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Cervical Examination in Labor

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101. The Predictive Value of Cervical Length in Women with Twin Pregnancies Presenting with Threatened Preterm Labor. Full Text available with Trip Pro

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

2014 Ultrasound in Obstetrics and Gynecology

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

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

2014 American Journal of Obstetrics and Gynecology

103. Is cervical length an accurate predictive tool in women with a history of preterm delivery who present with threatened preterm labor? Full Text available with Trip Pro

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

2014 Ultrasound in Obstetrics and Gynecology

104. Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines. (Abstract)

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

105. 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

106. 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 Full Text available with Trip Pro

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 (...) of a double uterus in a young African grand multipara who presented with a retained second twin following a preterm labour at home.A double or didelphys uterus as reported in the literatures is still uncommon even in Africa. While infections are very important and always considered causes of preterm labour a high index of suspicion will help give a diagnosis of a uterine anomaly and this will lead to more precise clinical examinations and studies in cases of recurrent miscarriages and preterm birth where

2017 International journal of surgery case reports

107. Normal labor curve is affected by fetus gender: A cohort study Full Text available with Trip Pro

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

2017 Medical journal of the Islamic Republic of Iran

108. Racial and Ethnic Differences in Utilization of Labor Management Strategies Intended to Reduce Cesarean Delivery Rates. Full Text available with Trip Pro

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

2017 Obstetrics and Gynecology

109. Prostaglandin-endoperoxide synthase 1 (Ptgs1) mediates the timing of parturition in mice despite unhindered uterine contractility. Full Text available with Trip Pro

Prostaglandin-endoperoxide synthase 1 (Ptgs1) mediates the timing of parturition in mice despite unhindered uterine contractility. Cyclooxygenase (COX)-derived prostaglandins stimulate uterine contractions and prepare the cervix for parturition. Prior reports suggest Cox-1 knockout (KO) mice exhibit delayed parturition due to impaired luteolysis, yet the mechanism for late-onset delivery remains unclear. Here, we examined key factors for normal onset of parturition to determine whether any (...) parturition in Cox-1KO mice persisted despite exogenous OT treatment. Progesterone (P4) withdrawal, by ovariectomy or administration of the P4-antagonist RU486, diminished the delayed parturition phenotype of Cox-1KO mice. Because antepartum P4 levels do not decline in Cox-1KO females, P4-treated WT mice were examined for the effect of this hormone on in vivo uterine contractility and ex vivo cervical dilation. P4-treated WT mice had delayed parturition but normal uterine contractility. Cervical

2017 Endocrinology

110. 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

111. Oxytocin Augmentation in Spontaneously Laboring, Nulliparous Women: Multilevel Assessment of Maternal BMI and Oxytocin Dose Full Text available with Trip Pro

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

2017 Biological research for nursing

112. Effect of Intravenous Hyoscine Butylbromide Injection on Labour in High Risk Women

including fetal lie, fetal presentation, head station and uterine contractions. Vaginal examination including cervical dilatation, effacement and position, state of fetal membranes, presenting part, position of fetal head and pelvic adequacy. Obstetric ultrasound to detect fetal gestational age, fetal birth weight amount of liquor, site of placental attachment and fetal heart rate. Patients were divided into three equal groups: Group A: included 40 pregnant patients. They received two ml of normal (...) ml HBB+ one ml saline) intravenously Drug: hyoscine butylbromide Intravenous administration of hyoscine butylbromide during first stage of labor Other Name: Dospa Outcome Measures Go to Primary Outcome Measures : Duration of the first stage of labour [ Time Frame: 24 hours ] Duration of the first stage of labour 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

2017 Clinical Trials

113. 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 (...) that are associated with cervical change [12]. Regular uterine contractions means at least 4 in 20 minutes or 8 in 60 minutes) and cervical changes are either cervical dilation more than 1 cm, and/or cervical effacement ≥ 80%. Threatened preterm labour was defined as contractions without any appreciable cervical changes. Women included were between 18 and 40 years old at gestational age between 28 and 34 weeks. Women with failed tocolytic treatment to stop uterine contractions, those with established preterm

