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F Bellussi, T Ghi, A Youssef, I Cataneo, G Salsi, G Simonazzi, G Pilu
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Sara S Webb, Karla Hemming, Madhi Y Khalfaoui, Tine Brink Henriksen, Sara Kindberg, Stine Stensgaard, Christine Kettle, Khaled M K Ismail
INTRODUCTION AND HYPOTHESIS: To establish the contribution of maternal, fetal and intrapartum factors to the risk of incidence of obstetric anal sphincter injuries (OASIS) and assess the feasibility of an OASIS risk prediction model based on variables available to clinicians prior to birth. METHODS: This was a population-based, retrospective cohort study using single-site data from the birth database of Aarhus University Hospital, Denmark. The participants were all women who had a singleton vaginal birth during the period 1989 to 2006...
September 2, 2016: International Urogynecology Journal
Hege Hølmo Johannessen, Arne Wibe, Arvid Stordahl, Leiv Sandvik, Siv Mørkved
INTRODUCTION: Pregnancy- and delivery-related factors affect postpartum anal incontinence. We aimed to explore changes in continence status among primiparas from late pregnancy through the first year postpartum. MATERIAL AND METHODS: In this prospective cohort study set in two Norwegian hospitals, 862 healthy primiparas completed questionnaires about the main outcome measure anal incontinence, including flatus incontinence and urgency, at three time points; late pregnancy, 6 and 12 months postpartum...
September 2015: Acta Obstetricia et Gynecologica Scandinavica
Antonio Simone Laganà, Milan Terzic, Jelena Dotlic, Emanuele Sturlese, Vittorio Palmara, Giovanni Retto, Dusica Kocijancic
OBJECTIVES: There is an ongoing debate regarding the routine versus restrictive use of episiotomy The study aim was to investigate if episiotomy during vaginal deliveries can reduce both, the number and severity of genital lacerations. MATERIAL AND METHODS: The study included all women who gave vaginal birth at AOU. "G. Martino" Messina (n=382) and the Clinic for Ob/Gyn Clinical Center of Serbia, Belgrade (n=4227) during 2011. Lacerations during birth were recorded and divided according to location and severity Women with lacerations were subdivided into two groups: with or without mediolateral episiotomy We assessed potential risk factors for laceration: maternal age, parity use of labor stimulants and epidural analgesia, participation in antenatal classes, fetal presentation, neonatal birth weight, and duration of the second stage of labor...
March 2015: Ginekologia Polska
Lisa Gill, Sherif El Nashar, Angelica T Garrett, Abimbola O Famuyide
INTRODUCTION: The objective of this study was to develop a model for predicting perineal lacerations in women attempting forceps-assisted delivery. METHODS: We identified all forceps-assisted deliveries at our institution from January 1, 2002 to June 30, 2012. Multiple gestations were excluded. The laceration group included third and fourth degree was compared with a control group including a random sample of women who had a forceps-assisted delivery without lacerations...
May 2014: Obstetrics and Gynecology
Rebecca Jackson
It is common practice for epidural analgesia to be offered to women in labour with a suspected occipito-posterior (OP) position. Therefore, this article will challenge whether this practice ensures informed choice and optimal outcomes. Based on a case study, I will explore how midwives can promote normality in an OP labour through autonomous practice. My intuition was that Jane (a pseudonym) may not have consented to an epidural had she known the risks, and as a result, she might have achieved a spontaneous vaginal birth...
December 2013: Practising Midwife
Hala Phipps, Bradley de Vries, Sabrina Kuah, Jon A Hyett
OBJECTIVE: To review and describe the impact of varied recruitment processes in two intrapartum studies. DESIGN: Retrospective review of one prospective cohort study and one pilot randomized controlled trial. SETTING: Australian tertiary referral hospital. POPULATION: Women with term, cephalic singleton pregnancies. METHODS: Recruitment processes in one observational and one interventional study examining the management of occipitoposterior position in labor were reviewed...
November 2013: Acta Obstetricia et Gynecologica Scandinavica
Shay Porat, David Baud, Dan Farine
INTRODUCTION AND HYPOTHESIS: Risk factors related to obstetric anal sphincter injuries (OASIS) are known for singleton deliveries. No study to date has described the rate and risk factors involved in twin deliveries. METHODS: We conducted a retrospective cohort study (1985-2010) of all vaginal twin and singleton deliveries in a single tertiary center. The adjusted odds ratio (OR) for OASIS at delivery was estimated using the logistic regression model. RESULTS: The study comprised 1,538 and 91,312 patients with vaginal twin and singleton delivery, respectively...
May 2013: International Urogynecology Journal
Erik A Torkildsen, Kjell Å Salvesen, Philip VON Brandis, Torbjørn M Eggebø
OBJECTIVE: To examine how well ultrasound-assessed occipitoposterior (OP) position or high sagittal (HS) position in primiparous women with a prolonged first stage of labor predicts a vaginal delivery and the duration of labor. DESIGN: Prospective observational study. SETTING: Stavanger University Hospital, a secondary referral center in Norway. POPULATION: 105 primiparous women with prolonged first stage of labor. METHODS: Ultrasound assessment of fetal head position...
