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Breech Delivery

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141. 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. Full Text available with Trip Pro

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

2016 BMC Pregnancy and Childbirth

142. The Effect of Fetal Gender on the Delivery Outcome in Primigravidae Women with Induced Labours for all Indications Full Text available with Trip Pro

) 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

2016 Journal of clinical and diagnostic research : JCDR

143. Cesarean delivery and subsequent fecundability Full Text available with Trip Pro

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

2016 Epidemiology (Cambridge, Mass.)

144. Increased maternal TSH and decreased maternal FT4 are associated with a higher operative delivery rate in low-risk pregnancies: A prospective cohort study. Full Text available with Trip Pro

was related to specific reasons for operative deliveries.In this prospective cohort study, low-risk Caucasian women, pregnant of a single cephalic fetus were included. Women with known auto-immune disease, a pre-labour Caesarean section, induction of labour, breech presentation or preterm delivery were excluded. In all trimesters of pregnancy the thyroid function was assessed. Differences in mean TSH and FT4 were assessed using t-test. Mean TSH and FT4 levels for operative deliveries were determined (...) Increased maternal TSH and decreased maternal FT4 are associated with a higher operative delivery rate in low-risk pregnancies: A prospective cohort study. The increasing number of operative deliveries is a topic of major concern in modern obstetrics. Maternal thyroid function is of known influence on many obstetric parameters. Our objective was to investigate a possible relation between maternal thyroid function, and operative deliveries. Secondary aim was to explore whether thyroid function

2015 BMC Pregnancy and Childbirth

145. Effect of Adjunctive Misoprostol Treatment on Blood Loss at Vaginal Delivery

is multiple. There is a breech or other malpresentation The patient reports involvement in another clinical trial currently or previously in this pregnancy. The patient is expected to have a cesarean delivery. The patient had a prior cesarean delivery. There has been an intrauterine fetal death. There is polyhydramnios (amniotic fluid index >22 cm). Presence of acute or chronic renal disease Presence of preeclampsia Of subjects who enter the study, the development of certain conditions will exclude them (...) Effect of Adjunctive Misoprostol Treatment on Blood Loss at Vaginal Delivery Effect of Adjunctive Misoprostol Treatment on Blood Loss at Vaginal 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

2015 Clinical Trials

146. Management of twins: vaginal or cesarean delivery? (Abstract)

unnecessary cesarean deliveries and maternal morbidity, it is important to continue to train residents to perform obstetrics maneuvers necessary for vaginal delivery of twins such as vaginal breech extraction. (...) Management of twins: vaginal or cesarean delivery? Recent level I evidence from a single randomized-controlled trial has shown that there is no difference in fetal or neonatal outcomes (composite of fetal/neonatal death or serious neonatal morbidity) between planned cesarean delivery and planned vaginal delivery for twins between 32 and 38 6/7 weeks. As long as the presenting twin is vertex, vaginal delivery should be considered regardless of the presentation of the second twin. To avoid

2015 Clinical Obstetrics and Gynecology

147. Wide differences in mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study. Full Text available with Trip Pro

traditions of practice. Associations were observed between caesarean section rates for women with breech and vertex births and with singleton and multiple births but patterns of association for women who had and had not had previous caesarean sections were more complex.The persisting wide variations in caesarean section and instrumental vaginal delivery rates point to a lack of consensus about practice and raise questions for further investigation. Further research is needed to explore the impact (...) Wide differences in mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study. To use data from routine sources to compare rates of obstetric intervention in Europe both overall and for subgroups at higher risk of intervention.Retrospective analysis of aggregated routine data.Thirty-one European countries or regions contributing data on mode of delivery to the Euro-Peristat project.Births in participating countries in 2010.Countries

2015 BJOG

148. Time to subsequent live birth according to mode of delivery in the first birth. (Abstract)

was associated with an 8% reduction in subsequent live birth rates (HR 0.92, 95% CI 0.86, 0.98) and vaginal delivery complicated by shoulder dystocia with a 19% reduction compared with SVD. Median time to next birth in days was shortest in women with a first caesarean (994 days, 95% CI 973, 1026) and longest in women with a vaginal delivery complicated by shoulder dystocia (1065 days, 95% CI 994, 1191). In women with planned pregnancies, the shortest median time to second birth was in women with breech (...) Time to subsequent live birth according to mode of delivery in the first birth. To estimate the rate and time to next live birth by mode of delivery.Hospital-based cohort.Aarhus University Hospital (AUH), Denmark.All pregnant women attending AUH were invited to enroll in the Aarhus Birth Cohort (ABC) study between 1989 and 2010 (n = 91,625).Women were followed from their first live birth until the subsequent live birth or until censoring due to study end using Cox regression models.Rate

