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Cervical Examination in Labor

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21. Immersion in Water During Labor and Delivery

in duration of the first stage of labor (mean difference, –32.4 minutes; 95% CI, –58.7 to –6.13). However, considering each of these effects, it is difficult to know how factors other than immersion, such as the structure of care (including the presence of an obstetrician–gynecologist and other health care providers and timing and frequency of examinations), affected the outcome. Furthermore, there were no differences in the incidence or severity of perineal trauma (RR, 1.16; 95% CI, 0.99–1.35; five (...) during labor or delivery (10). In a subsequent systematic review and meta-analysis, newborn outcomes after second-stage immersion and birth in water were compared with land birth. Data from the 12 included studies (two randomized trials, three prospective and two retrospective cohort, and five case–control studies) showed no neonatal benefits associated with immersion (18). The most recent and largest meta-analysis and systematic review examining this question included 29 studies. Although

2016 American College of Obstetricians and Gynecologists

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

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 (...) number, car- diac activity, presentation, placental location with respect to the internal cervical os, and amniotic ?uid volume. If requested, a limited obstetric ultrasound examination may include fetal biometry. Reliable fetal biometric measurementsrequire anatomic familiarity withthe mid- line falx, thalami, cavum septi pellucidi, columns of the fornix, cerebellum, stomach, umbilical vein as it courses throughthe liver,andfemoraldiaphysis. C. Specialized Obstetric Ultrasounds A biophysical pro?le

2018 American Institute of Ultrasound in Medicine

23. Successful induction of labor: prediction by pre-induction cervical length, angle of progression and cervical elastography. (PubMed)

Successful induction of labor: prediction by pre-induction cervical length, angle of progression and cervical elastography. To examine the potential value of preinduction cervical length, cervical elastography and angle of progression (AOP) in prediction of successful vaginal delivery and induction-to-delivery interval.This was a prospective study in 99 women with singleton pregnancy undergoing preinduction ultrasound assessment at 35-42 weeks' gestation. Cervical length, elastographic score (...) correlations between cervical length and both AOP (r = - 0.319) and elastographic score (r = 0.368). Significant independent prediction of vaginal delivery and induction-to-delivery interval was provided by nulliparity and cervical length, with no additional significant contribution from electrographic score or AOP.In women undergoing induction of labor, AOP and elastographic score at the internal os are unlikely to be useful in prediction of vaginal delivery and induction-to-delivery interval.Copyright ©

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2014 Ultrasound in Obstetrics and Gynecology

24. 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

2015 FP Notebook

25. Remifentanil vs. Combined Spinal-epidural Analgesia for Labor Analgesia and Progress of Labor in Multiparous

technique for the next delivery and/or recommend the same technique to somebody else. Duration of first and second stage of labor [ Time Frame: one year ] The time from onset of analgesia until 10-cm cervical dilation will be defined as the first stage of labor, while the second stage will be defined as the interval between full cervical dilation and delivery of the neonate. The mean cervical dilation rate will be defined as 10 minus last cervical examination before analgesia divided by time between (...) Remifentanil vs. Combined Spinal-epidural Analgesia for Labor Analgesia and Progress of Labor in Multiparous Remifentanil vs. Combined Spinal-epidural Analgesia for Labor Analgesia and Progress of Labor in Multiparous - 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

2016 Clinical Trials

26. Stepwise Labor Induction Following Failure of Prostaglandin Vaginal Insert for Labor Induction

of Propess for additional 24 hours. Drug: Administration of Propess History taking and physical examination including cervical length Eligibility assessment Explanation regarding the study protocol Signed informed consent (at VAS<3) Women agreeing to continued induction of labor 24 hours after insertion of Propess, will be randomized using sealed envelopes to the subsequent method of induction of labor (additional vaginal insert vs. oxytocin infusion with intracervical balloon insertion with 60ml saline (...) induction of labor using vaginal insert slow release of dinoprostone 10 mg (Propess), defined as bishop score ≤ 7 24 hours after propess insertion will be randomized to one of the following treatment arms: 2. Intravenous oxytocin infusion combined with intracervical balloon administration, inflated with 60cc of saline. Device: balloon History taking and physical examination including cervical length Eligibility assessment Explanation regarding the study protocol Signed informed consent (at VAS<3) Women

2016 Clinical Trials

27. Early versus Late Admission to Labor Affects Labor Progression and Risk of Cesarean Section in Nulliparous Women (PubMed)

