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Cervical Examination in Labor

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161. Effect of Acupressure on Cervical Ripening. (PubMed)

Effect of Acupressure on Cervical Ripening. Cervical ripening is one of the main stages of initiation labor. Acupressure in Chinese medicine is considered as an invasive technique, which through reliving oxytocin ripens the cervix. Acupoint Sanyinjiao (SP6) was selected in this study because it is the acupoint selected in gynecology and it is easy for women to locate and apply pressure without medical assistance.The aim of this study was to determine the effect of acupressure on cervical (...) cervical ripening at 48 and 96 hours after intervention and at the time of hospitalization. The tools for gathering information included demographic characteristics and midwifery history questionnaire, daily records and follow up forms. Content validity was used for validity of tools. Reliability of the observation check-list and physical examination was confirmed by inter-rater scores (inter observer), and daily records by test-re-test. Data was analyzed by analysis of variance (ANOVA), Kruskal-Wallis

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2015 Iranian Red Crescent medical journal Controlled trial quality: uncertain

162. Labor patterns in twin gestations. (PubMed)

Labor patterns in twin gestations. To compare labor progression in twin vs singleton gestations.Retrospective review of electronic database created by Consortium on Safe Labor, reflecting labor and delivery information from 12 clinical centers 2002-2008. Women with twin gestations, cephalic presentation of presenting twin, gestational age ≥34 weeks, with ≥2 cervical examinations were included. Exclusion criteria were fetal anomalies or demise. Singleton controls were selected by the same (...) criteria. Categorical variables were analyzed by χ(2); continuous by Student t test. Interval censored regression was used to determine distribution for time of cervical dilation in centimeters, or "traverse times," and controlled for confounding factors. Repeated-measures analysis constructed mean labor curves by parity and number of fetuses.A total of 891 twin gestations were compared with 100,513 singleton controls. Twin gestations were more often older, white or African American, earlier

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2013 American Journal of Obstetrics and Gynecology

163. Maternal Inflammatory Markers and Term Labor Performance. (PubMed)

factor-α were determined using standard multiplex methodology. Maternal demographic data were collected prospectively. Detailed retrospective chart review was performed to extract data on cervical dilation, effacement, and station during labor. Subjects were excluded if they failed to achieve complete dilation. Mixed effects modeling was used to examine the association between serum cytokine quartiles and labor progress in the latent and active phases.In all, 334 women were included in our analysis (...) Maternal Inflammatory Markers and Term Labor Performance. We sought to examine the relationship between maternal markers of inflammation and labor performance.A nested cohort study was performed utilizing an established cohort of term nulliparous patients. Maternal blood was collected at the onset of regular, painful contractions in patients undergoing labor induction or at admission in patients with spontaneous labor. Levels of cytokines including interleukin (IL)-1, IL-6, and tumor necrosis

2013 American Journal of Obstetrics and Gynecology

164. A novel method for recording the progress of labor by ultrasound: The Sonopartogram. (PubMed)

A novel method for recording the progress of labor by ultrasound: The Sonopartogram. Progress of labor has hitherto been assessed by digital vaginal examination (VE). We introduce the concept of a non-intrusive ultrasound (US)-based assessment of labor progress (the 'sonopartogram') and investigate its feasibility for assessing cervical dilatation and fetal head descent and rotation.This was a prospective study performed in 20 women in the first stage of labor in two European maternity units (...) . Almost simultaneous assessment of cervical dilatation and fetal head descent and rotation were made by US and digital VE.The total number of paired US and digital VE assessments was 52, with a median of three per woman. Overall, 5% of sonopartogram parameters were not obtained compared with 18% of conventional digital VE parameters (P < 0.001). Assessment of cervical dilatation was possible in 86.5% of US examinations and 100% of digital VEs (P = 0.02), and dilatation was assessed as being greater

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2013 Ultrasound in Obstetrics and Gynecology

165. Role of Capsaicin in a Murine Model of Labor and Delivery. (PubMed)

was then used to examine the impact of topical cervical capsaicin on: (1) labor pain behaviors and (2) labor progress by examining its impact on the time from treatment to delivery of the first pup and on the duration of delivery per pup. The treatment was randomly allocated and the behavioral observation was blinded.In the absence of analgesia, there was a statistically significant decrease in all four proposed pain behaviors in the postpartum period compared with labor (cumulative 55.0 ± 16.1/h vs. 16.1 (...) Role of Capsaicin in a Murine Model of Labor and Delivery. The objectives of this study were to develop a murine model of labor and delivery and to use this model to examine whether capsaicin diminishes labor pain and expedites delivery.To develop a murine model of labor pain, the authors identified and compared the incidence of four proposed pain behaviors in 46 mice: (1) No analgesia in labor and the postpartum period, and (2) increasing doses of an analgesic, morphine. The model

