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second stage of labor

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https://www.readbyqxmd.com/read/27912944/effect-of-li4-and-bl32-acupressure-on-labor-pain-and-delivery-outcome-in-the-first-stage-of-labor-in-primiparous-women-a-randomized-controlled-trial
#1
Giti Ozgoli, Sedigheh Sedigh Mobarakabadi, Reza Heshmat, Hamid Alavi Majd, Zohreh Sheikhan
OBJECTIVE: This study examines and compares the effect of LI4 and BL32 acupressure with each other and control group on labor pain and delivery outcomes. DESIGN: In this randomized controlled trial, 105 primiparous women in active phase of first-stage of labor were equally assigned to two experimental groups [acupressure on LI4 (n=35) or BL32 (n=35)] and a control group (n=35). INTERVENTIONS: The experimental groups received routine labor care and acupressure in LI4 or BL32 points in three cervical dilatations (4-5, 6-7, and 8-10cm)...
December 2016: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/27906038/craniopagus-parasiticus-a-parasitic-head-protruding-from-temporal-area-of-cranium-a-case-report
#2
Wassihun Nega, Meku Damte, Yonas Girma, Getachew Desta, Mengistu Hailemariam
BACKGROUND: Craniopagus parasiticus is rare with an incidence of approximately four to six cases in 10,000,000 births. In our case, the head of the parasitic twin protruded from the temporal area of the normal twin's cranium. The parasitic twin had two deformed lower limbs, of which one was rudimentary, and long bones of the bilateral lower limbs and some pelvic bone. Dissection of the mass of the parasitic twin's body revealed the intestine but no chest organs or abdominal organs. There was a rudimentary labium but no vaginal opening...
December 1, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27904588/normal-birth-in-kazakhstan-labor-management-practice-in-accordance-with-world-health-organization-s-recommendations
#3
Aizhan D Kyzayeva, Aigul B Kudamanova
BACKGROUND: Over the last 10 years, the evidential practice has been developing in Kazakhstan. The clinical protocols of diagnostics and treatment were implemented in the country since 2007. We analyzed the normal birth practice in Kazakhstan. MATERIALS AND METHODS: Obstetricians and midwives were subject to the questionnaire survey in four large Maternity Hospitals of Almaty. RESULTS: Totally, 72 midwives and 50 obstetricians took part in the questionnaire survey...
2016: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/27901551/prolonged-second-stage-what-is-the-optimal-length
#4
Alexis C Gimovsky, Vincenzo Berghella
Importance: Prolonged second stage of labor is a clinical dilemma in which controversy exists on whether extending labor in nulliparous women with epidural anesthesia decreases the incidence of cesarean delivery without increasing maternal or neonatal risks. Objective: This narrative review was conducted to assess the current literature on management of and risks associated with a prolonged second stage in nulliparous women with epidurals. Evidence Acquisition: A review of the current literature was performed to evaluate the incidence of cesarean delivery and the maternal and neonatal outcomes...
November 2016: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/27869984/cesarean-delivery-rates-and-obstetric-culture-an-italian-register-based-study
#5
Cristina Plevani, Maddalena Incerti, Davide Del Sorbo, Armando Pintucci, Patrizia Vergani, Luca Merlino, Anna Locatelli
INTRODUCTION: Cesarean delivery (CD) rates are rising due to multiple factors, including less use of operative vaginal delivery (OVD) and vaginal birth after cesarean delivery (VBAC), which often reflect local obstetric practices. Objectives of the study were to analyze the relations between CD, these practices and perinatal outcomes. MATERIAL AND METHODS: We included all deliveries in the 72 hospitals of Lombardia, a Region in Northern Italy, during the year 2013...
November 21, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27868224/evaluation-of-levator-ani-muscle-throughout-the-different-stages-of-labor-by-transperineal-3d-ultrasound
#6
José Antonio García Mejido, Carmen M Suárez Serrano, Ana Fernéndez Palacín, Adriana Aquise Pino, María José Bonomi Barby, José Antonio Sainz Bueno
OBJECTIVE: Description and assessment by 3-D transperineal ultrasound of modifications suffered by pelvic floor muscles during the passage of the fetal head through the birth canal during the second stage of labor, as well as the identification of the precise moment in which levator ani muscle avulsion takes place. MATERIALS AND METHODS: Patients included were 35 primigravidae, recruited during the first stage of labor, with at term pregnancy (37-42 weeks), without serious maternal-fetal pathology and cephalic presentation...
