Search Results
Results 601 - 650 of 1009
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Harrison V - - 1997
In developing countries, birth asphyxia is frequently associated with hypoxic ischaemic encephalopathy. This has been attributed to inadequate obstetric care but poor nutrition may also be important. This study determines the association between magnesium stores and hypoxic ischaemic encephalopathy. The level of red blood cell magnesium was measured on 572 ...
Ecker J L - - 1997
OBJECTIVE: Our purpose was to examine the association between maternal vaginal and perineal morbidity and episiotomy performed at operative vaginal delivery. STUDY DESIGN: We obtained data from 2041 consecutive operative vaginal deliveries and compared yearly rates of episiotomy, lacerations, and potential confounders with linear regression and stratified analyses. RESULTS: Between ...
Adinma J I - - 1997
The outcome of labour in 177 Nigerian primigravidae in whom clinical pelvic assessment was performed before delivery, is studied. No significant difference occurred in the mode of delivery for the rank of the pelvic assessors (consultants or resident doctors) at x = 0.05. No significant difference also occurred in the ...
Lee S S - - 1997
Cord blood thyrotrophin (TSH) levels of 134 patients with singleton pregnancies and breech presentation at delivery were compared with those of cephalic-presenting controls matched for mode of delivery, the presence of labour, parity, and the date of delivery. Infants delivered by vaginal breech delivery were found to have a higher ...
Ziadeh S - - 1997
The safety of vaginal birth for singleton preterm breech has not often been addressed before. We retrospectively compared the perinatal outcome of two groups of preterm breech delivery. Sixty-six patients delivered vaginally and 32 delivered abdominally between 26 and 36 completed weeks. Vaginal delivery was allowed under the same protocol ...
Diani F - - 1997
During the period 1988-1966, 737 pregnancies, in which the infant birth weight was > or = 4000 grams were studied. During the same period there were 11,631 newborns, and 6.3% of them were infants with a birth weight > or = 4000 grams. Normal vaginal delivery occurred in 583 cases ...
Greco P - - 1997
To show that neutrophil counts are decreased in neonates born of mothers with pre-eclampsia and that pre-eclampsia itself is an independent risk factor for perinatal neutropenia. In a tertiary referral centre two groups of patients at high risk to have a neonate with neutropenia. All patients were delivered by elective ...
Tan B P - - 1997
Induction of labour after prelabour rupture of membranes may reduce the risk of neonatal infection. The objective of this review was to assess the effects of induction of labour with oxytocin versus expectant management for prelabour rupture of membranes at or near term (34 weeks or more). We searched the ...
Grant A - - 1996
OBJECTIVE: To compare a policy of elective caesarean delivery with a policy of selective caesarean delivery for women in spontaneous preterm labour. DESIGN: Systematic review of relevant randomised controlled trials. PARTICIPANTS: One hundred and twenty-two women from six trials. INTERVENTIONS: Random allocation to "intention to deliver by caesarean section' (elective ...
Dinh P H - - 1996
The relationship between the birthweight of newborn infants and their mothers' health characteristics as well as socio-economic status were studied in 1474 consecutive deliveries from eight areas in the delta region of north Vietnam. The results showed that the proportion of low birthweight (LBW) infants varied from 7.9% to 12.5%. ...
Davies J - - 1996
OBJECTIVE: To collect data from a cohort of women requesting a home birth and examine the experience and outcome of pregnancy, the indications for hospital transfer, and the attitudes of mothers, midwives, and general practitioners. DESIGN: Follow up study with anonymised postal questionnaires. SETTING: Northern Regional Health Authority area. SUBJECTS: ...
Bofill J A - - 1996
OBJECTIVE: Our purpose was to determine the efficacy of the obstetric forceps versus the M-cup, a new vacuum extractor cup, and maternal-neonatal complication rates. STUDY DESIGN: Over a 10-month period operative vaginal deliveries were randomized between the obstetric forceps and the M-cup vacuum extractor cup. Maternal demographics, indication for intervention, ...
Obwegeser R - - 1996
BACKGROUND: This study was undertaken to determine whether planned vaginal or elective cesarean delivery is better for singleton term breech infants and their mothers. METHODS: We studied deliveries of 388 singleton term breech infants that were born in our teaching hospital in Vienna. We follow well defined criteria for vaginal ...
Ogala W N - - 1996
Clinical data obtained prospectively from 98 neonates, 49 normal weight controls, and retrospectively from their mothers had revealed a low incidence of neonatal macrosomia and some important predictive indices of conception and safe delivery of such babies. All the macrosomic infants were singletons and above 37 weeks gestation. The incidence ...
Hickey K - - 1996
BACKGROUND: The vacuum extractor is being increasingly advocated as the instrument of first choice for assisted vaginal delivery. It is widely believed that the vacuum cup will dislodge before causing serious fetal trauma. CASE: Rotational delivery of a term infant was effected using a vacuum extractor. A 6-cm Malmström metal ...
