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Prevention of Labor Dystocia

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21. Mouth Guard Use in the Second Stage of Labor

in contact sports, and have been demonstrated to reduce or prevent injury to the teeth. Additionally, it has been proposed that wearing a mouth guard increases the strength of different muscle groups. A recent randomized controlled pilot study including women with their first pregnancy using a dental support device (DSD) during the second stage of labor evaluated the length of the second stage and outcomes. They found a significant decrease of 38% in the length of pushing time in the group that used (...) outcomes. Condition or disease Intervention/treatment Phase Dystocia; Fetal Labor Long Cesarean Section, Affecting Fetus or Newborn Device: Mouth Guard Not Applicable Detailed Description: Optimizing the second stage of labor is important for positive maternal and neonatal outcomes. Dystocia of labor refers to a lack of progress of labor for any reason, and it is the most common indication for cesarean delivery in nulliparous women and the second most common indication for cesarean delivery

2018 Clinical Trials

22. High Dose Versus Low Dose Oxytocin for Augmentation of Delayed Labour in Obese Women

delivery, failed induction of labor and labor dystocia, and prolonged labor curves especially among women with class III obesity. Condition or disease Intervention/treatment Phase DELAYED LABOUR Drug: Oxytocin Phase 4 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 280 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Care Provider) Primary Purpose: Prevention Official Title (...) High Dose Versus Low Dose Oxytocin for Augmentation of Delayed Labour in Obese Women High Dose Versus Low Dose Oxytocin for Augmentation of Delayed Labour in Obese Women - 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

2018 Clinical Trials

23. WHO recommendations for augmentation of labour

WHO recommendations for augmentation of labour WHO recommendations for WHO recommendations for augmentation of labourWHO Library Cataloguing-in-Publication Data WHO recommendations for augmentation of labour. 1.Dystociaprevention and control. 2.Labor, Induced – methods. 3.Labor, Induced - standards. 4.Labor Presentation. 5.Perinatal Care – methods. 6.Guideline. I.World Health Organization. ISBN 978 92 4 150736 3 (NLM classification: WQ 440) © World Health Organization 2014 All rights (...) millilitre MPA Maternal and Perinatal Health & Preventing Unsafe Abortion (a team in WHO’s Department of Reproductive Health and Research) NICU neonatal intensive care unit PPH postpartum haemorrhage RCT randomized controlled trial RHR [WHO Department of] Reproductive Health and Research RR relative risk TENS transcutaneous electrical nerve stimulation WHO World Health OrganizationWHO recommendations for augmentation of labour 3 Executive summary Introduction Prolonged labour is an important cause

2014 World Health Organisation Guidelines

24. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada CONTENTS: April 2018 Volume 42 Supplement 1 A Publication of the Professional Section of Diabetes Canada Une publication de la Section professionnelle de Diabète Canada Publication Mail Agreement 41536048 Return undeliverable Canadian addresses to: Transcontinental Printing, 737 Moray St, Winnipeg, MB R3J 3S9 Printed in Canada S1 Introduction Robyn L. Houlden MD, FRCPC S6 Methods Diana Sherifali RN, PhD, CDE (...) , University of Manitoba, Winnipeg, MB 2018 Clinical Practice Guidelines Committees The following committee members contributed to the development of the Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Robyn L. Houlden MD FRCPC Chair Professor and Chair Division of Endocrinology and Metabolism, Department of Medicine, Queen’s University, Kingston, ON Lori Berard RN CDE Advisor Diabetes Educator Clinical Research Consultant, Winnipeg, MB Alice Y.Y

2018 Diabetes Canada

25. The REDUCED Trial: REDucing the Utilization of CEsarean Sections for Dystocia

increasing maternal or neonatal morbidity. The guidelines were developed from data from the Consortium for Safe Labor. The unit of randomization will be sites in Alberta that deliver Condition or disease Intervention/treatment Phase Cesarean Section, Dystocia Other: Knowledge Translation of labor management guidelines Not Applicable Detailed Description: Cluster randomized controlled trial of a knowledge translation intervention of new guidelines for the diagnosis of poor progress in labor (...) : Other Study ID Numbers: REB16-1576 First Posted: August 22, 2016 Last Update Posted: January 16, 2019 Last Verified: January 2019 Additional relevant MeSH terms: Layout table for MeSH terms Dystocia Obstetric Labor Complications Pregnancy Complications