November 21, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27863615/the-effect-of-aromatherapy-with-lavender-essence-on-severity-of-labor-pain-and-duration-of-labor-in-primiparous-women
#7
Mansoreh Yazdkhasti, Arezoo Pirak
OBJECTIVE: The aim of this study was to investigate the effect of Lavender essence inhalation on severity of labor pain and duration of labor. METHODS AND MATERIALS: This single-blind, randomized clinical trial was conducted on 120 pregnant women in two groups. The experimental group received 2 drops of Lavender essence inhaled at three stages (4-5, 6-7, 8-9 cm cervical dilation) and severity of the labor pain and duration of labor was measured before and after intervention...
November 2016: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/27859542/midwives-management-during-the-second-stage-of-labor-in-relation-to-second-degree-tears-an-experimental-study
#8
Malin Edqvist, Ingegerd Hildingsson, Margareta Mollberg, Ingela Lundgren, Helena Lindgren
INTRODUCTION: Most women who give birth for the first time experience some form of perineal trauma. Second-degree tears contribute to long-term consequences for women and are a risk factor for occult anal sphincter injuries. The objective of this study was to evaluate a multifaceted midwifery intervention designed to reduce second-degree tears among primiparous women. METHODS: An experimental cohort study where a multifaceted intervention consisting of 1) spontaneous pushing, 2) all birth positions with flexibility in the sacro-iliac joints, and 3) a two-step head-to-body delivery was compared with standard care...
November 14, 2016: Birth
https://www.readbyqxmd.com/read/27843776/a-randomized-controlled-trial-comparing-use-of-enthonox-with-pethidine-for-pain-relief-in-primigravid-women-during-the-active-phase-of-labor
#9
Noshin Mobaraki, Mahzad Yousefian, Solmaz Seifi, Mehran Sakaki
BACKGROUND: The use of pain-relieving drugs during labor is now part of standard care in many countries throughout the world. Each method of pain relief has its own risks and benefits, variations in effectiveness, and availability and acceptability. OBJECTIVES: This study aimed to assess the efficacy and safety of intramuscular pethidine as an analgesic during labor by comparing it to inhaled 50% nitrous oxide (Entonox). METHODS: In this clinical trial study, 100 women who expected to have a natural childbirth were observed...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27832403/intrapartum-transperineal-ultrasound-for-evaluating-uterine-contraction-intensity-in-the-second-stage-of-labor
#10
Miyuki Muramoto, Kiyotake Ichizuka, Junichi Hasegawa, Masamitsu Nakamura, Satoshi Dohi, Hiroshi Saito, Masaaki Nagatsuka
PURPOSE: To clarify whether intrapartum transperineal ultrasound (ITU) can be used to evaluate uterine contraction intensity, and whether the intensity is associated with the duration of the second stage. METHODS: A prospective observational study was performed involving 86 women with a normal singleton term fetus and more than three contractions every 10 min. ITU was performed for contractile and non-contractile periods of labor at the beginning of the second stage, and one representative "angle of progression (AoP)" image was selected for each period...
November 10, 2016: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/27829322/uterine-electrical-activity-at-labor-is-there-a-correlation-between-labor-stages
#11
Liran Hiersch, Liat Salzer, Amir Aviram, Eran Hadar, Yariv Yogev, Eran Ashwal
OBJECTIVE: To determine the association between the myometrial electrical activity in the active and second stages of labor at term using electrical uterine myography (EUM). METHODS: A prospective observational study of 47 singleton deliveries at term in a tertiary hospital. All women were assessed using non-invasive 9-channel surface electrodes of the EUM during labor. EUM index (EUMi) was calculated as the mean electrical activity during a-30 minute monitoring period and expressed as microjouls (MJ)...
November 9, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27828798/effects-of-epidural-labor-analgesia-with-low-concentrations-of-local-anesthetics-on-obstetric-outcomes-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#12
Ting-Ting Wang, Shen Sun, Shao-Qiang Huang
BACKGROUND: Low concentrations of local anesthetics (LCLAs) are increasingly popular for epidural labor analgesia. The effects of epidural analgesia with low concentrations of anesthetics on the duration of the second stage of labor and the instrumental birth rate, however, remain controversial. A systematic review was conducted to compare the effects of epidural analgesia with LCLAs with those of nonepidural analgesia on obstetric outcomes. METHODS: The databases of PubMed, Embase, and the Cochrane controlled trials register were independently searched by 2 researchers, and randomized controlled trials that compared epidural labor analgesia utilizing LCLAs with nonepidural analgesia were retrieved...