November 2012: Acta Obstetricia et Gynecologica Scandinavica
Corine J M Verhoeven, Leon G M Mulders, S Guid Oei, Ben Willem J Mol
OBJECTIVE: To examine the capacity of pre-induction sonographic assessment of occipital position of the foetal head to predict the outcome of delivery, and to assess whether sonographic foetal head position before induction of labour is related to foetal presentation at delivery. STUDY DESIGN: A prospective cohort study was conducted in the Máxima Medical Centre, The Netherlands. We included consecutive women in whom labour was induced. Immediately prior to induction a transabdominal ultrasound was performed to determine the position of the foetal occiput...
October 2012: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Mikael Gardberg, Yana Leonova, Eero Laakkonen
Fetal malpresentation, including persistent occipitoposterior position, is a major cause of dystocia resulting in obstetric interventions. We studied malpresentation among 11 957 consecutive singleton deliveries from 1995 to 2004. There were 1 030 deliveries with a malpresentation (8.6%). Cephalic malpresentations occurred in 5.4% of deliveries (persistent occipitoposterior 5.2%, face 0.1%, brow 0.14%), and 3.1% had breech presentation and 0.12% a transverse lie. The odds ratios (OR) for cesarean section were 14...
May 2011: Acta Obstetricia et Gynecologica Scandinavica
No abstract text is available yet for this article.
July 1946: American Journal of Obstetrics and Gynecology
No abstract text is available yet for this article.
April 13, 1946: Medical Journal of Australia
Xiao-jun Chen, Zhen Fang
To introduce the authors' clinical experiences on acupuncture for treatment of cerebellar ataxia after stroke. Through the past five years in clinical practice, the authors summed up and classified a series of treatment protocols based on personal clinical experiences. And these treatment protacols applied to treat cerebella ataxia after stroke are: needling in row at occipitoposterior region; scattered needling at forehead, vertex of head and temporal area; skillful application of acupoints for opening orifices or restoring resuscitation; combination of cervical Jiaji points (cervical paravertebral points), and body acupuncture according to the syndrome differentiation etc...
November 2009: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
A Eckman, R Ramanah, E Gannard, M C Clement, G Collet, L Courtois, A Martin, S Cossa, R Maillet, D Riethmuller
AIM: To evaluate our practice following Clinical Practice Guidelines (CPG) of the French College of Obstetricians and Gynecologists (CNGOF) in 2005 advocating a policy of restrictive episiotomy and to show that a significative decrease in the rate of episiotomy does not increase the number of third and fourth degree perineal tears. MATERIAL AND METHODS: A retrospective study of episiotomies and third/fourth degree perineal tears of the year 2003 (before the CPG) was compared with the year 2007 (after the CPG)...
February 2010: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Nir Melamed, Avi Ben-Haroush, Rony Chen, Joseph Pardo, Moshe Hod, Yariv Yogev
OBJECTIVE: : To assess pregnancy outcome and risk factors for repeat operative vaginal delivery in women with previous operative vaginal delivery. METHODS: : This was a case-control study of all nulliparous women who underwent operative vaginal delivery in a tertiary care medical center from 1993-2006 (n=4,153). The control group included nulliparous women who underwent spontaneous vaginal delivery during the same period in a 2:1 ratio (n=8,306). The women in each group who had a subsequent delivery at our center were identified (n=1,396 and n=2,591, respectively), and the outcome of the subsequent delivery was recorded...
October 2009: Obstetrics and Gynecology
O Eskandar, D Shet
We reviewed 3,038 deliveries at our hospital, over a period of 2 years (2005 and 2006) to identify risk factors for 3rd and 4th degree perineal tear. We used the hospital database and labour ward registry book and reviewed patients' record notes. After excluding elective and emergency caesarean sections, 2,278 women had delivered vaginally, from which 36 patients had 3rd/4th degree perineal tears as defined by the RCOG Green top guidelines No 29 (2007). A total of 2,242 women who delivered vaginally without 3rd/4th degree perineal tears were used as controls in this study...
February 2009: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
A Foran, C Cinnante, A Groves, D V Azzopardi, M A Rutherford, F M Cowan
OBJECTIVE: To document perinatal events, brain imaging, neurophysiology and clinical outcome in term infants with early postnatal collapse (PNC). DESIGN: Tertiary referral centre, retrospective case review (1993-2006). PATIENTS: Infants born at > or =36 weeks' gestation with early (<72 h) PNC. Peri-partum and post-collapse data were collated with clinical, electrophysiological, neuroimaging and autopsy data and neurodevelopmental outcome...
May 2009: Archives of Disease in Childhood. Fetal and Neonatal Edition
No abstract text is available yet for this article.
March 1948: American Journal of Obstetrics and Gynecology
Thomas C Dudding, Carolynne J Vaizey, Michael A Kamm
BACKGROUND AND AIMS: Obstetric sphincter damage is the most common cause of fecal incontinence in women. This review aimed to survey the literature, and reach a consensus, on its incidence, risk factors, and management. METHOD: This systematic review identified relevant studies from the following sources: Medline, Cochrane database, cross referencing from identified articles, conference abstracts and proceedings, and guidelines published by the National Institute of Clinical Excellence (United Kingdom), Royal College of Obstetricians and Gynaecologists (United Kingdom), and American College of Obstetricians and Gynecologists...
February 2008: Annals of Surgery
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