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Cervical Examination in Labor

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141. 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

142. Concurrent Membrane Sweeping With Dinoprostone Versus Dinoprostone in Labor Induction of Nulliparas at Term With an Unfavorable Cervix

: February 2013 Estimated Primary Completion Date : February 2018 Resource links provided by the National Library of Medicine available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Concurrent membrane sweeping with Dinoprostone Procedure: Concurrent membrane sweeping with Dinoprostone Women assigned to "Sweep" had their cervix swept by inserting the examining finger as high as possible past the internal cervical os, immediately followed by the placement of a 10mg (...) Concurrent Membrane Sweeping With Dinoprostone Versus Dinoprostone in Labor Induction of Nulliparas at Term With an Unfavorable Cervix Concurrent Membrane Sweeping With Dinoprostone Versus Dinoprostone in Labor Induction of Nulliparas at Term With an Unfavorable Cervix - 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

2013 Clinical Trials

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

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

144. Indomethacin and antibiotics in examination-indicated cerclage: a randomized controlled trial. (Abstract)

Anti-Bacterial Agents 0 Anti-Inflammatory Agents, Non-Steroidal IHS69L0Y4T Cefazolin XXE1CET956 Indomethacin AIM IM Obstet Gynecol. 2014 Jun;123(6):1311-6 24807330 Obstet Gynecol. 2014 Sep;124(3):637 25162276 Anti-Bacterial Agents administration & dosage Anti-Inflammatory Agents, Non-Steroidal therapeutic use Cefazolin administration & dosage Cerclage, Cervical Female Humans Indomethacin therapeutic use Obstetric Labor, Premature prevention & control Pregnancy 2014 8 28 6 0 2014 8 28 6 0 2015 2 24 (...) Indomethacin and antibiotics in examination-indicated cerclage: a randomized controlled trial. 25162275 2015 02 20 2018 12 02 1873-233X 124 3 2014 Sep Obstetrics and gynecology Obstet Gynecol Indomethacin and antibiotics in examination-indicated cerclage: a randomized controlled trial. 637 10.1097/AOG.0000000000000443 Burwick Richard M RM Division of Maternal Fetal Medicine, Oregon Health & Science University, Portland, OR. eng Letter Comment United States Obstet Gynecol 0401101 0029-7844 0

2015 Obstetrics and Gynecology Controlled trial quality: uncertain

145. Cost-effectiveness of human papillomavirus vaccination and cervical cancer screening in Thailand Full Text available with Trip Pro

papillomavirus vaccine was based on the authors' assumptions. Costs were presented in 2005 international dollars (INT$) and were were discounted at an annual rate of 3%. Analysis of uncertainty: One-way and two-way sensitivity analyses were carried out to examine the impact of variations in model inputs on the incremental cost-effectiveness ratio (ICER). Results The mean reduction in cervical cancer incidence and the incremental costs per life years saved were reported for each of the 25 combinations (...) Cost-effectiveness of human papillomavirus vaccination and cervical cancer screening in Thailand Cost-effectiveness of human papillomavirus vaccination and cervical cancer screening in Thailand Cost-effectiveness of human papillomavirus vaccination and cervical cancer screening in Thailand Sharma M, Ortendahl J, van der Ham E, Sy S, Kim JJ Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary

2012 NHS Economic Evaluation Database.

146. Pregnancy Outcomes after Treatment for Cervical Cancer Precursor Lesions: An Observational Study. Full Text available with Trip Pro

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

2017 PLoS ONE

147. 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 (...) vaginal insert for cervical ripening before induction of labor, between January 2015 and September 2016. The main outcome of the previous study was to evaluate the time interval between placing the dinoprostone vaginal insert and delivery. One of the secondary objectives was to determine the factors that would impact the time to delivery. Multivariate and regression analysis showed that the factors significantly increasing the time to delivery were: Nulliparity, obesity, a closed cervix on initial

