F Hamilton, Tilekbek Zhoroev, Philip A Warrick, Adi L Tarca, Thomas J Garite, Aaron B Caughey, Jason Melillo, Mona Prasad, Duncan Neilson, Peter Singson, Kimberlee Mckay, Roberto Romero
BACKGROUND: The diagnosis of failure to progress, the most common indication for intrapartum cesarean delivery, is based on the assessment of cervical dilation and station over time. Labor curves serve as references of expected changes in dilation and fetal descent. The labor curves of Friedman, Zhang et al and others are based on time alone and derived from mothers with spontaneous labor onset. However, labor induction is now common, and clinicians also consider other factors when assessing labor progress...
February 27, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38423118/the-importance-of-fetal-station-in-the-first-stage-of-labor
#27
JOURNAL ARTICLE
Sara Isabel Jones, Chinonye Sharon Imo, Amanda Zofkie, Alexandra Ragsdale, Donald D McIntire, David Bryan Nelson
OBJECTIVE: This study aimed to examine the relationship of fetal station in the first stage of labor to labor curves and cesarean delivery rates among patients presenting in spontaneous labor. STUDY DESIGN: Labor curves for patients with non-anomalous singletons who presented in spontaneous labor to our hospital's Obstetric Triage Unit with intact membranes from January 1, 2012 to August 31, 2016 were reviewed. Cervical exams and time of exam were obtained for each patient from presentation to triage until delivery...
February 29, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38420080/impact-of-introducing-a-controlled-release-dinoprostone-vaginal-insert-for-labor-induction-a-retrospective-single-center-study-in-japan
#28
JOURNAL ARTICLE
Ryosuke Shindo, Shigeru Aoki, Sayuri Nakanishi, Soichiro Obata, Etsuko Miyagi
AIM: Cervical ripening is commonly performed before oxytocin administration during labor induction in pregnant women with an unfavorable cervix. In Japan, a controlled-release Dinoprostone vaginal insert (CR-DVI) was approved in 2020. Although many studies have compared the mechanical methods of ripening and prostaglandins, few have examined the impact of additional options for labor induction. This study aimed to assess the impact of CR-DVI as an additional option for labor induction in women with an unfavorable cervix...
January 2024: Curēus
https://read.qxmd.com/read/38419599/optimal-starting-dosing-regimen-of-intravenous-oxytocin-for-labor-induction-based-on-the-population-kinetic-pharmacodynamic-model-of-uterine-contraction-frequency
#29
JOURNAL ARTICLE
Zhiheng Yu, Rong Chen, Cheng Zhao, Renwei Zhang, Tianyan Zhou, Yangyu Zhao
BACKGROUND: Intravenous oxytocin is commonly used for labor induction. However, a consensus on the initial dosing regimen is lac with conflicting research findings and varying guidelines. This study aimed to develop a population kinetic-pharmacodynamic (K-PD) model for oxytocin-induced uterine contractions considering real-world data and relevant influencing factors to establish an optimal starting dosing regimen for intravenous oxytocin. METHODS: This retrospective study included pregnant women who underwent labor induction with intravenous oxytocin at Peking University Third Hospital in 2020...
February 29, 2024: Pharmacotherapy
https://read.qxmd.com/read/38417552/randomized-control-trial-comparing-hygroscopic-cervical-dilators-to-cervical-ripening-balloon-for-outpatient-cervical-ripening-corc-trial
#30
JOURNAL ARTICLE
Dr Anjanique Mariquit R Lu, Dr Brenda Lin, Ms Disha Shahani, Dr Kristen Demertzis, Dr Jolene Muscat, Dr Elizabeth Zabel, Dr Payton Olson, Dr Olivia Manayan, Mx Emily Nonnamaker, Dr Joy Fest, Dr Brigid McCue
BACKGROUND: Outpatient term pre-induction cervical ripening with mechanical agents has been associated with reduced length of stay, decreased cesarean delivery rates, low maternal and neonatal complications, and increased incidence of vaginal delivery within 24 hours. OBJECTIVE(S): This study aims to demonstrate equivalent efficacy between synthetic hygroscopic dilators and the single balloon catheter for outpatient cervical ripening. STUDY DESIGN: This randomized control equivalence trial compares synthetic hygroscopic dilators to the 30cc silicone single balloon catheter in primiparous and multiparous patients undergoing induction...
