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Breech Delivery

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161. Time to subsequent live birth according to mode of delivery in the first birth. (PubMed)

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

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2015 BJOG

162. Wide differences in mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study. (PubMed)

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

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2015 BJOG

163. Mode of delivery after successful external cephalic version: a systematic review and meta-analysis. (PubMed)

cephalic version were at increased risk for cesarean delivery for dystocia (odds ratio [OR] 2.2, 95% CI 1.6-3.0), cesarean delivery for fetal distress (OR 2.2, 95% CI 1.6-2.9), and instrumental vaginal delivery (OR 1.4, 95% CI 1.1-1.7).Women who have had a successful external cephalic version for breech presentation are at increased risk for cesarean delivery and instrumental vaginal delivery as compared with women with a spontaneous cephalic presentation. Nevertheless, with a number needed to treat (...) Mode of delivery after successful external cephalic version: a systematic review and meta-analysis. To assess the mode of delivery in women after a successful external cephalic version by performing a systematic review and meta-analysis.We searched MEDLINE, Embase, ClinicalTrials.gov, Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Library for studies reporting on the mode of delivery in women after successful external cephalic version at term and women

2014 Obstetrics and Gynecology

164. 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

165. Mode of delivery preferences in a diverse population of pregnant women. (PubMed)

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

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2014 American Journal of Obstetrics and Gynecology

166. 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

167. 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

168. 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

169. 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

170. 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

171. 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

172. 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

173. 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

174. 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

175. 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

176. 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

177. 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

178. 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

179. 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

180. The relationship between mode of delivery and developmental dysplasia of the hip in breech infants: A FOUR-YEAR PROSPECTIVE COHORT STUDY. (PubMed)

The relationship between mode of delivery and developmental dysplasia of the hip in breech infants: A FOUR-YEAR PROSPECTIVE COHORT STUDY. This prospective cohort study aimed to investigate the relationship between developmental dysplasia of the hip and mode of delivery in 571 consecutive breech infants using a modified Graf's static morphological method to grade the severity of dysplasia. In this group, 262 infants were born by planned Caesarian section, 223 by emergency section and 86 (...) vaginally. Taking all grades of hip dysplasia into account (Graf types II, III and IV), there was no statistical difference in the incidence of dysplasia between the groups (elective section 8.4%, emergency section 8.1% and vaginal delivery 7.0%). However, when cases with Graf type II dysplasia, which may represent physiological immaturity, were excluded, the rate of type III and IV hips, which we consider to be clinically relevant, increased in the vaginally delivered group (4.7%) compared

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2010 The Journal of Bone and Joint Surgery British Volume

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