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Spontaneous Vaginal Delivery

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1. Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial. (PubMed)

Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial. It is unclear whether the timing of second stage pushing efforts affects spontaneous vaginal delivery rates and reduces morbidities.To evaluate whether immediate or delayed pushing results in higher rates of spontaneous vaginal delivery and lower rates of maternal and neonatal morbidities.Pragmatic randomized clinical trial (...) participants (n = 1204) were instructed to wait 60 minutes.The primary outcome was spontaneous vaginal delivery. Secondary outcomes included total duration of the second stage, duration of active pushing, operative vaginal delivery, cesarean delivery, postpartum hemorrhage, chorioamnionitis, endometritis, perineal lacerations (≥second degree), and a composite outcome of neonatal morbidity that included neonatal death and 9 other adverse outcomes.Among 2414 women randomized (mean age, 26.5 years), 2404

2018 JAMA

2. Impact of Mode of Delivery on Female Postpartum Sexual Functioning: Spontaneous Vaginal Delivery and Operative Vaginal Delivery vs Cesarean Section. (PubMed)

Impact of Mode of Delivery on Female Postpartum Sexual Functioning: Spontaneous Vaginal Delivery and Operative Vaginal Delivery vs Cesarean Section. Several studies have explored the association between modes of delivery and postpartum female sexual functioning, although with inconsistent findings.To investigate the impact of mode of delivery on female postpartum sexual functioning by comparing spontaneous vaginal delivery, operative vaginal delivery, and cesarean section.One hundred thirty-two (...) primiparous women who had a spontaneous vaginal delivery, 45 who had an operative vaginal delivery, and 92 who underwent a cesarean section were included in the study (N = 269). Postpartum sexual functioning was evaluated 6 months after childbirth using the Female Sexual Function Index. Time to resumption of sexual intercourse, postpartum depression, and current breastfeeding also were assessed 6 months after delivery.Female Sexual Function Index total and domain scores and time to resumption of sexual

2016 Journal Of Sexual Medicine

3. Randomised controlled trial: Psychoeducation for pregnant women with fear of childbirth increases rates of spontaneous vaginal delivery, reduces caesarean rates and improves delivery experience

Randomised controlled trial: Psychoeducation for pregnant women with fear of childbirth increases rates of spontaneous vaginal delivery, reduces caesarean rates and improves delivery experience Psychoeducation for pregnant women with fear of childbirth increases rates of spontaneous vaginal delivery, reduces caesarean rates and improves delivery experience | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie (...) with fear of childbirth increases rates of spontaneous vaginal delivery, reduces caesarean rates and improves delivery experience Article Text Midwifery Randomised controlled trial Psychoeducation for pregnant women with fear of childbirth increases rates of spontaneous vaginal delivery, reduces caesarean rates and improves delivery experience Eileen K Hutton 1 , Wendy Hall 2 Statistics from Altmetric.com Commentary on: Rouhe H , Salmela-Aro K , Toivanen R , et al . Obstetric outcome after intervention

2014 Evidence-Based Nursing

4. Ureterovaginal fistula following spontaneous vaginal delivery, repaired by vaginal ureteroneocystostomy in a low resource setting (PubMed)

Ureterovaginal fistula following spontaneous vaginal delivery, repaired by vaginal ureteroneocystostomy in a low resource setting Ureterovaginal fistula commonly follows ureteric injury during pelvic surgery, and presents with continuous urinary incontinence in spite of normal micturition. Continuous urinary incontinence has significant impact on quality of life, thus requiring effective surgical intervention in order to restore health. We found no reported case of ureterovaginal fistula (...) following spontaneous vaginal delivery with prolonged obstructed labour. Relevant history and simple diagnostic procedures were used for diagnosis and the patient had successful vaginal ureteroneocystostomy. This could be the first reported ureterovaginal fistula following spontaneous vaginal delivery with prolonged obstructed labour. Vaginal ureteroneocystostomy though scarcely reported, is feasible in selected cases.