February 26, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38412109/effect-of-remimazolam-supplementation-on-propofol-requirements-during-hysteroscopy-a-double-blind-dose-response-study
#31
JOURNAL ARTICLE
Yan-Hong Zhou, Shu-Xi Li, Lin Li, Chun-Mei Deng, Jian-Jun Shen, Dong-Xin Wang, Xin-Zhong Chen, Li-Li Xu
BACKGROUND: Propofol is commonly used for procedural sedation but may increase side effects in a dose-dependent manner. Remimazolam, an ultrashort-acting benzodiazepine, has been approved for procedural sedation but may delay awakening. This study tested the hypothesis that remimazolam as a supplement reduces effect-site propofol concentration (Ceprop) required to suppress response to cervical dilation in patients undergoing hysteroscopy. METHODS: One hundred and fifty patients who were scheduled for hysteroscopy were randomized to receive 0, 0...
February 27, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38408623/the-use-of-bubble-charts-in-analyzing-second-stage-cesarean-rates
#32
JOURNAL ARTICLE
Man Wai Catherine Hung, Lin Tai Linus Lee, Christopher Pak Hey Chiu, Man Kee Teresa Ma, Yuen Yee Yannie Chan, Lee Ting Kwong, Eunice Joanna Wong, Theodora Hei Tung Lai, Oi Ka Chan, Po Lam So, Wai Lam Lau, Tak Yeung Leung
BACKGROUND: The incidence of second stage cesarean delivery has been rising globally due to the failure or the anticipated difficulty in performing instrumental delivery. Yet the best way to interpret the figure, and its optimal rate remain to be determined. This is because that it is strongly influenced by the practice of other two modes of birth, namely the cesarean performed before reaching the second stage, and the assisted vaginal birth during the second stage. In this regard, a bubble chart which can display three-dimensional data through its X-axis, Y-axis, and the size of each plot (presented as a bubble), may be a suitable method to evaluate the relationship between the rates of these three modes of births...
February 24, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38403163/role-of-platelet-activating-factor-paf-as-a-mediator-of-inflammatory-diseases-and-preterm-delivery
#33
REVIEW
Hanan Hamimi Wahid, Fatin Najihah Anahar, Nurul Husna Isahak, Juwairiyah Mohd Zoharodzi, Siti Nur Lina Mohammad Khoiri, Nurul Hayati Mohamad Zainal, Norhidayah Kamarudin, Hamizah Ismail, Mohammed Imad Al-Deen Mustafa Mahmud
Nearly 70% of preterm deliveries occur spontaneously, and the clinical pathways involved include preterm labor (PTL) and preterm premature rupture of membranes (pPROM). Prediction of preterm delivery is considered crucial due to the significant effects of preterm birth on health and the economy at both the personal and community levels. Although similar inflammatory processes occur in both term and preterm delivery, the premature activation of these processes or exaggerated inflammatory response triggered by infection or sterile factors leads to preterm delivery...
February 23, 2024: American Journal of Pathology
https://read.qxmd.com/read/38401091/effect-of-acupoint-application-of-chinese-medicine-combined-with-a-hot-compress-on-pain-of-uterine-and-fallopian-tube-contrast-agent-in-infertile-women
#34
JOURNAL ARTICLE
Huiling Xie, Xiaoyu Zhang, Dan Tian, Donghui Liang, Chunmei He, Huina Mao
OBJECTIVE: To investigate the effects of combining traditional Chinese medicine acupoint sticking with sea salt hot compress on pain relief and promoting physical and mental comfort in infertile women undergoing Hysterosalpingo contrast sonography (HyCoSy). METHODS: Infertile women admitted to Zhujiang Hospital of Southern Medical University from October 2021 to December 2022 were selected and 150 of them were selected by random number table method as the main subjects of the study and divided into three groups...
February 9, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38367750/optimal-misoprostol-dosing-among-patients-with-a-body-mass-index-greater-than-30-a-randomized-controlled-trial
#35
JOURNAL ARTICLE
Alexander M Saucedo, Miriam Alvarez, George A Macones, Alison G Cahill, Lorie M Harper
BACKGROUND: Patients with obesity experience an increased duration of labor with an increased risk for perinatal morbidity. When compared with parturients without obesity, they also experience fewer uterine contractions after administration of misoprostol. It is unclear if the same dose of misoprostol should be used for induction of labor in patients with obesity compared to non-obese patients. Therefore, we sought to investigate if a higher dose of misoprostol for patients with obesity is more effective...
