How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,465 results for

Labor and Delivery Admission

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. CRACKCast E180 – Labor & Delivery

CRACKCast E180 – Labor & Delivery CRACKCast E180 - Labor & Delivery - CanadiEM CRACKCast E180 – Labor & Delivery In by Adam Thomas May 24, 2018 This episode of CRACKCast covers Rosen’s Chapter 181, Labor and Delivery. This chapter covers the high risk realm of ED deliveries, including potential complications such as PROM, malpresentation and umbilical cord emergencies. Shownotes – Key Points All ED deliveries should be considered high risk . Antepartum hemorrhage, PROM, eclampsia, premature (...) labor, precipitous delivery, malpresentation, and umbilical cord emergencies are overrepresented in emergency deliveries. Women in labor who present to the ED are generally best cared for in the obstetric suite. Women with the urge to push or with the head of the infant crowning are at imminent risk of delivery, which should take place in the ED. The benefits of transfer of a woman with an impending high-risk delivery to a perinatal center must be carefully weighed against potential clinical adverse

2018 CandiEM

2. Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. (PubMed)

Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. In 2008, the Indian government introduced financial assistance to encourage health facility deliveries. Facility births have increased, but maternal and neonatal morbidity and mortality have not decreased raising questions about the quality of care provided in facilities and access to a quality referral system. We evaluated the potential (...) role of inter-institutional transfers of women admitted for labor and delivery on adverse maternal and neonatal outcomes in an ongoing prospective, population-based Maternal and Newborn Health Registry in Central India.Pregnant women from 20 rural Primary Health Centers near Nagpur, Maharashtra were followed throughout pregnancy and to day 42 post-partum. Inter- institutional referral was defined as transfer of a woman from a first or second level facility where she was admitted for labor

Full Text available with Trip Pro

2017 BMC health services research

3. Stage of labor at admission among Ugandan women with a prior cesarean, and its impact on management and delivery outcomes (PubMed)

Stage of labor at admission among Ugandan women with a prior cesarean, and its impact on management and delivery outcomes To describe stage of labor at admission among women with a prior cesarean, and examine its impact on intrapartum management and delivery mode.In a prospective cohort study, women admitted to Mbarara Regional Referral Hospital, Uganda, for delivery were enrolled between March and June 2015. Rates of vaginal delivery (VBAC) and in-hospital trial of labor (TOL) were compared (...) between early (<4 cm dilation) and late (≥4 cm) presenters. Women were interviewed after delivery about decision making and labor preferences.Overall, 188 women comprised the study sample; 98 (52.1%) and 65 (34.6%) women presented at ≥4 cm and ≥6 cm, respectively, and 18 (9.6%) were fully dilated. In-hospital TOL and VBAC rates were 25.5% (42/165) and 9.6% (18/188), respectively. Compared with early presenters, late presenters were significantly more likely to undergo TOL (28/88 [31.8%] vs 14/77 [18.2

Full Text available with Trip Pro

2017 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

4. Whiteboard Use in Labor and Delivery: A Tool to Improve Patient Knowledge of the Name of the Delivery Provider and Satisfaction with Care. (PubMed)

Whiteboard Use in Labor and Delivery: A Tool to Improve Patient Knowledge of the Name of the Delivery Provider and Satisfaction with Care. Introduction The impact of whiteboard use in labor rooms has not previously been studied. This quality improvement study aimed to evaluate patient knowledge of their delivering physician's name and the change in patient satisfaction after the implementation of a whiteboard in labor rooms. Methods A multidisciplinary team designed a dry-erase whiteboard (...) of the delivery resident's name was associated with higher patient satisfaction [115/137 (84%) vs. 51/53 (96%), p = 0.03] and attendance of the postpartum care visit [50.4% (69/137) vs. 64.8% (35/54), p = 0.049]. Discussion The use of a well-designed whiteboard increases laboring patients' knowledge of their delivery physician's name and may improve patient satisfaction with care on Labor and Delivery.

2019 Maternal and child health journal

5. Labor and Delivery Admission

Labor and Delivery Admission Labor and Delivery Admission Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Labor and Delivery Admission (...) Labor and Delivery Admission Aka: Labor and Delivery Admission From Related Chapters II. Document: General Admission Orders Admission to labor and Delivery Diagnosis: Intrauterine Pregnancy at ___ weeks s every ___(1 to 4) hours Pregnancy monitoring (continuous or intermittent) External fetal monitor Tocometry Activity: Ambulate in Latent Labor with intact membrane Bedrest in left lateral decubitus in Active Labor Nursing Intake and Monitoring Urine catheter as needed Diet As tolerated in latent

