How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,629 results for

Cervical Examination in Labor

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

41. Flowchart: Induction of labour, Artificial rupture of membranes (PDF, 106kB)

Flowchart: Induction of labour, Artificial rupture of membranes (PDF, 106kB) Queensland Health State of Queensland (Queensland Health) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/au/deed.en Queensland Clinical Guidelines, guidelines@health.qld.gov.au Queensland Clinical Guidelines www.health.qld.gov.au/qcg Artificial rupture of membranes Queensland Clinical Guideline: Induction of labour Flowchart version F17.22-4-V5-R22 Indications • After cervical ripening method • Favourable cervix (...) : Cardiotocograph, FHR Fetal heart rate; IOL Induction of labour; MBS Modified Bishop Score; VE Vaginal examination

2017 Queensland Health

42. Flowchart: Methods of induction of labour (IOL)

(presentation, attitude, position, lie, engagement) • CTG: consult obstetrician if abnormal • Vaginal examination: o Assess MBS o Membrane status (intact or ruptured) Induction of labour Yes No Membranes ruptured? No Yes ARM Previous CS? Refer to relevant flow chart If IOL declined or postponed • Consider individual circumstances, woman’s preferences, local service capabilities and priorities • Perform maternal and fetal assessment • Arrange ongoing monitoring • From 42 +0 weeks offer twice weekly: o CTG o (...) Flowchart: Methods of induction of labour (IOL) Queensland Health State of Queensland (Queensland Health) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/au/deed.en Queensland Clinical Guidelines, Guidelines@health.qld.gov.au Queensland Clinical Guidelines www.health.qld.gov.au/qcg Method of induction of labour Queensland Clinical Guideline: Induction of labour Flowchart version F17.22-1-V5-R22 Indication • Maternal and/or fetal benefit Contraindications • As for vaginal birth

2017 Queensland Health

43. Approaches to Limit Intervention During Labor and Birth

, with recumbent, lateral, or supine positions during the first stage of labor found that upright positions shorten the duration of the first stage of labor by approximately 1 hour and 22 minutes (mean difference, –1.36; 95% CI, –2.22 to –0.51), a mean difference that exceeded the effect of amniotomy with oxytocin (mean difference, –1.11 hours). Women in upright positions also were less likely to have a cesarean delivery (RR, 0.71; 95% CI, 0.54–0.94) (43). A second Cochrane meta-analysis of RCTs that examined (...) , Dierker L, Blanchard MH, Mercer BM. Outcomes of women presenting in active versus latent phase of spontaneous labor. Obstet Gynecol 2005;105:77–9. Neal JL, Lamp JM, Buck JS, Lowe NK, Gillespie SL, Ryan SL. Outcomes of nulliparous women with spontaneous labor onset admitted to hospitals in preactive versus active labor. J Midwifery Womens Health 2014;59:28–34. Wood AM, Frey HA, Tuuli MG, Caughey AB, Odibo AO, Macones GA, et al. Optimal admission cervical dilation in spontaneously laboring women. Am J

2017 American College of Obstetricians and Gynecologists

44. Cervical assessment by ultrasound for preventing preterm delivery. (Full text)

on interventions (e.g. progesterone, cerclage) for short cervical length.We followed standard Cochrane methods.We included seven RCTs (N = 923): one examined asymptomatic women with twin pregnancies; four included women with singleton pregnancies and symptoms of preterm labour (PTL); one included women with singleton pregnancies and symptoms of preterm premature rupture of membranes (PPROM); and one included asymptomatic singletons. All trials used TVU for screening.We assessed the risk of bias of the included (...) age at birth, and other maternal and perinatal outcomes.Four trials examined knowledge of TVU-measured cervical length of singletons with symptoms of PTL versus no knowledge. We are uncertain of the effects because of inconclusive results and very low-quality evidence for: preterm births at less than 37 weeks (average RR 0.59, 95% CI 0.26 to 1.32; 2 studies, 242 participants; I² = 66%; Tau² = 0.23). Birth occurred about four days later in the knowledge groups (mean difference (MD) 0.64 weeks, 95

2019 Cochrane PubMed abstract

45. Adjunctive colposcopy technologies for assessing suspected cervical abnormalities: the DYSIS colposcope with DYSISmap and the ZedScan I

a colposcopy examination. CIN is a term used to describe precancerous changes in cells in the surface layer of the cervix (the cervical epithelium). Most changes arise in the transformation zone, where the endocervical canal (the internal canal of the cervix) meets the external part of the cervix. This is the area examined during standard colposcopy, and from where a sample is taken for cervical screening. Less often, abnormalities occur on the inside of the cervical canal instead of the surface (...) papilloma virus (HPV; hereafter referred to as high-risk HPV), which causes changes in the cervical cells that can progress to cervical cancer if not treated. 2.6 CIN is classified based on the depth of abnormal cells in the surface layer of the cervix seen on a diagnostic or excisional (treatment) biopsy: CIN 1: one third of the thickness of the surface layer is affected CIN 2: two thirds of the thickness of the surface layer is affected CIN 3: the full thickness of the surface layer is affected

