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Results 451 - 500 of 1009
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Brown H L - - 2001
The objective of this study was to measure the performance of the Affirm Ambient Temperature Transport System (ATTS) over time and to estimate the length of time the system can preserve a vaginal specimen containing the three common organisms causing vaginitis: Trichomonas vaginalis, Candida species, and Gardnerella vaginalis (one of ...
van den Berg A - - 2001
Respiratory morbidity is an important complication of elective caesarean section. The presence of labour preceding caesarean section reduces the risk of neonatal respiratory morbidity. Recently, it has been shown that the incidence of respiratory morbidity is lower in infants with a gestational age of at least 39(+0) weeks at elective ...
Amer-Wåhlin I - - 2001
Previous studies indicate that analysis of the ST waveform of the fetal electrocardiogram provides information on the fetal response to hypoxia. We did a multicentre randomised controlled trial to test the hypothesis that intrapartum monitoring with cardiotocography combined with automatic ST-waveform analysis results in an improved perinatal outcome compared with ...
Coskun S - - 2001
Postnatal adaptations of cardiac hemodynamics in infants born vaginally or by caesarean section may be different. These cardiac functions were evaluated by Doppler echocardiography to assess adaptation differences. Cardiac output, heart rate, stroke volume, mean arterial pressure, total systemic vascular resistance, ejection fraction, and ductus arteriosus diameter were determined and ...
Andersson J E - - 2001
The aim of this study was to evaluate the frequency and type of hip-joint instability and the frequency of hip dislocation requiring treatment in neonates who had been lying in the breech presentation and were delivered vaginally after an external version or by caesarean section, and to compare them with ...
Weeks A D AD Makerere University, Faculty of Medicine, Dept of Obstetrics and Gynaecology, Kampala, Uganda. - - 2001
The retained placenta is a significant cause of maternal mortality and morbidity throughout the developing world. It complicates 2% of all deliveries and has a case mortality rate of nearly 10% in rural areas. Ultrasound studies have provided fresh insights into the mechanism of the third stage of labour and ...
West S L - - 2001
Preterm labour (PTL) is a major contributor to preterm delivery (PTD) but delivery is often not preventable by current therapies. We conducted this study to determine the proportion of women with PTL who were and who were not candidates for tocolytic therapy. The cohort comprised residents of Olmsted County, Minnesota ...
Mc Gurgan P - - 2001
OBJECTIVE: To survey the personal preferences of obstetricians regarding mode of delivery, and relate these to hospital caesarean section rates. STUDY DESIGN: A confidential, questionnaire based survey to all obstetricians working in the Republic of Ireland (n=234). RESULTS: The response rate was 71% (n=165). Seven percent of Irish obstetricians would ...
Holzman C - - 2001
In light of the social/ethnic disparity in preterm delivery (PTD) rates, the Pregnancy Outcomes and Community Health (POUCH) Study takes a broad view of the determinants of PTD by attempting to link underlying biological and psychosocial factors. The relationships between placental pathology, maternal biomarkers, and antecedent psychosocial factors are evaluated ...
Al Hadi M - - 2001
Shoulder dystocia (S.D.) is an obstetric emergency which may be catastrophic for both mother and baby. The aims of this study were to determine the incidence of S.D., the maternal and perinatal outcome, and which risk factors were important. This was a retrospective review of all cases of S.D. during ...
Locksmith G J - - 2001
OBJECTIVE: To present a method of teaching forceps technique during cesarean delivery of breech-presenting infants using Laufe-Piper forceps and to evaluate its usefulness. STUDY DESIGN: For several years, residents at the University of Texas Medical Branch, Galveston, have learned and practiced Piper forceps technique during cesarean delivery. To assess their ...
Poppe W A - - 2001
A 33-year old woman with nitroimidazole-resistant vaginal trichomoniasis is described. She was treated with intravaginal paromomycin (500 mg daily for 2 days). This cured the trichomoniasis but resulted in severe local side effects. Paromomycin may be useful for difficult cases of nitroimidazole-resistant Trichomonas vaginalis vaginitis. The exact dosage still has ...