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2017 Journal of surgical case reports

5. Rupture of internal pudendal artery aneurysm following spontaneous vaginal delivery: An uncommon cause of post-partum bleeding (PubMed)

Rupture of internal pudendal artery aneurysm following spontaneous vaginal delivery: An uncommon cause of post-partum bleeding Pregnancy-related rupture of an arterial aneurysm is an unusual occurrence associated with increased risk of morbidity and mortality. Various pregnancy-related physiologic changes appear to make pregnancy a high-risk situation for rupture of either preexisting arterial aneurysms or those that develop throughout the course of pregnancy. Splenic artery aneurysms (...) are the most common (60%), followed by hepatic (20%), superior mesenteric (5.9%), celiac (4%), ovarian, uterine, and renal (<2%) artery. Even rarer are aneurysms involving the internal iliac artery and its branches, to which there is only one published case report. In this report, we present a case of a 34-year-old pregnant gravida1 para0 who, following a normal vaginal delivery, had a severe rupture of the right internal pudendal artery and subsequently developed a massive hematoma which ultimately

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2016 Obstetric medicine

6. 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 (...) infectious puerperal morbidities in women undergoing operative vaginal deliveries including vacuum or forceps deliveries, or both.We searched Cochrane Pregnancy and Childbirth's Trials Register (12 July 2017), ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (12 July 2017) and reference lists of retrieved studies.All randomised trials comparing any prophylactic antibiotic regimens with placebo or no treatment in women undergoing vacuum or forceps deliveries were

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2017 Cochrane

7. Membrane sweeping added to formal induction method to increase the spontaneous vaginal delivery: a meta-analysis.

Membrane sweeping added to formal induction method to increase the spontaneous vaginal delivery: a meta-analysis. Membrane sweeping (MS) could increase the likelihood of spontaneous labor within 48 h. However, the rationale for performing routinely an intervention with the potential to induce labor in women with an uneventful pregnancy at 38 weeks of gestation is, at least, questionable. We conducted a meta-analysis of randomized controlled trial (RCT) studies to assess evaluated the effect (...) of MS added to formal induction method on the spontaneous vaginal delivery, compared with formal induction alone.PubMed, Embase, Cochrane Library databases, Web of Science, and Clinical Trials were searched from their inception to March 8, 2017. We estimate summarized relative risk (RR) and 95% confidence intervals (CIs) for dichotomous outcomes. The primary outcome was vaginal delivery, and second outcomes (side effects of MS) included meconium-stained liquor, admission to the neonatal unit

2018 Archives of gynecology and obstetrics

8. Normal spontaneous vaginal delivery after transcervical radiofrequency ablation of uterine fibroids: a case report (PubMed)

Normal spontaneous vaginal delivery after transcervical radiofrequency ablation of uterine fibroids: a case report Transcervical radiofrequency ablation of uterine fibroids was performed on a patient in Germany, who subsequently conceived. This is the first report of a normal spontaneous vaginal delivery after fibroid ablation with the Sonata® System.

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2018 International journal of women's health

9. Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. (PubMed)

Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. Fibroids are common, hormone-dependent, benign uterine tumors. It is estimated that they occur in 20% to 40% of women during their reproductive years. The prevalence of fibroids among pregnant women is 10.7%. Most fibroids do not increase in size during pregnancy. Pregnancy has a variable and unpredictable effect on fibroid growth. The influence of pregnancy on uterine fibroid size still (...) remains unclear. Researchers evaluating fibroids have reported an inverse association between parity and fibroids, suggestive of a protective effect. Pregnancies that occur while fibroids are small would be protective; whereas pregnancies occurring before fibroid development or after the tumors reach some critical size would not be protective. Herein, the case of a woman with a large uterine fibroid that was spontaneously regressed after a second successful vaginal delivery is reported. To our

2018 Medicine

10. Planned cesarean or vaginal delivery for women in spontaneous labor with a twin pregnancy: A secondary analysis of the Twin Birth Study. (PubMed)

Planned cesarean or vaginal delivery for women in spontaneous labor with a twin pregnancy: A secondary analysis of the Twin Birth Study. The Twin Birth Study, a multicenter randomized controlled trial, found no differences in neonatal outcomes in women with twins randomized to planned cesarean or vaginal delivery. Nevertheless, women who present in spontaneous labor might expect a better outcome following a trial of vaginal delivery than undergoing cesarean delivery. In this secondary analysis (...) , we aimed to compare neonatal outcomes of women who presented in spontaneous labor in the two arms of the Twin Birth Study.Women in whom the first twin was in the cephalic presentation were randomized between 32 + 0 and 38 + 6 weeks to planned vaginal delivery or cesarean. The primary outcome was a composite of fetal or neonatal death or serious neonatal morbidity.Of the 2804 women included in the Twin Birth Study, 823 women in the planned vaginal delivery arm and 612 in the planned cesarean arm

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2018 Birth

11. The impact of manual rotation of the occiput posterior position on spontaneous vaginal delivery rate: study protocol for a randomized clinical trial (RMOS) (PubMed)

