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Breech Delivery

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181. Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review

or by interview. Sufficient data needed to be available for calculation of 2x2 tables. Studies with no control group were excluded. Studies that began less than six weeks or more than one year from the delivery date were excluded. Studies of singleton cephalic deliveries were included; those of multiple gestations or of breech delivery were excluded. The included studies compared various types of vaginal delivery with each other and with caesarean section. Parity varied across the studies. Most women were (...) Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review Pretlove SJ, Thompson PJ, Toozs-Hobson PM, Radley S, Khan KS CRD summary This review concluded that symptoms of anal

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2008 DARE.

182. Neonatal Transfer Rate and Mode of Delivery from 37th Week of Gestation in a German Perinatal Center Level 1 (PubMed)

and possible predictive factors were evaluated. Results: Our study found a two times lower neonatal transfer rate for vaginal deliveries of pregnant women without risk factors compared to women with risk factors. The following neonatal transfer rates to the NICU were noted for singleton pregnancies: 4.7 % without risk factors, 8.3 % high-risk pregnancy, 6.2 % vaginal breech delivery, 9.3 % forceps delivery, 10 % elective primary caesarean section and 14 % secondary caesarean section (...) Neonatal Transfer Rate and Mode of Delivery from 37th Week of Gestation in a German Perinatal Center Level 1 Introduction: Rates for caesarean section are on the rise and the reasons for this are being discussed worldwide. As the data is unclear, the identification of additional predictive factors for caesarean section is important as caesarean sections are closely linked to maternal and neonatal morbidity. The aim of the study was to identify predictive factors for the transfer of the neonate

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2013 Geburtshilfe Und Frauenheilkunde

183. The Effect of the Modified Perineal Protection Device During Delivery

(Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Vaginal delivery at term (week 36 - 41) Exclusion Criteria: Age below 18 Breech delivery Not understanding written and oral information Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its (...) The Effect of the Modified Perineal Protection Device During Delivery The Effect of the Modified Perineal Protection Device During Delivery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. The Effect

2013 Clinical Trials

184. National Prospective and Comparative Study on the Mode of Delivery of Twins

Planned vaginal delivery Planned cesarean delivery Total breech extraction Internal cephalic version External cephalic version (...) National Prospective and Comparative Study on the Mode of Delivery of Twins National Prospective and Comparative Study on the Mode of Delivery of Twins - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2013 Clinical Trials

185. Cesarean delivery and cerebral palsy: a systematic review and meta-analysis. (PubMed)

the following subgroups: emergency cesarean; elective cesarean; term delivery; preterm delivery; and delivery of breech-presenting newborns.Literature searches returned 1,874 articles with 58 considered in full. Studies were selected if they reported an endpoint of cerebral palsy, an intervention or risk of cesarean delivery, were in English, and gave sufficient details to perform meta-analysis.Nine case-control and four cohort studies were included in the overall analysis. Meta-analysis showed no overall (...) was associated with cerebral palsy (OR 1.6; 95% CI 1.05-2.44), whereas there was no association between any type of cesarean delivery and cerebral palsy in preterm newborns (OR 0.81; 95% CI 0.47-1.40). Cesarean delivery did not significantly modify cerebral palsy risk for breech-presenting newborns (OR 0.51; 95% CI 0.13-2.05).A review of the literature does not support the use of elective or emergency cesarean delivery to prevent cerebral palsy.

2013 Obstetrics and Gynecology

186. Hydration and Rate of Cesarean Delivery Among Nulliparous

Thyroid disease on medication Any contraindications to vaginal delivery (breech, active herpes, schedule cesarean, abnormal fetal heart tracing) Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01944787 Contacts Layout table for location contacts (...) Hydration and Rate of Cesarean Delivery Among Nulliparous Hydration and Rate of Cesarean Delivery Among Nulliparous - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Hydration and Rate of Cesarean Delivery

2013 Clinical Trials

187. The Effect of Primary Delivery of the Anterior Compared With the Posterior Shoulder on Perineal Trauma: a Randomized Controlled Trial

. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: nullipara primipara with previous cesarean section Exclusion Criteria: Multipara Twin pregnancies Nullipara with elective cesarean section Preterm delivery before 35 gestational weeks Breech delivery Acute cesarean section Contacts and Locations Go to Information from the National Library (...) The Effect of Primary Delivery of the Anterior Compared With the Posterior Shoulder on Perineal Trauma: a Randomized Controlled Trial The Effect of Primary Delivery of the Anterior Compared With the Posterior Shoulder on Perineal Trauma: a Randomized Controlled Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You

2013 Clinical Trials

188. Delivery Method and Risk for Urogenital Prolapse 15-20 Years Later

Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Women who delivered their first child at St. Olavs Hospital, Trondheim (Norway) between 1990-1997 Criteria Inclusion Criteria: first delivery in time period 1990-1997 vaginal birth, spontaneous, forceps or vacuum extraction, or cesarean section residency in Klæbu, Malvik, Melhus, Midtre Gauldal, Rissa, Selbu, Trondheim, Tydal, Åfjord at the time of first delivery Exclusion Criteria: stillbirth breech birth (...) Delivery Method and Risk for Urogenital Prolapse 15-20 Years Later Delivery Method and Risk for Urogenital Prolapse 15-20 Years Later - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Delivery Method and Risk