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2013 Anesthesiology

166. The Effects of Simulation-based Ultrasound Training on Continuity of Care in Managing Pre-mature Onset of Labor

on continuity of care when managing pregnant women with symptoms of premature onset of labor. Our hypothesis is that simulation-based training can be used to decrease the number of shifts in primary responsible health care practitioner as midwives that are trained in cervical ultrasound scans may manage the patient encounter without engaging a second practitioner (i.e. an obstetrician). Condition or disease Intervention/treatment Phase Continuity of Care Other: Simulation-based training Not Applicable (...) Detailed Description: Pregnant women with symptoms of premature onset of labor are typically managed by midwives and obstetricians but shifts in responsibility in patient care may result in lack of continuity of care. This may, in turn, result in threats to patient safety and delays in initiation of treatment due to long wait times. This study examined the effects of simulation-based ultrasound training on the management of women with symptoms of pre-mature onset of labor. 12 midwives were randomized

2013 Clinical Trials

167. Effects of Analgesic Techniques on Duration of Labor for Induction Patients

% bupivacaine 5-15 mL will be administered until an adequate level of analgesia is established. The primary outcome of the study is duration of first stage of labor. Regular cervical examinations are necessary. Typically, full cervical dilation is diagnosed with a cervical examination only when the patient complains of rectal pressure, which is likely to be at a later time period in women with effective neuraxial analgesia compared to women with systemic opioid analgesia. Therefore, the duration (...) of the first stage of labor will be artificially prolonged if regular cervical exams are not performed. The investigators intend to perform sterile cervical examinations at the first request for labor analgesia, then at routine times during the course of labor per the managing OB provider's discretion, and then every 2 hours after the patient reaches 90-100% cervical effacement until complete cervical dilation. Fetal heart rate (FHR) tracings without information about group assignment or other treatment

2013 Clinical Trials

168. Effects of Analgesic Techniques on Duration of Spontaneously Laboring Patients

redoses, the epidural catheter will be replaced at another level and 0.125% bupivacaine 5-15 mL will be administered until an adequate level of analgesia is established. Because the primary outcome of the study is duration of first stage of labor, regular cervical examinations are necessary. Typically, full cervical dilation is diagnosed with a cervical examination only when the patient complains of rectal pressure, which is likely to be at a later time period in women with effective neuraxial (...) analgesia compared to women with systemic opioid analgesia. Therefore, the duration of the first stage of labor will be artificially prolonged if regular cervical exams are not performed. The investigators intend to perform sterile cervical examinations at the first request for labor analgesia, then at routine times during the course of labor per the managing OB provider's discretion, and then every 2 hours after the patient reaches 90-100% cervical effacement until complete cervical dilation. Fetal

2013 Clinical Trials

169. Foley Catheter for Induction of Labor

cervical examination. Studies have reported the use of a rigid stylette (a thin wire inserted into a catheter to maintain rigidity) to guide the insertion of the Foley catheter decreases failure rate. The Foley catheter plus rigid stylette technique seems to be an efficient and safe method for labor induction. However, to our knowledge there is no study that assesses the difference between the standard digital placement of a Foley catheter versus the digital placement of a Foley catheter with stylette (...) Study Description Go to Brief Summary: Study Design: Allocation: 2 arms Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment Detailed Description The utilization of a Foley catheter for induction of labor is well established. There are two techniques readily used for placing a Foley catheter. The most common method is under direct visualization of the cervix during a sterile speculum examination and the other method is to place a catheter during a digital

2013 Clinical Trials

170. Use of an Antiemetic to Shorten the Length of Labor in Nulliparous Women

, each participant will take the selected medication slowly IV over 2 min, the assigned medication will be repeated every two hours for a maximum of three doses. Monitoring of fetal well-being and labor progress with Partographic representation will be performed. Management of labor will be according the labor and delivery standard protocol, if labor dilatation will not progress appropriately, i.e. cervical dilatation rate of <1cm/hour, amniotomy will be performed if membranes are intact. Oxytocin (...) augmentation will be considered after rupture of membranes only if the cervix remains unchanged on two consecutive pelvic examination conducted two hours apart. Oxytocin infusion will start with 5mIU/min and increase by 5mIU/min every 15min to achieve seven contractions in 15 min, the maximal rate of oxytocin being 30Miu/min. The following parameters will be recorded for every patient: Timing of metoclopramide or placebo injections Timing of full dilatation of cervix Duration of first stage of labor

