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Cervical Examination in Labor

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101. Preterm Induction of Labor: Predictors of Vaginal Delivery and Labor Curves. (PubMed)

divided into 4 groups based on gestational age (GA): group A, 24-27+6 weeks; B, 28-30+6 weeks; C, 31-33+6 weeks; and D, 34-36+6 weeks. Pregnant women with a contraindication to VD, IOL ≥37 weeks of gestation, and without data from cervical examination on admission were excluded. Analysis of variance was used to assess differences between GA groups. Multiple logistic regression was used to assess predictors of VD. A repeated measures analysis was used to determine average labor curves.Rates of vaginal (...) Preterm Induction of Labor: Predictors of Vaginal Delivery and Labor Curves. The purpose of this study was to evaluate the labor curves of patients who undergo preterm induction of labor (IOL) and to assess possible predictors of vaginal delivery (VD).Data from the National Institute of Child Health and Human Development Consortium on Safe Labor were analyzed. A total of 6555 women who underwent medically indicated IOL at <37 weeks of gestation were included in this analysis. Patients were

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2014 American Journal of Obstetrics and Gynecology

102. Cervical length screening for prevention of preterm birth in singleton pregnancies with threatened preterm labor: a Cochrane systematic review and meta-analysis of randomized controlled trials using individual patient-level data

Cervical length screening for prevention of preterm birth in singleton pregnancies with threatened preterm labor: a Cochrane systematic review and meta-analysis of randomized controlled trials using individual patient-level data Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any (...) . They should be considered hypothesis-generating. Ideally, a threshold describing the number of studies per subgroup required for analysis should be specified. For further guidance please refer to the and to pre-clinical meta-analysis. Example: The following study characteristics will be examined as potential source of heterogeneity: species (stratified per species); sex (stratified per sex); duration of index ischemia (linear); stem cell dose (linear); blinding of outcome assessment reported (stratified

2016 PROSPERO

103. Dinoprostone Vaginal Insert Versus Double Balloon Catheter for Preinduction Cervical Ripening

vaginal examination just prior to that examination. In the group assigned to mechanical ripening , a double- balloon catheter (Cook Cervical Ripener Balloon,Cook OB/GYN,Spencer IN) is inserted into cervical canal under direct visualisation during a sterile speculum examination. Once both balloon enter the cervical canal, the first balloon is filled with 40 ml saline above the level of the internal os. The second (vaginal) balloon is the inflated with 20 ml of saline.Then both of them are filled (...) : April 2017 Resource links provided by the National Library of Medicine available for: Arms and Interventions Go to Arm Intervention/treatment Experimental: Cook double balloon catheter A double- balloon catheter (Cook Cervical Ripener Balloon,Cook OB/GYN,Spencer IN) is inserted into cervical canal under direct visualisation during a sterile speculum examination İt is placed for 12 hours Device: Cook Double Balloon Catheter A double- balloon catheter (Cook Cervical Ripener Balloon,Cook OB/GYN,Spencer

2017 Clinical Trials

104. Cervical Recuperation After Vaginal Delivery

): ROY LAUTERBACH MD, Rambam Health Care Campus Study Details Study Description Go to Brief Summary: Patients after vaginal delivery will undergo 3 trans-vaginal ultrasounds in order to examine the process of cervical recuperation post delivery. Condition or disease Intervention/treatment Cervix Device: Trans-vaginal ultrasound Detailed Description: Patients after vaginal delivery will be recruited after receiving a full explanation and signing an informed consent. The goal of the study is to examine (...) cervical length after vaginal delivery at 3 different time intervals: 8 hours post delivery. 24 hours post delivery. 48 hours post delivery. At each interval a trans-vaginal ultrasound will be performed, evaluating cervical length. At the end of the 3rd and final ultrasound, the patient will finish her participation in the study/ Information regarding obstetric conditions such as labor induction, gestational age at the time of delivery etc. will be collected from patients` electronic files. Study

