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Cervical Examination in Labor

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61. Normal labor curve is affected by fetus gender: A cohort study (PubMed)

Normal labor curve is affected by fetus gender: A cohort study Background: Fetal male gender may affect the progression of labor and could be a risk factor for labor arrest. This study was conducted to evaluate the effect of fetus gender on labor curve. Methods: In this cohort study, 1550 singleton term pregnant women in labor phase (either spontaneous or by induction) were enrolled. Results of regular cervical examination, dilation, length of labor stages, mode of delivery, and sex (...) of the fetus, and birth weight were recorded for all participants. Labor progression curve was compared between two sex groups with independent t test and chi2 test. Results: Finally, 1527 women completed the study (47.8% female and 52.1% male). Mean duration from beginning of the active phase up to full dilatation, from 4 to 6 cm, 6 to 8 cm, and 8 to 10 cm dilatations, were significantly longer in the male sex group compared to the female (p˂0.05). All durations were also significantly different when

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2017 Medical journal of the Islamic Republic of Iran

62. Gingival Crevicular Fluid and Placental Tissue Levels of Interleukin-17 as a Possible Marker for Preterm Labor in Patients With Chronic Periodontitis

as a Possible Marker for Preterm Labor in Patients With Chronic Periodontitis Actual Study Start Date : December 25, 2014 Actual Primary Completion Date : March 2, 2015 Actual Study Completion Date : June 16, 2015 Groups and Cohorts Go to Group/Cohort Preterm/Chronic Periodontitis Included ten female patients who underwent spontaneous preterm birth and were diagnosed with chronic periodontitis upon clinical examination Preterm/Healthy Periodontium Included ten female patients who underwent spontaneous (...) Gingival Crevicular Fluid and Placental Tissue Levels of Interleukin-17 as a Possible Marker for Preterm Labor in Patients With Chronic Periodontitis Gingival Crevicular Fluid and Placental Tissue Levels of Interleukin-17 as a Possible Marker for Preterm Labor in Patients With Chronic Periodontitis - 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

2017 Clinical Trials

63. Prediction of Preterm Labor in Asymptomatic High Risk Women

was introduced into the vagina; the anterior lip of the cervix was grasped with sponge forceps and a cotton-tipped swab was placed into the external part of the endocervical canal (not reaching the internal os) and then into the posterior fornix (each for at least 1 min) to obtain an adequate sample of cervico vaginal secretions. Sampling was performed before doing any cervical manipulation (digital or ultrasound examination) and before introducing any vaginal material (lubricants or medications (...) pregnancies and risk factors for spontaneous preterm birth were included in this study at 24 weeks of gestation. Criteria Inclusion Criteria: There were past history of one or more spontaneous preterm labor or preterm rupture of membranes at less than 37 weeks of gestation. previous spontaneous second trimester miscarriage. previous cervical surgery (large loop excision of the transformation zone, loop electrosurgical excision procedure, laser or cone excision). accidental finding of a cervical length

2017 Clinical Trials

64. Evaluation of Trials of Labor After Previous Cesarean Section in Ain Shams University Maternity Hospital

, neonatal outcome) Present and past history of any medical, surgical or obstetric problems; history of infection after previous CS General examination: General condition Vital data Abdominal examination: Fundal level Estimated fetal weight (clinically or by US) Scar tenderness Vaginal examination on admission: Cervical status Station of presenting part Membranes status Pelvic adequacy Investigations performed: Complete Blood Count Ultrasonography Intrapartum management: Progress and duration of labor (...) Evaluation of Trials of Labor After Previous Cesarean Section in Ain Shams University Maternity Hospital Evaluation of Trials of Labor After Previous Cesarean Section in Ain Shams University Maternity Hospital - 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

2017 Clinical Trials

65. Failed Epidural Anesthesia During Labor: Evaluation of Risk Factors and Outcome

examinations to assess cervical dilatation and fetal head station were also performed by experienced obstetrician. As part of the study, the women's satisfaction was assessed the morning following delivery using a 1-5 satisfaction scale, where score 1 corresponded to very unsatisfied and score 5 corresponded to very satisfied. Before satisfaction assessment, all women who agreed to participate signed an informed consent and then relevant data was collected from the participants' medical charts. Study (...) of first stage of labor [ Time Frame: from start of cervical dilatation till full cervical dilatation ] effect of success and failure of epidural on duration of first stage of labor (..before, 15 and 30 min after the loading dose followed by hourly assessment until delivery..) 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

