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Breech Delivery

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161. Vaginal Birth After Cesarean Delivery (Follow-up)

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

162. Cesarean Delivery (Follow-up)

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

163. Cesarean Delivery (Diagnosis)

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

164. Forceps Delivery (Diagnosis)

-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

165. Neonatal Transfer Rate and Mode of Delivery from 37th Week of Gestation in a German Perinatal Center Level 1 Full Text available with Trip Pro

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

2013 Geburtshilfe Und Frauenheilkunde

166. 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

167. 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

168. 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

169. 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

170. 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

171. Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery. Full Text available with Trip Pro

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

2013 Social Science & Medicine

172. Increasing caesarean section rates among low-risk groups: a panel study classifying deliveries according to Robson at a university hospital in Tanzania. Full Text available with Trip Pro

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

2013 BMC Pregnancy and Childbirth

173. Evaluating maternity care using national administrative health datasets: how are statistics affected by the quality of data on method of delivery? Full Text available with Trip Pro

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.

2013 BMC Health Services Research

174. 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

175. The Difficult Delivery: Shoulder Dystocia

Share this: Like this: Like Loading... Published A simplified approach to the breech delivery in the emergency department Share this: Like this: Like Loading... Published A brief review of some of the techniques described to avoid cognitive errors in medicine Share this: Like this: Like Loading... Published A brief review of the management of the critically ill patient with anaphylaxis in the emergency department Share this: Like this: Like Loading... Leave a Reply Post navigation Previous post Next (...) The Difficult Delivery: Shoulder Dystocia The Difficult Delivery: Shoulder Dystocia - First10EM Search The Difficult Delivery: Shoulder Dystocia by | Published - Updated Case You are proceeding with the precipitous delivery described in the previous post. You have just delivered the head, but it seems to pull back. No further progress is being made. As you stare down at the head, you swear it reminds you of some kind of animal – oh right, a turtle! This is shoulder dystocia… My approach Call

2015 First10EM

176. Continuous lumbar epidural analgesia for labour and delivery. Full Text available with Trip Pro

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

1979 British medical journal

177. Continuous lumbar epidural analgesia for labour and delivery. Full Text available with Trip Pro

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

1979 British medical journal

178. Cephalic Version by Acupuncture-Moxibustion for Breech Presentation

Cephalic Version by Acupuncture-Moxibustion for Breech Presentation Cephalic Version by Acupuncture-Moxibustion for Breech Presentation - 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. Cephalic Version (...) by Acupuncture-Moxibustion for Breech Presentation (ACUVERSE) 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: NCT01487590 Recruitment Status : Completed First Posted : December 7, 2011 Last Update Posted : January 18, 2012 Sponsor: University Hospital, Lille Information provided by (Responsible Party

2011 Clinical Trials

179. Reverse breech extraction versus head pushing in cesarean section for obstructed labor. A comparative study in Yemen. (Abstract)

in the study. They were divided randomly into 2 groups. A study group (n=59) was assigned to deliver the baby by reverse breech extraction, and control group (n=59) was assigned to deliver by the conventional method. The maternal and neonatal outcomes between the 2 groups were compared.Extension of the uterine incision occurred in significantly less women using reverse breech extraction compared to cephalic delivery (5% versus 40.6%; p=0.0001). It was observed that the mean operation time and blood loss (...) Reverse breech extraction versus head pushing in cesarean section for obstructed labor. A comparative study in Yemen. To compare the maternal and fetal outcome of 2 different methods of delivering the baby during cesarian section when the fetal head is deeply engaged.A prospective case control study was carried out in the Obstetrics and Gynecology Department, Al-Thawra General Hospital, Sana'a, Yemen from January to December 2010. A total of 118 women who met our criteria were included

2011 Saudi medical journal Controlled trial quality: uncertain

180. Report of a breech cesarean section maternal death. (Abstract)

Report of a breech cesarean section maternal death. In Australia in 2007, a woman with two previous normal vaginal deliveries underwent an emergency cesarean section at full dilatation of the cervix with a breech presentation. The woman died after a severe hemorrhage. The official Coroner's Report attributed the cause of death to postpartum hemorrhage, whereas the breech presentation was barely mentioned, suggesting that complications with breech cesarean deliveries are under-appreciated

2011 Birth

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