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Preparation for Assisted Delivery

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1. Preparation for Assisted Delivery

Preparation for Assisted Delivery Preparation for Assisted Delivery 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 Preparation (...) for Assisted Delivery Preparation for Assisted Delivery Aka: Preparation for Assisted Delivery , Assisted Delivery , Assisted Delivery Complications From Related Chapters II. Preparation Preparation for Preparation for III. Complications Maternal: Third and fourth-degree s : 1.7% Vacuum extraction: 9.3% risk Forceps delivery: 19.2% risk Fetal l : 2.0 higher risk with vacuum more than forceps : 2.4 higher risk with vacuum more than forceps IV. Technique: (Mnemonic - ABCDEFGHIJ) Anesthesia adequate? Perineal

2018 FP Notebook

2. Trial of instrumental delivery in theatre versus immediate caesarean section for anticipated difficult assisted births. (PubMed)

Trial of instrumental delivery in theatre versus immediate caesarean section for anticipated difficult assisted births. The majority of women have spontaneous vaginal births, but some women need assistance in the second stage with delivery of the baby, using either the obstetric forceps or vacuum extraction. Rates of instrumental vaginal delivery range from 5% to 20% of all births in industrialised countries. The majority of instrumental vaginal deliveries are conducted in the delivery room (...) , but in a small proportion (2% to 5%), a trial of instrumental vaginal delivery is conducted in theatre with preparations made for proceeding to caesarean section.To determine differences in maternal and neonatal morbidity between women who, due to anticipated difficulty, have trial of instrumental vaginal delivery in theatre and those who have immediate caesarean section for failure to progress in the second stage.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 June 2012

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2012 Cochrane

3. Self-Assembly Assisted Fabrication of Dextran-Based Nanohydrogels with Reduction-Cleavable Junctions for Applications as Efficient Drug Delivery Systems (PubMed)

Self-Assembly Assisted Fabrication of Dextran-Based Nanohydrogels with Reduction-Cleavable Junctions for Applications as Efficient Drug Delivery Systems In order to overcome the key challenge in improving both fabrication efficiency and their drug delivery capability of anti-cancer drug delivery systems (ACDDS), here polyacrylic acid (PAA) grafted dextran (Dex) nanohydrogels (NGs) with covalent crosslinked structure bearing redox sensitive disulfide crosslinking junctions (Dex-SS-PAA) were (...) synthesized efficiently through a one-step self-assembly assisted methodology (SAA). The Dex-SS-PAA were subsequently conjugated with doxorubicin through an acid-labile hydrazone bond (Dex-SS-PAA-DOX). The in vitro drug release behavior, anti-cancer effects in vivo, and biosafety of the as-prepared acid- and redox-dual responsive biodegradable NGs were systematically investigated. The results revealed that the Dex-SS-PAA-DOX exhibited pH- and redox-controlled drug release, greatly reduced the toxicity

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2017 Scientific reports

4. Vacuum Assisted Delivery

presentation is not a contraindication to Vacuum Assisted Delivery However, anal sphincter approaches 33% VI. Complications See VII. Precautions Vacuum can do as much or more damage as forceps Criteria to discontinue (prevent ) No progress after 3 pulls No baby extraction in 30 minutes after initiation Cup disengages 3 times Significant fetal scalp or maternal VIII. Preparation See IX. Technique Apply Suction cup during contraction Decrease cup pressure to 100 mmHg between contractions No traction until (...) Vacuum Assisted Delivery Vacuum Assisted Delivery 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 Vacuum Assisted Delivery Vacuum

2018 FP Notebook

5. Forceps Assisted Delivery

Forceps Assisted Delivery Forceps Assisted Delivery 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 Forceps Assisted Delivery Forceps (...) Assisted Delivery Aka: Forceps Assisted Delivery From Related Chapters II. Forceps Anatomy Two separable arms: right and left Shank Parallel Overlapping Arm Locks Sliding English (Scissors) French Lock (set screw) Handle Blade (Tow and heel) Blade Curves Pelvic curve: blades follow birth canal curve Cephalic curve: blades apply well to fetal head Blade Shape Fenestrated Semifenestrated Solid III. Definitions Station (See ) Level of fetal head to maternal ischial spines High Forceps (Kielland's Forceps

2018 FP Notebook

6. Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management

encourage parents and the people assisting them to prepare for the birth by learning about birth physiology and gaining skills in working with pain (III-A). Key Words: , , Abbreviations: ( ), ( ), ( ), ( ), ( ), ( ), ( ) To access this article, please choose from the options below Log In Register Purchase access to this article Claim Access If you are a current subscriber with Society Membership or an Account Number, . Subscribe to this title to gain access to this and all other articles in this journal (...) Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management No. 355-Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 2, Pages 227–245 No. 355-Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management x Julie Bonapace , MEd Gatineau, QC x Guy