2018 Clinical Trials

148. Inpatient Versus Outpatient Foley Cervical Ripening Study

a cervix ripe and ready to proceed to induction. BS <6 are considered unripe, and therefore may benefit from additional ripening modalities Total time in cervical ripening [ Time Frame: from labor induction to delivery time ] Measure of total time in cervical ripening Total time slept during pre-induction [ Time Frame: during labor ] Total time slept during pre-induction Total time in hospital [ Time Frame: no max but an average of 3 days ] Total time in hospital Analgesia used during pre-induction (...) presentation confirmed with an ultrasound at the time of presentation for induction of labor Cervical exam with Bishop Score <6 Intact membranes Normal vital signs (blood pressure < 140/90, normal body temperature) at the time of presentation for Induction of Labor and within the last 24 hours Maternal age ≥18 years of age Exclusion Criteria: Any contraindication for vaginal birth by institutional policy Multiple gestation History of cesarean delivery Oligohydramnios/polyhydramnios/anhydramnios (MVP <2cm

2018 Clinical Trials

149. Comparing Outpatient to Inpatient Cervical Ripening Using Dilapan-S®

: 1-2 days ] Time from hospital admission to reach active stage of labor defined as ≥ 6 cm (mins) Device to active labor [ Time Frame: 1-3 days ] Time from device placement to reach active stage of labor defined as ≥ 6 cm (mins) Bishop score change [ Time Frame: 12 hours ] Change in Bishop score (based on cervical dilation, position of cervix, effacement of cervix, fetal station and softness of cervix) from insertion to extraction of device Cervical change [ Time Frame: 12 hours ] Change (...) , 2018 See Sponsor: The University of Texas Medical Branch, Galveston Collaborator: Medicem International CR s.r.o. Information provided by (Responsible Party): The University of Texas Medical Branch, Galveston Study Details Study Description Go to Brief Summary: The target population for our study is women who present for induction of labor. If there is a decision by the obstetrical team to place a mechanical dilator for cervical ripening, the obstetrical team will notify the research staff so

2018 Clinical Trials

150. Prevalence and prediction of higher estimated gastric content in parturients at full cervical dilatation: A prospective cohort study. (Abstract)

Prevalence and prediction of higher estimated gastric content in parturients at full cervical dilatation: A prospective cohort study. Emergent obstetrical procedures may require general anaesthesia in parturients at full cervical dilatation or immediately after vaginal birth. This study aimed to determine the prevalence and the predictive factors of higher estimated gastric content in parturients at full cervical dilatation with epidural analgesia and allowed to drink during the labour (...) , and to assess the ability of the antral area measured in the semirecumbent position (SR-CSA) to identify higher estimated gastric content in this setting.This prospective observational study was conducted between December 2016 and July 2017. Ultrasonographic examination of the antrum was performed at full cervical dilatation, within the hour preceding the beginning of expulsive efforts. Higher estimated gastric content was defined when solid content was observed and/or if the calculated gastric fluid volume

2018 Acta Anaesthesiologica Scandinavica

151. Cervical Dilatation Curves of Spontaneous Deliveries in Pregnant Japanese Females Full Text available with Trip Pro

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

2018 International journal of medical sciences

152. 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 (...) stages of the second trimester so the question of the onset of cervix shortening and its impact on PTB is not answered yet. The critical period for a maximum impact of the pessary treatment on PTB is still to be verified. Up to now only the ProTwinTrial addressed the long-term outcome of the newborns, so here data and evidence is clearly missing. The investigators want to assess the impact of a cervical pessary treatment in twin pregnancies with cervical shortening on children's survival without

2018 Clinical Trials

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

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 (...) 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

2018 Clinical Trials

154. DilaCheck Cervical Dilation Measurement Trial

Title: Inter-examiner Agreement of a Novel Device for the Measurement of Cervical Dilation in Labor: A Randomized Controlled Trial Estimated Study Start Date : May 2019 Estimated Primary Completion Date : October 2019 Estimated Study Completion Date : February 2020 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Standard Dilation Exam Participants receive two standard digital cervical dilation (...) ): 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