2018 FP Notebook

6. Immersion in Water During Labor and Delivery

1 cm/hr), 12% of neonates in the immersion arm required intensive care unit admission compared with none in the unexposed group ( P =.013). The indications for intensive care could not be linked directly to immersion (23). The available evidence does not suggest an increased risk of adverse fetal or neonatal outcomes with water immersion during the first stage of labor. Second-Stage Immersion Including Delivery Concerns have been expressed that immersion in water during delivery may predispose (...) Immersion in Water During Labor and Delivery Immersion in Water During Labor and Delivery - ACOG Menu ▼ Immersion in Water During Labor and Delivery Page Navigation ▼ Number 679, November 2016 (Replaces Committee Opinion Number 594, April 2014) Committee on Obstetric Practice The American Academy of Pediatrics endorses this document. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice in collaboration with committee

2016 American College of Obstetricians and Gynecologists

7. Maternal and Fetal Outcomes of Admission for Delivery in Women With Congenital Heart Disease (PubMed)

arrhythmias, eclampsia or preeclampsia, congestive heart failure (CHF), length of stay, preterm labor, anemia complicating pregnancy, placental abnormalities, infection during labor, maternal readmission at 1 year, and in-hospital mortality. Fetal outcomes included growth restriction, distress, and death.Among 3 642 041 identified delivery admissions, 3189 women had noncomplex CHD (mean [SD] age, 28.6 [7.6] years) and 262 had complex CHD (mean [SD] age, 26.5 [6.8] years). Women with CHD were more likely (...) Maternal and Fetal Outcomes of Admission for Delivery in Women With Congenital Heart Disease Women with congenital heart disease (CHD) may be at increased risk for adverse events during pregnancy and delivery.To compare delivery outcomes between women with and without CHD.This retrospective study of inpatient delivery admissions in the Healthcare Cost and Utilization Project's California State Inpatient Database compared maternal and fetal outcomes between women with and without CHD by using

Full Text available with Trip Pro

2017 JAMA cardiology

8. Early versus Late Admission to Labor Affects Labor Progression and Risk of Cesarean Section in Nulliparous Women (PubMed)

with singleton, vertex pregnancies and spontaneous labor onset. We selected three groups based on cervical dilatation at admission: early (0.5-1.5 cm, N = 178), intermediate (2.5-3.5 cm, N = 320), and late (4.5-5.5 cm, N = 175). The Kaplan-Meier estimator was used to analyze the risk of delivery by cesarean section at a given dilatation, and thin-plate spline regression with a binary outcome (R library gam) to assess the form of the associations between the cesarean section in either the first or second (...) stage versus vaginal delivery and dilatation at admission.Women who were admitted to labor early had a higher risk of delivery by cesarean section (18 versus 4% in the late admission group), while the risk of instrumental delivery did not differ (24 versus 24%). Before 4 cm dilatation, the earlier a woman was admitted to labor, the higher was her risk of delivery by cesarean section. After 4 cm dilatation, however, the relationship disappeared. These patterns were true for both first and second

Full Text available with Trip Pro

2016 Frontiers in medicine

9. Outcomes of Admissions for Preterm Labor (PubMed)

Outcomes of Admissions for Preterm Labor Objective  This study aims to quantitate the incidence of preterm labor (PTL) admissions and determine the frequency and predictors of preterm delivery (PTD) during these admissions. Study Design  Retrospective cohort of singleton pregnancies within Kaiser Permanente Northern California, 2001 to 2011. PTL admissions were defined as inpatient encounters > 24 hours with an International Classification of Diseases, 9th Revision code for PTL. Results  Total (...) study population was 365,897 with PTL admission rate 11%. PTD occurred in 85% of pregnancies with PTL admission. Delivery occurred within 48 hours of admission in 96% ≥34 weeks, 67% 31 to 33 weeks, and 51.9% <31 weeks. Predictors of delivery during PTL admission included gestational age 34 to 36 weeks (adjusted odds ratio [aOR], 6.90), chorioamnionitis (aOR, 105.58), and preterm rupture of membranes (aOR 19.29). Conclusion  We demonstrate a high rate of PTD per PTL admission in a highly integrated

Full Text available with Trip Pro

2017 AJP Reports

10. Economic analysis: Delayed hospital admission until active labour may help prevent unnecessary caesarean delivery

active labour may help prevent unnecessary caesarean delivery Beth Plunkett Statistics from Altmetric.com Commentary on: Tilden EL , Lee VR , Allen AJ , et al . Cost-effectiveness analysis of latent versus active labor hospital admission for medically low-risk, term women . . Context In March 2014, the American College of Obstetricians and Gynecologists and the Society for Maternal Fetal Medicine published ‘Safe prevention of the primary cesarean delivery’. 1 The impetus for this statement (...) Economic analysis: Delayed hospital admission until active labour may help prevent unnecessary caesarean delivery Delayed hospital admission until active labour may help prevent unnecessary caesarean delivery | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password