2018 Society of Obstetricians and Gynaecologists of Canada

7. Recommendations for the Delivery of Psychosocial Oncology Services in Ontario

Recommendations for the Delivery of Psychosocial Oncology Services in Ontario A Master page name | 1 Recommendations for the Delivery of Psychosocial Oncology Services in OntarioAs the government’s principal cancer advisor, Cancer Care Ontario equips health professionals, organizations and policy-makers with the most up-to-date cancer knowledge and tools to prevent cancer and deliver high-quality patient care. We do this by collecting and analyzing data about cancer services and combining (...) it with evidence and research that is shared with the healthcare community in the form of guidelines and standards. We also monitor and measure the performance of the cancer system, and oversee a funding and governance model that ties funding to performance, making healthcare providers more accountable and ensuring value for investments in the system. Cancer Care Ontario actively engages people with cancer and their families in the design, delivery and evaluation of Ontario’s cancer system, and works

2018 Cancer Care Ontario

8. Antibiotic prophylaxis for operative vaginal delivery. (PubMed)

Antibiotic prophylaxis for operative vaginal delivery. Vacuum and forceps assisted vaginal deliveries are reported to increase the incidence of postpartum infections and maternal readmission to hospital compared to spontaneous vaginal delivery. Prophylactic antibiotics may be prescribed to prevent these infections. However, the benefit of antibiotic prophylaxis for operative vaginal deliveries is still unclear.To assess the effectiveness and safety of antibiotic prophylaxis in reducing (...) independently using prepared data extraction forms. Any discrepancies were resolved by discussion and a consensus reached through discussion with all review authors. We assessed methodological quality of the one included trial using the GRADE approach.One trial, involving 393 women undergoing either vacuum or forceps deliveries, was included. The trial compared the antibiotic intravenous cefotetan after cord clamping compared with no treatment. This trial reported only two out of the nine outcomes specified

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2017 Cochrane

9. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management

to assist primary care (PC) clinicians in the management of adolescent depression. This part of the updated guidelines is used to address practice preparation, identification, assessment, and initial management of adolescent depression in PC settings. METHODS: By using a combination of evidence- and consensus-based methodologies, guidelines were developed by an expert steering committee in 2 phases as informed by (1) current scientific evidence (published and unpublished) and (2) draft revision (...) Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos

2018 American Academy of Pediatrics

10. Policy for Selecting Anesthesia Providers for the Delivery of Office-based Deep Sedation/General Anesthesia

Policy for Selecting Anesthesia Providers for the Delivery of Office-based Deep Sedation/General Anesthesia AMERICAN ACADEMY OF PEDIATRIC DENTISTRY ORAL HEALTH POLICIES 139 Purpose The American Academy of Pediatric Dentistry ( AAPD) recognizes that it is the exclusive responsibility of dental prac- titioners, when employing anesthesia providers to administer office-based deep sedation/general anesthesia, to verify and carefully review the credentials and experience of those providers. 1 (...) An understanding of the educational and training requirements of the various anesthesia professions and candid discussions with potential anesthesia providers can assist in the vetting and selection of highly skilled licensed providers in order to help minimize risk to patients. Methods This policy is based on a review of current dental and medical literature pertaining to the education and training accredita- tion requirements of potential anesthesia providers. Background Historically, care necessitating deep

2018 American Academy of Pediatric Dentistry

11. Enhancing Equitable Access to Assistive Technologies in Canada

effectively. Authors Cristina A. Mattison, M.Sc., Co-Lead, Evidence Synthesis, McMaster Health Forum Michael G. Wilson, PhD, Assistant Director, McMaster Health Forum, and Assistant Professor, McMaster University Rosalie H. Wang, PhD, OT Reg. (Ont.), Assistant Professor, University of Toronto Kerry Waddell, M.Sc., Co-lead, Evidence Synthesis, McMaster Health Forum Funding The evidence brief and the stakeholder dialogue it was prepared to inform were funded by AGE- WELL NCE Inc. and McMaster University’s (...) ) questions or prompts about the need for assistive technologies in decision aids that support care planning and purchasing; and 3) providing system navigators for those with complex needs. o The use of decision-aids and provision of education in the delivery of care was generally found to have positive effects, including improved knowledge, reduced levels of anxiety and increased adherence to treatments, for patients and caregivers. While evidence on system navigators is limited, they were found