Hakim L Y - - 2001
OBJECTIVE: To evaluate the impact of female genital mutilation on parturition and to create awareness of its implication on women and neonatal health. DESIGN: A cross-sectional study. Setting: Tikur Anbessa, St. Paul's and Ghandhi Memorial hospitals between January and December 1997. SUBJECTS: One thousand two hundred and twenty five mothers ...
Vacca A - - 2001
The efficacy of a new vacuum extraction device, the Kiwi OmniCup, and its effects on mothers and infants were tested in a study of 18 non-rotational and 32 rotational vacuum assisted deliveries. Forty-nine (98%) of the extractions resulted in successful vaginal births. Autorotation of the fetal head when the occiput ...
Sirjusingh A - - 2001
A 7-year retrospective survey was conducted in order to determine local trends in caesarean section rates, maternal outcome and indications for the procedure. The annual rate of caesarean births has not exceeded 10.0% of deliveries. The overall rate, at 7.4% for the period of study, was not significantly different from ...
Magadi M - - 2001
Studies addressing factors associated with adverse birth outcomes have almost exclusively been based on hospital statistics. This is a serious limitation in developing countries where the majority of births do not occur within health facilities. This paper examines factors associated with premature deliveries, small baby's size at birth and Caesarean ...
Morgan C - - 2001
We describe a term infant with an acute spinal cord injury following emergency Caesarean section. Foetal movements were normal on the day that the mother was admitted for postterm induction of labour. Caesarean section was performed because of foetal distress and failure to progress during labour. The initial clinical picture ...
Parnell C - - 2001
OBJECTIVE: To determine whether the conduct of the second stage of labor and delivery technique influences the incidence of rupture of the anal sphincter. MATERIAL AND METHOD: A total of 1072 primipara delivered vaginally at term at Rigshospitalet in 1998. A questionnaire on prenatal risk factors, conduct of the second ...
Zanardo V - - 2001
Peripartal maternal apprehension and anxiety are associated with abnormal labour, dystocia and higher rates of fetal and maternal morbidity. Since colostral beta-endorphin (beta-EP) concentrations are twofold higher than circulating levels, we hypothesised that substantial maternal emotional distress in puerperium might induce consistent changes in colostral beta endorphin galactopoiesis. To test ...
Ola E R - - 2001
Vaginal birth (or trial of labour) after previous Caesarean delivery represents one of the most significant changes in obstetric practice. A five-year retrospective study was carried out at the Lagos University Teaching Hospital to determine the obstetric outcome after a previous Caesarean section and also to identify significant clinical factors ...
Fawole A O - - 2001
An audit of all breech deliveries at the University College Hospital, Ibadan over a ten-year period was done to determine the most important contributors to perinatal morbidity and mortality in breech deliveries. The data were obtained from the birth register and individual case records of patients seen at the hospital ...
Langdana F - - 2001
We aimed to identify the risk factors and subsequent maternal and perinatal outcome associated with the procedure of peripartum hysterectomy. This was a retrospective case review carried out at the National Maternity Hospital, Dublin, of all patients who underwent a peripartum hysterectomy from January 1990 to December 1999. Seventeen cases ...
Amoa A B - - 2001
A study of 502 singleton persistent breech presentations and 502 controls of cephalic presentations during labour, at the Port Moresby General Hospital, was carried out from January 1988 to July 1993. In 76 (15%) of the cases, at least one attempt was made at external cephalic version. Backward logistic regression ...
Robson S - - 2001
The objective of this study was to determine whether women who have experienced an unexplained stillbirth have a higher risk of adverse perinatal outcomes in subsequent births. We compared 316 subsequent births to women with a previous unexplained stillbirth, with 3160 births to women with no previous history of stillbirth, ...