2017 Clinical Trials

114. 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

115. 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

116. 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 (...) the planned time frame were reviewed. Subjects eligible for conduction of a Trial Of Labor After Cesarean section (TOLAC), were included, while those ineligible for TOLAC were excluded from the study dataset. Criteria Inclusion Criteria: Women admitted in labour One prior caesarean section Singleton pregnancy Vertex-presenting fetus Exclusion Criteria: Prior high-risk uterine scar; uterine rupture, classical CS, hysterotomy or myomectomy Short inter-delivery interval (<12 months) Complications

2017 Clinical Trials

117. The Role of Fetal Ductus Arteriosus in Predicting Spontaneous Labour at Term

: February 21, 2019 See Sponsor: St. Michael's Hospital, Toronto Information provided by (Responsible Party): St. Michael's Hospital, Toronto Study Details Study Description Go to Brief Summary: The exact mechanism stimulating the parturition in humans is still relatively unknown. Prostaglandins, by mediating cervical ripening and early stimulation of myometrial contractions, are likely to play a major role in the parturition process. Much of the unique fetal circulation is facilitated by the ductus (...) : Arms and Interventions Go to Arm Intervention/treatment Ultrasound examination Participants will undergo an ultrasound examination at 40 weeks gestation to assess the fetal ductus arteriosis. Other: Ultrasound examination This exam is performed at 40 weeks gestation Outcome Measures Go to Primary Outcome Measures : Fetal ductus arteriosus changes [ Time Frame: 40 weeks gestation ] To prospectively assess whether any changes in blood flow in the fetal ductus arteriosus exist at 40 weeks' gestation

2017 Clinical Trials

118. Maternal Serum Amyloid A Levels in Pregnancies Complicated With Preterm Labour.

: Groups and Cohorts Go to Group/Cohort Intervention/treatment women with preterm labor Diagnostic Test: serum amyloid a test Women who are diagnosed with preterm labor (28-36 weeks) will be enrolled in this study. Serum samples will be collected from all women before any intervention. All women will be sampled once at the time of admission. Venous blood sample (5 c.c) will be taken from each participant for examination of serum amyloid A. The collected blood will be centrifuging and serum (...) will be stored to measure the level of amyloid A by (ELISA) technique in clinical pathology department- Ain shams University women delivered at full term Diagnostic Test: serum amyloid a test Women who are diagnosed with preterm labor (28-36 weeks) will be enrolled in this study. Serum samples will be collected from all women before any intervention. All women will be sampled once at the time of admission. Venous blood sample (5 c.c) will be taken from each participant for examination of serum amyloid

2017 Clinical Trials

119. Onset of Labor in Post-Term Pregnancy by Chamomile. Full Text available with Trip Pro

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

2017 Iranian Red Crescent medical journal Controlled trial quality: uncertain

120. Number of cervical examinations and risk of intrapartum maternal Fever. (Abstract)

Number of cervical examinations and risk of intrapartum maternal Fever. To estimate the association between number of cervical examinations and risk of maternal fever during term labor and delivery.Within a 4-year retrospective cohort study of all consecutive term (37 weeks of gestation or more) singleton deliveries reaching the second stage of labor, we identified women who developed an intrapartum fever and compared them with women who remained afebrile through 6 hours postpartum. Primary (...) exposure was number of digital cervical examinations. Extensive data were collected from the medical record, including obstetric and medical history, cervical examinations and timing, admitting diagnoses, and outcomes. Time-to-event analyses were used to account for length of labor. Cox proportional hazard models were developed adjusting for potentially confounding factors.Of 2,395 women who were afebrile at admission, 174 (7.2%) developed an intrapartum fever. Women were examined one to 14 times

2012 Obstetrics and Gynecology

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