The impact of manual rotation of the occiput posterior position on spontaneous vaginal delivery rate: study protocol for a randomized clinical trial (RMOS) The frequency of posterior presentations (occiput of the fetus towards the sacrum of the mother) in labor is approximately 20% and, of this, 5% remain posterior until the end of labor. These posterior presentations are associated with higher rates of cesarean section and instrumental delivery. Manual rotation of a posterior position in order (...) in the study. The primary endpoint will be the rate of spontaneous vaginal deliveries (expected rate without rotation: 60%). The secondary endpoints will be the rate of fetal extractions (cesarean or instrumental) and the maternal and fetal morbidity and mortality rates. The intent-to-treat study will be conducted over 24 months. Recruitment started in February 2017. To achieve the primary objective, we will perform a test comparing the number of spontaneous vaginal deliveries in the two groups using

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2018 Trials

12. What are the maternal and newborn outcomes associated with episiotomy during spontaneous vaginal delivery?

What are the maternal and newborn outcomes associated with episiotomy during spontaneous vaginal delivery? K KT TA A E Ev vi id de en nc ce e S Su um mm ma ar ry y K KT TA A E Ev vi id de en nc ce e S Su um mm ma ar ry y N No o. . 1 13 3 What are the maternal and newborn outcomes associated with episiotomy during spontaneous vaginal delivery? E Ev vi id de en nc ce e S Su um mm ma ar ry y N No o. . 1 13 3 D De ev ve el lo op pe ed d a as s p pa ar rt t o of f t th he e O OH HR RI I- -C Ch ha am (...) and/or clinical experience of respected authorities (e.g. commentary, editorial) ? ? Level of evidence cannot be determined Contents I. Background II. Evidence III. Guidelines IV. Benchmarks KTA Evidence Summary: Outcomes of episiotomy during spontaneous vaginal birth Page 5 of 11 July 2011 Figure 1. Age-standardized episiotomy rate (percentage of hospital deliveries) among women who had full-term, singleton, vertex, vaginal delivery, by LHIN, in Ontario, 2007. Source: Dunn et al. 2011 (Data source: Better

2011 OHRI Knowledge to Action

13. Meta-analysis of randomized controlled trials comparing 17α-hydroxyprogesterone caproate and vaginal progesterone for the prevention of recurrent spontaneous preterm delivery. (PubMed)

Meta-analysis of randomized controlled trials comparing 17α-hydroxyprogesterone caproate and vaginal progesterone for the prevention of recurrent spontaneous preterm delivery. Vaginal progesterone and 17α-hydroxyprogesterone (17α-OHP) are both used to prevent preterm delivery in women who have experienced spontaneous preterm delivery (SPTD) previously. Randomized trial data of the comparative effectiveness of these interventions have been mixed.To compare the efficacy of intramuscular 17α-OHP (...) and vaginal progesterone in the prevention of recurrent SPTD.Cochrane Central Register of Controlled Trials, African Journals Online, Embase, Google Scholar, ISI Web of Science, LILACS, CINAHL, PubMed, and registers of ongoing trials were searched using keywords related to 17α-OHP, vaginal progesterone, and preterm delivery.Randomized controlled trials published between January 1, 1966, and November 30, 2016, comparing 17α-OHP and vaginal progesterone for the prevention of recurrent SPTD during singleton

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

14. Intraplacental Choriocarcinoma: Rare or Underdiagnosed? Report of 2 Cases Diagnosed after an Incomplete Miscarriage and a Preterm Spontaneous Vaginal Delivery (PubMed)

Intraplacental Choriocarcinoma: Rare or Underdiagnosed? Report of 2 Cases Diagnosed after an Incomplete Miscarriage and a Preterm Spontaneous Vaginal Delivery Intraplacental choriocarcinoma is a rare malignant tumor diagnosed after an abortion, an ectopic pregnancy, or a term or preterm pregnancy or following the diagnosis of a hydatidiform mole. During pregnancy, it may be more common than reported, as most patients are asymptomatic and placental choriocarcinomas are usually inconspicuous

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2017 Case reports in medicine

15. New methods to induce labour may increase chance of vaginal delivery, but safety questions remain

New methods to induce labour may increase chance of vaginal delivery, but safety questions remain New methods to induce labour may increase chance of vaginal delivery, but safety questions remain Discover Portal Discover Portal New methods to induce labour may increase chance of vaginal delivery, but safety questions remain Published on 26 July 2016 doi: This review compared different methods for induction of labour. Misoprostol and oxytocin with amniotomy (membrane rupture), were most likely (...) to lead to vaginal delivery within 24 hours. They were also expected to be most cost effective. There is limited information on the safety of misoprostol which may increase the risk of over-stimulating the uterus. Current NICE guidance recommends induction by prostaglandin given vaginally. This guidance is under review and an update is expected to be available later this year. This study highlights the need to continually review the effectiveness and costs of interventions, along with patient