2017 Clinical Trials

66. Oxytocin Augmentation in Spontaneously Laboring, Nulliparous Women: Multilevel Assessment of Maternal BMI and Oxytocin Dose (PubMed)

and other factors on hourly oxytocin doses.Maternal BMI explained 16.56% (95% confidence interval [CI] = [13.7, 20.04], p < .001) of the variance in hourly oxytocin doses received in a multilevel model controlling for influence of maternal, fetal, and labor characteristics. Maternal age, gestational age, status of amniotic membranes at hospital admission, and admission cervical dilation examination were not significant; however, neonatal birthweight and cervical dilation at oxytocin initiation were (...) Oxytocin Augmentation in Spontaneously Laboring, Nulliparous Women: Multilevel Assessment of Maternal BMI and Oxytocin Dose Synthetic oxytocin, the primary tool for labor augmentation, is less effective among obese women, leading to more unplanned cesarean deliveries for slow labor progress. It is not known if obese women require higher doses of oxytocin due to maternal, fetal, or labor factors related to maternal obesity.This study had two main objectives: (1) examine the influence of maternal

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2017 Biological research for nursing

67. Onset of Labor in Post-Term Pregnancy by Chamomile. (PubMed)

pregnancy.This study was done to identify the effect of chamomile on inducing labor in women with post-term pregnancy of Shahid Akbarabadi hospital in Tehran in 2013.This double-blind clinical trial study was performed in Iran on 80 post-term pregnant women with a gestational age of 40 weeks or more, a single pregnancy, 18 - 35 years old, cephalic presentation, an estimated fetal weight of 2500 - 4000 grams, an absence of uterine contraction, a cervical Bishop score of less than 4, the safety of the membrane (...) , and low-risk pregnancy; they were randomly assigned to one of two groups of 40 women. Each of the participants was given a bottle containing 42 capsules (500 mg each) and took 2 capsules every 8 hours. The data were collected through the questionnaire of demographic observational, and examinal characteristics. Descriptive statistics, independent samples t-test, and Fisher's exact test using SPSS (16/win) were used to determine and compare the effects of drugs on inducing labor in the groups.After

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2017 Iranian Red Crescent medical journal Controlled trial quality: uncertain

68. Texture and approach: Technique for consistent cervical examinations (PubMed)

Texture and approach: Technique for consistent cervical examinations 25217679 2015 05 29 2014 09 13 1715-5258 60 9 2014 Sep Canadian family physician Medecin de famille canadien Can Fam Physician Texture and approach: technique for consistent cervical examinations. 823-5 Leung Fok-Han FH Staff physician in the Department of Family and Community Medicine at St Michael's Hospital in Toronto, Ont. eng Journal Article Canada Can Fam Physician 0120300 0008-350X IM Cervix Uteri anatomy & histology (...) physiology Female Humans Labor Stage, First Monitoring, Physiologic methods Pregnancy Teaching 2014 9 14 6 0 2014 9 14 6 0 2015 5 30 6 0 ppublish 25217679 60/9/823 PMC4162699

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2014 Canadian Family Physician

69. Associations among cervical dilatation at admission, intrapartum care, and birth mode in low-risk, nulliparous women. (PubMed)

of this study was to examine the associations among cervical dilatation at admission, intrapartum care, and birth mode in low-risk, nulliparous women with spontaneous onset of labor.This was a cross-sectional, observational study of 21 858 nulliparous, singleton, term vertex births that occurred from 2002 to 2007 across nine hospitals in the Consortium on Safe Labor. Outcome measures included the individual and combined use of intrapartum interventions (amniotomy, epidural anesthesia, oxytocin augmentation (...) Associations among cervical dilatation at admission, intrapartum care, and birth mode in low-risk, nulliparous women. Admission in early labor is associated with increased likelihood of cesarean birth, but the context in which this occurs is unclear. Previous research has explored the relationship between dilatation at admission and the use of single intrapartum interventions; however, the majority of women in the United States receive multiple intrapartum interventions. The objective

2019 Birth

70. Cervical Cancer Prevention (PDQ®): Health Professional Version

to environmental smoking.[ ] Case-control studies of women infected with HPV have examined the effect of various types and levels of tobacco exposure and found similar results.[ - ] DES exposure Diethylstilbestrol (DES) is a synthetic form of estrogen that was prescribed to pregnant women in the United States between 1940 and 1971 to prevent miscarriage and premature labor. DES is associated with a substantially increased risk of developing clear cell adenocarcinoma of the vagina and cervix among the daughters (...) Cervical Cancer Prevention (PDQ®): Health Professional Version Cervical Cancer Prevention (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer Information Summaries [Internet]. Bethesda (MD