2016 Clinical Trials

26. Randomised Controlled Trial of the Efficacy of Acupuncture Versus Placebo on the Caesarean Section Rate in Case of Cervical Dystocia in Full-term Pregnancy

that acupuncture could reduce the caesarean section rate for cervical dystocia. Secondary objectives: To demonstrate that acupuncture can: reduce morbidity, fetal mortality and duration of childbirth; reduce the cost of care, due to diminution of caesarean sections and duration of obstetric labor; to evaluate the tolerance. Condition or disease Intervention/treatment Phase Cervical Dystocia Device: Acupuncture Device: Sham acupuncture Not Applicable Detailed Description: In this trial, pregnant women (...) chinese medicine for the induction of obstetric labor, according to the professional recommendations of the French Acupuncture and Traditional Chinese Medicine College. Each patient will have a 5-week follow-up in this trial. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 142 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Care Provider) Primary Purpose: Prevention Official

2015 Clinical Trials

27. Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial. (Abstract)

Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial. Macrosomic fetuses are at increased risk of shoulder dystocia. We aimed to compare induction of labour with expectant management for large-for-date fetuses for prevention of shoulder dystocia and other neonatal and maternal morbidity associated with macrosomia.We did this pragmatic, randomised controlled trial between Oct 1, 2002, and Jan 1, 2009, in 19 tertiary-care centres in France (...) . Induction of labour significantly reduced the risk of shoulder dystocia or associated morbidity (n=8) compared with expectant management (n=25; relative risk [RR] 0·32, 95% CI 0·15-0·71; p=0·004). We recorded no brachial plexus injuries, intracranial haemorrhages, or perinatal deaths. The likelihood of spontaneous vaginal delivery was higher in women in the induction group than in those in the expectant management group (RR 1·14, 95% CI 1·01-1·29). Caesarean delivery and neonatal morbidity did

2015 Lancet

28. Active Management of Labor

Active Management of Labor Active Management of Labor 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 Active Management of Labor (...) Active Management of Labor Aka: Active Management of Labor , Labor Dystocia Management From Related Chapters II. Indications III. Management: Stage 1 See Consider Active Management of Labor See Augmentation Consider amniotomy Indications for cesarean delivery (arrested labor) Cervical dilation 6 cm AND No cervical change At 4 hours if adequate contractions (>200 Montevideo Units) or At 6 hours if inadequate contractions IV. Management: Stage 2 Consider Augmentation Avoid exhausting mother early

2018 FP Notebook

29. Diet and exercise interventions for preventing gestational diabetes mellitus. (Abstract)

Diet and exercise interventions for preventing gestational diabetes mellitus. Gestational diabetes mellitus (GDM) is associated with a wide range of adverse health consequences for women and their babies in the short and long term. With an increasing prevalence of GDM worldwide, there is an urgent need to assess strategies for GDM prevention, such as combined diet and exercise interventions.To assess the effects of combined diet and exercise interventions for preventing GDM and associated (...) , and found no clear difference in the risk of stillbirth (RR 0.99, 95% CI 0.29 to 3.42; 2202 fetuses) or neonatal death (RR 0.99, 95% CI 0.06 to 15.85; 2202 neonates).Very few differences were shown between groups for the review's secondary outcomes, including for induction of labour, perineal trauma, pre-eclampsia, postpartum haemorrhage and infection, macrosomia, birthweight, small-for-gestational age, ponderal index, neonatal hypoglycaemia requiring treatment, hyperbilirubinaemia requiring treatment

2015 Cochrane

30. Early amniotomy and early oxytocin for prevention of, or therapy for, delay in first stage spontaneous labour compared with routine care. Full Text available with Trip Pro

Early amniotomy and early oxytocin for prevention of, or therapy for, delay in first stage spontaneous labour compared with routine care. Caesarean section rates are over 20% in many developed countries. The main diagnosis contributing to the high rate in nulliparae is dystocia or prolonged labour. The present review assesses the effects of a policy of early amniotomy with early oxytocin administration for the prevention of, or the therapy for, delay in labour progress.To estimate the effects (...) of early augmentation with amniotomy and oxytocin for prevention of, or therapy for, delay in labour progress on the caesarean birth rate and on indicators of maternal and neonatal morbidity.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (15 February 2012), MEDLINE (1966 to 15 February 2012), EMBASE (1980 to 15 February 2012), CINAHL (1982 to 15 February 2012), MIDIRS (1985 to February 2012) and contacted authors for data from unpublished trials.Randomized and quasi