2015 Evidence-Based Medicine (Requires free registration)

11. Adaptability of Closed Loop During Labor, Delivery, and Postpartum: A Secondary Analysis of Data from Two Randomized Crossover Trials in Type 1 Diabetes Pregnancy (PubMed)

concentration between mothers of infants with and without neonatal hypoglycemia (6.9 ± 1.6 mmol/L and 6.8 ± 1.1 mmol/L [124 ± 29 mg/dL and 122 ± 20 mg/dL] respectively; P = 0.84). Automated closed-loop insulin delivery is feasible during hospital admissions for labor, delivery, and postpartum. Larger scale studies are needed to evaluate its efficacy compared with current clinical approaches as well as understand how women and healthcare providers will adopt this technology. (...) Adaptability of Closed Loop During Labor, Delivery, and Postpartum: A Secondary Analysis of Data from Two Randomized Crossover Trials in Type 1 Diabetes Pregnancy Tight glucose control during labor and delivery is recommended for pregnant women with type 1 diabetes. This can be challenging to achieve using the current treatment modalities. The automated nature of closed loop and its ability to adapt to real-time glucose levels make it well suited for use during labor, delivery

Full Text available with Trip Pro

2018 Diabetes technology & therapeutics

12. Increased single-balloon Foley catheter volume for induction of labor and time to delivery: a systematic review and meta-analysis. (PubMed)

Increased single-balloon Foley catheter volume for induction of labor and time to delivery: a systematic review and meta-analysis. Induction of labor is a common intervention. The objective was to investigate whether larger Foley catheter volumes for labor induction decrease the total time from induction to delivery.Randomized controlled trials comparing larger single-balloon volumes (60-80 mL) during Foley catheter cervical ripening with usual volume (30 mL) in women undergoing labor induction (...) admission. Meta-analysis was performed using the random effects model of DerSimonian and Laird (PROSPERO CRD42017058885).Seven randomized controlled trials including 1432 singleton gestations were included in the systematic review. Women randomized to larger volumes of balloon had a significantly shorter time from induction to delivery (mean difference 1.97 h, 95% CI -3.88 to -0.06). There was no difference in cesarean section between groups (16 vs. 18%, relative risk 0.84, 95% CI 0.6-1.17). A larger

2018 Acta Obstetricia et Gynecologica Scandinavica

13. Second-Stage Duration and Outcomes Among Women Who Labored After a Prior Cesarean Delivery. (PubMed)

without prior vaginal delivery who reached the second stage of labor. The primary outcome was mode of delivery by second-stage duration. Secondary outcomes included assessment of individual adverse maternal (chorioamnionitis, atony, endometritis, hysterectomy, uterine rupture or dehiscence, and red cell transfusion) and neonatal (cord pH less than 7.10, Apgar score less than 6 at 5 minutes, neonatal intensive care unit admission, and ventilatory support) outcomes.Of 4,579 women with a previous (...) Second-Stage Duration and Outcomes Among Women Who Labored After a Prior Cesarean Delivery. To characterize probabilities of vaginal delivery based on second-stage duration along with maternal and neonatal risks for women undergoing labor after cesarean delivery.This unplanned secondary analysis of the Maternal-Fetal Medicine Units Cesarean Registry, a prospective observational cohort, assessed outcomes in women with a prior uterine scar and included women with a previous cesarean delivery

2018 Obstetrics and Gynecology

14. Implementation of universal rapid human immunodeficiency virus screening on labor and delivery (PubMed)

Implementation of universal rapid human immunodeficiency virus screening on labor and delivery A case of mother to child transmission (MTCT) of HIV at a medical center in Washington, DC, resulted in the implementation of universal opt-out rapid testing of patients admitted for delivery. This article evaluates the policy's efficacy and implementation.We evaluated the implementation using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework.We could not evaluate (...) decrease in MTCT rate secondary to low sample size (n = 3324) and no true-positive results. Patients not tested (n = 458) were predominately secondary to physician omission (93.7%) and were more likely to be White (p < 0.01) and older (p < 0.01). There was a negative relationship with physician omission over time.The policy was successfully implemented with decreasing proportions of patients not tested. Earlier inclusion of testing into standard admission orders and nurse-based approach may have

Full Text available with Trip Pro

2018 Therapeutic advances in infectious disease

15. Screening and management of pre-eclampsia and eclampsia in antenatal and labor and delivery services: findings from cross-sectional observation studies in six sub-Saharan African countries. (PubMed)

