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Cervical Examination in Labor

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81. Efficacy of Oral Progesterone and Vaginal Progesterone After Tocolytic Therapy in Threatened Preterm Labor

cervical changes as determined by digital pelvic examination. Preterm labor was defined as the simultaneous presence of regular uterine contractions and cervical changes, shortening and/or softening, or dilatation, as determined by digital pelvic examination. The women with preterm labor underwent standard tocolysis, which was administered for at least 48 hours, to allow corticosteroid promote fetal lung maturation. The patients who had proven membranes ruptured, and ultrasonographically found placenta (...) ). All patients were digitally pelvic examined for evaluation of Bishop score and assessed cervical length by transvaginal ultrasound at enrollment and follow up visit at two weeks apart. Cervical length was measured by standard technique with a covered probe inserted into vagina after each woman had emptied her bladder. Excessive pressure on cervix was avoided. The mean value of 3 consecutive measurements was used for analysis. Informed consent and demographic data were obtained at the enrollment

2016 Clinical Trials

82. Nipple Stimulation for Labor Induction

): Hadassah Medical Organization Study Details Study Description Go to Brief Summary: This study will examine the use of nipple stimulation for cervical ripening in women who present to the labor and delivery ward after their water has broken but have a contraindication to prostaglandins. Condition or disease Intervention/treatment Phase Delivery Delayed Other: nipple stimulation Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated (...) . For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 45 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Week 37 + 0 and on PROM (premature rupture of membranes) Multiparity (birth sixth or higher) or TOLAC (trial of labor after Caesarean section) Not in active labor - without regular contractions fetal monitor, cervical dilation < 4 cm and effacement < 80%. Exclusion Criteria: Water break > 24

2016 Clinical Trials

83. Intermittent Ropivacaine Bolus for Epidural Labor Analgesia

-up administration (breakthrough pain) Condition or disease Intervention/treatment Labor Pain Drug: Ropivacaine Detailed Description: Patients were explained about the procedure and written informed consent was obtained. Healthy term primi or second gravid parturients (aged >18 years) with a singleton, live fetus in vertex presentation when in active stage of labor with cervical dilation of 3-5 cm were recruited in the study after they requested epidural for pain relief. PIEB epidural analgesia (...) Ages Eligible for Study: 18 Years to 40 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population healthy term primi or second gravid parturients aged 18-30 years with a singleton, live fetus in vertex presentation when in active stage of labor with cervical dilation of 3-5 cm Criteria Inclusion Criteria: healthy term primi or second gravid parturients aged 18-30 years singleton, live fetus vertex presentation active stage

2016 Clinical Trials

84. Evaluation of the Role of Vaginal Progesterone in Prevention of Preterm Labor in Twin Gestation With Short Cervix: Randomised Controlled Trial

Evaluation of the Role of Vaginal Progesterone in Prevention of Preterm Labor in Twin Gestation With Short Cervix: Randomised Controlled Trial Evaluation of the Role of Vaginal Progesterone in Prevention of Preterm Labor in Twin Gestation With Short Cervix: Randomised Controlled Trial - 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. Evaluation of the Role of Vaginal Progesterone in Prevention of Preterm Labor in Twin Gestation With Short Cervix: Randomised Controlled Trial 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. Read our for details

2016 Clinical Trials

85. Fetal fibronectin testing for prevention of preterm birth in singleton pregnancies with threatened preterm labor: a systematic review and metaanalysis of randomized controlled trials. (PubMed)

) or not (ie, comparison group). Types of participants included women with singleton gestations at 23 0/7 to 34 6/7 weeks with threatened preterm labor. Studies that included management that was also based on the use of sonographic cervical length were excluded. The primary outcome was preterm birth at <37 weeks of gestation. The summary measures were reported as relative risk or as mean differences with 95% confidence interval.Six trials that included 546 singleton gestations with symptoms of preterm (...) labor were included in the metaanalysis. The overall risk of bias of the included trials was low. Women were eligible for the random assignment in case of symptoms that suggested preterm labor at 23-34 weeks of gestation. During admission, before digital examination, a Dacron swab was rotated in the posterior fornix for 10 seconds to absorb cervicovaginal secretions that were then analyzed for the fetal fibronectin qualitative method, with results reported as either positive or negative. Women who