2017 Clinical Trials

105. Cervical Ripening With the Double Balloon Device for 6 Hours Compared With 12 Hours

8, 2017 Last Update Posted : March 5, 2019 See Sponsor: Bnai Zion Medical Center Information provided by (Responsible Party): Inna.bleicher, Bnai Zion Medical Center Study Details Study Description Go to Brief Summary: This study will evaluate the insertion of double balloon device (DBD) for cervical ripening for 12 h vs 6 hours. Condition or disease Intervention/treatment Phase Induction of Labor Unfavorable Cervix Device: cervical ripening device Not Applicable Detailed Description (...) Posted: March 5, 2019 Last Verified: March 2019 Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Inna.bleicher, Bnai Zion Medical Center: cervical ripening labor induction double balloon device cervical ripening device unfavorable cervix Additional relevant MeSH terms: Layout table for MeSH terms Oxytocin Oxytocics Reproductive Control Agents Physiological Effects of Drugs

2017 Clinical Trials

106. Cervical gland area as an ultrasound marker for prediction of preterm delivery: A cohort study (PubMed)

Cervical gland area as an ultrasound marker for prediction of preterm delivery: A cohort study Preterm labor is a major cause of perinatal morbidity and mortality and it might be predicted by assessing the cervical change.To assess the association between absence of cervical gland area (CGA) and spontaneous preterm labor (SPTL).This prospective cohort study was performed on 200 singleton pregnant women with a history of SPTL, second-trimester abortion in the previous pregnancy or lower (...) abdominal pain in current pregnancy. Each patient underwent one transvaginal ultrasound examination between 14-28 wk of gestation. Cervical length was measured and CGA was identified and their relationship with SPTL before 35 and 37 wk gestation was evaluated using STATA software version 10.The mean of cervical length was 36.5 mm (SD=8.4), the shortest measurement was 9 mm, and the longest one was 61 mm. Short cervical length (≤18mm) was significantly associated with SPTL before 35 and 37 wk

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2017 International Journal of Reproductive Biomedicine

107. Randomized Clinical Trial Evaluating the Efficacy of Topical Imiquimod in High Grade Cervical Intraepithelial Lesions

Randomized Clinical Trial Evaluating the Efficacy of Topical Imiquimod in High Grade Cervical Intraepithelial Lesions Randomized Clinical Trial Evaluating the Efficacy of Topical Imiquimod in High Grade Cervical Intraepithelial Lesions - 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. Randomized Clinical Trial Evaluating the Efficacy of Topical Imiquimod in High Grade Cervical Intraepithelial Lesions The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2017 Clinical Trials

108. Value of Measuring Cervical Angle and Length by Ultrasound in Prediction of Successful Induction of Delivery

Posted : July 17, 2017 Sponsor: Cairo University Information provided by (Responsible Party): Eman Omran, Cairo University Study Details Study Description Go to Brief Summary: Seventy ladies indicated for induction of delivery will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, ultrasound will be done to assess the angle and the length of the cervix. Then vaginal examination will be done to assess the characteristics of cervix. Analysis (...) will be done to identify the best predictor of successful induction of labour. Condition or disease Intervention/treatment Phase Induced; Birth Diagnostic Test: Transvaginal ultrasound Diagnostic Test: Vaginal examination Not Applicable Detailed Description: Seventy patients indicated for induction of labor will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, transvaginal ultrasound will be done to assess the posterior angle and the length

2017 Clinical Trials

109. Randomized Control Trial of Intracervical Balloon Placement vs Oxytocin in Women With Term PROM and Unripe Cervices

of membranes (PROM). Prospective randomized studies comparing IBC placement to oxytocin use in induction of labor for term PROM do not exist. Intracervical Balloon Catheter has been shown to reduce duration of labor for women with intact membranes undergoing induction of labor. The practice at this institution is to use oxytocin to start contractions when a woman has PROM. This study will examine IBC compared to oxytocin use in term PROM. This will allow for the evaluation of a cervical ripening method (...) delivery in hours [ Time Frame: 24-48 hours/duration of induction of labor ] length of induction Secondary Outcome Measures : Length of first stage of labor [ Time Frame: delivery (from initial cervical dilation to 10 cm cervical dilation]) ] length of first stage of labor Cesarean delivery rate [ Time Frame: 24-48 hours/duration of induction of labor ] number of cesarean deliveries chorioamnionitis [ Time Frame: 24-48 hours/duration of induction of labor ] Maternal temperature >100.4 F during labor

