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Cervical Examination in Labor

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41. The role of routine cervical length screening in selected high-and low-risk women for preterm birth prevention

patient-level data. Acta Obstet Gynecol Scand 2015;94:352-8. 50.SchuitE,StockS,RodeL,RouseDJ,LimAC,NormanJE,NassarAH, et al. Global Obstetrics Network (GONet) collaboration. Effectiveness of progestogens to improve perinatal outcome in twin pregnancies: an indi- vidual participant data meta-analysis. BJOG 2015;122:27-37. 51.Gomez R, Galasso M, Romero R, Mazor M, Sorokin Y, Gonçalves L, Treadwell M. Ultrasonographic examination of the uterine cervix is better than cervical digital examinationas (...) , Carstens M, González R, et al. Cervicovaginal ?bronectin improves the prediction of preterm delivery based on sonographic cervical length in patients with preterm uterine contractions and intact membranes. Am J Obstet Gynecol2005;192:350-9. 55.Ness A, Visintine J, Ricci E, Berghella V. Does knowledge of cervical lengthandfetal ?bronectinaffectmanagementofwomenwiththreatened preterm labor? A randomized trial. Am J Obstet Gynecol 2007;197: 426.e1-7. 56.van Baaren GJ, Vis JY, Wilms FF, Oudijk MA, Kwee

2016 Society for Maternal-Fetal Medicine

42. Cervical Radiculopathy and Myelopathy

reviewed by a physician. Hybrid surgeries: Hybrid surgeries combine artificial disc replacements and anterior cervical discectomy with fusion at select vertebral bodies (adjacent or non-adjacent) in a single procedure. There is insufficient evidence in medical literature to permit conclusions on its safety and efficacy. The department considers hybrid procedures to be experimental and investigational. New evidence will be examined as it becomes available. Repeat surgeries: Request for repeat surgeries (...) and hyperlinks updated September 2016 Acknowledgements This guideline was developed in 2014 by Labor and Industries’ Industrial Insurance Medical Advisory Committee (IIMAC) and its subcommittee on cervical spine conditions. Acknowledgement and gratitude go to all subcommittee members, clinical experts, and consultants who contributed to this important guideline: IIMAC Committee Members Bob Lang MD, Chair Andrew Friedman MD Kirk Harmon MD Chris Howe MD Karen Nilson MD Subcommittee Clinical Experts Farrokh

2016 Washington State Department of Labor and Industries

43. Best Cutoff Value of Lactate Concentration in Vaginal Fluid to Predict Time of Spontaneous Onset of Labor in PPROM

Time of Spontaneous Onset of Labor in PPROM Actual Study Start Date : February 15, 2018 Estimated Primary Completion Date : October 2018 Estimated Study Completion Date : November 2018 Resource links provided by the National Library of Medicine available for: Groups and Cohorts Go to Intervention Details: Diagnostic Test: Lactate concentration in vaginal fluid Lactate concentration in vaginal fluid Outcome Measures Go to Primary Outcome Measures : Time from examination to spontaneous onset of labor (...) [ Time Frame: 48 hours ] Time from examination to spontaneous onset of labor < or > 48 hours according to concentration of lactate in vaginal fluid Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below

2018 Clinical Trials

44. Balloon Induction of Labor in PROM for TOLAC

into the study. All eligible women will be presented with the study protocol by a study coordinator.The following screening medical procedures will be completed: Medical and gynecological history, physical and vaginal speculum examination, Ultrasonography and a non-stress test (NST). For eligible patients, and following an informed consent, group randomization will take place: GROUP 1: Expectant management (standard protocol). GROUP 2: Insertion of a balloon cervical catheter (study group). The randomization (...) : A Prospective Randomized Study Actual Study Start Date : March 1, 2018 Estimated Primary Completion Date : March 2020 Estimated Study Completion Date : March 2021 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Double balloon catheter for induction of labor in this group a trans-cervical double balloon catheter will be inserted. Following device insertion, 20 minutes of external monitoring is performed

2018 Clinical Trials

45. Effect Of Intravenous Hyoscine -N-Butyl Bromide In Management Of Prolonged Labor In Nulliparous

or more. Group A will receive injection Hyoscine butyl bromide 20 mg first dose at the time of amniotomy, and second dose 2 hours after. Group B, will receive normal saline same volume first dose at the time of amniotomy, and second dose 2 hours after. Labor will be monitored by Vaginal examination every two hours. The duration of the first stage was calculated from the time of cervical dilatation of three to four centimeters in active labor until a fully dilated cervix was observed. Condition (...) of amniotomy, and second dose 2 hours after. Group B, will receive normal saline same volume first dose at the time of amniotomy, and second dose 2 hours after. Labor will be monitored by Vaginal examination every two hours. The duration of the first stage was calculated from the time of cervical dilatation of three to four centimeters in active labor until a fully dilated cervix was observed. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated

2018 Clinical Trials

46. Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC)

Outcome Measures : length of the second stage of labor [ Time Frame: 1 hour ] the length of the second stage of labor starting from full cervical dilatation till delivery of the fetus will be recorded. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study (...) Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC) Obstetrical Gel and Its Impact in Shortening the Duration of Labor in Women Undergoing a Vaginal Birth After Cesarean (VBAC) - 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

2018 Clinical Trials

47. Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma

Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma - 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 (...) . Obstetrical Gel Use to Shorten Labor and Prevent Lower Genital Tract Trauma 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: NCT03518684 Recruitment Status : Recruiting First Posted : May 8, 2018 Last Update Posted : May 8, 2018

2018 Clinical Trials

48. Preterm Induction of Labor Timing of Amniotomy: A Randomized Controlled Trial

. Consequently, the same methods of labor induction are used in term and preterm gestations, although preterm gestations may have different responses to induction agents compared to term gestations. At our institution, a standard induction of labor - for term or preterm women - is performed using a cervical Foley catheter or misoprostol for cervical ripening with the addition of intravenous oxytocin for labor augmentation. As membranes do not typically spontaneously rupture during the induction process (...) amniotomy versus late amniotomy during medically-indicated induction of labor between 23.0 and 35.6 weeks gestation. Women will be randomized to early or late amniotomy after the attending obstetrician has decided to induce labor for a medical indication. Early amniotomy will be performed prior to 4cm cervical dilation being reached. Late amniotomy will be performed at greater than or equal to 4cm cervical dilation. The purpose of this study is to determine whether timing of amniotomy during medically

2018 Clinical Trials

49. A Comparison Between the Effect of Oxytocin Only and Oxytocin Plus Propranolol on Induction of Labor in Term Pregnancy

of patients will be determined. The first vaginal examination will be performed by the investigator, and then the induction will be initiated by the same researcher. Continuation of induction and the control of patients will be monitored by a coworker who knew nothing about the method of initiation of induction, neither did the patients (double blind) Primary Purpose: Treatment Official Title: A Comparison Between the Effect of Oxytocin Only and Oxytocin Plus Propranolol on Induction of Labor in Term (...) A Comparison Between the Effect of Oxytocin Only and Oxytocin Plus Propranolol on Induction of Labor in Term Pregnancy A Comparison Between the Effect of Oxytocin Only and Oxytocin Plus Propranolol on Induction of Labor in Term Pregnancy - 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

2018 Clinical Trials

50. Length of the Second Stage of Labor and Preterm Delivery Risk in the Subsequent Pregnancy. (PubMed)

Length of the Second Stage of Labor and Preterm Delivery Risk in the Subsequent Pregnancy. Cervical injury is regarded as an important risk factor for preterm delivery. A prolonged second stage of labor may increase the risk of cervical injury that, in turn, may be associated with increased risk of spontaneous preterm delivery in the subsequent pregnancy.We sought to evaluate whether the duration of the second stage of labor in a term primiparous singleton delivery is associated (...) with an increased risk of singleton spontaneous preterm delivery (<37 weeks) in the second pregnancy.We carried out a retrospective cohort analysis of women with 2 consecutive pregnancies: a first term (≥37 weeks) delivery and second birth. Data were derived from a single institution's prospectively collected obstetrical database from January 2005 through January 2015. Duration of the second stage of labor was examined as a continuous variable, modeled based on nonparametric restricted cubic regression spline

2018 American Journal of Obstetrics and Gynecology

51. SMFM Statement on Elective Induction of Labor in Low-Risk Nulliparous Women at Term: the ARRIVE Trial. (PubMed)

with expectant management among low-risk nulliparous women, reduces the risk of a composite outcome of perinatal death or severe neonatal morbidity. Nulliparous women with reliable dating and no obstetric or medical complications were eligible, regardless of favorability of cervical examination. The purpose of this document is to review the findings of the recent randomized trial and to provide guidance for implementation of the study findings.Copyright © 2018 Elsevier Inc. All rights reserved. (...) SMFM Statement on Elective Induction of Labor in Low-Risk Nulliparous Women at Term: the ARRIVE Trial. A Randomized Trial of Induction Versus Expectant Management (ARRIVE) was conducted by the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network from March 2014 to August 2017.This large multicenter, unmasked, randomized controlled trial was performed to test the hypothesis that elective IOL at 39 weeks of gestation, compared