Chard T - - 2001
The present study was based on 6940 live singleton births without obvious congenital abnormalities delivered at 24-32 weeks. The birthweight of children born by Caesarean section was lower than that of those born vaginally. This applied whether the baby survived or died during the neonatal period; whether or not there ...
De Amici D - - 2001
RATIONALE AND OBJECTIVES: Neonatal jaundice is a frequent problem in neonatology and can be influenced by many factors. Our study arose from the clinical observation that among all newborns delivered by caesarean section in our center, some had a more intense physiological jaundice. We began by reviewing clinical anesthesiological case-sheets ...
Sebitloane M H - - 2001
BACKGROUND: Emergency hysterectomy in obstetric practice is generally performed in the setting of life-threatening situations. OBJECTIVE: To review cases of peripartum hysterectomy in respect of indications, risk factors and complications. DESIGN: A retrospective study. SETTING: King Edward VIII Hospital, Durban. SUBJECTS: Seventy one cases of Caesarean and post-partum hysterectomy performed ...
Penn Z - - 2001
Caesarean section rates are rising. Caesarean section confers an increase in maternal mortality and morbidity as well as having considerable financial implications. Caesarean section is usually justified by the assumed benefit for the fetus. These benefits are often unquantified and based on scanty evidence. The changing trends in the rates ...
Swift S E - - 2001
The aim of this case-control study was to identify etiologic factors predictive for the development of severe pelvic organ prolapse. Three hundred and sixty-eight controls from a database describing pelvic organ support in the general population were identified as having known good pelvic organ support. Eighty-seven cases were identified from ...
Thomas J L - - 2001
To compensate for the extremely low penetration efficiency of the original PDS/1000-He Bio Rad biolistic device and the deleterious blast effect, design modifications have been made to the launching module. These modifications were evaluated on Bombyx mori embryos and fragile tissues, such as oocytes and imaginal wing disks. The original ...
Hofmeyr G J - - 2001
Routine use of caesarean section for breech presentation is widespread. However, poor outcomes after breech birth might be the result of underlying conditions causing breech presentation rather than damage during delivery. The objective of this review was to assess the effects of planned caesarean section for breech presentation on measures ...
Grant A - - 2001
Elective caesarean delivery for women in labour with a small or immature baby might reduce the chances of fetal or neonatal death, but it might also increase the risk of maternal morbidity. To assess the effects of a policy of elective caesarean delivery versus expectant management for small babies. The ...
Grosch-Wörner I - - 2000
OBJECTIVE: To investigate zidovudine prophylaxis with caesarean section to reduce mother-to-infant HIV transmission. INTERVENTIONS: Elective caesarean section before labour, usually at 36-38 weeks of gestation, plus a short oral course of zidovudine, normally starting at week 32, intravenous zidovudine before caesarean section and for 10 days for the neonate (the ...
Hsieh Y Y - - 2000
OBJECTIVE: To demonstrate the association of minor anomalies and breech-presenting newborns with breech deformation complex. STUDY DESIGN: A total of 3,345 newborns with singleton, term delivery were examined based on a list of 67 items of major and minor anomalies. All infants were divided into two groups: group 1, vertex ...
Hannah M E - - 2000
BACKGROUND: For 3-4% of pregnancies, the fetus will be in the breech presentation at term. For most of these women, the approach to delivery is controversial. We did a randomised trial to compare a policy of planned caesarean section with a policy of planned vaginal birth for selected breech-presentation pregnancies. ...
Stone C - - 2000
This paper describes delivery outcomes for women from Victoria, Australia, who gave birth in 1995 and whose immediately previous (penultimate) delivery, within a 5-year search period, was a Caesarean section. Because of the large numbers of records involved, dedicated computer software for record linkage was used to identify the previous ...
Haas J - - 2000
The influence of pregnancy on the course of autoimmune diseases is well documented. In multiple sclerosis the European PRIMS study confirmed an ameliorating effect during pregnancy but on increase of exacerbations after delivery. The efficacy of IVIG in autoimmune mediated diseases has been frequently reported. Based on the experiences of ...