2013 Clinical Trials

171. 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 (...) ) Incidence of cesarean delivery Successful labor induction (defined as an ability to achieve the active phase of labor corresponding to a cervical dilatation of >=4cm). The interval from start of oxytocin to delivery Incidence of rupture of membranes Incidences of vaginal bleeding and fever 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

2013 Clinical Trials

172. Cervical Ripening in Premature Rupture of Membranes

Preterm Premature Rupture of Membranes Drug: Misoprostol Drug: Oxytocin Not Applicable Detailed Description: We will perform a prospective randomized control trial involving women with singleton gestation at ≥ 34 weeks gestation who require an induction of labor after diagnosis of PROM with an unfavorable cervix. PROM will be diagnosed and confirmed with sterile speculum examination demonstrating pooling and/or positive ferning or nitrazine. Cervical status will be assessed by visual exam, digital (...) %, women undergoing induction of labor have an increased risk of c-section and its associated morbidity and long term sequela. ACOG's recommendation for the use of oxytocin as the induction agent may be meant to avoid a theoretical increased risk of chorioamnionitis in this patient population however it does not take into account the status of the cervix, which may result in a increased risk of c-section. The purpose of the proposed study is to determine whether cervical ripening in women with PROM

2014 Clinical Trials

173. Modifying Cervical Bishop Scoring System

Labour Induction 80 primigravidas undergoing bishop score calculation, trans-vaginal ultrasound assessment of cervical length &, Modified bishop score calculation, then induction of labour at our hospital. Other: bishop score calculation Assessment of bishop score by vaginal examination Other: Trans-vaginal ultrasound trans-vaginal ultrasound assessment of cervical length. Other: Modified bishop score calculation using the cervical length and the original bishop score to calculate modified bishop (...) (PROM) not going into spontaneous labor within 24 hours since onset. Intrauterine fetal death (IUFD). Exclusion Criteria: they had true labor pains or clear onset of labor as diagnosed by cervical changes. Previous uterine surgery (scared uterus). Cephalo-pelvic disproportion. Mal-presentations Severe oligo-hydramnios i.e.: amniotic fluid index Less than 5. Twin pregnancy. Fetal macrosomia. —Growth beyond a specific threshold (weight above 4000g) 8) Placenta previa. 9) Fetal bradycardia in case

2014 Clinical Trials

174. Efficacy Study of a Cervical Pessary Containing Progesterone for the Prevention of Preterm Delivery

cervix Cervical Pessaries Progesterone Additional relevant MeSH terms: Layout table for MeSH terms Premature Birth Obstetric Labor, Premature Obstetric Labor Complications Pregnancy Complications Progesterone Progestins Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs (...) Efficacy Study of a Cervical Pessary Containing Progesterone for the Prevention of Preterm Delivery Efficacy Study of a Cervical Pessary Containing Progesterone for the Prevention of Preterm Delivery - 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

2014 Clinical Trials

175. Prediction of Preterm Deliveries by Cervical Length Measurement With Embryo Transfer Catheter in ICSI Patients

Last Update Posted : December 23, 2014 Sponsor: Acibadem University Information provided by (Responsible Party): Turgut Aydın, Acibadem University Study Details Study Description Go to Brief Summary: The aim of this study is to examine the potential value of cervical length (CL) measurement with embryo transfer catheter in the prediction of spontaneous preterm deliveries in intracytoplasmic sperm injection (ICSI) cycles. Preterm birth is the leading cause of perinatal death and handicap in children (...) from the hospital computerized records or the records from family practitioners of the women. We will record birth weeks as major outcome. The obstetric records of all patients will be examined to determine whether any exclusion criteria are present. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Primary Purpose: Screening Official Title: Can Cervical Length Measurement With Embryo Transfer Catheter Predict Preterm Deliveries in ICSI Patients