Early versus Late Admission to Labor Affects Labor Progression and Risk of Cesarean Section in Nulliparous Women Rates of cesarean section increase worldwide, and the components of this increase are partially unknown. A strong role is prescribed to dystocia, and at the same time, the diagnosis of dystocia is highly subjective. Previous studies indicated that risk of cesarean is higher when women are admitted to the hospital early in the labor.We examined data on 1,202 nulliparous women (...) with singleton, vertex pregnancies and spontaneous labor onset. We selected three groups based on cervical dilatation at admission: early (0.5-1.5 cm, N = 178), intermediate (2.5-3.5 cm, N = 320), and late (4.5-5.5 cm, N = 175). The Kaplan-Meier estimator was used to analyze the risk of delivery by cesarean section at a given dilatation, and thin-plate spline regression with a binary outcome (R library gam) to assess the form of the associations between the cesarean section in either the first or second

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2016 Frontiers in medicine

28. Effect of LI4 and BL32 acupressure on labor pain and delivery outcome in the first stage of labor in primiparous women: A randomized controlled trial. (PubMed)

Effect of LI4 and BL32 acupressure on labor pain and delivery outcome in the first stage of labor in primiparous women: A randomized controlled trial. This study examines and compares the effect of LI4 and BL32 acupressure with each other and control group on labor pain and delivery outcomes.In this randomized controlled trial, 105 primiparous women in active phase of first-stage of labor were equally assigned to two experimental groups [acupressure on LI4 (n=35) or BL32 (n=35)] and a control (...) group (n=35).The experimental groups received routine labor care and acupressure in LI4 or BL32 points in three cervical dilatations (4-5, 6-7, and 8-10cm). The control group only received routine labor care.Pain was assessed by numerical rating scale in three cervical dilatations, before and after intervention. Type of delivery (cesarean, vaginal or operative delivery) and neonatal Apgar score were considered as delivery outcomes, these data collected by a check list. Data were analyzed using

2016 Complementary Therapies In Medicine Controlled trial quality: uncertain

29. Prediction models for determining the success of labor induction: a systematic review. (PubMed)

to November, 2017. Studies that derived and/or validated clinical prediction models containing antenatal history and digital cervical examination were included while studies with models containing radiological and/or biochemical findings not accessible to all providers were excluded. Two reviewers independently screened titles and abstracts to identify eligible studies. Data extraction was performed independently in duplicate into a standardized form. The following data were collected from eligible (...) Prediction models for determining the success of labor induction: a systematic review. The purpose of this study was to systematically identify and compare clinical models using universally accessible clinical and demographic factors, which have been derived and/or validated to predict the success of labor induction with a view to making recommendations for practice.MEDLINE, Embase, www.clinicaltrials.gov, and PubMed for non-MEDLINE and in-progress studies were searched from inception

2019 Acta Obstetricia et Gynecologica Scandinavica

30. Ultrasound feedback training increases trainee accuracy and confidence in vaginal assessment of fetal head position in labor. (PubMed)

Ultrasound feedback training increases trainee accuracy and confidence in vaginal assessment of fetal head position in labor. To evaluate the impact of an immediate ultrasound feedback intervention on trainee accuracy in vaginal examination-based assessment of fetal head position.This was a prospective cohort study conducted at a single tertiary care center. Six third year and six fourth year residents were the study subjects. The third-year residents underwent a training intervention in which (...) fetal head position was first assessed by resident transvaginal digital exam, then by ultrasound. All exams were performed on women with singleton gestations ≥ 35 weeks and cervical dilation ≥ 8 cm, following rupture of membranes. Comparison groups were third year residents before training, third year residents after training, and fourth year residents without training. The primary outcome was the difference in third year resident exam accuracy before and after ultrasound feedback training

2019 Ultrasound in Obstetrics and Gynecology

31. Effects of consuming date fruits (Phoenix dactylifera Linn) on gestation, labor, and delivery: An updated systematic review and meta-analysis of clinical trials. (PubMed)

of PubMed, Scopus, Web of Science, Embase, Google Scholar, and EBSCO up to January 2019 for clinical trials examining the effects of date fruits consumption on any types of gestation, labor, and delivery outcomes. A fixed-effects model or random-effects models were applied to pool data, where appropriate. Quality assessment was done by Jadad scale.In total, 11 and 8 studies were included in the systematic review and meta-analysis. Meta-analysis revealed that date fruit consumption significantly reduced (...) gestation duration (pooled effect size: -0.30, 95% CI: -0.45, -0.15; P < 0.001), increased cervical dilation on admission (pooled effect size: 0.94, 95% CI: 0.88, 1.00; P < 0.001), and shorten duration of first stage of labor (pooled effect size: -50.09, 95% CI: -72.25, -27.93; P < 0.001). Also, it was revealed that date fruit consumption significantly reduced duration of second stage of labor in fixed-effects model (pooled effect size: -9.85, 95% CI: -14.00, -5.70; P < 0.001); however, this effect

