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195 results for

Prevention of Labor Dystocia

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181. Up-Down Oxytocin Infusion

Inertia Dystocia Obstetric Labor Complications Pregnancy Complications Oxytocin Oxytocics Reproductive Control Agents Physiological Effects of Drugs (...) (ED90) of infusions of oxytocin for the prevention of uterine atony / postpartum hemorrhage and the need for additional uterotonics, in low risk parturients presenting for an elective CD. The primary outcome measure is the response of effective uterine contraction as either satisfactory or unsatisfactory as determined by the obstetrician blinded to the oxytocin infusion dose. Secondary outcomes will include need for additional uterotonics, calculated intra-operative blood loss and presence

2008 Clinical Trials

182. Brachial plexus injury: a 23-year experience from a tertiary center. (PubMed)

Brachial plexus injury: a 23-year experience from a tertiary center. The purpose of this study was to analyze the data on brachial plexus injury and its relationship with shoulder dystocia from a tertiary center for a 23-year period.A review of the logbooks on labor and delivery and the nursery and the International Classification of Diseases codes identified all newborn infants with brachial plexus injury who were delivered at our center.During the 23 years (1980-2002), there were 89,978 (...) deliveries, of which there were 85 cases of brachial plexus injury (1/1000 births) with vaginal delivery. The injury was permanent (> or =1 year) in 12% of the cases, and only 2 cases have been litigated. Newborn infants that weighed > or =4 kg were significantly more common among those infants who had shoulder dystocia and brachial plexus injury than those infants without injury (odds ratio, 6.55; 95% CI, 2.30, 18.63). The rate of permanent brachial plexus injury was similar between the 2 groups.A case

2005 American Journal of Obstetrics and Gynecology

183. Fetal Pulse Oximetry Trial (FOX)

heart rate monitoring. In the other half of the patients, labor will be monitored by fetal heart rate alone. Study hypothesis: The additional information provided by the use of the fetal pulse oximeter will reduce the chances of a cesarean delivery. The primary outcome is cesarean section for any indication and secondary outcomes are cesarean delivery for non-reassuring fetal heart rate or dystocia, and neonatal morbidity. Study Design Go to Layout table for study information Study Type (...) Party): The George Washington University Biostatistics Center Study Details Study Description Go to Brief Summary: The purpose of this study is to determine if the information provided to the physician by a fetal pulse oximeter during labor will reduce the chances of a cesarean delivery. Condition or disease Intervention/treatment Phase Pregnancy Device: Fetal pulse oximeter Phase 3 Detailed Description: Information on fetal well-being during labor is of great importance to the managing physician

2004 Clinical Trials

184. Ergot and Oxytocin During Cesarean Delivery Following Failure to Progress in Labour

patient. Prevention, early recognition and prompt appropriate intervention are the keys to minimizing the impact of PPH on women’s health. Patients undergoing Cesarean sections following failure to progress in labor are at great risk for PPH and should theoretically benefit from an additional uterotonic agent. This study will be conducted to define whether the addition of ergonovine maleate to oxytocin, administered in a prophylactic way, reduces blood loss during Cesarean section for failure (...) for failure to progress in labor. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 47 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Primary Purpose: Prevention Official Title: Prophylactic Ergonovine-Oxytocin Versus Oxytocin During Cesarean Delivery Following Failure to Progress in Labour Study Start Date : June 2005 Actual Study Completion Date : January 2007 Resource links provided

2007 Clinical Trials

185. Active Management Of Risk In Pregnancy At Term to Reduce Rate of Cesarean Deliveries

, Apgar scores and admissions to the NICU. Condition or disease Intervention/treatment Phase Pregnancy Procedure: induction of labor Not Applicable Detailed Description: The study will include patients who have their prenatal care at the Paley clinic in AEMC, where the residents provide the prenatal care with supervision of OBGYN attending physicians, or at other affiliated clinics that are staffed by care givers from our OBGYN department. Patients at our obstetric clinics are scheduled for weekly (...) to 37 weeks (using the digichart system, the medical records and questioners) and the upper limit of the optimal time of delivery will be calculated for each patient, according to the method used by the UPenn group, with the time always being at least 38 weeks and no more then 41 weeks. Patients from the AMOR-IPAT group will be scheduled for induction of labor on the morning of the day of the calculated upper limit (plus or minus 2 days). To try and eliminate biases, a uniform method of induction