2017 McMaster Health Forum

12. Psychiatric reports: preparation and use in cases involving asylum, removal from the UK or immigration detention

Psychiatric reports: preparation and use in cases involving asylum, removal from the UK or immigration detention COLLEGE REPORT CR199 Psychiatric reports: preparation and use in cases involving asylum, removal from the UK or immigration detention© 2015 The Royal College of Psychiatrists College Reports constitute College policy. They have been sanctioned by the College via the Policy and Public Affairs Committee (PPAC). For full details of reports available and how to obtain them, visit (...) Bamber Foundation Mr Jed Pennington Solicitor, Bhatt Murphy Mr David Rhys-Jones Law and Policy Advisor, Helen Bamber Foundation Mr Gregory Smith Policy Analyst, Royal College of Psychiatrists This report was edited by Professor Cornelius Katona and Mr Gregory Smith. The editors are grateful to Dr Huw Stone for reviewing a final draft of the report. Working groupAudience and aims 3 This guidance document is aimed primarily at psychiatrists who are requested to prepare medical reports on the mental

2016 Royal College of Psychiatrists

13. CRACKCast E180 – Labor & Delivery

walk through the steps of a normal, spontaneous vertex delivery. Really there are three phases: head, then shoulders, then body and legs! Call for help Prepare your supplies A radiant warmer should be available and heated. Neonatal resuscitation adjuncts should be available, including a towel, scissors, umbilical clamps, bulb suction, airway equipment (oxygen, bag-mask device with appropriate sized masks, and tools for endotracheal intubation), and equipment to achieve vascular access. Don PPE (...) deliver the anterior shoulder Gentle upward traction to deliver the posterior shoulder Catch baby Clamp and cut cord Have the baby below the vaginal introitus Clamp the cord about 5 cm from the baby’s umbilicus Cut between the two kelly clamps Resuscitate neonate Prepare for placental delivery Start oxytocin a) Add 20 units of oxytocin to 1 L of normal saline and administer the solution at a rate of 10 mL/min for several minutes until the uterus remains firmly contracted and bleeding is controlled

2018 CandiEM

14. Blastocyst culture and transfer in assisted reproduction: a committee opinion

for all patients. Fertil Steril 2002;77:693–6. 60. Mittwoch U. Blastocysts prepare for the race to male. Hum Reprod 1993;8: 1550–5. 61. LukeB,BrownMB,GraingerDA,BakerVL,GinsburgE,SternJE.Thesexra- tio of singleton offspring in assisted-conception pregnancies. Fertil Steril 2009;92:1579–85. 62. Li Z, Wang YA, Ledger W, Edgar DH, Sullivan EA. Clinical outcomes following cryopreservation of blastocysts by vitri?cation or slow freezing: a population-based cohort study. Hum Reprod 2014;29:2794–801. 63 (...) Blastocyst culture and transfer in assisted reproduction: a committee opinion Blastocyst culture and transfer in clinically assisted reproduction: a committee opinion Practice Committee of the American Society for Reproductive Medicine and Practice Committee of the Society for Assisted Reproductive Technology American Society for Reproductive Medicine, Birmingham, Alabama ThepurposesofthisPracticeCommitteeOpinion,whichreplacesthe2013ASRMPracticeCommitteeOpinionofthesamename(Fertil Steril2013;99

2018 Society for Assisted Reproductive Technology

15. Preparation for Assisted Delivery

Preparation for Assisted Delivery Preparation for Assisted Delivery 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 Preparation (...) for Assisted Delivery Preparation for Assisted Delivery Aka: Preparation for Assisted Delivery , Assisted Delivery , Assisted Delivery Complications From Related Chapters II. Preparation Preparation for Preparation for III. Complications Maternal: Third and fourth-degree s : 1.7% Vacuum extraction: 9.3% risk Forceps delivery: 19.2% risk Fetal l : 2.0 higher risk with vacuum more than forceps : 2.4 higher risk with vacuum more than forceps IV. Technique: (Mnemonic - ABCDEFGHIJ) Anesthesia adequate? Perineal

2015 FP Notebook

16. What is the evidence on the reduction of inequalities in accessibility and quality of maternal health care delivery for migrants? A review of the existing evidence in the WHO European Region