2019 Complementary Therapies In Medicine

32. Labor patterns in Asian American women with vaginal birth and normal perinatal outcomes. (PubMed)

Labor patterns in Asian American women with vaginal birth and normal perinatal outcomes. The pattern of normal labor progression can help to define prolonged labor and dystocia. Several studies had tried to establish the process of normal labor in different races. Previous findings in Asian women were limited and often incomparable. Our aim was to examine labor patterns in Asian American women.A total of 3079 women with singleton term gestation, vertex presentation, vaginal delivery (...) , and a normal perinatal outcome were extracted from the Consortium on Safe Labor study. A repeated measure analysis and an interval-censored regression were applied to depict the average labor curves and estimate the time interval of cervical dilation by 1 cm, respectively. A sensitivity analysis was conducted to assess the impact of oxytocin augmentation. The cumulative duration of the 1st stage of labor was calculated to draw a partograph.It took an average of 5.2 hours for nulliparous Asian women

2019 Birth

33. Effect of Nursing Intervention Integrating an Islamic Praying Program on Labor Pain and Pain Behaviors in Primiparous Muslim Women. (PubMed)

Effect of Nursing Intervention Integrating an Islamic Praying Program on Labor Pain and Pain Behaviors in Primiparous Muslim Women. Labor pain has always been a priority issue for primiparous women. Pain behaviors appear as a response to labor pain. This study aimed at examining the effect of nursing interventions integrating an Islamic praying (NIIIP) program on labor pain and pain behavior.In this experimental design, 42 women in the control group received the usual care; 41 (...) in the experimental group received the usual care and an NIIIP program from the 32nd week of pregnancy. This was done by providing childbirth education which they then practiced at home every day until they entered the labor room in the Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia. They conducted 30 min of reciting from the Quran, stroking, positioning during their inter contractions, just breathing during contractions at the 1st, 2nd, 3rd h after cervical dilation of 3-4 cm

2019 Iranian journal of nursing and midwifery research Controlled trial quality: uncertain

34. Cervical Cerclage

specifies 36–37 weeks; SOGC 36–38 weeks). For women undergoing elective cesarean section at or beyond 39 weeks of gestation, ACOG states that removal can be delayed until this time. The developer cautions, however, that the possibility of spontaneous labor between 37 and 39 weeks of gestation must be considered. ACOG also notes that if there is cervical change, painful contractions or progression of vaginal bleeding in women presenting with symptoms of preterm labor, cerclage removal is recommended (...) ) for women with a history of three or more previous second trimester pregnancy losses or preterm births, ACOG states that it can be considered in a patient with a history of one or more second-trimester pregnancy losses related to painless cervical dilation in the absence of labor or abruptio placentae. Cervical Cerclage ACOG (2014) The following recommendations are based on good or consistent scientific evidence (Level A) : Although women with a current singleton pregnancy, prior spontaneous preterm

2017 National Guideline Clearinghouse (partial archive)

35. Transvaginal sonographic assessment of cervical length for predicting the outcome of labor induction in nulliparous women

Transvaginal sonographic assessment of cervical length for predicting the outcome of labor induction in nulliparous women Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence (...) the number of studies per subgroup required for analysis should be specified. For further guidance please refer to the and to pre-clinical meta-analysis. Example: The following study characteristics will be examined as potential source of heterogeneity: species (stratified per species); sex (stratified per sex); duration of index ischemia (linear); stem cell dose (linear); blinding of outcome assessment reported (stratified yes vs no). For stratified analyses, a minimum number of 8 studies per subgroup

2018 PROSPERO

36. The role of cervical length in women with threatened preterm labor - is it a valid predictor at any gestational age? (PubMed)

The role of cervical length in women with threatened preterm labor - is it a valid predictor at any gestational age? To determine whether the predictive accuracy of sonographic cervical length (CL) for preterm delivery (PTD) in women with threatened preterm labor (PTL) is related to gestational age (GA) at presentation.A retrospective cohort study of all women with singleton pregnancies who presented with PTL at less than 34 + 0 weeks and underwent sonographic measurement of CL in a tertiary (...) was similar in the 4 GA groups, as reflected by the similar degree of correlation between CL with the examination to delivery interval (r = 0.27, r = 0.26, r = 0.28, and r = 0.29, respectively, P = .8), the similar area under the receiver-operator characteristic curve (0.641-0.690, 0.631-0.698, 0.643-0.654, and 0.678-0.698, respectively, P = .7), and a similar decrease in the risk of PTD of 5-10% for each additional millimeter of CL. The optimal cutoff of CL, however, was affected by GA at presentation