2015 BJOG

149. Intrauterine Cleaning After Placental Delivery at Cesarean Section: RCT

or multiple pregnancies, vertex or breech presentation with intact membranes presenting to our labor and delivery unit for cesarean section will be evaluated for participation Exclusion Criteria: Women will be excluded if any of the following criteria are encountered: preterm premature rupture of membranes, spontaneous rupture of membranes prior to cesarean section, chorioamnionitis, fetal demise, uncontrolled diabetes or an immunosuppressive disorder. Contacts and Locations Go to Information from (...) Intrauterine Cleaning After Placental Delivery at Cesarean Section: RCT Intrauterine Cleaning After Placental Delivery at Cesarean Section: RCT - 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. Intrauterine

2014 Clinical Trials

150. Mode of delivery preferences in a diverse population of pregnant women. Full Text available with Trip Pro

Mode of delivery preferences in a diverse population of pregnant women. The objective of the study was to assess women's preferences for vaginal vs cesarean delivery in 4 contexts: prior cesarean delivery, twins, breech presentation, and absent indication for cesarean.This was a cross-sectional study of pregnant women at 24-40 weeks' gestation. After assessing stated preferences for vaginal or cesarean delivery, we used the standard gamble metric to measure the strength of these preferences (...) and the time tradeoff metric to determine how women value the potential processes and outcomes associated with these 2 delivery approaches.Among the 240 participants, 90.8% had a stated preference for vaginal delivery. Across the 4 contexts, these women indicated that, on average, they would accept a 59-75% chance of an attempted vaginal birth ending in a cesarean delivery before choosing a planned cesarean delivery, indicating strong preferences for spontaneous, uncomplicated vaginal delivery. Variations

2014 American Journal of Obstetrics and Gynecology

151. Vaginal Birth After Cesarean Delivery (Diagnosis)

age (>40 y) Nonrecurring indication (breech presentation, placenta previa, herpes) Induction of labor Preterm delivery Recurring indication (cephalopelvic disproportion, failed second stage) Increased interpregnancy weight gain Latina or African American race/ethnicity Gestational age ≥41 wk Preconceptional or gestational diabetes mellitus Because no large, prospective, randomized, controlled trials have been conducted, most of the risk factors have been determined from retrospective cohort (...) studies have demonstrated a higher failure of a trial of labor with increasing birth weight. Obstetric history Obstetric history is enormously important in terms of risk factors for successful TOLAC. Predictors of increased success include a nonrecurring indication for prior cesarean delivery (eg, breech presentation, placenta previa) and prior vaginal delivery. A history of cephalopelvic disproportion (CPD), failure to progress, no prior vaginal deliveries, or a prior cesarean delivery performed

2014 eMedicine.com

152. Normal Labor and Delivery (Diagnosis)

Normal Labor and Delivery (Diagnosis) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing (...) > Normal Labor and Delivery Updated: Jan 24, 2019 Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Normal Labor and Delivery Practice Essentials Labor is a physiologic process during which the fetus, membranes, umbilical cord, and placenta are expelled from the uterus. Stages of labor Obstetricians have divided labor into 3 stages that delineate milestones in a continuous process. First stage of labor Begins with regular uterine

2014 eMedicine.com

153. Normal Labor and Delivery (Overview)

Normal Labor and Delivery (Overview) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing (...) > Normal Labor and Delivery Updated: Jan 24, 2019 Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Normal Labor and Delivery Practice Essentials Labor is a physiologic process during which the fetus, membranes, umbilical cord, and placenta are expelled from the uterus. Stages of labor Obstetricians have divided labor into 3 stages that delineate milestones in a continuous process. First stage of labor Begins with regular uterine

2014 eMedicine.com

154. Cesarean Delivery (Overview)

women's access to nonmedical interventions during labor has also been shown to reduce cesarean birth rates. External cephalic version for breech presentation and a trial of labor for women with twin gestations when the first twin is in cephalic presentation are examples of interventions that can help to safely lower the primary cesarean delivery rate. [ ] A practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) recommends that all eligible women with breech presentations (...) gain during pregnancy Access to nonmedical interventions during labor, such as continuous support during labor and delivery, should be increased External cephalic version should be performed for breech presentation Women with twin gestations should, if the first twin is in cephalic presentation, be permitted a trial of labor Indications Cesarean deliveries were initially performed to separate the mother and the fetus in an attempt to save the fetus of a moribund patient. They subsequently developed

