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Breech Delivery

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121. Operative Vaginal Delivery

. 33,34 However, no bleeding was reported in two randomised trials comparing forceps and vacuum extraction. 35–37 Forceps and vacuum extractor deliveries before full dilatation of the cervix are contraindicated. Forceps can be used for the after-coming head of the breech and in situations where maternal effort is impossible or contraindicated. 4.4 What are the essential conditions for safe operative vaginal delivery? Safe operative vaginal delivery requires a careful assessment of the clinical (...) Operative Vaginal Delivery Operative Vaginal Delivery Green–top Guideline No. 26 January 2011RCOG Green-top Guideline No. 26 2 of 19 © Royal College of Obstetricians and Gynaecologists Operative Vaginal Delivery This is the third edition of this guideline, which was published under the same title in October 2005 and formerly as Instrumental vaginal delivery, which was published in October 2000. 1. Purpose and scope The aim of this guideline is to provide up-to-date information on the use

2011 Royal College of Obstetricians and Gynaecologists

122. Breech Presentation (Overview)

Breech Presentation (Overview) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation Updated (...) : Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

123. Breech Presentation (Diagnosis)

Breech Presentation (Diagnosis) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) Updated: Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

124. Breech Presentation (Follow-up)

Breech Presentation (Follow-up) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) Updated: Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

125. Breech Presentation (Treatment)

Breech Presentation (Treatment) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) Updated: Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

126. Maternal body mass index as a predictor for delivery method. (PubMed)

Maternal body mass index as a predictor for delivery method. High maternal body mass index (BMI) is associated with complications during pregnancy and delivery such as gestational diabetes, hypertensive disorders, perineal injuries and macrosomia. The aim of this study was to assess the association between maternal BMI and delivery method in non-breech, singleton deliveries, after 36 weeks of gestation, in women with no more than one previous cesarean section, in Oslo University Hospital (...) , Ullevål.This retrospective register study used data from the hospital obstetrical database in 2011-2012, forming a cohort of 8821 women. Women were categorized into five different BMI classes and stratified into subgroups according to parity and previous cesarean delivery. Mode of delivery was categorized to spontaneous delivery, instrumental vaginal delivery, planned cesarean section and emergency cesarean section.Incidence of emergency cesarean delivery increased with increasing maternal BMI. Among

2017 Acta Obstetricia et Gynecologica Scandinavica

127. Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. (PubMed)

Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. In 2008, the Indian government introduced financial assistance to encourage health facility deliveries. Facility births have increased, but maternal and neonatal morbidity and mortality have not decreased raising questions about the quality of care provided in facilities and access to a quality referral system. We evaluated the potential (...) role of inter-institutional transfers of women admitted for labor and delivery on adverse maternal and neonatal outcomes in an ongoing prospective, population-based Maternal and Newborn Health Registry in Central India.Pregnant women from 20 rural Primary Health Centers near Nagpur, Maharashtra were followed throughout pregnancy and to day 42 post-partum. Inter- institutional referral was defined as transfer of a woman from a first or second level facility where she was admitted for labor

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2017 BMC health services research

128. Blinded ultrasonic fetal biometry at 36 weeks and the risk of emergency caesarean delivery: a prospective cohort study of 3,047 low risk nulliparous women. (PubMed)

Blinded ultrasonic fetal biometry at 36 weeks and the risk of emergency caesarean delivery: a prospective cohort study of 3,047 low risk nulliparous women. To compare the association between risk of emergency Cesarean delivery (CD) and non-customized vs customized ultrasound estimated fetal weight (EFW) at 36 weeks' gestation, determine whether addition of ultrasound EFW to a model based on maternal characteristics alone improved prediction of emergency CD, assess the screening performance (...) ' gestation. Both the women and their clinicians were blinded to fetal biometry results. Emergency CD was defined as delivery by Cesarean section in pregnancies in which the date of delivery had not been prearranged. Additional candidate predictors of emergency CD evaluated were maternal age, height, body mass index (BMI), weight gain, fetal abdominal circumference growth velocity and fetal sex. External validation of the predictive model was performed using routinely collected data from 55 337 births

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2017 Ultrasound in Obstetrics and Gynecology

129. Takotsubo Syndrome After Cardiopulmonary Resuscitation During Emergency Cesarean Delivery. (PubMed)

Takotsubo Syndrome After Cardiopulmonary Resuscitation During Emergency Cesarean Delivery. Takotsubo syndrome is a rare, stress-related, and reversible form of acute heart failure primarily affecting postmenopausal women. It is characterized by left ventricular dysfunction with a classic apical and midventricular wall motion abnormality (apical ballooning).A 28-year-old woman, gravida 2 para 1, at 30 4/7 weeks of gestation was admitted with fetal bradycardia, a fully dilated cervix, and breech (...) presentation. During emergency cesarean delivery, the patient had intraoperative cardiac arrest. Resuscitation was successful. Twelve hours postoperatively, after demonstrating symptoms of acute heart failure, she was diagnosed with Takotsubo syndrome.Peripartum Takotsubo syndrome must be differentiated from peripartum cardiomyopathy. Cesarean delivery and sympathomimetic medications can increase the risk of occurrence. Early recognition and interdisciplinary management are essential in the prevention