2008 Clinical Trials

186. Labour - Active Management and Induction

Thanks for your feedback. if you would like to report a specific issue with this page, please visit our . Thank you, we just sent a survey email to confirm your preferences. Further reading and references ; World Health Organization, 2018 ; Management of Spontaneous Vaginal Delivery. Am Fam Physician. 2015 Aug 192(3):202-8. ; Dystocia in nulliparous women. Am Fam Physician. 2007 Jun 175(11):1671-8. ; Prevention of prolonged labour. Br Med J. 1969 May 242(5655):477-80. ; Early amniotomy and early (...) for the woman [ ] . Liberal use of epidural anaesthesia. Regular rounds by the obstetrician. Early cord clamping and controlled cord traction with uterotonic [ ] . Antenatal education classes. Regular audit of labour ward process and outcomes. 'Active management' was not designed to lower caesarean section rates, but may have decreased the number of sections performed for dystocia - failure to progress [ ] . This effect was most significant in Dublin, where it was first used, but this success has not been

2008 Mentor

187. Which of the following statements about the effect of early amniotomy on nulliparous labour are true? (Full text)

Which of the following statements about the effect of early amniotomy on nulliparous labour are true? 8086842 1994 10 18 2009 11 11 0008-350X 40 1994 Jul Canadian family physician Medecin de famille canadien Can Fam Physician Which of the following statements about the effect of early amniotomy on nulliparous labour are true? 1272, 1276 eng Journal Article Canada Can Fam Physician 0120300 0008-350X IM Amnion surgery Dystocia prevention & control Female Humans Labor, Induced methods Parity

1994 Canadian Family Physician

188. Oxytocin Regimen to Prevent Atony and Postpartum Hemorrhage During Vaginal Delivery: 3-arm RCT

Obstetric Labor Complications Pregnancy Complications Puerperal Disorders Uterine Hemorrhage Dystocia Oxytocin Oxytocics Reproductive Control Agents Physiological Effects of Drugs (...) Oxytocin Regimen to Prevent Atony and Postpartum Hemorrhage During Vaginal Delivery: 3-arm RCT Oxytocin Regimen to Prevent Atony and Postpartum Hemorrhage During Vaginal Delivery: 3-arm RCT - 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

2008 Clinical Trials

189. Amniotomy in labor. (PubMed)

States Int J Gynaecol Obstet 0210174 0020-7292 IM Amnion surgery Apgar Score Dystocia prevention & control Female Humans Labor Stage, First Labor, Induced methods Pregnancy Time Factors 2006 07 24 2006 10 27 2006 11 01 2007 2 7 9 0 2007 5 26 9 0 2007 2 7 9 0 ppublish 17280670 S0020-7292(06)00553-4 10.1016/j.ijgo.2006.11.004 (...) Amniotomy in labor. 17280670 2007 05 24 2016 12 29 0020-7292 96 3 2007 Mar International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Int J Gynaecol Obstet Amniotomy in labor. 197-8 Shobeiri F F Department of Obstetrics, School of Nursing and Obstetrics, Hamedan University of Medical Sciences, Hamedan, Iran. fshobeiri@yahoo.com Tehranian N N Nazari M M eng Journal Article Randomized Controlled Trial 2007 02 05 United

2007 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

190. Trial of Oxytocin Alone Versus Oxytocin and Propranolol for the Treatment of Abnormal Labor

Last Update Posted: February 27, 2019 Last Verified: February 2019 Keywords provided by Deborah A. Wing, University of California, Irvine: Labor Dysfunctional Labor Labor Arrest Primary Cesarean Section Prevention Additional relevant MeSH terms: Layout table for MeSH terms Dystocia Obstetric Labor Complications Pregnancy Complications Oxytocin Propranolol Oxytocics Reproductive Control Agents Physiological Effects of Drugs Adrenergic beta-Antagonists Adrenergic Antagonists Adrenergic Agents (...) Trial of Oxytocin Alone Versus Oxytocin and Propranolol for the Treatment of Abnormal Labor Trial of Oxytocin Alone Versus Oxytocin and Propranolol for the Treatment of Abnormal 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

2006 Clinical Trials

191. Extensive cervical prolapse during labor: a case report. (PubMed)

prolapse was reduced by topical application of concentrated magnesium sulfate.In active labor, a prolapsed cervix that is enlarged and edematous can be managed with a topical concentrated magnesium solution to prevent cervical dystocia and lacerations. (...) Extensive cervical prolapse during labor: a case report. An extensive, irreducible cervical prolapse during pregnancy is a rare condition and can lead to various complications, including severe cervical edema and dystocia in labor. Treatment options are very limited.A 33-year-old woman with spina bifida and a history of multiple intraabdominal operations and extensive intraperitoneal adhesions was admitted in labor at 36(6/7) weeks' gestation with an irreducible cervical prolapse. The cervical