2017 Clinical Trials

110. Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma

of Vertebral Artery Injury TABLE 3. Modified Denver Screening Criteria for BCVI a, b TABLE 3. Modified Denver Screening Criteria for BCVI a, b Alternatively, magnetic resonance angiography (MRA) has been used as a noninvasive means to diagnose VAI. Weller et al prospectively examined 12 patients with nonpenetrating cervical trauma who sustained fractures through the foramen transversarium. Three patients had unilateral vertebral artery occlusion and 1 had focal narrowing, all at the site of fracture. MRA (...) articles – provided sufficient information regarding the types of injury and results of vertebral artery imaging in the entire population of patients studied, sensitivity, specificity, positive predictive value, and negative predictive value of the injury types could not be determined. All 4 provide Class III medical evidence on the value of MRA in the diagnosis of VAI. In 1995, Friedman et al prospectively examined 37 patients admitted with “major” blunt cervical spine injuries using MRA and compared

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2013 Congress of Neurological Surgeons

111. Sweeping the Membranes, Cervical Length and Duration of Labor

of Sweeping the Membranes on Cervical Length and Labor: A Randomized Clinical Trial Study Start Date : February 2011 Actual Primary Completion Date : March 2011 Actual Study Completion Date : March 2011 Arms and Interventions Go to Arm Intervention/treatment Experimental: The membranes swept group This group will have a sweeping of the membranes after the 38th of gestation at hospital, in order to reduce the latency period until labor. Sweeping of the membranes is done by the insertion of examiners finger (...) Sweeping the Membranes, Cervical Length and Duration of Labor Sweeping the Membranes, Cervical Length and Duration 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 of saved studies (100). Please remove one or more studies before adding more. Sweeping the Membranes, Cervical

2011 Clinical Trials

112. Bishop Score, Cervical Length and Multiple Proteins in Cervicovaginal Fluid at 40 Weeks to Predict Onset of Labor

and 40+1 weeks of gestation. Other: Ultrasound and digital cervical examination Cervical length by transvaginal ultrasound Bishop score by digital examination Take cervicovaginal samples Outcome Measures Go to Primary Outcome Measures : Onset of labor/delivery ≤10days [ Time Frame: Baseline ] Secondary Outcome Measures : Cesarean delivery in labor [ Time Frame: Baseline ] Time to onset of spontaneous labor Postterm delivery (≥40 + 11 weeks of pregnancy) The rate of cesarean delivery Biospecimen (...) Bishop Score, Cervical Length and Multiple Proteins in Cervicovaginal Fluid at 40 Weeks to Predict Onset of Labor Bishop Score, Cervical Length and Multiple Proteins in Cervicovaginal Fluid at 40 Weeks to Predict Onset 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 of saved

2011 Clinical Trials

113. Is It Possible to Predict Pre Term Labor by Measuring Cervical Length in the Non-pregnant Uterus?

Is It Possible to Predict Pre Term Labor by Measuring Cervical Length in the Non-pregnant Uterus? Is It Possible to Predict Pre Term Labor by Measuring Cervical Length in the Non-pregnant Uterus? - 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. Is It Possible to Predict Pre Term Labor by Measuring Cervical Length in the Non-pregnant Uterus? 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. ClinicalTrials.gov Identifier: NCT01340352 Recruitment Status : Completed First Posted : April 22, 2011 Last Update Posted : June 16, 2015 Sponsor

2011 Clinical Trials

114. Physical Examination-Indicated Pessary

cervix Cervical dilation more than 5 cm Labor (progressing cervical dilation) or painful regular uterine contractions Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02967445 Locations Layout table for location information Italy Gabriele Saccone (...) Physical Examination-Indicated Pessary Physical Examination-Indicated Pessary - 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. Physical Examination-Indicated Pessary The safety and scientific validity