2017 Obstetrics and Gynecology

130. Intraabdominal Chloroprocaine During Cesarean Delivery for Pain Control

doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 50 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Pregnant women with a singleton or multiple pregnancies, vertex or breech presentation presenting to our labor and delivery unit for an elective cesarean section will be eligible for participation. Exclusion (...) Intraabdominal Chloroprocaine During Cesarean Delivery for Pain Control Intraabdominal Chloroprocaine During Cesarean Delivery for Pain Control - 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. Intraabdominal

2017 Clinical Trials

131. Membrane Sweeping Versus Transcervical Foley Catheter for Induction of Labour in Women With Previous Caesarean Delivery

Membrane Sweeping Versus Transcervical Foley Catheter for Induction of Labour in Women With Previous Caesarean Delivery Membrane Sweeping Versus Transcervical Foley Catheter for Induction of Labour in Women With Previous Caesarean 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. Membrane Sweeping Versus Transcervical Foley Catheter for Induction of Labour in Women With Previous Caesarean Delivery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03326557 Recruitment Status : Completed First

2017 Clinical Trials

132. Predictors of Cephalic Vaginal Delivery Following External Cephalic Version: An Eight-Year Single-Centre Study of 447 Cases (PubMed)

Predictors of Cephalic Vaginal Delivery Following External Cephalic Version: An Eight-Year Single-Centre Study of 447 Cases Introduction. Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women's Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women's Hospital. Methods. An audit of all women who underwent ECV between the years 2007 (...) %. Of the patients undergoing ECV, 29% proceeded to normal vaginal delivery. Predictors of successful ECV included low BMI, multiparity, and AFI more than 16 (P < 0.05). The only predictor of cephalic vaginal delivery following ECV was multiparity. Negative predictors of cephalic delivery were low AFI and nulliparity. Conclusions. The success rate of ECV at the Women's Hospital, Melbourne, is in line with global standards.

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2017 Obstetrics and gynecology international

133. Twin Vaginal Delivery: Innovate or Abdicate. (PubMed)

surveyed a group of practicing obstetricians to explore potential barriers to the vaginal birth of twins with a focus on delivery of the noncephalic second twin. Among 107 responding providers, only 57% would deliver a noncephalic second twin by breech extraction. Providers who preferred breech extraction had a higher rate of maternal-fetal medicine subspecialty training (26.2% vs 4.3%; P<.01) and were more likely to be in an academic practice environment (36.1% vs 10.9%; P<.01) and to practice in high (...) %; P<.01). In an adjusted analysis, the 46% of providers with a perceived need for more training were far less likely to prefer breech extraction for delivery of a noncephalic second twin (adjusted odds ratio, 0.38; 95% confidence interval, 0.16-0.95). Furthermore, 57% of providers who would not offer their patient breech extraction would be willing to consult a colleague for support with a noncephalic twin delivery. These results suggest that scientific evidence and society opinion are likely

2017 American Journal of Obstetrics and Gynecology

134. Effectiveness of acupuncture-type interventions versus expectant management to correct breech presentation: a systematic review

acupuncture, moxibustion or electro-acupuncture. Patients were required to have breech presentation confirmed by ultrasound. Relevant outcomes were defined as: position of foetus after treatment according to ultrasound; position of the baby at delivery; and number of caesarean sections performed in each treatment group. Included studies were RCTs or cohort studies comparing expectant management with acupuncture-type stimulation of BL 67. Most studies used moxibustion, one combined moxibustion (...) during or immediately after the intervention. Five cases of pre-term delivery due to pre-term premature rupture of the membrane were reported in the intervention groups across trials. Authors' conclusions Acupuncture-type interventions that stimulated BL 67 significantly reduced breech presentations compared to expectant management, however, further high-quality RCTs were required. CRD commentary This review addressed a clear clinical question with appropriate searches and inclusion criteria. A lack

2008 DARE.

135. Boosting antenatal care attendance and number of hospital deliveries among pregnant women in rural communities: a community initiative in Ghana based on mobile phones applications and portable ultrasound scans. (PubMed)

Boosting antenatal care attendance and number of hospital deliveries among pregnant women in rural communities: a community initiative in Ghana based on mobile phones applications and portable ultrasound scans. The World Health Organization has recommended at least four antenatal care (ANC) visits and skilled attendants at birth. Most pregnant women in rural communities in low-income countries do not achieve the minimum recommended visits and deliver without skilled attendants. With the aim (...) of increasing number of ANC visits, reducing home deliveries, and supplementing care given by ANC clinics, a proposed system based on low-cost mobile phones and portable ultrasound scan machines was piloted.A sample of 323 pregnant women from four rural communities in the Central Region of Ghana were followed within a 11-month project. In each community, at least one health worker was trained and equipped with a mobile phone to promote ANC and hospital deliveries in her own community. If women cannot attend