2013 Clinical Trials

189. Increasing caesarean section rates among low-risk groups: a panel study classifying deliveries according to Robson at a university hospital in Tanzania. (PubMed)

Increasing caesarean section rates among low-risk groups: a panel study classifying deliveries according to Robson at a university hospital in Tanzania. Rising caesarean section (CS) rates have been observed worldwide in recent decades. This study sought to analyse trends in CS rates and outcomes among a variety of obstetric groups at a university hospital in a low-income country.We conducted a hospital-based panel study at Muhimbili National Hospital, Dar es Salaam, Tanzania. All deliveries (...) for trend to determine whether changes were statistically significant. Odds ratios of CS were evaluated using multivariate logistic regression, accounting for maternal age, referral status, and private healthcare insurance.We included 137,094 deliveries. The total CS rate rose from 19% to 49%, involving nine out of ten groups. Multipara without previous CS with single, cephalic pregnancies in spontaneous labour had a CS rate of 33% in 2009 to 2011. Adjusted analysis explained some of the increase

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2013 BMC Pregnancy and Childbirth

190. Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery. (PubMed)

in their parturition and recovery experiences, and possibly lack of sufficient experience for providers in a variety of vaginal delivery scenarios (non-progressive labor, breech presentation, and/or after previous cesarean).Copyright © 2013 Elsevier Ltd. All rights reserved. (...) Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery. International rates of operative delivery are consistently higher than the World Health Organization determined is appropriate. This suggests that factors other than clinical indications contribute to cesarean section. Data presented here are from interviews with 115 mothers on the postnatal ward of a hospital in Northeast England during February 2006 to March 2009 after the women underwent either

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2013 Social Science & Medicine

191. Evaluating maternity care using national administrative health datasets: how are statistics affected by the quality of data on method of delivery? (PubMed)

deliveries, and elective CS rate for breech presentation.We identified 629,049 singleton deliveries. Method of delivery was not entered as a procedure or in the supplementary fields in 0.8% and 12.5% of records, respectively. In 545,594 records containing both data items, method of delivery was coded consistently in 96.3% (kappa = 0.93; p < 0.001). Eleven of 136 NHS trusts had comparatively poor consistency (<92%) suggesting systematic data entry errors. The different analysis rules had a small effect (...) on the statistics at a national level but the effect could be substantial for individual NHS trusts. The elective CS rate for breech was most sensitive to the chosen analysis rule.Organisational maternity statistics are sensitive to inconsistencies in data on method of delivery, and publications of quality indicators should describe how such data were handled. Overall, method of delivery is coded consistently in English administrative health data.

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2013 BMC Health Services Research

192. Safe Delivery Using a New Device Namely a Belt on the Belly of Pregnant Woman

Safe Delivery Using a New Device Namely a Belt on the Belly of Pregnant Woman Safe Delivery Using a Belt on the Belly of Pregnant Woman - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Safe Delivery Using (...) of Florence Information provided by (Responsible Party): Erich Cosmi MD, PhD, University of Padua Study Details Study Description Go to Brief Summary: Safety of natural, vaginal labor for parturient, fetus and newborn is one of most important goal among obstetricians, midwifes, scientific society all over the world. Maternal and newborn clinical problems and complications following vaginal delivery cause a big amount of medico-legal problems and high costs in the sanitary field. Among the maneuvers

2012 Clinical Trials

193. Caesarean section versus vaginal delivery for preterm birth in singletons. (PubMed)

Caesarean section versus vaginal delivery for preterm birth in singletons. Planned caesarean delivery for women thought be in preterm labour may be protective for baby, but could also be quite traumatic for both mother and baby. The optimal mode of delivery of preterm babies for both cephalic and breech presentation remains, therefore, controversial.To assess the effects of a policy of planned immediate caesarean delivery versus planned vaginal birth for women in preterm labour.We searched (...) the Cochrane Pregnancy and Childbirth Group's Trials Register (24 April 2012).Randomised trials comparing a policy of planned immediate caesarean delivery versus planned vaginal delivery for preterm birth.Two review authors independently assessed trials for inclusion. Two review authors independently extracted data and assessed risk of bias. Data were checked for accuracy.We included six studies (involving 122 women) but only four studies (involving only 116 women) contributed data to the analyses.Infant

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2012 Cochrane database of systematic reviews (Online)

194. The timing of elective caesarean delivery between 2000 and 2009 in England. (PubMed)

with autoregressive integrated moving average (ARIMA).There were 118,456 elective CS deliveries at the 63 NHS trusts. The overall proportion of elective CS deliveries done after 39 completed weeks steadily increased from 39% in 2000/01 to 63% in 2008/09. The proportions rose from 43% to 67% for women with breech presentation and from 35% to 62% for women with a previous CS. There was significant variation across NHS trusts in each year; in 2008/09, with the proportions of elective CS done after 39 weeks ranging (...) The timing of elective caesarean delivery between 2000 and 2009 in England. In 2004, the National Institute for Clinical Excellence (NICE) recommended that an elective caesarean section for an uncomplicated pregnancy should not be carried out before 39 completed weeks due to increased risk of respiratory morbidity in newborns. We describe the trends and variation across 63 English NHS trusts in the timing of elective caesarean section (CS) for low-risk singleton deliveries.We identified