2018 National Institute for Health and Clinical Excellence - Diagnostics Guidance

46. Physical Exam Indicated Cerclage in Twin pregnancy: a Randomized Controlled Trial. (Abstract)

Physical Exam Indicated Cerclage in Twin pregnancy: a Randomized Controlled Trial. Twin pregnancies with dilated cervix in the second trimester are at increased risk of pregnancy loss and early preterm birth; currently there is no proven therapy to prevent preterm birth in this group of women.To determine if physical exam indicated cerclage reduces the incidence of preterm birth in asymptomatic women with twin gestations and cervical dilation diagnosed before 24 weeks of pregnancy.Multicenter (...) , parallel-group, open-label, randomized controlled trial of women with twin pregnancy, and asymptomatic cervical dilation from 1-5 cm between 16 0/7 to 23 6/7 weeks were enrolled from 7/2015 to 7/2019 in 8 centers. Eligible women were randomized in a 1:1 ratio to either cerclage or no cerclage. We excluded women with: monochorionic-monoamniotic pregnancy, selective fetal growth restriction, twin-twin transfusion syndrome, major fetal malformation, known genetic anomaly, placenta previa, signs of labor

2020 American Journal of Obstetrics and Gynecology

47. 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

48. Cervical Length and Bishop Score in Preinduction Cervical Assessment Prior to Induction of Labor

of Medicine related topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment Induction of labor 200 women all are primigravida between 37-42 weeks gestation to whom induction of labor will be carried out in the casualty of Ain Shams University Maternity Hospital. All participants will have an assessment of the cervix by both Bishop score system and transvaginal measurement of cervical length. Other: Bishop score calculation of modified Bishop score in numbers by digital vaginal examination (...) Other: cervical length measuring cervical length by trans-vaginal ultrasound Outcome Measures Go to Primary Outcome Measures : Cervical Length Prior to Labor Induction [ Time Frame: 24 hours ] median cervical length measured by transvaginal ultrasound in centimetres Bishop Score Prior to Induction of Labor [ Time Frame: 72 hours ] median Bishop score assessed by digital vaginal examination as follows: Cervical dilatation in centimeters will be given a score of zero if closed, a score of 1 if 1-2 cm

2016 Clinical Trials

49. Acute Fatty Liver of Pregnancy: A Thorough Examination of a Harmful Obstetrical Syndrome and Its Counterparts (Full text)

-elevated liver enzymes-low platelets (HELLP) syndrome. The patient was promptly transferred to the labor and delivery unit for close monitoring and delivery planning. Upon cervical examination, the patient was not dilated and was therefore determined to be remote from delivery. A cesarean section was performed and the mother was transferred to the intensive care unit (ICU) post-operatively to optimize management of her coagulopathy. Her abnormal laboratory studies normalized by post-operative day four (...) Acute Fatty Liver of Pregnancy: A Thorough Examination of a Harmful Obstetrical Syndrome and Its Counterparts Diagnosed in one of every 20,000 deliveries, acute fatty liver of pregnancy (AFLP) was considered to be a deadly disease for many years. However, advancements in the clinical and surgical management of pregnant mothers have lead to a drastic decrease in maternal morbidity and mortality. The corresponding case recounts a 23-year-old gravida 2 para 1 (G2P1) at 38 weeks gestational age (GA

2018 Cureus PubMed abstract

50. Vaginal assessment and expedited amniotomy in oral misoprostol labor induction in nulliparas: a randomized trial (Abstract)

protracted. The eventual cesarean delivery rate is high, particularly when the cervix is unfavorable and ripening is required. Vaginal examination can cause discomfort and emotional distress particularly to nulliparous women, and plausibly can affect patient satisfaction with the induction and birth process.The aim of this study was to evaluate regular (4-hourly prior to each oral misoprostol dose with amniotomy when feasible) compared with restricted (only if indicated) vaginal assessments during labor (...) induction with oral misoprostol in term nulliparous women MATERIALS AND METHODS: We performed a randomized trial between November 2016 and September 2017 in a university hospital in Malaysia. Our oral misoprostol labor induction regimen comprised 50 μg of misoprostol administered 4 hourly for up to 3 doses in the first 24 hours. Participants assigned to regular assessment had vaginal examinations before each 4-hourly misoprostol dose with a view to amniotomy as soon as it was feasible. Participants