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2016 BMC Pregnancy and Childbirth

136. The Effect of Fetal Gender on the Delivery Outcome in Primigravidae Women with Induced Labours for all Indications (PubMed)

) for all indications during a two-year period. Women with breech vaginal deliveries, stillbirths, multiple pregnancies and elective Caesarean Section (CS) were excluded.Of the 936 eligible patients identified, 493(52.6%) gave birth to male neonates and 443(47.4%) to female neonates. Age, ethnicity, Body Mass Index (BMI) and smoking were similar between women that delivered male and female neonates. More than half of all women were induced for post-date pregnancies. In women who gave birth to male (...) The Effect of Fetal Gender on the Delivery Outcome in Primigravidae Women with Induced Labours for all Indications There is increasing evidence of a gender-related phenomenon where the presence of a male fetus may have an adverse effect on the outcome of pregnancy.The aim of this study was to investigate the effect of fetal gender on the delivery outcome in primigravidae women with induced labours.This was an observational cohort study of primigravidae women who had Induction Of Labour (IOL

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2016 Journal of clinical and diagnostic research : JCDR

137. Cesarean delivery and subsequent fecundability (PubMed)

was obtained via registry linkage; time-to-pregnancy and covariate data were collected via questionnaire. Fecundability ratios (FRs) and 95% confidence intervals (CIs) were adjusted for potential confounders.Relative to spontaneous vaginal delivery, emergency cesarean delivery with cephalic presentation showed little association with fecundability (FR = 1.0, 95% CI = 0.83, 1.3), but cesarean delivery with breech presentation (FR = 0.72, 95% CI = 0.53, 0.97) and planned cesarean delivery with cephalic (...) Cesarean delivery and subsequent fecundability Studies have shown that cesarean delivery is associated with fewer subsequent births relative to vaginal delivery, but it is unclear whether confounding by pregnancy intention or indication for surgery explained these results. We evaluated the association between cesarean delivery and subsequent fecundability among 910 primiparous women after singleton live birth.In a cohort of Danish women planning pregnancy (2007-2012), obstetrical history

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2016 Epidemiology (Cambridge, Mass.)

138. Brief report: a cost analysis of neuraxial anesthesia to facilitate external cephalic version for breech fetal presentation. (PubMed)

Brief report: a cost analysis of neuraxial anesthesia to facilitate external cephalic version for breech fetal presentation. In this study, we sought to determine whether neuraxial anesthesia to facilitate external cephalic version (ECV) increased delivery costs for breech fetal presentation.Using a computer cost model, which considers possible outcomes and probability uncertainties at the same time, we estimated total expected delivery costs for breech presentation managed by a trial of ECV (...) prediction interval $8896-$9419) if ECV was attempted/performed without anesthesia. The expected mean incremental difference between the total cost of delivery that includes ECV with anesthesia and ECV without anesthesia was $-276 (2.5th-97.5th percentile prediction interval $-720 to $112).The total cost of delivery in women with breech presentation may be decreased (up to $720) or increased (up to $112) if ECV is attempted/performed with neuraxial anesthesia compared with ECV without neuraxial

2013 Anesthesia and Analgesia

139. Caesarean section for preterm birth and, breech presentation and twin pregnancies. (PubMed)

Caesarean section for preterm birth and, breech presentation and twin pregnancies. Caesarean section incidence is steadily rising worldwide; the major contributor to this rise is pregnancies with previous caesarean section. Hence, it is important to scrutinise carefully the indication of primary caesarean sections. Preterm births, breech presentation and twin pregnancies together complicate 12-18% of all births. The role of caesarean section in these pregnancies is controversial and lacks good (...) evidence-based guidelines. Policy on mode of delivery in these three important obstetric groups is bound to influence overall primary caesarean section rates. In this chapter, we review the evidence on the place of caesarean delivery in these three important groups.Copyright © 2012 Elsevier Ltd. All rights reserved.

2013 Best practice & research. Clinical obstetrics & gynaecology

140. Theoretical Compared With hands-on Training of Vaginal Breech Management

): Clemens Tempfer, Ruhr University of Bochum Study Details Study Description Go to Brief Summary: This trial aims to assess the hypothesis that hands-on training of vaginal breech delivery on a pelvic model is significantly better in terms of a technical skills scoring system compared to frontal teaching. Condition or disease Intervention/treatment Phase Vaginal Abnormality - Baby Delivered Other: hands-on training Other: frontal teaching Phase 3 Detailed Description: Primary endpoint is a score (...) Theoretical Compared With hands-on Training of Vaginal Breech Management Theoretical Compared With hands-on Training of Vaginal Breech Management - 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. Theoretical

2013 Clinical Trials

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