2017 PDQ - NCI's Comprehensive Cancer Database

71. Comparison between ultrasound parameters and clinical examination to assess fetal head station in labor. (PubMed)

Comparison between ultrasound parameters and clinical examination to assess fetal head station in labor. Several ultrasound parameters, including intrapartum transperineal ultrasound (ITU) head station, angle of progression (AOP), head-perineum distance (HPD) and head-symphysis distance (HSD), have been suggested to assess fetal head station during labor. The aim of this study was to analyze the relationship between these ultrasound parameters and to compare them with digital palpation.We (...) analyzed 106 stored volume dataset pairs that had been acquired at Stavanger University Hospital, Norway, from nulliparous women at term with prolonged first stage of labor. The volumes were acquired using a three-dimensional transducer applied between the labia majora in a mid-sagittal plane and perineally in a transverse plane. Digitally palpated head station and cervical dilatation were also noted. The results were compared using regression and correlation coefficients.There were good correlations

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2013 Ultrasound in Obstetrics and Gynecology

72. Acute Fatty Liver of Pregnancy: A Thorough Examination of a Harmful Obstetrical Syndrome and Its Counterparts (PubMed)

-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

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2018 Cureus

73. Labor induction abortion in the second trimester

misoprostol alone. 7. Does the use of osmotic dilators affect the abortion time? Labor induction abortion studies using natural prosta- glandins found that placing osmotic dilators 4–24 h before inductiondecreasedabortiontime[30,83–88].However,this adjunctive benefit does not occur when modern prostaglan- din analogues are used. Two randomized studies examined the use of cervical preparation with laminaria at the time of misoprostol induction [2,15]. One study used feticide with hypertonic saline prior (...) rate of incomplete abortion and operative procedures as com- pared to pregnancies greater than 20 weeks. Unlike most other studies, these authors had follow-up data through 6 weeks postinduction. 2. How does labor induction abortion compare to surgical abortion? Where both methods are available, the choice between induction and D&E may be made for either personal or medical reasons. In some instances, the woman may wish to see or hold her fetus. Examination of an intact fetus may improve

2011 Society of Family Planning

74. Pregnancy Outcomes after Treatment for Cervical Cancer Precursor Lesions: An Observational Study. (PubMed)

Pregnancy Outcomes after Treatment for Cervical Cancer Precursor Lesions: An Observational Study. To examine whether surgical procedures involving the uterine cervix were associated with pregnancy outcomes, including preterm birth, low birth weight, cesarean delivery and pregnancy loss.Population-based observational study nested in retrospective matched cohort.Kaiser Permanente Northwest integrated health plan in Oregon/Washington, U.S.A.Female health plan members age 14-53 years (...) with documented pregnancies from 1998-2009. Women with prior excisional and ablative cervical surgical procedures (N = 322) were compared to women unexposed to cervical procedures (N = 4,307) and, separately, to those having undergone only diagnostic/biopsy procedures (N = 847).Using log-linear regression models, we examined risk of adverse pregnancy outcomes in relation to prior excisional or ablative cervical surgical procedures. We stratified excisional procedures by excision thickness. We evaluated

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2017 PLoS ONE

75. Cervical dilation before first-trimester surgical abortion (<14 weeks' gestation)

%useditformultiparous women.Beginningat11to12weeksofgestation,25%used misoprostolfornulliparouswomenand20%formultiparous women [43]. 1.3. Osmotic dilators Two types of osmotic dilators are available in the United States: laminaria tents made of seaweed and synthetic dilators.Allosmoticdilatorsrequireatrainedprovideranda speculum examination for insertion. Laminaria tents are dried compressed stalks of hygro- scopic seaweed (Laminaria digitata, Laminaria japonicum) that absorb water from the cervical stroma (...) in NorthAmericabecausetheyaremoreexpensivebutnobetter than misoprostol at cervical priming [58–61]; in addition, they require refrigeration for transport and storage [62]. Investigators have examined different routes of miso- prostol administration. The ideal route must take into account not only efficacy but also patient and staff acceptance and convenience. Misoprostol can be adminis- tered orally, vaginally, sublingually, buccally or rectally. Pharmacokinetics studies comparing oral and vaginal administration (Fig. 2) have shown that vaginal