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2011 BMC Pregnancy and Childbirth

195. Malpresentations - impact on mode of delivery. (PubMed)

Malpresentations - impact on mode of delivery. 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 14.89 (95%CI 11.91-18.63) in breech presentation and 4.57 (95% CI 3.85-5.42) in persistent occipitoposterior presentation. With persistent occipitoposterior position, the OR for instrumental vaginal delivery was 3.84 (95%CI 3.14-4.70). Primiparity was associated with increased malpresentation risks, as 54.6% of those with malpresentations were primiparous compared with 41.7% of those without (OR 1.68, 95%CI 1.48-1.91, p < 0.001). Primiparous

2011 Acta Obstetricia et Gynecologica Scandinavica

196. Trends in cesarean delivery for twin births in the United States: 1995-2008. (PubMed)

Trends in cesarean delivery for twin births in the United States: 1995-2008. To estimate trends and risk factors for cesarean delivery for twins in the United States.This was a cross-sectional study in which we calculated cesarean delivery rates for twins from 1995 to 2008 using National Center for Health Statistics data. We compared cesarean delivery rates by year and for vertex compared with breech presentation. The order of presentation for a given twin pair could not be determined from (...) the available records and therefore analysis was based on individual discrete twin data. Multivariable logistic regression was used to estimate independent risk factors, including year of birth and maternal factors, for cesarean delivery.Cesarean delivery rates for twin births increased steadily from 53.4% to 75.0% in 2008. Rates rose for the breech twin category (81.5%-92.1%) and the vertex twin category (45.1%-68.2%). The relative increase in the cesarean delivery rate for preterm and term neonates

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2011 Obstetrics and Gynecology

197. Continuous lumbar epidural analgesia for labour and delivery. (PubMed)

Continuous lumbar epidural analgesia for labour and delivery. 37981 1979 10 26 2018 11 13 0007-1447 1 6180 1979 Jun 30 British medical journal Br Med J Continuous lumbar epidural analgesia for labour and delivery. 1792-3 Breeson A J AJ Kovacs G T GT Pickles B G BG Hill J G JG eng Letter England Br Med J 0372673 0007-1447 AIM IM Anesthesia, Epidural Anesthesia, Obstetrical Breech Presentation Delivery, Obstetric methods Female Humans Hydrogen-Ion Concentration Infant, Newborn Labor Presentation

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1979 British medical journal

198. Continuous lumbar epidural analgesia for labour and delivery. (PubMed)

Continuous lumbar epidural analgesia for labour and delivery. 466111 1979 10 24 2018 11 13 0007-1447 1 6177 1979 Jun 09 British medical journal Br Med J Continuous lumbar epidural analgesia for labour and delivery. 1560-1 Crawford J S JS eng Letter England Br Med J 0372673 0007-1447 AIM IM Acid-Base Equilibrium Anesthesia, Epidural Anesthesia, Obstetrical Breech Presentation Delivery, Obstetric Female Humans Infant, Newborn Labor, Obstetric Pregnancy 1979 6 9 1979 6 9 0 1 1979 6 9 0 0 ppublish

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1979 British medical journal

199. Maternal and paternal contribution to intergenerational recurrence of breech delivery: population based cohort study. (PubMed)

Maternal and paternal contribution to intergenerational recurrence of breech delivery: population based cohort study. To investigate intergenerational recurrence of breech delivery, with a hypothesis that both women and men delivered in breech presentation contribute to increased risk of breech delivery in their offspring.Population based cohort study for two generations.Data from the medical birth registry of Norway, based on all births in Norway 1967-2004 (2.2 million births).Generational (...) data were provided through linkage by national identification numbers, forming 451,393 mother-offspring units and 295,253 father-offspring units. We included units where both parents and offspring were singletons and offspring were first born, forming 232,704 mother-offspring units and 154,851 father-offspring units for our analyses.Breech delivery in the second generation.Men and women who themselves were delivered in breech presentation had more than twice the risk of breech delivery in their own

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2008 BMJ

200. Recurrence of breech presentation in consecutive pregnancies. (PubMed)

and Poisson analyses.Rates and risks of occurrence and recurrence of breech presentation at birth in each pregnancy, and maternal and infant risk factors associated with breech recurrence.First-time breech presentation at term occurred in 4.2% of first pregnancy deliveries, 2.2% of second pregnancies and 1.9% of third pregnancies. The rate of breech recurrence in a second consecutive pregnancy was 9.9%, and in a third consecutive pregnancy (after two prior breech deliveries) was 27.5%. The relative risk (...) infant (aRR 1.2; 95% CI 1.0-1.5).The increased recurrence risk of breech presentations suggests that women with a history of breech delivery should be closely monitored in the latter stages of pregnancy.

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2010 BJOG

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