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Cervical Examination in Labor

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1. Cervical Examination in Labor

Cervical Examination in Labor Cervical Examination in Labor Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cervical Examination (...) in Labor Cervical Examination in Labor Aka: Cervical Examination in Labor , Uterine Cervical Length From Related Chapters II. Technique Mnemonic: 5C's Clean (Sterile technique) Catheterize or empty before examination Cervical evaluation (See ) Cervical Dilation Cervical Effacement Caput forming? Cord Indicated by pulsations behind membranes III. Evaluation: (Mnemonic 5P's) Presentation See Position See Place (Station) See See Puncture (Assess for ) IV. Interpretation: Cervical Length based

2018 FP Notebook

2. AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Female Pelvis

view. If volume measurements of the uterine corpus are performed, the cervical component should be excluded from the uterine length measurement. Abnormalities of the uterus should be documented. 9–11 The myometrium and cervix should beevaluated for contour changes, echogenicity, masses, andcystsaswell assymmetrybetweenthe anteriorand posteriorsegmentsofthemyometrium.Fixedretro?ex- ion of the uterus, particularly in the presence of poste- rior adenomyosis, should be recognized as a possible (...) AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Female Pelvis PRACTICEPARAMETER AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Female Pelvis Introduction T he American Institute of Ultrasound in Medicine (AIUM) is a multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through professional and public education, research, development of clinical practice parameters

2020 American Institute of Ultrasound in Medicine

3. Exam Series: Guide to the Shoulder Exam

injury may manifest as asymmetric weak distal pulses, parasthesias, or an expanding hematoma. The risk of vascular injury is higher in displaced fractures and in elderly patients with atherosclerosis. Nerve injury can present with weakness, parasthesias, and muscular atrophy. Thoracic outlet syndrome occurs with compression of the trunk of the brachial plexus and subclavian vessels in the tissue between the neck and axilla. Neck exam : Degenerative cervical spine injuries may compress nerve roots (...) Exam Series: Guide to the Shoulder Exam Exam Series: Guide to the Shoulder Exam - CanadiEM Exam Series: Guide to the Shoulder Exam In , by Kathryn Chan August 7, 2018 A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense

2018 CandiEM

4. Examining the Effects of Value-based Physician Payment Models

procedures • Maternity care is the most recent bundled payment and are based on the costs for the three components of maternity care: o antenatal; o labour and delivery; and o postnatal Examining the Effects of Value-based Physician Payment Models 16 Evidence >> Insight >> Action Jurisdiction Primary care Specialty care Type of value-based payment model Features of the model Type of payment value- based model Features of the model (chronic-disease management) U.S. (Medicare and Medicaid) (1; 10; 29-38 (...) Examining the Effects of Value-based Physician Payment Models ` Rapid Synthesis Examining the Effects of Value-based Physician Payment Models 10 October 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Effects of Value-based Physician Payment Models 30-day response 10 October 2017 Examining the Effects of Value-based Physician Payment Models 2 Evidence >> Insight >> Action McMaster Health Forum For concerned citizens and influential thinkers and doers

2017 McMaster Health Forum

5. AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers

skull to the inner edge of the distal skull. Comment: The head shape may be elongated (dolichocephaly) or rounded (brachycephaly) as a normal variant. Table 3. Components of a Limited Second- or Third-Trimester Ultrasound Examination of a Singleton Fetus Fetal cardiac activity (M-mode or video clip) Fetal number: singleton Fetal presentation Amniotic ?uid volume Placental location with respect to internal cervical os Cervix a Fetal biometry if requested: BPD and/or HC Abdominal diameter or AC (...) in a laboring patient. A limited obstetric ultrasoundexamina- tion may also be performed in patients requiring serial examinationsinwhichasubsequentanatomicevaluation maybeunnecessaryorimpractical. When a patient undergoes a limited ultrasound examination, it is important that she understands why a limited scan is being done and that she has appropriate expectationsregardingtheinformationbeingsought. Clinical judgment should be used to determine the propertypeofultrasoundexaminationperformed. I

2018 American Institute of Ultrasound in Medicine

6. Effectiveness of Labor Cervical Examination Simulation in Medical Student Education. (Abstract)

Effectiveness of Labor Cervical Examination Simulation in Medical Student Education. To estimate whether simulation training improves medical students' cervical examination accuracy.The training paradigm for the labor cervical examination exposes patients to additional examinations, lacks a gold standard, and does not objectively assess trainee competence. To address these issues and optimize training, we assessed the effectiveness of cervical examination simulation in third-year medical (...) . On average, competence was achieved with 27-44 repetitions.Simulation training dramatically improved student accuracy in labor cervical examinations. Because not all students achieved competence, the cumulative summation analyses suggest that more than 100 repetitions would be needed if the goal was for the entire class of students to achieve competence.II.