2019 NIHR Dissemination Centre

16. New methods to induce labour may increase chance of vaginal delivery, but safety questions remain

New methods to induce labour may increase chance of vaginal delivery, but safety questions remain New methods to induce labour may increase chance of vaginal delivery, but safety questions remain Discover Portal Discover Portal New methods to induce labour may increase chance of vaginal delivery, but safety questions remain Published on 26 July 2016 doi: This review compared different methods for induction of labour. Misoprostol and oxytocin with amniotomy (membrane rupture), were most likely (...) to lead to vaginal delivery within 24 hours. They were also expected to be most cost effective. There is limited information on the safety of misoprostol which may increase the risk of over-stimulating the uterus. Current NICE guidance recommends induction by prostaglandin given vaginally. This guidance is under review and an update is expected to be available later this year. This study highlights the need to continually review the effectiveness and costs of interventions, along with patient

2018 NIHR Dissemination Centre

17. Successful vaginal delivery following spontaneous adrenal haemorrhage at term (PubMed)

Successful vaginal delivery following spontaneous adrenal haemorrhage at term Spontaneous adrenal haemorrhage (SAH) is a rare event in the general population, estimated to be around 0.3-1.8%. The exact incidence in pregnancy is unknown but rare. Most cases of SAH at or near term have presented with massive haemorrhage and haemodynamic instability, requiring emergency caesarean delivery or intrauterine fetal death. This is the first reported case of a successful vaginal delivery after acute (...) , spontaneous, left adrenal haemorrhage at term. 2016 BMJ Publishing Group Ltd.

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2016 BMJ case reports

18. Comparison of Blood Loss in Using vs Not Using Placental Cord Drainage After Spontaneous Vaginal Delivery

Comparison of Blood Loss in Using vs Not Using Placental Cord Drainage After Spontaneous Vaginal Delivery Comparison of Blood Loss in Using vs Not Using Placental Cord Drainage After Spontaneous Vaginal Delivery - 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. Comparison of Blood Loss in Using vs Not Using Placental Cord Drainage After Spontaneous Vaginal Delivery 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: NCT03020355 Recruitment Status : Unknown Verified January 2017 by Ahmet Eser, Zeynep Kamil

2016 Clinical Trials

19. Uneventful vaginal delivery after spontaneous resolution of uterine artery pseudoaneurysm. (PubMed)

Uneventful vaginal delivery after spontaneous resolution of uterine artery pseudoaneurysm. 27622617 2017 02 21 2017 08 17 1600-0412 96 1 2017 Jan Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Uneventful vaginal delivery after spontaneous resolution of uterine artery pseudoaneurysm. 128-129 10.1111/aogs.13016 Matsubara Shigeki S http://orcid.org/0000-0003-4378-221X Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan. Takahashi (...) Scand 0370343 0001-6349 IM Aneurysm, False diagnostic imaging Delivery, Obstetric Female Humans Pregnancy Remission, Spontaneous Ultrasonography, Doppler Uterine Artery diagnostic imaging 2016 9 14 6 0 2017 2 22 6 0 2016 9 14 6 0 ppublish 27622617 10.1111/aogs.13016

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2016 Acta Obstetricia et Gynecologica Scandinavica

20. Placental Blood Drainage as a Part of Active Management of Third Stage of Labour After Spontaneous Vaginal Delivery (PubMed)

Placental Blood Drainage as a Part of Active Management of Third Stage of Labour After Spontaneous Vaginal Delivery The third stage of labour commences after the delivery of the foetus and ends with the delivery of the placenta and its membranes. Postpartum haemorrhage is the most common cause of maternal mortality and accounts for about 25 % of maternal deaths in India.The present study was designed to evaluate the effectiveness of placental blood drainage after spontaneous vaginal delivery (...) as part of active management of third stage of labour in decreasing the duration, blood loss, and complications of the third stage, against no drainage of placental blood.Two hundred pregnant patients with 37 or more weeks of gestation, with single live foetus in cephalic presentation, who underwent a spontaneous vaginal delivery, were included in the study. The patients were prospectively randomized equally into two groups (100 each in the study and control groups). Placental blood was drained in all

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2016 Journal of obstetrics and gynaecology of India

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