2019 EvidenceUpdates

51. Induction of labour: misoprostol vaginal delivery system

) for the induction of labour in women with an unfavourable cervix, from 36 weeks' gestation, in whom induction is clinically indicated. The manufacturer has advised that the UK launch is expected in quarter 4, 2014 (Ferring Pharmaceuticals: personal communication, January 2014). Currently, only short-acting oral preparations of misoprostol are available and none is licensed for the induction of labour in the UK. In practice, oral misoprostol tablets are sometimes administered vaginally to induce labour (...) for the induction of labour and concluded that vaginal misoprostol 25 micrograms was not superior to vaginal prostaglandin E 2 in women with an undefined, variable and unfavourable cervix. (An unfavourable cervix suggests that spontaneous onset of labour is unlikely. The cervix is long and firm in consistency and must be made softer and shorter to allow labour to begin.) Doses of misoprostol above 25 micrograms were associated with higher rates of successful induction of labour but at the expense of higher

2014 National Institute for Health and Clinical Excellence - Advice

52. Ultrasonographic Cervical Length Assessment in Predicting Preterm Birth in Singleton Pregnancies

, as well as possible prevention of unnecessary interventions. Evidence Published literature was retrieved through searches of PubMed and The Cochrane Library up to December 2009, using appropriate controlled vocabulary and key words (preterm labour, ultrasound, cervix, incompetent cervix, transvaginal, transperineal, cervical length, fibronectin). Results were restricted to general and systematic reviews, randomized controlled trials/controlled clinical trials, and observational studies. There were (...) (III). 6. Transvaginal ultrasound appears to be safe in preterm premature rupture of membranes, but its clinical predictive value is uncertain in this context (II-2). 7. It is unclear whether ultrasonographic cervical length assessment has significant advantages over clinical examination alone after elective or emergency cervical cerclage placement, although some signs, such as funnelling to the stitch, are associated with a high risk of preterm premature rupture of membranes. There is no consensus

2018 Society of Obstetricians and Gynaecologists of Canada

53. Induction of labour in late intrauterine fetal death: vaginal misoprostol (after oral mifepristone)

. This evidence summary includes 2 case series in which the groups of women being examined were studied over different time periods after a change in practice in the study hospitals. The aim of both Induction of labour in late intrauterine fetal death: vaginal misoprostol (after oral mifepristone) (ESUOM11) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 29case series was to compare the effects of 2 different regimens (...) if the membranes are ruptured, and a time-related risk of disseminated intravascular coagulopathy, which has been reported in 25% of women who retain a dead fetus for more than 4 weeks. The management of induction of labour in women with late IUFD and a favourable cervix is often uncomplicated. The risks of failed induction and uterine rupture increase when the cervix is unfavourable, particularly in women with previous caesarean delivery (see the NICE full guideline on induction of labour). Alternative

2013 National Institute for Health and Clinical Excellence - Advice

54. Repeat digital cervical assessment in pregnancy for identifying women at risk of preterm labour. (Abstract)

Repeat digital cervical assessment in pregnancy for identifying women at risk of preterm labour. Repeat digital cervical assessment (RDCA - examination of the cervix with a finger) has been promoted as a routine intervention in the antenatal clinic as a screening test for the risk of preterm birth (that is, birth occurring before 37 weeks of gestation).To assess the effect of repeat digital cervical assessment during pregnancy for the risk of preterm birth and other adverse effects for mother (...) and baby.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (September 2009) and CENTRAL (The Cochrane Library 2009, Issue 3).All known randomized clinical trials comparing repeat digital cervical assessment with internal examination limited to clinical indication or no internal examination. We have not included studies where repeat cervical assessment is only a component of complex interventions targeted at decreasing preterm birth.We evaluated relevant studies for meeting

2010 Cochrane

55. Influence of Maternal Obesity on Labor Induction: A Systematic Review and Meta-Analysis. (Full text)

Influence of Maternal Obesity on Labor Induction: A Systematic Review and Meta-Analysis. Studies have shown that women with obesity have longer labors. The purpose of this systematic review and meta-analysis is to examine existing evidence regarding labor induction in women with obesity, including processes and outcomes. The primary outcome was cesarean birth following labor induction. Secondary outcomes were the timing and dosage of prostaglandins, the success of mechanical cervical ripening (...) -effect odds ratio, 1.82; 95% CI, 1.55-2.12; P < .001). Maternal obesity was associated with a longer time to birth, higher doses of prostaglandins, less frequent success of cervical ripening methods, and higher dose of synthetic oxytocin, as well as a longer time to birth after oxytocin use.Women with obesity are more likely than women with a normal weight to end labor induction with cesarean birth. Additionally, women with obesity require longer labor inductions involving larger, more frequent