2015 Obstetrics and Gynecology

7. Agreement between transperineal ultrasound measurements and digital examinations of cervical dilatation during labor. Full Text available with Trip Pro

Agreement between transperineal ultrasound measurements and digital examinations of cervical dilatation during labor. To compare 2D transperineal ultrasound assessment of cervical dilatation with vaginal examination and to investigate intra-observer variability of the ultrasound method.A prospective observational study was performed at Skane University Hospital, Lund, Sweden between October 2013 and June 2014. Women with one fetus in cephalic presentation at term had the cervical dilatation (...) assessed with ultrasound and digital vaginal examinations during labor. Inter-method agreement between ultrasound and digital examinations and intra-observer repeatability of ultrasound examinations were tested.Cervical dilatation was successfully assessed with ultrasound in 61/86 (71 %) women. The mean difference between cervical dilatation and ultrasound measurement was 0.9 cm (95 % CI 0.47-1.34). Interclass correlation coefficient (ICC) was 0.83 (95 % CI 0.72-0.90). Intra-observer repeatability

2015 BMC Pregnancy and Childbirth

8. A comparative randomized study on effect of vaginally administered glyceryl trinitrate placebo on cervical ripening prior to induction of labor in overdue pregnancies. Full Text available with Trip Pro

A comparative randomized study on effect of vaginally administered glyceryl trinitrate placebo on cervical ripening prior to induction of labor in overdue pregnancies. The aim of this study is to examine the effectiveness and adverse effects of local glyceryl trinitrate (GTN) application during labor compared with a placebo group.The study consisted of 70 pregnant women with overdue pregnancies who presented to the hospital for labor induction between January 2009 and January 2011 (...) in the Obstetrics Clinic of Istanbul Süleymaniye Gynecology and Obstetrics Education and Training Hospital. Vaginal suppositories-containing GTN (36/70) or placebo (34/70) was administered to the participants in a randomized fashion. The placebo and GTN involving vaginal ovules used in the study were prepared in the Pharmacy Department of Istanbul University Faculty of Pharmacy. Maternal effects during labor, rates of normal vaginal and C/S deliveries, the interval between the initial medication and delivery

2019 Indian journal of pharmacology Controlled trial quality: uncertain

9. Single and repeat cervical length measurement in twin gestations with threatened preterm labour. (Abstract)

Single and repeat cervical length measurement in twin gestations with threatened preterm labour. To examine the effectiveness of the first and second cervical length measurement in the prediction of preterm delivery in symptomatic women with twin pregnancies.Retrospective study at the perinatal unit at the University Hospital of Tuebingen, Germany which included women with twin gestations with painful and regular uterine contractions at 24+0 to 33+6 weeks of gestation. The cervical length (...) the test performance of the cervical length measurements for a delivery within the subsequent seven days and before 34 weeks. To examine the impact of the second cervical length measurement, we used a regression analysis to predict preterm delivery within the next seven days after the second measurement.Our study population consisted of 257 pregnancies. Median maternal and gestational age at the time of admission was 32.0 years and 29.9 weeks' gestation, respectively. 80.2% of the pregnancies were

2019 Ultrasound in Obstetrics and Gynecology

10. Comparative Evaluation of Arabin Pessary and Cervical Cerclage for the Prevention of Preterm Labor in Asymptomatic Women with High Risk Factors Full Text available with Trip Pro

of this study was to examine cervical findings for the prediction and the comparative use of Arabin pessary or cerclage for the prevention of preterm birth in asymptomatic women with high risk factors for preterm labor.The study group was composed of singleton pregnancies (spontaneously conceived) with high risk factors for preterm labor. Cervical length, dilatation of the internal cervical os and funneling, were estimated with transvaginal ultrasound during the first and the second trimesters (...) Comparative Evaluation of Arabin Pessary and Cervical Cerclage for the Prevention of Preterm Labor in Asymptomatic Women with High Risk Factors Preterm labor is one of the most significant obstetric problems associated with high rate of actual and long-term perinatal complications. Despite the creation of scoring systems, uterine activity monitoring, cervical ultrasound and several biochemical markers, the prediction and prevention of preterm labor is still a matter of concern. The aim

2018 International journal of environmental research and public health

11. Intrapartum ultrasound assessment of cervical dilatation and its value in detecting active labor Full Text available with Trip Pro