What is the evidence on the reduction of inequalities in accessibility and quality of maternal health care delivery for migrants? A review of the existing evidence in the WHO European Region What is the evidence on the reduction of inequalities in accessibility and quality of maternal health care delivery for migrants? A review of the existing evidence in the WHO European Region HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 45 Ines Keygnaert | Olena Ivanova | Aurore Guieu | An-Sofie Van Parys | Els (...) is the evidence on the reduction of inequalities in accessibility and quality of maternal health care delivery for migrants? A review of the existing evidence in the WHO European Region Ines Keygnaert | Olena Ivanova | Aurore Guieu | An-Sofie Van Parys | Els Leye | Kristien RoelensAbstract The number of female migrants of childbearing age is rapidly increasing, which poses specific maternal health needs. Via a systematic academic literature review and a critical interpretive synthesis of policy frameworks

2016 WHO Health Evidence Network

17. Statement on the Assistant for the Anaesthetist

The presence of a trained assistant for the anaesthetist is essential: 4.1.1 During preparation for and induction of anaesthesia. The assistant must remain under the immediate direction of the anaesthetist until instructed that this level of assistance is no longer required. 4.1.2 During the maintenance of anaesthesia an assistant must be immediately available. Page 2 PS08 2016 4.1.3 At the conclusion of anaesthesia. 4.2 Facilities in which anaesthesia is administered must provide a service which ensures (...) that anaesthesia equipment is available, properly maintained, checked before use and cleaned, as per College professional documents PS31 Guidelines on Checking Anaesthesia Delivery Systems, PS55 Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations, and PS28 Guidelines on Infection Control in Anaesthesia. 4.3 Staff employed as assistants to the anaesthetist must be properly trained, as defined by the core competencies below. 5

2016 Australian and New Zealand College of Anaesthetists

18. Smart Magnetically Responsive Hydrogel Nanoparticles Prepared by a Novel Aerosol-Assisted Method for Biomedical and Drug Delivery Applications (PubMed)

Smart Magnetically Responsive Hydrogel Nanoparticles Prepared by a Novel Aerosol-Assisted Method for Biomedical and Drug Delivery Applications We have developed a novel spray gelation-based method to synthesize a new series of magnetically responsive hydrogel nanoparticles for biomedical and drug delivery applications. The method is based on the production of hydrogel nanoparticles from sprayed polymeric microdroplets obtained by an air-jet nebulization process that is immediately followed (...) by gelation in a crosslinking fluid. Oligoguluronate (G-blocks) was prepared through the partial acid hydrolysis of sodium alginate. PEG-grafted chitosan was also synthesized and characterized (FTIR, EA, and DSC). Then, magnetically responsive hydrogel nanoparticles based on alginate and alginate/G-blocks were synthesized via aerosolization followed by either ionotropic gelation or both ionotropic and polyelectrolyte complexation using CaCl(2) or PEG-g-chitosan/CaCl(2) as crosslinking agents, respectively

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2011 Journal of nanomaterials

19. Antibiotic prophylaxis for operative vaginal delivery. (PubMed)

Antibiotic prophylaxis for operative vaginal delivery. Vacuum and forceps assisted vaginal deliveries are reported to increase the incidence of postpartum infections and maternal readmission to hospital compared to spontaneous vaginal delivery. Prophylactic antibiotics may be prescribed to prevent these infections. However, the benefit of antibiotic prophylaxis for operative vaginal deliveries is still unclear.To assess the effectiveness and safety of antibiotic prophylaxis in reducing (...) age undergoing vacuum or forceps delivery for any indications. Interventions were any antibiotic prophylaxis (any dosage regimen, any route of administration or at any time during delivery or the puerperium) compared with either placebo or no treatment.Two review authors assessed trial eligibility and methodological quality. Two review authors extracted the data independently using prepared data extraction forms. Any discrepancies were resolved by discussion and a consensus reached through

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2014 Cochrane

20. Routine psychosocial care in infertility and medically assisted reproduction ? A guide for fertility staff

the quality of healthcare delivery within the European field of human reproduction and embryology. This guideline represents the views of ESHRE, which were achieved after careful consideration of the scientific evidence available at the time of preparation. In the absence of scientific evidence on certain aspects, a consensus between the relevant ESHRE stakeholders has been obtained. The aim of clinical practice guidelines is to aid healthcare professionals in everyday clinical decisions about appropriate (...) delivery for patients and staff. Fertil Steril 2013a;100: 302-309. Gameiro S, Boivin J, Peronace L, Verhaak CM. Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment. Hum Reprod Update 2012;18: 652-669. Gameiro S, Verhaak CM, Kremer JA, Boivin J. Why we should talk about compliance with assisted reproductive technologies (ART): a systematic review and meta-analysis of ART compliance rates. Hum Reprod Update 2013c;19: 124

2015 European Society of Human Reproduction and Embryology

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