2016 American Journal of Obstetrics and Gynecology

86. Fetal fibronectin testing for prevention of preterm birth in singleton pregnancies with threatened preterm labor: a systematic review and meta-analysis of randomized controlled trials. (PubMed)

) or not (ie, comparison group). Types of participants included women with singleton gestations at 23 0/7 to 34 6/7 weeks with threatened preterm labor. Studies that included management that was also based on the use of sonographic cervical length were excluded. The primary outcome was preterm birth at <37 weeks of gestation. The summary measures were reported as relative risk or as mean differences with 95% confidence interval.Six trials that included 546 singleton gestations with symptoms of preterm (...) labor were included in the metaanalysis. The overall risk of bias of the included trials was low. Women were eligible for the random assignment in case of symptoms that suggested preterm labor at 23-34 weeks of gestation. During admission, before digital examination, a Dacron swab was rotated in the posterior fornix for 10 seconds to absorb cervicovaginal secretions that were then analyzed for the fetal fibronectin qualitative method, with results reported as either positive or negative. Women who

2016 American Journal of Obstetrics and Gynecology

87. Different Types of Progesterone in the Prevention of Preterm Labor

suppositories and dydrogesterone oral tablets in prevention of preterm labor in high risk women. All women will be counseled regarding mode of intervention and informed consent will be obtained. All cases will be subjected to complete history taking, routine antenatal examination and investigations, treatment of genital or urinary tract infections if diagnosed. Routine obstetric ultrasound examination and measurement of cervical length by transvaginal ultrasound will be carried out at 16-18weeks (...) : No Criteria Inclusion Criteria: Singleton pregnancy Living fetus with gestational age 16-18weeks (calculated according to date of last menstrual period confirmed with earlier ultrasound examination). Presence of risk factor for preterm labor: Previous spontaneous preterm labor in previous singleton Pregnancy, OR Previous spontaneous second trimestric miscarriage less than 3 times, OR Short cervix less than 25mm diagnosed during midtrimesteric transvaginal ultrasound examination at 16-18 weeks

2016 Clinical Trials

88. Preterm Labor

or bicornuate s (DES) exposure in utero Genitourinary Infection (40% of preterm births) Vaginal infections ( ) vaginalis Infections with possible risk urealyticum hominis References VI. Symptoms Keep a high index of suspicion Contraction frequency does not predict risk Symptoms do not predict risk Pelvic pressure Vaginal pain Menstrual-like cramps Backache or fluid leakage (see ) VII. Signs Examine as soon as possible Assess and dilation Avoid cervical exam until labor if confirmed Examine Assess for e (...) Check for firm, tender with minimal relaxation VIII. Evaluation: Five key concerns Precautions Preterm Labor patients who deliver within 6 days of presentation: <10% Assessment goal is to differentiate the patients at high risk of delivery Avoid digital vaginal exam UNLESS delivery is imminent (risk of infection) Perform sterile speculum exam and cervical instead Is patient preterm (<37 weeks)? Review and prior s (especially earliest s) Late preterm: 34 to 37 weeks Early preterm: 32 to 34 weeks Very

2018 FP Notebook

89. The "occiput - spine angle": a new sonographic index of fetal head deflexion during the first stage of labor. (PubMed)

The "occiput - spine angle": a new sonographic index of fetal head deflexion during the first stage of labor. Fetal head "attitude" (relationship of fetal head to spine) in the first stage of labor may have a substantial impact on labor outcome. The diagnosis of fetal head deflexion traditionally is based on digital examination in labor, although the use of ultrasound to support clinical diagnosis has been recently reported.The aims of this study were: (1) to quantify the degree of fetal head (...) deflection via the use of sonography during the first stage of labor; and (2) to determine whether a parameter derived from ultrasound examination (the occiput-spine angle) has a relationship with the course and outcome of labor.This was a prospective multicentric, cross-sectional study conducted at the Maternity Unit of the University of Bologna and Parma from January 2014 to April 2015. A nonconsecutive series of women with uncomplicated singleton pregnancies at term gestation (37 weeks or more) were

2016 American Journal of Obstetrics and Gynecology

90. Association of Early Amniotomy After Foley Balloon Catheter Ripening and Duration of Nulliparous Labor Induction. (PubMed)