Intrapartum ultrasound assessment of cervical dilatation and its value in detecting active labor We aimed to examine the agreement between ultrasound and digital vaginal examination in assessing cervical dilatation in an African population and to assess the value of ultrasound in detecting active labor.A cross-sectional study was conducted in a teaching hospital in Ghana between April and September of 2016. Anterior-posterior and transverse diameters of cervical dilatation were measured (...) with ultrasound and the mean value was compared with digital vaginal examination in 195 women in labor. Agreement between methods was examined with correlation coefficients and with Bland-Altman plots. Active labor was defined when cervix was dilated ≥ 4 cm with vaginal examinations. ROC curve analysis was conducted on the diagnostic performance of ultrasound in detecting active labor.Data were analyzed in 175 out of 195 (90%) cases where ultrasound could clearly visualize the cervix. The remaining 20 cases

2018 Journal of ultrasound

12. Routine Cervical Dilatation at the Non-labour Caesarean Section and Its Influence on Postoperative Pain

Routine Cervical Dilatation at the Non-labour Caesarean Section and Its Influence on Postoperative Pain Routine Cervical Dilatation at the Non-labour Caesarean Section and Its Influence on Postoperative Pain - 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. Routine Cervical Dilatation at the Non-labour Caesarean Section and Its Influence on Postoperative Pain 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03513237

2018 Clinical Trials

13. Transvaginal Sonographic Measurement of Cervical Length Versus Bishop Score in Induction of Labour for Prediction of Caesarean Delivery.

in Induction of Labour at Term for Prediction of Caesarean Delivery Actual Study Start Date : August 14, 2017 Actual Primary Completion Date : December 14, 2017 Actual Study Completion Date : January 12, 2018 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment Single gruop320 parturients Measurement of cervical length and digital examination of Bishop score in 320 women undergoing induction of labour will be carried out (...) in ain shams university maternity hospital. Other: Bishop score calculation of modified Bishop score in numbers by digital vaginal examination Measurement of cervical length by transvaginal ultrasound and digital examination of Bishop score in 320 parturients undergoing labour induction at term Other Name: cervical length measuring cervical length by trans-vaginal ultrasound Outcome Measures Go to Primary Outcome Measures : Cervical length [ Time Frame: 24 hours ] median cervical length measured

2018 Clinical Trials

14. Biomarker tests to help diagnose preterm labour in women with intact membranes

fFN 10Q Cassette Kit) to help diagnose preterm labour in women with intact amniotic membranes when transvaginal ultrasound measurement of cervical length is not available or not acceptable. The condition Preterm labour and birth Preterm labour and birth 2.4 Preterm labour is defined as regular contractions of the uterus resulting in changes in the cervix that start before 37 weeks of pregnancy. Preterm labour and birth is fairly common in the UK, with 8% of babies born before 37 weeks of pregnancy (...) . Phosphorylated IGFBP-1 is a protein made by the cells lining the uterus. When delivery is imminent, small amounts of phosphorylated IGFBP-1 leak into the cervix. 3.2 The Actim Partus test kit contains a sterile polyester swab for specimen collection, a tube of specimen extraction buffer and a dipstick in a sealed foil pouch. No other instrumentation or consumables are needed. The sample is collected from the cervical os during a sterile speculum examination. The results are available in 5 minutes or less

2018 National Institute for Health and Clinical Excellence - Diagnostics Guidance

15. Trial of Labour After Caesarean

, 2017 using the key words “vaginal birth after Caesarean (Cesarean) section.” The quality of evidence is described using the Evaluation of Evidence criteria outlined in the Report of the Canadian Task Force on the Periodic Health Exam. Validation These guidelines were approved by the Clinical Practice Obstetrics Committee and the Board of the Society of Obstetricians and Gynaecologists of Canada. Recommendations 1 Provided there are no contraindications, a trial of labour after Caesarean should (...) is not contraindicated in women undergoing a trial of labour after Caesarean (II-2A). 8 Women should be informed that induction of labour is associated with a lower vaginal birth after Caesarean rate and an increased risk of uterine rupture and should be used carefully after appropriate counselling. The risk of uterine rupture with induction of labour appears to be highest in women over 40 weeks gestation (II-2A). 9 A Foley catheter may be used to ripen the cervix in a woman planning a trial of labour after

2019 Society of Obstetricians and Gynaecologists of Canada

16. Labor Dystocia

strategies for treating labor dystocia in women with otherwise uncomplicated pregnancies. Strategies assessed include amniotomy, supportive care measures, epidural analgesia, frequency of cervical examination, intrauterine pressure catheters, high- versus low-dose oxytocin protocols, electronic fetal monitoring or intermittent auscultation during augmentation with oxytocin, and delayed or Valsalva pushing. Key Messages • Use of partograms did not impact important maternal or neonatal outcomes (...) relevant to supportive care measures, 25 relevant to epidural analgesia, 1 relevant to cervical examination, 1 relevant to intrauterine pressure catheters, 17 relevant to high-dose versus low-dose oxytocin protocols, 1 relevant to fetal monitoring strategies, and 7 relevant to timing of pushing in the second stage. Evidence suggests that the duration and pattern of “normal” labor progress based on modern management are quite different from historical data, and that labor progress differs between