Screening and management of pre-eclampsia and eclampsia in antenatal and labor and delivery services: findings from cross-sectional observation studies in six sub-Saharan African countries. Preeclampsia and eclampsia (PE/E) are major contributors to maternal and neonatal deaths in developing countries, associated with 10-15% of direct maternal deaths and nearly a quarter of stillbirths and newborn deaths, many of which are preventable with improved care. We present results related to WHO (...) -recommended interventions for screening and management of PE/E during antenatal care (ANC) and labor and delivery (L & D) from a study conducted in six sub-Saharan African countries.From 2010 to 2012, cross-sectional studies which directly observed provision of ANC and L & D services in six sub-Saharan African countries were conducted. Results from 643 health facilities of different levels in Ethiopia (n = 19), Kenya (n = 509), Madagascar (n = 36), Mozambique (n = 46), Rwanda (n = 72), and Tanzania (n

Full Text available with Trip Pro

2018 BMC Pregnancy and Childbirth

16. Management of eight labor and delivery patients dependent on buprenorphine (Subutexâ„¢): A retrospective chart review (PubMed)

included. Results: Eight women were admitted during this period to our L&D floor on buprenorphine. All required peri-partum anesthetic management either for labor and/or cesarean delivery management. Analgesic management included dilaudid or fentanyl PCA and/or continued epidural infusion, and in one instance ketamine infusion, while the pre-admission buprenorphine regimen was continued. Five babies were viable, two women experienced intrauterine fetal death at 22 and 36 weeks gestational age (GSA (...) Management of eight labor and delivery patients dependent on buprenorphine (Subutexâ„¢): A retrospective chart review Background: Opioid use during pregnancy is a growing concern in the United States. Buprenorphine has been recommended by "The American College of Obstetrics and Gynecology" as an alternative to methadone to decrease risks associated with the use of illicit opioids during pregnancy. The partial μ-opioid agonists' unique pharmacology, including its long half time and high affinity

Full Text available with Trip Pro

2018 F1000Research

17. Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes. (PubMed)

Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes. Maternal iron deficiency anemia (IDA) impacts placenta and fetus. We evaluated effects of IDA at admission for delivery on cesarean rates, and adverse maternal and neonatal outcomes.Medical records from Jerusalem (2005-2012) identified women with a live-birth singleton fetus in cephalic presentation of any gestational age and excluded (...) planned cesarean, chronic/gestational diseases identified with anemia. Study population was divided into anemic and non-anemic women using WHO criteria.cesarean rate, and adverse outcomes (maternal: packed cells transfusion, early post-partum hemorrhage, preterm delivery; and neonatal: 5' Apgar < 7, Neonatal Intensive Care Unit [NICU] admission, extreme birthweights). Continuous variable analysis and multivariate backward step-wise logistic regression models were prepared with Odds Ratios (OR) and 95

2015 Transfusion

18. Evaluation of the Effect the Medical Team in the Delivery Room Has on Pain Management During Labor.

Evaluation of the Effect the Medical Team in the Delivery Room Has on Pain Management During Labor. Evaluation of the Effect the Medical Team in the Delivery Room Has on Pain Management During 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. Evaluation of the Effect the Medical Team in the Delivery Room Has on Pain Management During Labor. 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. ClinicalTrials.gov Identifier: NCT03045705 Recruitment Status

2017 Clinical Trials

19. Neonatal morbidity after spontaneous labor onset prior to intended cesarean delivery at term: a cohort study. (PubMed)

Neonatal morbidity after spontaneous labor onset prior to intended cesarean delivery at term: a cohort study. We aimed to investigate if labor onset before planned cesarean delivery (CD) affects the risk of neonatal admission, respiratory distress, or neonatal infectious morbidity.Our cohort included singleton term pregnant women with intended CD who delivered at Aarhus University Hospital from 1990 to 2012. Two groups of women were identified: women with intended CD performed before labor (...) (nonlabor CD) and women with intended CD performed after spontaneous labor onset (labor-onset CD); in both groups there was no other maternal or fetal medical indication for an immediate CD or for early-term CD scheduling. Data were stratified in early-term (37-38 weeks) and full-term (39-40 weeks) deliveries. The main outcome measures were neonatal admission, respiratory distress and neonatal infectious morbidity.Among 103 919 live births, 5071 deliveries were nonlabor CDs and 731 were labor-onset CDs

2017 Acta Obstetricia et Gynecologica Scandinavica

20. Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines. (PubMed)

to have a cesarean delivery. Diagnosing active labor before admission or before intervention to speed labor may be one component of a multi-faceted approach to decreasing the primary cesarean rate in the United States. The NICE diagnostic guideline is more inclusive than Friedman or ACOG/SMFM guidelines and its use may be the most clinically useful for safely lowering cesarean rates.© 2017 Wiley Periodicals, Inc. (...) 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

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>