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194 results for

Prevention of Labor Dystocia

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181. Treatment of suspected fetal macrosomia: a cost-effectiveness analysis

Plexus /injuries; Cesarean Section; Cost-Benefit Analysis; Decision Trees; Dystocia /economics /etiology /prevention & Female; Fetal Macrosomia /complications /economics /therapy; Humans; Labor, Induced; Ohio; Pregnancy; Pregnancy Outcome; control; control AccessionNumber 22005001464 Date bibliographic record published 31/05/2006 Date abstract record published 31/05/2006 NHS Economic Evaluation Database (NHS EED) Produced by the Centre for Reviews and Dissemination Copyright © 2019 University of York (...) Other publications of related interest Sanchez-Ramos L, Bernstein S, Kaunitz A. Expectant management versus labor induction for suspected fetal macrosomia: a systematic review. Obstet Gynecol 2002;100:997-1002. Mankuta DD, Leshno MM, Menasche MM, Brezis MM. Vaginal birth after cesarean section: trial of labor or repeat cesarean section? A decision analysis. Am J Obstet Gynecol 2003;189:714-9. Indexing Status Subject indexing assigned by NLM MeSH Birth Injuries /economics /prevention & Brachial

2005 NHS Economic Evaluation Database.

182. Screening for gestational diabetes mellitus: a decision and cost-effectiveness analysis of four screening strategies

, and the potential complications of Caesarean and vaginal delivery. Complications included operative injury, endometritis, deep vein thrombosis, severe haemorrhage requiring blood transfusion, and hysterectomy. Neonatal outcomes were mild hypoglycaemia (dystocia, none or mild morbidity, moderate morbidity, and severe morbidity or infant death. The model incorporated three (...) treated deterministically. Indirect Costs The indirect costs (i.e. productivity losses) were included in the cost analysis because a societal perspective was adopted. The unit costs were not presented separately from the quantities of resources used. Wages for an average US female worker were estimated from the Bureau of Labor Statistics. The source of resource use was not stated. Discounting was applied. The price year was 2003. Currency US dollars ($). Sensitivity analysis Univariate sensitivity

2005 NHS Economic Evaluation Database.

183. Effects of early augmentation of labour with amniotomy and oxytocin in nulliparous women: a meta-analysis

nulliparous women, since Caesarean section is more frequent among nulliparae. The mean maternal age at admission ranged from 19.7 to 27 years (this information was unavailable in 4 studies) and the mean gestational age ranged from 39.2 to 39.7 weeks (this information was unavailable in 5 studies). The mean cervical dilation ranged from 2.7 cm to 5.2 cm (this information was unavailable in 2 studies). Seven of the trials (prevention) recruited woman with 'normal' labour and 3 of the trials (therapy (...) ) recruited woman with dystocia. Outcomes assessed in the review The risk of Caesarean section, and indicators of maternal and neonatal morbidity such as transfusion, an Apgar score less than 7 at 5 minutes, and admission to a special care nursery. How were decisions on the relevance of primary studies made? All trials were reviewed separately by two independent reviewers, and any disagreements were resolved by consensus. Assessment of study quality The trials were reviewed for four types of potential

1998 DARE.

184. 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

185. 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

186. 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

187. Treatment of suspected fetal macrosomia: a cost-effectiveness analysis. (PubMed)

Treatment of suspected fetal macrosomia: a cost-effectiveness analysis. Treatment of fetal macrosomia presents challenges to practitioners because a potential outcome of shoulder dystocia with permanent brachial plexus injury is costly both to families and to society. Practitioner options include labor induction, elective cesarean delivery, or expectant treatment. We performed a cost-effective analysis to evaluate the treatment strategies that were preferred to prevent the most permanent (...) brachial plexus injuries with the least amount of dollars spent.Using decision analysis techniques, we compared 3 strategies for an infant with an estimated fetal weight of 4500 g: labor induction, elective cesarean delivery, and expectant treatment. The following baseline assumptions were made: Probability of shoulder dystocia in vaginal delivery, .145; labor induction, .03; cesarean delivery, .001; probability of plexus injury, .18; probability of permanent injury, .067; probability of cesarean

2005 American Journal of Obstetrics and Gynecology

188. Which of the following statements about the effect of early amniotomy on nulliparous labour are true? (PubMed)

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

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1994 Canadian Family Physician

189. 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

190. 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

191. 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

192. 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

193. 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.

194. 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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