2012 Cochrane database of systematic reviews (Online)

31. Peripartum Ultrasound-Guided Drainage of Cystic Fetal Sacrococcygeal Teratoma for the Prevention of the Labor Dystocia: A Report of Two Cases Full Text available with Trip Pro

Peripartum Ultrasound-Guided Drainage of Cystic Fetal Sacrococcygeal Teratoma for the Prevention of the Labor Dystocia: A Report of Two Cases Fetal sacrococcygeal teratoma (SCT) is the most common tumor in the neonatal period and is easily detected by modern ultrasound techniques, mostly during the second-trimester screening. It can cause significant fetal/neonatal morbidity and mortality due to its size, vascular loading, possible rupture, and labor dystocia. Mostly cystic teratomas have (...) , encouraging, safe, and efficient procedure and enables normal vaginal delivery, thus avoiding labor dystocia and possible complications of the cesarean delivery and the risk of tumor rupture.

2011 AJP Reports

32. Cooling the Uterus in C-section After Dysfunctional Labor

between the two groups. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 100 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Prevention Official Title: Can Cooling the Uterus During Cesarean Delivery Reduce Blood Loss, Reduce Drug Use, and Decrease the Risk for Hysterectomy in Women With Dysfunctional Labor? Study Start Date : September 2016 Estimated Primary (...) for additonal information Responsible Party: Baylor Research Institute ClinicalTrials.gov Identifier: Other Study ID Numbers: 015-028 First Posted: September 21, 2016 Last Update Posted: June 12, 2017 Last Verified: June 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Additional relevant MeSH terms: Layout table for MeSH terms Hemorrhage Uterine Inertia Dystocia Pathologic Processes Obstetric Labor Complications Pregnancy Complications Oxytocin Oxytocics Reproductive Control

2016 Clinical Trials

33. Shoulder Dystocia

unspecified , shoulder dystocia (diagnosis) , shoulder dystocia , Shoulder Dystocia , dystocia shoulder , shoulder impact , dystocia shoulders , Shoulder dystocia unspecified (disorder) , Shoulder dystocia NOS (disorder) , Shoulder (girdle) dystocia during labour and delivery , Impacted shoulders , Shoulder girdle dystocia , Shoulder dystocia , Shoulder girdle dystocia (disorder) , dystocia; shoulder , impaction; shoulder , shoulder; dystocia , shoulder; impaction , Impacted shoulders during labor Italian (...) Shoulder Dystocia Shoulder Dystocia 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 Shoulder Dystocia Shoulder Dystocia Aka: Shoulder

2015 FP Notebook

34. Safe Prevention of the Primary Cesarean Delivery

. In order to understand the degree to which cesarean deliveries may be preventable, it is important to know why cesareans are performed. In a 2011 population-based study, the most common indications for primary cesarean delivery included, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia ( ) ( ). Arrest of labor and abnormal or indeterminate fetal heart rate (...) . The most common indications for primary cesarean delivery include, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia. Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of these, as well as other, indications. For example, it may be necessary to revisit the definition of labor dystocia because recent data show

2014 American College of Obstetricians and Gynecologists

35. Abdominal Access for Shoulder Dystocia as a Last Resort – a Case Report Full Text available with Trip Pro

Abdominal Access for Shoulder Dystocia as a Last Resort – a Case Report Shoulder dystocia is the term used to describe failure to progress in labour after the head has been delivered due to insufficient rotation of the shoulders. It is unpredictable and cannot be prevented by the midwife or the obstetrician. We report here on a severe case of shoulder dystocia, where delivery of the shoulder was finally achieved through direct pressure on the anterior shoulder after laparotomy and uterotomy (...) with concurrent vaginal Woods screw manoeuvre and was followed by vaginal delivery. The patient presented risk factors like maternal obesity and administration of labour-inducing drugs. After different manoeuvres like McRoberts manoeuvre and several manoeuvres for internal rotation were carried out unsuccessfully, an emergency laparotomy was performed. The newborn was in need for reanimation and artifical ventilation postpartum but recovered fast during the following days. An Erb's palsy of the posterior arm