2020 Effective Health Care Program (AHRQ)

17. Premature labour

progress to actual labour and delivery. Risk factors include previous premature labour, cervical surgery, urinary tract infections, and multiple (multi-fetal) pregnancies. Bleeding and premature rupture of membranes at any gestation is associated with higher rates of preterm delivery. Early spontaneous birth can be predicted using serial digital examination or transvaginal ultrasound of the cervix. Fetal fibronectin detected in cervico-vaginal secretions can also be used after 22 weeks' gestation (...) as threatened premature labour (TPTL) progress to actual labour and delivery. The remainder of preterm birth is due to iatrogenic delivery, most commonly because of pre-eclampsia and intrauterine growth restriction. Preterm premature rupture of membranes (PPROM) is defined as the rupture of membranes at <37 weeks' gestation and prior to the onset of labour. This topic will focus on the management of spontaneous premature labour that may follow TPTL or PPROM. History and exam presence of risk factors uterine

2018 BMJ Best Practice

18. Genital examination in women

, and therefore this document is intended as both a refresher and guide for enhancing practice. Why are genital examinations performed? A genital examination is performed in the three main areas of health care below. Assessment or diagnosis – for example, of adnexae, vagina, external genitalia, genital infections, colposcopy, cervical biopsy, pregnancy and labour, uterine and vaginal prolapse, incontinence, vaginal swabs, Bartholin’s cyst and abscess, transvaginal ultrasound, vaginal bleeding, amenorrhoea (...) of an almond. In post-menopausal women they are smaller gentle moving of the cervix slightly from side to side will demonstrate ‘cervical excitation’. Should there be any adnexal masses or tenderness, advice should be sought if there is a potential diagnosis of ectopic pregnancy, this procedure should be performed by a skilled clinician, following pregnancy testing and ultrasound scanning. Following the examination Switch off the examination light and provide privacy for the woman to get dressed

2016 Royal College of Nursing

19. Harm of HPV vaccine: Latest information and examination of epidemiological studies

in Japan. The epidemiological surveys from Europe and North America that Japan’s Ministry of Health, Labour and Welfare (MHLW) used as evidence for safety of the vaccine have flawed methodologies. One study confused prevalence with incidence, and the other two have serious risk of bias attributable to the "healthy vaccinee effect". While there is no evidence yet confirming that HPV vaccination decreases the incidence of and mortality from cervical cancer, assuming that the vaccine could halve cervical (...) Harm of HPV vaccine: Latest information and examination of epidemiological studies MED CHECK - TIP APRIL 2015 / Vol.1 No.1 · Page -The Informed Prescriber C N o 1 M ED HECK Volume 1 April 2 0 1 5 H.pylori eradication may shorten life span CONTENTS (April 2015,Vol. 1, No. 1) Editorial: An independent drug bulletin for medical practice New Products SGLT-2 inhibitors: Unacceptable products -- can we call these “medicines”? Methadone (Limited use): Useful only in opioid rotation with special

2015 Med Check - The Informed Prescriber

20. SMFM Statement: Elective induction of labor in low-risk nulliparous women at term: The ARRIVE trial

nulliparous women, reduces the risk of a composite outcome ofperinataldeathor severeneonatalmorbidity. Nulliparouswomenwithreliabledatingandnoobstetricor medical complications were eligible, regardless of favor- ability of cervical examination. Of the 22,533 women who were eligible for participation, 27% (n¼6106) enrolled. Recruitment occurred at 41 academic and community- based hospitals, with 3062 women randomly assigned to the IOL group and 3044 women randomly assigned to the expectant treatment group (...) . Randomization occurred be- tween 38 weeks 0 days and 38 weeks 6 days of gestation; womenintheIOLgroupplannedtoundergoinductionfrom 39 weeks 0 days through 39 weeks 4 days of gestation. Womenintheexpectantmanagementgroupwereaskedto undergoinductiononlyifmedicallyindicatedat<40weeks 5daysofgestation,andallwomenweretobedeliveredby 42weeks2 daysofgestation. Most of the enrolled women (63%) had an unfavorable cervix,whichwasde?nedasamodi?edBishopscore<5,at the time of randomization. A cervical ripening agent

2019 Society for Maternal-Fetal Medicine

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