2020 Journal of midwifery & women's health PubMed abstract

56. Chlamydia trachomatis screening in preterm labor: A systematic review and meta-analysis. (Abstract)

of Chlamydia trachomatis infections in pregnant women with threatened PTL compared to those not in threatened PTL.A literature search was performed in electronic databases using combinations of: "Chlamydia", "vaginal cervical infection" and "preterm labor." Cohort and case-controlled studies examining threatened PTL and Chlamydia trachomatis infection demonstrated by culture or NAAT methods at time of diagnosis of threatened labor. The Meta-analyses of Observational Studies in Epidemiology (MOOSE (...) Chlamydia trachomatis screening in preterm labor: A systematic review and meta-analysis. Spontaneous preterm labor (PTL) is responsible for approximately half of all preterm births with intrauterine infection being an important risk factor for PTL. Chlamydia trachomatis infections have been associated with preterm prelabor rupture of membranes (P-PROM) and preterm birth, but its impact on PTL has not previously been specified. The aim of this study was to evaluate the overall prevalence

2020 European journal of obstetrics, gynecology, and reproductive biology

57. Cervical Cancer: Screening

with removal of the cervix and do not have a history of a high-grade precancerous lesion or cervical cancer are not at risk for cervical cancer and should not be screened. As part of the clinical evaluation, clinicians should confirm through review of surgical records or direct examination that the cervix was removed. Screening Tests Current evidence indicates that there are no clinically important differences between liquid-based cytology and conventional cytology. A variety of platforms are used (...) years with hrHPV testing in combination with cytology (cotesting). See the Clinical Considerations section for the relative benefits and harms of alternative screening strategies for women 21 years or older. A Women younger than 21 years The USPSTF recommends against screening for cervical cancer in women younger than 21 years. D Women who have had a hysterectomy The USPSTF recommends against screening for cervical cancer in women who have had a hysterectomy with removal of the cervix and do

2018 U.S. Preventive Services Task Force

58. Cervical Dilation on Admission in Term Spontaneous Labor and Maternal and Newborn Outcomes. (Abstract)

Cervical Dilation on Admission in Term Spontaneous Labor and Maternal and Newborn Outcomes. To examine associations between cervical dilation on admission and maternal and newborn outcomes in term spontaneous labor.This is a retrospective cohort study of 11,368 singleton, term (37-43 6/7 weeks of gestation) spontaneously laboring women delivering in 14 hospitals in Washington State between 2012 and 2014 using chart abstracted data from the Obstetrics Clinical Outcomes Assessment Program. Women (...) with prior cesarean delivery or ruptured membranes on admission were excluded. Pregnancy history, cervical dilation on admission, and outcomes were analyzed. Associations between early (less than 4 cm cervical dilation) and late (4 cm or greater cervical dilation) admission and outcomes were examined using general linear models with a log-link stratifying by parity. Results were reported as adjusted relative risks (RRs) with 95% confidence intervals (CIs).Early admission compared with late admission

2016 Obstetrics and Gynecology

59. Repeat Measurement of Cervical Length in Women with Threatened Preterm Labor (Full text)

Repeat Measurement of Cervical Length in Women with Threatened Preterm Labor To examine the value of a repeat measurement some days after the first cervical length measurement done at the time of preterm contractions.Retrospective study involving women with singleton pregnancies who presented with preterm contractions at 24 to 33 + 6 weeks of gestation. The cervical length was measured at the time of presentation and some days afterwards.The study population consisted of 17 cases with a preterm (...) length of 10 and 9 mm - the detection rate was 17.6 % with the first cervical length measurement, 47.0 % with the second and 52.9 % if the difference between both measurements was added.Our results indicate that in women with symptoms of preterm labor it is worth to repeat the measurement some days later and to take into account the difference between both measurements.

2016 Geburtshilfe Und Frauenheilkunde PubMed abstract

60. Induction of Labor in Women With Unfavorable Cervix: Dilapan Versus Foley Bulb

-induction Dilation of Cervix Device: Dilapan Device: Foley Catheter Not Applicable Detailed Description: Historically, mechanical methods were the first methods developed to ripen the cervix or to induce labor. Dilapan-S® a synthetic osmotic cervical dilator made of a patented hydrogel (AQUACRYL), works by stimulating the release of endogenous prostaglandins, which degrade collagen fibers and soften the cervix. Additionally, it dilates the cervix gradually and the effect is gentle as well as predictable (...) interval (mins) Comparison of Labor Curves between both interventions [ Time Frame: 1-2 days ] Labor curves using Kaplan Meier method comparing Dilapan-S to Foley balloon Device complications [ Time Frame: 1-2 days ] Rates of complications resulting from device insertion (%): Vaginal bleeding Vaso-vagal reaction from manipulation of the cervix Cervical laceration Retraction into the uterine cavity Rupture of membranes (Date/Time) Entrapment of the device Fragmentation of the device in the genital tract

2016 Clinical Trials

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>