November 8, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27811594/effect-of-implementing-a-standardized-shoulder-dystocia-documentation-form-on-quality-of-delivery-notes
#13
Lisa C Zuckerwise, Madison M Hustedt, Heather S Lipkind, Edmund F Funai, Cheryl A Raab, Christian M Pettker
OBJECTIVES: Complete and accurate documentation by the delivering provider in cases of shoulder dystocia is critical for providing clinical information and care to the patient and protecting providers from litigation risks. Standardized forms improve inclusion of certain data elements in the medical record, but the impact on subsequent narrative notes is unknown. We aimed to determine if implementation of a standardized shoulder dystocia documentation form improves obstetric provider written narrative delivery notes...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27806660/regarding-choosing-between-bad-worse-and-worst-what-is-the-preferred-mode-of-delivery-for-failure-of-the-second-stage-of-labor
#14
Ross W McQuivey
No abstract text is available yet for this article.
November 2, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27794565/comparison-between-three-methods-of-fetal-weight-estimation-during-the-active-stage-of-labor-performed-by-residents-a-prospective-cohort-study
#15
Eran Weiner, Yossi Mizrachi, Nataly Fainstein, Osnat Elyashiv, Noa Mevorach-Zussman, Jacob Bar, Michal Kovo
OBJECTIVE: To compare the accuracy of ultrasonographic, calculated, and clinical methods for the estimation of fetal weight (EFW) performed during active labor by residents. METHODS: Parturients in active labor underwent prospectively EFW by 3 methods: ultrasonographic, clinical, and calculated (extrapolating EFW from a previous scan). Three different blinded residents evaluated each woman. Background variables were examined for their effect on the accuracy of each method...
October 29, 2016: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/27776074/committee-opinion-no-679-immersion-in-water-during-labor-and-delivery
#16
(no author information available yet)
Immersion in water during labor or delivery has been popularized over the past several decades. The prevalence of this practice in the United States is uncertain because it has not been studied in births outside of the home and birth centers, and the data are not recorded on birth certificates. Among randomized controlled trials included in a 2009 Cochrane systematic review that addressed immersion in the first stage of labor, results were inconsistent with regard to maternal benefits. Neither the Cochrane systematic review nor any individual trials included in that review reported any benefit to the newborn from maternal immersion during labor or delivery...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27776069/committee-opinion-no-679-summary-immersion-in-water-during-labor-and-delivery
#17
(no author information available yet)
Immersion in water during labor or delivery has been popularized over the past several decades. The prevalence of this practice in the United States is uncertain because it has not been studied in births outside of the home and birth centers, and the data are not recorded on birth certificates. Among randomized controlled trials included in a 2009 Cochrane systematic review that addressed immersion in the first stage of labor, results were inconsistent with regard to maternal benefits. Neither the Cochrane systematic review nor any individual trials included in that review reported any benefit to the newborn from maternal immersion during labor or delivery...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27759611/length-of-second-stage-labor-safety-considerations
#18
Kathleen Rice Simpson
No abstract text is available yet for this article.
November 2016: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/27749356/methods-of-pushing-during-vaginal-delivery-and-pelvic-floor-and-perineal-outcomes-a-review
#19
Renaud de Tayrac, Vincent Letouzey
PURPOSE OF REVIEW: Over the past 20 years, several randomized studies have compared Valsalva and spontaneous pushing techniques during vaginal delivery. This review summarizes current medical knowledge concerning their maternal and fetal consequences, focusing on pelvic and perineal outcomes. RECENT FINDINGS: We selected nine randomized controlled trials comparing Valsalva and spontaneous pushing, and a secondary analysis of a randomized controlled trial comparing different methods of perineal protection...
October 5, 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27741203/maternal-and-neonatal-outcomes-with-early-compared-with-delayed-pushing-among-nulliparous-women
#20
Lynn M Yee, Grecio Sandoval, Jennifer Bailit, Uma M Reddy, Ronald J Wapner, Michael W Varner, Steve N Caritis, Mona Prasad, Alan T N Tita, George Saade, Yoram Sorokin, Dwight J Rouse, Sean C Blackwell, Jorge E Tolosa
OBJECTIVE: To describe factors associated with delayed pushing and evaluate the relationship between delayed pushing and perinatal outcomes in nulliparous women with singleton term gestations. METHODS: This was a secondary analysis of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Assessment of Perinatal Excellence cohort of 115,502 women and their neonates born in 25 U.S. hospitals from 2008 to 2011. Nulliparous women with singleton, cephalic, nonanomalous term births who achieved 10-cm cervical dilation were included...
November 2016: Obstetrics and Gynecology
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