2014 Clinical Trials

176. Cervical Cancer Prevention

Cervical Cancer Prevention Cervical Cancer Prevention (PDQ®)—Health Professional Version - National Cancer Institute Menu Search Search Search Overview Note: Separate PDQ summaries on and are also available. Who Is at Risk? Carcinogenic types of human papillomavirus (HPV) are the primary, etiologic, infectious agents that cause virtually all cases of cervical cancer. HPV type 16 (HPV-16) and HPV type 18 (HPV-18) are most often associated with invasive disease.[ , ] Because HPV is transmitted (...) during sexual activity, there is an association between an increased risk for cervical cancer, the beginning of sexual activity at a younger age, and with a greater number of lifetime sexual partners.[ ] Immunosuppression is another risk factor for cervical cancer; for example, coinfection with human immunodeficiency virus may lead to long-term persistence of viral infection (i.e., failure to clear).[ , ] Once HPV infection occurs, several additional risk factors are associated with a higher risk

2012 PDQ - NCI's Comprehensive Cancer Database

177. Benign Cervical Lesions (Follow-up)

projects into the vagina as the portio vaginalis with the opening of the cervical canal into the vagina called the external cervical os (Latin for mouth). The external os is usually small and round in nulliparous women but can be seen as a transverse slit in those who have had cervical dilation during labor. The anterior and posterior fornices delimit the portio (exocervix). The cervical canal measures approximately 8 mm wide and contains longitudinal ridges. The opening of the cervical canal (...) , the endocervical tissue tends to roll out from the cervical os; this is called cervical eversion (ie, ectropion), and corresponds to the original squamocolumnar junction. In a normal transformation zone, one can find remnants of gland openings and nabothian cysts. In postmenopausal women, the squamocolumnar junction frequently is located within the cervical canal. In this position, it is not visualized through speculum examination or colposcopy, even when using an endocervical speculum. Colposcopy

2014 eMedicine.com

178. Benign Cervical Lesions (Diagnosis)

projects into the vagina as the portio vaginalis with the opening of the cervical canal into the vagina called the external cervical os (Latin for mouth). The external os is usually small and round in nulliparous women but can be seen as a transverse slit in those who have had cervical dilation during labor. The anterior and posterior fornices delimit the portio (exocervix). The cervical canal measures approximately 8 mm wide and contains longitudinal ridges. The opening of the cervical canal (...) , the endocervical tissue tends to roll out from the cervical os; this is called cervical eversion (ie, ectropion), and corresponds to the original squamocolumnar junction. In a normal transformation zone, one can find remnants of gland openings and nabothian cysts. In postmenopausal women, the squamocolumnar junction frequently is located within the cervical canal. In this position, it is not visualized through speculum examination or colposcopy, even when using an endocervical speculum. Colposcopy

2014 eMedicine.com

179. Cervical Radiculopathy (Diagnosis)

anteriorly and of the facet joints posteriorly. Factors associated with increased risk include heavy manual labor requiring the lifting of more than 25 pounds, smoking, and driving or operating vibrating equipment. Other, less frequent causes include tumors of the spine, an expanding cervical synovial cyst, synovial chondromatosis in the cervical facet joint, giant cell arteritis of the cervical radicular vessels, and spinal infections. [ , ] The purpose of this article is to provide information (...) , Carragee EJ, Hogg-Johnson S, et al for the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Assessment of neck pain and its associated disorders: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine . 2008 Feb 15. 33(4 suppl):S101-22. . Furusawa N, Baba H, Miyoshi N, et al. Herniation of cervical intervertebral disc: immunohistochemical examination and measurement of nitric oxide production. Spine . 2001 May 15

2014 eMedicine.com

180. Cervical Ripening (Diagnosis)

pregnancies go beyond 41 weeks' gestation, induction of labor may provide benefits. In a meta-analysis of studies examining induction of labor versus expectant management of low-risk pregnancies, Sanchez-Ramos et al found that induction of labor at 41 weeks' gestation resulted in a lower cesarean delivery rate (20.1%) than those expectantly managed (22%) with no significant differences in perinatal morbidity. [ ] Therefore, cervical ripening is advised prior to inducting labor in women (...) : Feb 28, 2018 Author: Aaron E Goldberg, MD; Chief Editor: Carl V Smith, MD Share Email Print Feedback Close Sections Sections Cervical Ripening Overview Overview In pregnancy, the uterine cervix serves 2 major functions. First, it retains its physical integrity by remaining firm during pregnancy as the uterus dramatically enlarges. This physical integrity is critical so that the developing fetus can remain in the uterus until the appropriate time for delivery. Second, in preparation for labor

2014 eMedicine.com

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