Association of Early Amniotomy After Foley Balloon Catheter Ripening and Duration of Nulliparous Labor Induction. To evaluate the association between early amniotomy after ripening with a Foley balloon catheter and duration of labor induction.In this retrospective matched cohort study, 546 nulliparous women with a singleton viable gestation undergoing cervical ripening with a Foley balloon catheter were compared based on timing of amniotomy after catheter removal: early (defined as artificial (...) rupture of membranes less than 1 hour after Foley removal) compared with no artificial rupture of membranes in the first hour. Women in the early amniotomy group were matched to women in the control group according to health care provider type, cervical examination after Foley removal, and indication for induction in a one-to-one ratio. Bivariable and multivariable analyses were performed to determine whether early amniotomy was associated with vaginal delivery within 24 hours and other adverse

2016 Obstetrics and Gynecology

91. Diagnosing onset of labor: a systematic review of definitions in the research literature. (PubMed)

to examine definitions of labor onset and the evidentiary basis provided for these definitions.Five electronic databases were searched using predefined search terms. We included English, French and German language studies published between January 1978 and March 2014 defining the onset of latent labor and/or active labor in a population of healthy women with term births. Studies focusing exclusively on induced labor were excluded.We included 62 studies. Four 'types' of labor onset were defined: latent (...) phase, active phase, first stage and unspecified. Labor onset was most commonly defined through the presence of regular painful contractions (71% of studies) and/or some measure of cervical dilatation (68% of studies). However, there was considerable discrepancy about what constituted onset of labor even within 'type' of labor onset. The majority of studies did not provide evidentiary support for their choice of definition of labor onset.There is little consensus regarding definitions of labor onset

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2016 BMC pregnancy and childbirth

92. 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

2016 American Journal of Obstetrics and Gynecology Controlled trial quality: predicted high

93. Mechanical and Pharmacologic Methods of Labor Induction: A Randomized Controlled Trial. (PubMed)

Mechanical and Pharmacologic Methods of Labor Induction: A Randomized Controlled Trial. To evaluate the effectiveness of four commonly used induction methods.This randomized trial compared four induction methods: misoprostol alone, Foley alone, misoprostol-cervical Foley concurrently, and Foley-oxytocin concurrently. Women undergoing labor induction with full-term (37 weeks of gestation or greater), singleton, vertex-presenting gestations, with no contraindication to vaginal delivery, intact (...) membranes, Bishop score 6 or less, and cervical dilation 2 cm or less were included. Women were enrolled only once during the study period. Our primary outcome was time to delivery. Neither patients nor health care providers were blinded to assigned treatment group because examinations are required for placement of all methods; however, research personnel were blinded during data abstraction. A sample size of 123 per group (n=492) was planned to compare the four groups pairwise (P≤.008) with a 4-hour

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2016 Obstetrics and Gynecology Controlled trial quality: predicted high

94. Cervical Pessary Treatment for Prevention of s PTB in Twin Pregnancies on Children`s Long-Term Outcome

receive management as usual; i.e. expectant management with interventions only in terms of a tertiary prevention of PTB according to guidelines for premature rupture of membranes, premature labour or other pregnancy complications. Experimental: Cervical Pessary-Group placement of the cervical pessary (non-invasive) at enrollment; removal of the cervical pessary (non-invasive) in a regular preventive examination at WoG 37. Device: Cervical Pessary-Group Placement of the cervical pessary (non-invasive (...) ) at enrolment including a transvaginal ultrasound to verify its correct fit. Removal of the cervical pessary (non-invasive) in a regular preventive examination at week of gestation 37+0. Except for placement/removal of cervical pessary the pregnant women will receive the usual care. Other Name: Arabin Cervical Pessary Outcome Measures Go to Primary Outcome Measures : Children`s survival without neurodevelopmental disability at the age of 3. [ Time Frame: assesment of the newborns at age of 3 years

2018 Clinical Trials

95. Prevention of sPTB With Early Cervical Pessary Treatment in Women at High Risk for PTB

examination at WoG 37 Device: cervical pessary Intervention: Device: Cervical pessary: After Having excluded a vaginal infection insertion of the cervical pessary (silicone ring) directly after enrollment. After insertion verification of correct fit of the cervical pessary by transvaginal ultrasound. Removal of the pessary at 37+0 weeks of gestation, or before if any unexpected event occurs. Except for the insertion of the pessary the obstetrical management during the remainder of the pregnancy (...) Frankfurt: Cervical Pessary Short Cervix Recurrent Preterm Birth history of cervical surgery history of conisation Additional relevant MeSH terms: Layout table for MeSH terms Premature Birth Obstetric Labor, Premature Obstetric Labor Complications Pregnancy Complications