2014 eMedicine.com

155. Cesarean Delivery (Treatment)

women's access to nonmedical interventions during labor has also been shown to reduce cesarean birth rates. External cephalic version for breech presentation and a trial of labor for women with twin gestations when the first twin is in cephalic presentation are examples of interventions that can help to safely lower the primary cesarean delivery rate. [ ] A practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) recommends that all eligible women with breech presentations (...) gain during pregnancy Access to nonmedical interventions during labor, such as continuous support during labor and delivery, should be increased External cephalic version should be performed for breech presentation Women with twin gestations should, if the first twin is in cephalic presentation, be permitted a trial of labor Indications Cesarean deliveries were initially performed to separate the mother and the fetus in an attempt to save the fetus of a moribund patient. They subsequently developed

2014 eMedicine.com

156. Vaginal Birth After Cesarean Delivery (Treatment)

age (>40 y) Nonrecurring indication (breech presentation, placenta previa, herpes) Induction of labor Preterm delivery Recurring indication (cephalopelvic disproportion, failed second stage) Increased interpregnancy weight gain Latina or African American race/ethnicity Gestational age ≥41 wk Preconceptional or gestational diabetes mellitus Because no large, prospective, randomized, controlled trials have been conducted, most of the risk factors have been determined from retrospective cohort (...) studies have demonstrated a higher failure of a trial of labor with increasing birth weight. Obstetric history Obstetric history is enormously important in terms of risk factors for successful TOLAC. Predictors of increased success include a nonrecurring indication for prior cesarean delivery (eg, breech presentation, placenta previa) and prior vaginal delivery. A history of cephalopelvic disproportion (CPD), failure to progress, no prior vaginal deliveries, or a prior cesarean delivery performed

2014 eMedicine.com

157. Normal Labor and Delivery (Treatment)

Normal Labor and Delivery (Treatment) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing (...) > Normal Labor and Delivery Updated: Jan 24, 2019 Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Normal Labor and Delivery Practice Essentials Labor is a physiologic process during which the fetus, membranes, umbilical cord, and placenta are expelled from the uterus. Stages of labor Obstetricians have divided labor into 3 stages that delineate milestones in a continuous process. First stage of labor Begins with regular uterine

2014 eMedicine.com

158. Forceps Delivery (Overview)

-coming head in breech vaginal deliveries. It is designed to decrease traction on the fetal neck during breech delivery. Multiple other types of forceps have been designed to rotate the fetal head or for unusual maternal pelvic or fetal head shapes. For detailed information on other forceps procedures, the reader is directed to the book Dennen's Forceps Deliveries . [ ] An illustration of Simpson forceps. Previous Next: Presentation Forceps delivery is classified according to the level and position (...) or pulmonary disease, and history of spontaneous pneumothorax. In skilled hands, fetal malpositions, including the after-coming head in breech vaginal delivery, can be indications for forceps delivery. Prerequisites for forceps delivery include the following: The head must be engaged. The cervix must be fully dilated and retracted. The position of the head must be known. Clinical assessment of pelvic capacity should be performed. No disproportion should be suspected between the size of the head

2014 eMedicine.com

159. Vaginal Birth After Cesarean Delivery (Overview)

age (>40 y) Nonrecurring indication (breech presentation, placenta previa, herpes) Induction of labor Preterm delivery Recurring indication (cephalopelvic disproportion, failed second stage) Increased interpregnancy weight gain Latina or African American race/ethnicity Gestational age ≥41 wk Preconceptional or gestational diabetes mellitus Because no large, prospective, randomized, controlled trials have been conducted, most of the risk factors have been determined from retrospective cohort (...) studies have demonstrated a higher failure of a trial of labor with increasing birth weight. Obstetric history Obstetric history is enormously important in terms of risk factors for successful TOLAC. Predictors of increased success include a nonrecurring indication for prior cesarean delivery (eg, breech presentation, placenta previa) and prior vaginal delivery. A history of cephalopelvic disproportion (CPD), failure to progress, no prior vaginal deliveries, or a prior cesarean delivery performed

2014 eMedicine.com

160. Normal Labor and Delivery (Follow-up)

Normal Labor and Delivery (Follow-up) Normal Labor and Delivery: Practice Essentials, Definition, Stages of Labor and Epidemiology 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYwMDM2LW92ZXJ2aWV3 processing (...) > Normal Labor and Delivery Updated: Jan 24, 2019 Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Normal Labor and Delivery Practice Essentials Labor is a physiologic process during which the fetus, membranes, umbilical cord, and placenta are expelled from the uterus. Stages of labor Obstetricians have divided labor into 3 stages that delineate milestones in a continuous process. First stage of labor Begins with regular uterine

2014 eMedicine.com

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