2018 Clinical Trials

155. Assessment of Gravid Cervix

be performed in setting where there are provisions for labor and delivery. If cervical length assessment is indicated, transabdominal examination may not be reliable, and performance of TVU or TPU is recommended. Summary of Recommendations ? The risk of spontaneous preterm birth increases as cervical length decreases. The risk is highest when a short cervix is detected prior to 24 weeks’ gestation. ACR Appropriateness Criteria ® 5 Assessment of Gravid Cervix ? Cervical length below the 10th percentile (25 (...) at the internal cervical os may be added. In a postcerclage patient it is often helpful to describe the CL in relationship to the cerclage sutures. Transvaginal Ultrasound with a Cervical Stress Test If the cervix remains normal in appearance, a “cervical stress test” can be applied to elicit a dynamic cervix. It is recommended that this maneuver only be carried out in locations with provisions for labor and delivery. If the cervix is already dilated, shortened, or dynamic in appearance, a cervical stress

2014 American College of Radiology

156. Transvaginal ultrasound cervical length for prediction of spontaneous labor at term: a systematic review and meta-analysis

Transvaginal ultrasound cervical length for prediction of spontaneous labor at term: a systematic review and meta-analysis 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 associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence (...) 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 yes vs no). For stratified analyses, a minimum number of 8 studies per subgroup

2015 PROSPERO

157. Should cervical favourability play a role in the decision for labour induction in gestational hypertension or mild pre-eclampsia at term? An exploratory analysis of the HYPITAT trial. Full Text available with Trip Pro

Should cervical favourability play a role in the decision for labour induction in gestational hypertension or mild pre-eclampsia at term? An exploratory analysis of the HYPITAT trial. To examine whether cervical favourability (measured by cervical length and the Bishop score) should inform obstetricians' decision regarding labour induction for women with gestational hypertension or mild pre-eclampsia at term.A post hoc analysis of the Hypertension and Pre-eclampsia Intervention Trial At Term (...) caesarean delivery and adverse neonatal outcomes.The superiority of labour induction in preventing high-risk situations in women with gestational hypertension or mild pre-eclampsia at term varied significantly according to cervical favourability. In women who were managed expectantly, the longer the cervix the higher the risk of developing maternal high-risk situations, whereas in women in whom labour was induced, cervical length was not associated with a higher probability of maternal high-risk

2012 BJOG Controlled trial quality: uncertain

158. Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma Full Text available with Trip Pro

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

2013 Congress of Neurological Surgeons

159. Physical Exam Indicated Cerclage in Twin Gestations

cervix, diagnosed by pelvic exam between 16 to 23 6/7 weeks of gestation. Condition or disease Intervention/treatment Phase Twin Pregnancy, Antepartum Condition or Complication Preterm Birth Cervical Dilation Premature Procedure: Physical exam indicated cerclage Not Applicable Detailed Description: Twin pregnancies have 50% incidence of preterm delivery (before 37 weeks of gestation), with increased perinatal mortality and neonatal morbidity. No therapy has proven effective in preventing preterm (...) into the vagina, unable to visualize cervical tissue More than 24 weeks of gestation Multifetal reduction after 14 weeks Monoamniotic twins Twin-twin transfusion syndrome Ruptured amniotic membranes at the time of diagnosis of dilated cervix Major fetal structural anomaly Fetal chromosomal abnormality Cerclage already in place for other indications Active vaginal bleeding Suspicion of clinical or biochemical chorioamnionitis Painful regular uterine contractions Labor (progressing cervical dilation) Placenta

2015 Clinical Trials

160. Pessary or Progesterone to Prevent Preterm delivery in women with short cervical length: the Quadruple P randomised controlled trial. Full Text available with Trip Pro

. Women with a short cervix, defined as less than, or equal to 35 mm in a singleton and less than 38 mm in a multiple pregnancy, will be invited to participate in the study. Eligible women will be randomly allocated to receive either progesterone or a cervical pessary. Following randomization, the silicone cervical pessary will be placed during vaginal examination or 200 mg progesterone capsules will be daily self-administered vaginally. Both interventions will be continued until 36 weeks gestation (...) pessary in the prevention of adverse perinatal outcome associated with preterm birth in asymptomatic women with a short cervix, in singleton and multiple pregnancies separately. It is a nationwide open-label multicentre randomized clinical trial (RCT) with a superiority design and will be accompanied by an economic analysis. Pregnant women undergoing the routine anomaly scan will be offered cervical length measurement between 18 and 22 weeks in a singleton and at 16-22 weeks in a multiple pregnancy

2017 BMC Pregnancy and Childbirth Controlled trial quality: predicted high

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