2012 Geburtshilfe Und Frauenheilkunde

36. Accelerated Titration of Oxytocin for Nulliparous Patients With Labour Dystocia: ACTION Pilot Study

Accelerated Titration of Oxytocin for Nulliparous Patients With Labour Dystocia: ACTION Pilot Study Accelerated Titration of Oxytocin for Nulliparous Patients With Labour Dystocia: ACTION Pilot Study - 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. Accelerated Titration of Oxytocin for Nulliparous Patients With Labour Dystocia: ACTION Pilot Study (ACTION) 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. Read our for details. ClinicalTrials.gov Identifier: NCT01397630 Recruitment Status : Terminated (Due to budgetary concerns, the TSC decided it best

2011 Clinical Trials

37. Randomized Control Trial of Second Stage of Labor

risk for postpartum hemorrhage, bowel and bladder injury, abnormal placentation, febrile morbidity and death. The most common reason for a cesarean delivery is a repeat cesarean delivery. One way to reduce this number is to prevent the first cesarean delivery. The aim of this study is evaluate if extending the second stage of labor affects the cesarean delivery rate and subsequent perinatal morbidity. Condition or disease Intervention/treatment Phase Labor Complications Other: Length of Second (...) Randomized Control Trial of Second Stage of Labor Randomized Control Trial of Second Stage of 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. Randomized Control Trial of Second Stage of Labor

2014 Clinical Trials

38. Induction of Labor Versus Expectant Management of Large for Gestational Age/Macrosomic Babies at Term. A Multi-center Trial

: Induction of labor group (Group I) Not Applicable Detailed Description: Background: Macrosomia at term is associated with increased maternal and neonatal morbidity, including a higher rate of shoulder dystocia and cesarean section (CS). Induction of labor (IOL) has been suggested as a means to prevent further fetal weight gain and therefore to reduce possible neonatal and maternal complications which are related to fetal weight. Working hypothesis and aims: The aims of this study are: 1) to determine (...) at term pregnancy is not solved yet. Only 2 relatively small studies were conducted to answer this clinically important question. The investigators will conduct a randomized controlled, multi-center study large enough to confirm or refute our assumption that induction of labor at term reduces the shoulder dystocia prevalence significantly compared to expectant management. Condition or disease Intervention/treatment Phase Macrosomia Induction of Labor Expectant Management Shoulder Dystocia Procedure

2014 Clinical Trials

39. Enhanced vs. Routine Clear Liquid Intake in Labor

standard clear liquid diet, which includes ginger ale, variety of fruit juices, and plain soup broth. The experimental arm will receive the standard clear liquid diet, and in addition will receive Accel Gel every 3 hours while in labor. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 76 participants Allocation: Randomized Intervention Model: Single Group Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Prevention (...) for MeSH terms Ketosis Dystocia Acidosis Acid-Base Imbalance Metabolic Diseases Obstetric Labor Complications Pregnancy Complications

2014 Clinical Trials

40. Management of the Third Stage of Labor (Overview)

of Obstetrical Emergencies . 3rd ed. Bristol, UK: Clinical Press; 1999. 196-201. Sleep J. Physiology and management of the third stage of labour. Bennett VR, Brown LK, eds. Myles' Textbook for Midwives . 12th ed. London, UK: Churchill Livingstone; 1993. 216-29. Dupont C, Ducloy-Bouthors AS, Huissoud C. [Clinical and pharmacological procedures for the prevention of postpartum haemorrhage in the third stage of labor.]. J Gynecol Obstet Biol Reprod (Paris) . 2014 Nov 6. 43(10):966-997. . Prendiville WJ (...) to front over the baby's head or by delivering the baby through the loop of cord. While these maneuvers are preferable and usually successful, clamps must be ready in case the maneuver fails or the cord is inadvertently torn. Clamping and dividing a nuchal cord is most problematic when it is followed by a shoulder dystocia. The divided cord prevents what little placental support that would have been present from reaching the baby. Additionally, no intrauterine resuscitation can occur if the clinician

2014 eMedicine.com

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