February 15, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38348912/local-anaesthesia-for-pain-control-in-first-trimester-surgical-abortion
#36
REVIEW
Regina-Maria Renner, Madeleine Ennis, Adrienne E McKercher, Jillian T Henderson, Alison Edelman
BACKGROUND: Abortions prior to 14 weeks are among the most common outpatient surgical procedures performed on people capable of becoming pregnant. Various methods have been used to control pain; however, many people still experience pain with the procedure. OBJECTIVES: To evaluate the benefits and harms of local anaesthesia given for pain control during surgical abortion at less than 14 weeks' gestation. SEARCH METHODS: We searched CENTRAL (Ovid EBM Reviews), MEDLINE (Ovid), Embase, POPLINE, and Google Scholar to December 2022 for randomized controlled trials of pain control in surgical abortion at less than 14 weeks' gestation using suction aspiration...
February 13, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38342370/laparoscopic-transfundal-approach-to-cervical-dilation-a-novel-treatment-for-cervical-stenosis-and-cervical-factor-infertility
#37
JOURNAL ARTICLE
Christine Hur, Jeffrey M Goldberg
OBJECTIVE: To demonstrate a novel technique used to restore cervical patency in a patient with severe iatrogenic cervical stenosis DESIGN: Surgical video case report SETTING: A single academic institution PATIENT(S): We highlight a case of a 35-year-old nulliparous woman with a history of primary infertility. Her past medical history was significant for focal invasive well-differentiated squamous cell carcinoma of the cervix for which she underwent a loop electrosurgical excision procedure (LEEP)...
February 9, 2024: Fertility and Sterility
https://read.qxmd.com/read/38342291/first-description-of-a-primary-esophageal-histiocytic-sarcoma-in-a-dog
#38
Anelise Bonilla Trindade-Gerardi, Camila Alves da Silveira, Janyni Duz, Isabella Teixeira Caçapietra Pires da Silva, Tainã Normanton Guim, Saulo Petinatti Pavarini, Cristiano Gomes, Daniel Guimarães Gerardi
An 11-year-old male Schnauzer dog was referred for investigation of cough and regurgitation of one month duration and gradual hyporexia for the previous five months. Complete blood count showed severe leukocytosis. On ventrodorsal and lateral thoracic radiographs a soft tissue mass was visible in the craniodorsal mediastinum. Endoscopy showed esophageal dilatation and an irregular, nodular, friable, exophytic mass in the thoracic esophagus, which was invasive, vascularized and had ulcerated areas. The mass occluded approximately 90% of the esophageal lumen...
February 9, 2024: Topics in Companion Animal Medicine
https://read.qxmd.com/read/38340985/self-traction-during-mechanical-cervical-dilatation-acceptability-feasibility-and-satisfaction-of-its-application-a-pilot-study
#39
JOURNAL ARTICLE
Valérie Lebel, Roseline Galipeau, Isabelle Landry, Amélie Gervaise, Valérie Bohémier, Diane Croteau
This study aims to measure acceptability, feasibility, and satisfaction with self-traction during mechanical cervical dilatation to induce labour and to explore its effects on pain and the process of labour and delivery. 60 parturients were randomly assigned to self-traction or regular traction. Participants completed questionnaires about sociodemographic characteristics, acceptability, and satisfaction. Self-traction participants reported significantly higher acceptability (P = 0.026), and adequacy (P = 0...
February 8, 2024: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/38337809/digital-examination-vs-4d-transperineal-ultrasound-do-they-compare-in-labour-management-a-pilot-study
#40
JOURNAL ARTICLE
Friederike Exner, Rebecca Caspers, Lieven Nils Kennes, Julia Wittenborn, Tomás Kupec, Elmar Stickeler, Laila Najjari
The aim was to compare transperineal ultrasound (TPU) with parameters of the Bishop Score during the first stage of labour and evaluate how TPU can contribute towards improving labour management. Digital examination (DE) and TPU were performed on 42 women presenting at the labour ward with regular contractions. TPU measurements included the head-symphysis distance, angle of progression, diameter of the cervical wall, cervical dilation (CD) and cervical length (CL). To examine if TPU can monitor labour progress, correlations of TPU parameters were calculated...
January 30, 2024: Diagnostics
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