2018 American Journal of Obstetrics and Gynecology Controlled trial quality: uncertain

52. Foley catheter placement for induction of labor with or without stylette: a randomized clinical trial (PubMed)

Foley catheter placement for induction of labor with or without stylette: a randomized clinical trial Foley catheters are used for cervical ripening during induction of labor. Previous studies suggest that use of a stylette (a thin, rigid wire) to guide catheter insertion decreases insertion failure. However, stylette effects on insertion outcomes have been sparsely studied.The purpose of this study was to compare catheter insertion times, patient-assessed pain levels, and insertion failure (...) rates between women who received a digitally placed Foley catheter for cervical ripening with the aid of a stylette and women who received the catheter without a stylette.We conducted a randomized clinical trial of women aged ≥ 18 years who presented for induction of labor. Inclusion criteria were singletons with intact membranes and cephalic presentation. Women received a computer-generated random assignment of a Foley catheter insertion with a stylette (treatment group, n = 62) or without

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2016 EvidenceUpdates Controlled trial quality: predicted high

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

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 (...) precautions Reviews H.pylori eradication may shorten life span: Gastric cancer risk decreases, but incidence of C.difficile infection and pneumonia increase instead Harm of HPV vaccine: Latest information and examination of epidemiological studies Plain Language Summary SGLT-2 inhibitors: inaccurate to call these “medicines” What is diabetes? What is insulin? What is the target of treatment? "Pylori" bacteria removal may shorten life Harm of HPV vaccine: epidemiologic studies do not prove safety p.2 p.3 p

2015 Med Check - The Informed Prescriber

54. Cervical ripening balloon with and without oxytocin in multiparas: a randomized controlled trial

. Eligible participants were multiparous women with a vertex presenting, nonanomalous singleton gestation ≥34 weeks undergoing induction of labor. Women were excluded for admission cervical examination >2 cm, ruptured membranes, chorioamnionitis or evidence of systemic infection, placental abruption, low-lying placenta, >1 prior cesarean delivery, or contraindication to vaginal delivery. Patients were randomly allocated to the following cervical ripening groups: simultaneous (oxytocin with cervical (...) Cervical ripening balloon with and without oxytocin in multiparas: a randomized controlled trial The optimal method for induction of labor for multiparous women with an unfavorable cervix is unknown.We sought to determine if induction of labor with simultaneous use of oxytocin and a cervical ripening balloon, compared with sequential use, increases the likelihood of delivery within 24 hours in multiparous women.We performed a randomized controlled trial from November 2014 through June 2017

2018 EvidenceUpdates

55. Comparative Study Between Nifedipine and Ritodrine as Maintenance Tocolytic Therapy in Preterm Labor

labor (cervical dilatation ≥ 4 cm), with multifetal pregnancy, fetal anomalies or those with contraindication of continuation of pregnancy (antepartum hemorrhage, premature rupture of membranes, evidence of intrauterine infections or non reassuring fetal heart rate tracing) were excluded from the study. During the pre-selection visit, exclusion and inclusion criteria were applied; with recording of full medical history, findings on abdominal ,local and ultrasound examination. When the patient's (...) between 18 and 40 years old at gestational age between 28 and 34 weeks Exclusion Criteria: Women with failed tocolytic treatment to stop uterine contractions, those with established preterm labor (cervical dilatation ≥ 4 cm), multifetal pregnancy fetal anomalies those with contraindication of continuation of pregnancy (antepartum hemorrhage, premature rupture of membranes, evidence of intrauterine infections or non reassuring fetal heart rate tracing) Contacts and Locations Go to Information from

2017 Clinical Trials

56. Racial and Ethnic Differences in Utilization of Labor Management Strategies Intended to Reduce Cesarean Delivery Rates. (PubMed)