2016 Clinical Trials

115. A comparison of vaginal ultrasound and digital examination in predicting preterm delivery in women with threatened preterm labour: a cohort study. (PubMed)

infection (OR 4.28, 95% CI 1.52-12.7). None of the cervical parameters assessed by the digital examination provided additional predictive value of preterm delivery.Our study suggests that digital examination does not add to the information given by vaginal ultrasound evaluation in predicting preterm labor.© 2016 Nordic Federation of Societies of Obstetrics and Gynecology. (...) A comparison of vaginal ultrasound and digital examination in predicting preterm delivery in women with threatened preterm labour: a cohort study. The aim of this study is to evaluate the utility of digital examination in addition to ultrasonic measurement of cervical length for predicting spontaneous preterm delivery in women with threatened preterm labor.This was a prospective cohort study in Strasbourg University Hospital, France, between January 2013 and January 2015. All women

2016 Acta Obstetricia et Gynecologica Scandinavica

116. A prospective study into the benefits of simulation training in teaching obstetric vaginal examination. (PubMed)

that had not performed any simulator training procedures was also enrolled. Medical students performed six vaginal examinations on patients who were in labor. The students reported the findings of the examinations in terms of five items (cervical length, position, consistency, dilation, and fetal presentation). The students' findings were then compared with those of experienced midwives (whose answers were considered to be the gold standard) who examined the same patients.A total of 66 students were (...) A prospective study into the benefits of simulation training in teaching obstetric vaginal examination. To assess the benefits of incorporating simulations in obstetric vaginal-examination training.A single-center, randomized, prospective study was conducted in a French University Hospital. Medical students without obstetric experience were assigned, by simple random sampling, to perform either 10 or 30 vaginal-examination training procedures using a simulator. A control group of students

2016 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

117. Number of cervical examinations and risk of intrapartum maternal Fever. (PubMed)

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

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2012 Obstetrics and Gynecology

118. Spinal Surgeon Variation in Single-Level Cervical Fusion Procedures: A Cost and Hospital Resource Utilization Analysis. (PubMed)

outcomes. Few studies have examined the cost-effectiveness cervical arthrodesis at a service level.A retrospective review of patients who underwent a primary 1-level ACDF by eight surgeons (four orthopedic and four neurosurgical) at a single academic institution between 2013 and 2015 was performed. Patients were identified by Diagnosis-Related Group and procedural codes. Patients with the ninth revision of the International Classification of Diseases coding for degenerative cervical pathology were (...) Spinal Surgeon Variation in Single-Level Cervical Fusion Procedures: A Cost and Hospital Resource Utilization Analysis. Retrospective analysis.To compare perioperative costs and outcomes of patients undergoing single-level anterior cervical discectomy and fusions (ACDF) at both a service (orthopedic vs. neurosurgical) and individual surgeon level.Hospital systems are experiencing significant pressure to increase value of care by reducing costs while maintaining or improving patient-centered

2016 Spine

119. 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

2015 PDQ - NCI's Comprehensive Cancer Database

120. Concurrent Oxytocin With Membrane Sweeping Versus Dinoprostone Pessary in Labor Induction of Multiparous Women at Term

Resource links provided by the National Library of Medicine available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Oxytocin & Membrane sweeping Women assigned to "Concurrent oxytocin with membrane sweeping" had their cervix swept by inserting the examining finger as high as possible past the internal cervical os, followed by oxytocin infusion the next day Drug: Oxytocin Procedure: Membrane sweeping Active Comparator: Oxytocin & Dinoprostone Women assigned (...) is defined as vaginal delivery after 24 hours of initiating intervention (i.e. membrane sweeping or dinoprostone) on the first day of induction. Secondary Outcome Measures : Successful labor induction [ Time Frame: From the time of initiating intervention (i.e. membrane sweeping or dinoprostone) until the time of active phase of labor (defined as a cervical dilatation of >=4cm), assessed up to 24 hours ] to achieve the active phase of labor corresponding to a cervical dilatation of >=4cm Incidence

2015 Clinical Trials

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