2014 American Journal of Obstetrics and Gynecology

37. Is cervical length an accurate predictive tool in women with a history of preterm delivery who present with threatened preterm labor? (PubMed)

Is cervical length an accurate predictive tool in women with a history of preterm delivery who present with threatened preterm labor? To determine whether sonographically measured cervical length is an effective predictive tool in women with threatened preterm labor and a history of past spontaneous preterm delivery.This was a retrospective cohort study of all women with singleton pregnancies who presented with preterm labor at less than 34 + 0 weeks' gestation and underwent sonographic (...) measurement of cervical length in a tertiary medical center between 2007 and 2012. The accuracy of cervical length in predicting preterm delivery was compared between women with and those without a history of spontaneous preterm delivery. Women with risk factors for preterm delivery other than a history of preterm delivery were excluded from both groups.Overall, 1023 women who presented with preterm labor met the study criteria, of whom 136 (13.3%) had a history of preterm delivery (past-PTD group

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2014 Ultrasound in Obstetrics and Gynecology

38. The Predictive Value of Cervical Length in Women with Twin Pregnancies Presenting with Threatened Preterm Labor. (PubMed)

The Predictive Value of Cervical Length in Women with Twin Pregnancies Presenting with Threatened Preterm Labor. To assess the accuracy and determine the optimal threshold of sonographic cervical length (CL) for the prediction of preterm delivery (PTD) in women with twin pregnancies presenting with threatened preterm labor (PTL).This was a retrospective study of women with twin pregnancies who presented with threatened PTL and underwent sonographic measurement of CL in a tertiary center (...) . The accuracy of CL in predicting PTD in women with twin pregnancies was compared with that in a control group of women with singleton pregnancies.Overall, 218 women with a twin pregnancy and 1077 women with a singleton pregnancy, who presented with PTL, were included in the study. The performance of CL as a predictive test for PTD was similar in twins and singletons, as reflected by the similar correlation between CL and the examination-to-delivery interval (r, 0.30 vs 0.29; P = 0.9), the similar

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2014 Ultrasound in Obstetrics and Gynecology

39. The impact of sweeping the membranes on cervical length and labor: a randomized clinical trial. (PubMed)

The impact of sweeping the membranes on cervical length and labor: a randomized clinical trial. The aim of the study was to investigate to what extent sweeping of the membranes contributes to cervical shortening and if cervical shortening is related to the time to onset of labor and duration of the active phase of laborThis prospective randomized clinical trial was performed at Baskent University between February and March 2011. Women were randomly assigned to receive membrane sweeping (...) (Sweeping Group) (n = 69) or no membrane sweeping (Control Group) (n = 71). Cervical length was measured (cervix1) in both groups by examiner 1 and the Bishop Score was determined in the control group and sweeping was performed in the sweeping group by examiner 2. Two days later the patients had another cervical length measurement (cervix 2) by examiner 1, blinded to the group and results of the examiner 2. t test, Mann-Whitney U test and Chi-square test were used for statistical analyses.Cervix 1

2014 Ginekologia polska Controlled trial quality: uncertain

40. Transperineal versus transvaginal ultrasound cervical length measurement and preterm labor. (PubMed)

Transperineal versus transvaginal ultrasound cervical length measurement and preterm labor. The aim was to evaluate the agreement between and the reproducibility of transperineal and transvaginal ultrasound cervical length measurements performed by the duty obstetrical team in case of preterm labor. The acceptability of transperineal ultrasonography was also assessed.Pregnant patients between 25 and 34 weeks of gestation with contractions and a clinically modified cervix were included. Order (...) of ultrasonography examination (transperineal or transvaginal first) and rank of operator (resident or senior) were allocated randomly. Agreement was assessed using the intraclass correlation coefficient (ICC) and the Bland and Altman plot. The patient's discomfort and preference for either method were assessed with a questionnaire.62 patients admitted for preterm labor between 25 and 34 weeks of gestation were included. Six seniors and nine residents took part in the study. Among the 51 patients

2014 Archives of gynecology and obstetrics Controlled trial quality: uncertain

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