2018 Clinical Trials

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

maternity hospital. Sample size of 320 parturients. Condition or disease Intervention/treatment Failed Induction Cervical Dystocia Other: Bishop score calculation of modified Bishop score in numbers by digital vaginal examination Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 320 participants Observational Model: Cohort Time Perspective: Prospective Official Title: Transvaginal Sonographic Measurement of Cervical Length Versus Bishop Score (...) in Induction of Labour at Term for Prediction of Caesarean Delivery Actual Study Start Date : August 14, 2017 Actual Primary Completion Date : December 14, 2017 Actual Study Completion Date : January 12, 2018 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment Single gruop320 parturients Measurement of cervical length and digital examination of Bishop score in 320 women undergoing induction of labour will be carried out

2018 Clinical Trials

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

for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 100 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Outcomes Assessor) Masking Description: The women will be blinded to the intervention, but the investigator will not be blinded to the procedure allocation (due to the nature of the intervention). Primary Purpose: Prevention Official Title: Routine Cervical Dilatation at the Non-labor Caesarean Section (...) Routine Cervical Dilatation at the Non-labour Caesarean Section and Its Influence on Postoperative Pain Routine Cervical Dilatation at the Non-labour Caesarean Section and Its Influence on Postoperative Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2018 Clinical Trials

98. Assessing a Predicted Time to Delivery in the Context of Cervical Ripening With Dinoprostone Vaginal Insert

: Groups and Cohorts Go to Group/Cohort Intervention/treatment before group In the "before" group, the investigators retrospectively included 405 patients who had a dinoprostone vaginal insert for cervical ripening before induction of labor, between January 2015 and September 2016. Multivariate and regression analysis showed that the factors significantly increasing the time to delivery were: Nulliparity, obesity, a closed cervix on initial examination, and intact membranes at the time of insertion (...) : NCT03482531 Recruitment Status : Recruiting First Posted : March 29, 2018 Last Update Posted : May 30, 2018 See Sponsor: University Hospital, Angers Information provided by (Responsible Party): University Hospital, Angers Study Details Study Description Go to Brief Summary: Induction of labor is a common obstetric procedure that is routinely performed worldwide. However, when cervical conditions are not favorable (bishop <6), induction of labor is preceded by cervical ripening, usually with prostaglandins

2018 Clinical Trials

99. DilaCheck Cervical Dilation Measurement Trial

): Elm Tree Medical Inc. Study Details Study Description Go to Brief Summary: Trial to compare the interexaminer agreement between two cervical dilation examinations conducted by Labor and Delivery physicians when using standard methods versus DilaCheck device. Condition or disease Intervention/treatment Phase Cervical Dilation Labor Pain Labor Fast Labor; Irregular Device: DilaCheck Diagnostic Test: Cervical dilation examination Not Applicable Detailed Description: The trial seeks to compare (...) the DilaCheck device with standard digital cervical dilation examinations. 50 laboring female participants will be enrolled with 25 randomly assigned to the control arm and 25 to the treatment (DilaCheck) arm. Each participant will receive two cervical dilation examinations from two separate physicians. The main outcome measure is agreement between the two cervical dilation measurements. Secondary outcomes include ease of use of the device and pain levels. Study Design Go to Layout table for study

2018 Clinical Trials

100. Cervical Dilatation Curves of Spontaneous Deliveries in Pregnant Japanese Females (PubMed)

elapsed times from the full dilatation and cervical dilatation stages, and labor durations by examining the distribution of time intervals from one cervical dilatation stage, to the next, and ultimately to the full dilatation. Results: Fastest cervical changes occurred at 6 cm (primiparas) and 5 cm (multiparas) of dilatation. The 95%tile of labor progression took over 3 hours to progress from 6 cm to 7 cm (primiparas), and over 2 hours to progress from 5 cm to 6 cm (multiparas). The 5%tile of traverse (...) Cervical Dilatation Curves of Spontaneous Deliveries in Pregnant Japanese Females Background: Although cervical dilatation curves are crucial for appropriate management of labor progression, abnormal labor progression and obstetric interventions were included in previous and widely-used cervical dilatation curves. We aimed to describe the cervical dilatation curves of normal labor progression in pregnant Japanese females without abnormal labor progression and obstetric interventions. Methods

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2018 International journal of medical sciences

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