Racial and Ethnic Differences in Utilization of Labor Management Strategies Intended to Reduce Cesarean Delivery Rates. To examine whether racial and ethnic differences exist in the frequency of and indications for cesarean delivery and to assess whether application of labor management strategies intended to reduce cesarean delivery rates is associated with patient's race and ethnicity.This is a secondary analysis of a multicenter observational obstetric cohort. Trained research personnel (...) . Nonapplication of labor management strategies regarding failed induction, arrest of dilation, arrest of descent, or cervical ripening did not contribute to increased odds of cesarean delivery for non-Hispanic black and Hispanic women. Compared with non-Hispanic white women, Hispanic women were actually less likely to experience elective cesarean delivery (adjusted OR 0.60, 95% CI 0.42-0.87) or cesarean delivery for arrest of dilation before 4 hours (adjusted OR 0.67, 95% CI 0.49-0.92). Additionally, compared

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2017 Obstetrics and Gynecology

57. Systematic Review of Hydrotherapy Research: Does a Warm Bath in Labor Promote Normal Physiologic Childbirth? (PubMed)

in labor. One study each found that hydrotherapy reduced maternal anxiety and fetal malpresentation, increased maternal satisfaction with movement and privacy, and resulted in cervical dilation progress equivalent to standard labor augmentation practices. Studies examined more than 30 fetal and neonatal outcomes, and no benefit or harm of hydrotherapy was identified. Two trials had anomalous findings of increased newborn resuscitation or nursery admission after hydrotherapy, which were not supported (...) Systematic Review of Hydrotherapy Research: Does a Warm Bath in Labor Promote Normal Physiologic Childbirth? Health sciences research was systematically reviewed to assess randomized controlled trials of standard care versus immersion hydrotherapy in labor before conventional childbirth. Seven studies of 2615 women were included. Six trials examined hydrotherapy in midwifery care and found an effect of pain relief; of these, 2 examined analgesia and found reduced use among women who bathed

2017 The Journal of perinatal & neonatal nursing

58. Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines. (PubMed)

comparisons) and between women admitted in active labor per one or more of the guidelines (between-guideline comparisons).Active labor diagnostic guidelines were retrospectively applied to cervical examination data from nulliparous women with spontaneous labor onset (n = 2573). Generalized linear models were used to determine outcome likelihoods within- and between-guideline groups.At admission, 15.7%, 48.3%, and 10.1% of nulliparous women were in active labor per Friedman, NICE, and ACOG/SMFM diagnostic (...) Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines. Friedman, the United Kingdom's National Institute for Health and Care Excellence (NICE), and the American College of Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine (ACOG/SMFM) support different active labor diagnostic guidelines. Our aims were to compare likelihoods for cesarean delivery among women admitted before vs in active labor by diagnostic guideline (within-guideline

2017 Birth

59. Different Spinal Needles Sizes and Dural Puncture Epidural For Labor Analgesia

] Gestational age at the time of recruitment Obstetric history [ Time Frame: At the time of recruitment ] Number of previous pregnancies and deliveries Type of labor [ Time Frame: At the time of delivery ] Spontaneous versus induced labor Oxytocin dose [ Time Frame: At the time of DPE ] Oxytocin infusion/dose at time of DPE Cervical dilation [ Time Frame: At the time of DPE ] Cervical dilation at the time of DPE State of membrane [ Time Frame: At the time of DPE ] Intact versus ruptured membrane at the time (...) pregnant woman singleton and vertex presentation 37-42 weeks of gestational age active labor with cervical dilation < 5cm body mass index between 20 and 35 kg/m2 desired labor epidural analgesia Exclusion Criteria: adults who are unable to give their own consent presence of any pregnancy-related disease (e.g., gestational hypertension, preeclampsia, gestational diabetes) known fetal anomalies increased risk of cesarean delivery (e.g., previous uterine rupture, previous cesarean delivery) coagulopathy

2017 Clinical Trials

60. Simultaneous pregnancy in each uterine cavity of a double uterus in a young Nigerian multipara who presented with a retained second twin following an unsupervised preterm labor at home; Case report (PubMed)

other causes such as infection and cervical incompetence has been ruled out.Double uterus is an important cause of recurrent preterm labourv and miscarriages as seen in the index case. Thorough pelvic examination should be conducted for women of reproductive age groups when they present for gynecological consultation to rule out the rare occurrence of double uterus and other uterine abnormalities. Health education should be intensified through different media on the reality of double uterus and its (...) Simultaneous pregnancy in each uterine cavity of a double uterus in a young Nigerian multipara who presented with a retained second twin following an unsupervised preterm labor at home; Case report Simultaneous pregnancy in each uterine cavity of a double uterus is unusual but is a recognized risk factor for preterm labour and other poor obstetrics outcomes. The work has been reported in line with the SCARE criteria.We report an unusual case of simultaneous pregnancy in each uterine cavity

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2017 International journal of surgery case reports

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