2015 Society of Family Planning

76. Preterm Labor Prediction by Cervical Contour in Ultrasound

by (Responsible Party): Meir Medical Center Study Details Study Description Go to Brief Summary: Cervical length is a already known predictor for preterm labor. In this study the investigators want to examining the hypothesis that cervical curvature is also a predictor for preterm labor and that moderate transducer pressure influence cervical length. study population: 200 consecutive pregnant women between 14-34w, visiting in the ultrasound unit ether for routine screening or because of preterm labor. During (...) their examination cervical length and curvature measurements will be taken. Another measurement will be taken after applying moderate cervical pressure. The investigators will compere cervical contour and pressure influence between groups and according to cervical length Demographic data will be taken at the time of recruitment and pregnancy outcome measures in a later telephone interview. Condition or disease Preterm Labor Study Design Go to Layout table for study information Study Type : Observational

2013 Clinical Trials

77. Psychosocial outcomes of a randomized controlled trial of outpatient cervical priming for induction of labor. (PubMed)

Psychosocial outcomes of a randomized controlled trial of outpatient cervical priming for induction of labor. Induction of labor, an increasingly common intervention, is often preceded by the application of an agent to "prime" or "ripen" the cervix. We conducted a randomized controlled trial to compare clinical, economic, and psychosocial outcomes of inpatient and outpatient cervical priming before induction of labor. In this paper we present the psychosocial outcomes.Women participating (...) in a randomized controlled trial in two Australian metropolitan teaching hospitals completed questionnaires to measure anxiety and depression at enrollment, and to examine satisfaction, experiences, depression, and infant feeding 7 weeks after giving birth. Data analysis was by intention to treat and by having received the intervention as intended (approximately 50% in each group).Of 1,004 eligible women, 85 percent consented (n = 407, outpatient; n = 414 inpatient). No statistically significant or clinically

2013 Birth Controlled trial quality: uncertain

78. Psychosocial outcomes of a randomized controlled trial of outpatient cervical priming for induction of labor. (PubMed)

Psychosocial outcomes of a randomized controlled trial of outpatient cervical priming for induction of labor. Induction of labor, an increasingly common intervention, is often preceded by the application of an agent to "prime" or "ripen" the cervix. We conducted a randomized controlled trial to compare clinical, economic, and psychosocial outcomes of inpatient and outpatient cervical priming before induction of labor. In this paper we present the psychosocial outcomes.Women participating (...) in a randomized controlled trial in two Australian metropolitan teaching hospitals completed questionnaires to measure anxiety and depression at enrollment, and to examine satisfaction, experiences, depression, and infant feeding 7 weeks after giving birth. Data analysis was by intention to treat and by having received the intervention as intended (approximately 50% in each group).Of 1,004 eligible women, 85 percent consented (n = 407, outpatient; n = 414 inpatient). No statistically significant or clinically

2013 Birth Controlled trial quality: uncertain

79. Comparison of Vaginal Misoprostol Plus Supracervical Balloon Versus Vaginal Misoprostol Alone for Induction of Labor

is achieved in less time compared with vaginal misoprostol alone. Condition or disease Intervention/treatment Phase Induction of Labor Cervical Ripening Pregnancy Drug: Misoprostol Device: Foley catheter Phase 4 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 80 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: Prospective Randomized (...) Comparison of Vaginal Misoprostol Plus Supracervical Balloon Versus Vaginal Misoprostol Alone for Induction of Labor Comparison of Vaginal Misoprostol Plus Supracervical Balloon Versus Vaginal Misoprostol Alone for Induction of Labor - 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

2016 Clinical Trials

80. Assessment of Fetal Position in Active Labor

Summary: Vaginal exams are used routinely in labor to assess cervical dilation and position of the baby (facing anterior, facing to the right or left side, facing towards maternal spine). This technique has a widely variable accuracy rate (24.0-85.6%). Ultrasound has been used to help confirm or correct the vaginal assessment by obstetricians, but has not been used to assess the utility of immediate feedback to improve the accuracy of vaginal assessment by physicians in training. The investigators (...) separate. Paper copies will be kept in a locked cabinet, in a locked office, in a locked suite. Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 12 participants Observational Model: Cohort Time Perspective: Prospective Official Title: Ultrasound Examination as a Teaching Tool for Vaginal Exam Assessment of Fetal Position in Active Labor Actual Study Start Date : August 2016 Actual Primary Completion Date : September 2017 Actual Study Completion Date

2016 Clinical Trials

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