Gupta J K - - 2000
The position adopted naturally by women during birth has been described as early as 1882 by Engelmann. He observed that primitive woman, not influenced by Western conventions would try to avoid the dorsal position and was allowed to change position as and when she wished. Different upright positions could be ...
Rönnqvist L L Department of Psychology, Umeå University, Sweden. - - 2000
Human newborns have a preference for turning and maintaining the head to one side of the body. Most studies confirm a right-sided preference in supine. Few have addressed the state dependency of this lateral bias, and even fewer have examined whether it is also expressed in the semi-upright position. We ...
Sajjad Y - - 2000
The aim of this study was to compare the differences in the total antioxidant levels in the cord blood after a normal vaginal delivery and after an elective caesarean section. This was a prospective study approved by the Wirral Hospital ethical research committee. The study was carried out in a ...
Ondimu K N - - 2000
A prospective study was conducted in Kisumu district, a region characterised by a high incidence of maternal and infant mortality, to determine the levels and prevalence of maternal and perinatal complications and suggest ways to make maternal and child health programmes in the area more effective and practical. Four health ...
Homer C - - 2000
A number of birth centres were established in New South Wales as a result of the Shearman Report (NSW Health Department 1989). The objective of this study was to compare the obstetric outcomes, primarily caesarean section rates, of low-risk women presenting in spontaneous labour to the birth centre with those ...
Baskett T F - - 2000
For 30 years, from 1827 to 1857, Dr. John Mackieson, a medical practitioner in Charlottetown, Prince Edward Island, Canada, kept a detailed account of complicated obstetric cases. An analysis of this casebook provides a unique profile of obstetric complications and their management in eastern Canada 150 years ago. The main ...
To W W - - 2000
Malpositions in labour in a vertex-presenting fetus are known to be associated with increased risks of operative delivery A retrospective analysis of all deliveries over 4 years in a university teaching obstetric unit was performed using the available obstetric database. All cases of live births with cephalic presenting babies after ...
Wasef W R - - 2000
The first aim of the study was to assess the success rate of vaginal delivery after a trial of labour in women with history of caesarean delivery. The second, was to analyse the management used and suggest recommendations that might improve the outcome. The caesarean section rate in Tameside hospital, ...
Samuelsson E - - 2000
OBJECTIVE: To evaluate intrapartum risk factors for anal sphincter tear. DESIGN: A prospective observational study. SETTING: Delivery unit at the University Hospital in Göteborg, Sweden. PARTICIPANTS: 2883 consecutive women delivered vaginally during the period between 1995 and 1997. Information was obtained, from patient records and from especially designed protocols which ...
Smith G C - - 2000
OBJECTIVES: 1. To describe the relation between birthweight and risk of emergency caesarean section at term; 2. to determine whether the relation between birthweight and caesarean section differed between male and female babies; and 3. to determine what proportion of the increased rates of caesarean section could be related to ...
Sizer A R - - 2000
Population-based data from the Cardiff Births Survey has been used to examine the trends in obstetric intervention with increasing maternal age. As maternal age increases, spontaneous vaginal delivery rates fall, instrumental delivery rates, elective and emergency caesarean section, induction of labour and epidural rates rise. Induction of labour and epidural ...
Angioli R - - 2000
OBJECTIVE: After childbirth-related third- or fourth-degree perineal lacerations, the estimated incidence of wound disruption, fecal incontinence, or fistula ranges from 1% to 10%. Risk factors associated with severe laceration were analyzed at a single large teaching institution. Study Design: This study consisted of an analysis of data from the delivery ...
Kambarami R A - - 2000
OBJECTIVE: To describe perinatal practices from a community perspective and identify factors associated with perinatal death. DESIGN: Cross sectional community based survey. SETTING: Murewa and Madziwa rural areas, Zimbabwe. SUBJECTS: Women aged 15 to 50 years who had been pregnant within the 24 months preceding the survey. MAIN OUTCOME MEASURES: ...
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