2008 Journal of Reproductive Medicine

192. Induction of labor versus expectant management in macrosomia: a randomized study. (PubMed)

Induction of labor versus expectant management in macrosomia: a randomized study. Macrosomia at term is associated with increased maternal and neonatal morbidity, including a higher rate of cesarean delivery and shoulder dystocia. Induction of labor has been suggested as a means to prevent further weight gain and improve outcome. The aim of this study was to determine whether or not induction of labor in these cases improves maternal and neonatal outcome.Patients at term with an ultrasonic (...) fetal weight estimation of 4000-4500 g were prospectively randomized into two groups: induction of labor (group D and expectant management (group II). Patients with diabetes, a previous cesarean delivery, or nonvertex presentation were excluded. Outcome variables included mode of delivery, arterial cord pH, presence of shoulder dystocia, brachial plexus injury, clavicular fracture, cephalohematoma, and intraventricular hemorrhage.Of 273 patients who were eligible for the study, 134 were randomized

1997 Obstetrics and Gynecology Controlled trial quality: uncertain

193. Shoulder dystocia: the unpreventable obstetric emergency with empiric management guidelines. (PubMed)

Shoulder dystocia: the unpreventable obstetric emergency with empiric management guidelines. Much of our understanding and knowledge of shoulder dystocia has been blurred by inconsistent and scientific studies that are of limited scientific quality. In an evidence-based format, we sought to answer the following questions: (1) Is shoulder dystocia predictable? (2) Can shoulder dystocia be prevented? (3) When shoulder dystocia does occur, what maneuvers should be performed? and (4) What (...) , however, prepregnancy and antepartum risk factors have exceedingly poor predictive value for the prediction of shoulder dystocia. Late pregnancy ultrasound likewise displays low sensitivity, decreasing accuracy with increasing birth weight, and an overall tendency to overestimate the birth weight. Induction of labor for suspected fetal macrosomia has not been shown to alter the incidence of shoulder dystocia among nondiabetic patients. The concept of prophylactic cesarean delivery as a means

2006 American Journal of Obstetrics and Gynecology

194. Active management of labor: a meta-analysis of Cesarean delivery rates for dystocia in nulliparas

. On estimating the relation between blood group and disease. Ann Hum Genet 1955;19:251-3. Indexing Status Subject indexing assigned by NLM MeSH Cesarean Section /statistics & Delivery, Obstetric /methods; Dystocia /prevention & Evidence-Based Medicine; Female; Humans; Labor, Induced; Odds Ratio; Parity; Pregnancy; Pregnancy Outcome; Research Design; control /surgery; numerical data AccessionNumber 11997003673 Date bibliographic record published 31/05/1999 Date abstract record published 31/05/1999 Record (...) Active management of labor: a meta-analysis of Cesarean delivery rates for dystocia in nulliparas Active management of labor: a meta-analysis of Cesarean delivery rates for dystocia in nulliparas Active management of labor: a meta-analysis of Cesarean delivery rates for dystocia in nulliparas Glantz J C, McNanley T J Authors' objectives To determine through a meta-analysis of the published literature, whether active management of labour lowers the Caesarean delivery rate for dystocia (difficult

1997 DARE.

195. Effect of early amniotomy on the risk of dystocia in nulliparous women. The Canadian Early Amniotomy Study Group. (PubMed)

Effect of early amniotomy on the risk of dystocia in nulliparous women. The Canadian Early Amniotomy Study Group. Early amniotomy has been advocated as a means of preventing dystocia, but its efficacy has not been studied prospectively. The purpose of this multicenter study was to determine whether routine early amniotomy reduces the risk of dystocia for nulliparous women in spontaneous labor.We studied 925 nulliparous women in labor, who were stratified according to the degree of cervical (...) dilatation (< 3 cm vs. > or = 3 cm) and randomly assigned to either early rupture of the membranes (amniotomy group) or conservative management of labor (conservative-management group). Dystocia was defined as a period of at least four hours after dilatation of the cervix to 3 cm had been reached during which the mean rate of cervical dilatation was less than 0.5 cm per hour.Dystocia was significantly less frequent in the amniotomy group than in the conservative-management group (34 percent vs. 45

1993 NEJM Controlled trial quality: predicted high

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