Bansal R K - - 1996
OBJECTIVE: Our purpose was to examine the association between maternal vaginal and perineal morbidity and episiotomy performed at spontaneous vaginal delivery. STUDY DESIGN: We obtained data from 17,483 consecutive spontaneous vaginal deliveries and compared the yearly rates of episiotomy, lacerations, and potential confounders with linear regression and stratified analyses. RESULTS: ...
Tadesse E - - 1996
This prospective hospital-based study was done at Tikur Anbessa Teaching Hospital (TATH) between July 1991 and July 1992 in order to obtain base-line data on the rates of caesarean section, pregnancy out-come, major indications for caesarean and caesarean section complications. Out of a total of 3237 deliveries conducted during the ...
Hankins G D - - 1996
Literature review was performed to analyze and define the current state of operative vaginal delivery. On the basis of published data, it is concluded that outlet and low forceps deliveries with < or = 45 degrees of rotation are effective and safe for both mother and baby. The greatest risk ...
Simmons M - - 1996
Infants born with gastroschisis frequently present with an eviscerated intestinal segment that is inflamed and thickened. The damaged segment of intestine displays absorption and motility disturbances for a variable period of time after gastroschisis repair. Clinical and animal research suggests that the damage to the eviscerated intestine is caused by ...
Peng T C - - 1996
OBJECTIVE: We attempted to determine the effect on meconium aspiration syndrome from a selective approach of neonatal endotracheal intubation in meconium-exposed fetuses. STUDY DESIGN: All pregnancies delivered at the Medical College of Virginia in 1990 were included. Meconium was noted at membrane rupture and qualified as thick, moderate, or thin. ...
Hall D R - - 1996
The objective was to identify maternal risk factors for birth asphyxia, and took the form of a retrospective study over 3 years of 15,964 deliveries. The antenatal and intrapartum course of 68 mothers who delivered babies with birth asphyxia was studied. Babies < 34 weeks/< or = 2000 g at ...
Penn Z J - - 1996
OBJECTIVE: To determine the optimum mode of delivery for women in preterm breech labour at a gestational age of 26 to 32 weeks. DESIGN: A multicentre randomised controlled trial. SETTING: Twenty-six hospitals in England, UK. PARTICIPANTS: Women with a singleton breech fetus in spontaneous preterm labour between 26 and 32 ...
Vacca A - - 1996
Subgaleal (subaponeurotic) haemorrhage (SGH) is a serious and sometimes life-threatening condition associated with vacuum extraction. With increasing use of the vacuum extractor as the preferred instrument for assisted vaginal delivery, neonatal paediatricians should be prepared to encounter a greater number of infants with SGH and other effects associated with vacuum ...
Sureau C - - 1996
Intrapartum surveillance has in recent years become a matter of debate. Following its earlier development, first in auscultation and then 40 years ago in electronic monitoring, obstetricians accepted its use with great, perhaps too great, enthusiasm. Years later, attempts to evaluate the actual consequences of this use led to disappointment: ...
Chadwick L M - - 1996
OBJECTIVE: To describe the obstetric and perinatal factors, in particular the method of delivery, associated with development of a subgaleal haematoma (SGH) and to determine the outcome of survivors with this type of birth trauma. METHODOLOGY: Perinatal and obstetric data were retrospectively reviewed for 37 infants admitted to the neonatal ...
Ziadeh S M - - 1996
OBJECTIVE: The purpose of our study was to determine the aetiological factors of uterine rupture during labour, and propose preventive measures. METHODS: This retrospective study was performed between February 1989 and July 1994, to analyze the cases of rupture uterus in relation to causes, age, parity, maternal and fetal mortality ...
Robertson P A - - 1996
OBJECTIVES: We attempted to determine whether there are differences in the incidence of head entrapment and adverse neonatal outcome by mode of delivery in breech deliveries from 28 to 36 weeks of gestation. STUDY DESIGN: Computerized data and charts of 321 viable consecutive singleton breech deliveries from 28 to 36 ...
Giordano P - - 1996
PURPOSE: Vaginal fistulas are rare but can cause extremely distressing symptoms for patients and prove difficult to define anatomically. Barium studies have been reported as having a maximum sensitivity of only 34 percent for detection of vaginal fistulas. Vaginography is an alternative method for diagnosis and evaluation of suspected vaginal ...
Zisow D L - - 1996
BACKGROUND: Shoulder dystocia and uterine rupture are complications that rarely are related. CASE: A 34-year-old white woman, gravida 4, para 2, therapeutic abortion 1, was admitted for labor induction. Fetal heart rate monitoring was normal until full dilation, when bradycardia developed and persisted. With the use of forceps, the vertex ...
Skalkidis Y - - 1996
Caesarean section rates have increased in Greece by almost 50% during the last 13 years. We conducted a study in Athens, Greece, to assess the importance of a series of medical and socioeconomic factors in the use of Caesarean section or operative vaginal procedures, rather than a non-operative process, for ...
Cramer D W - - 1996
To follow-up our previous observation that vaginal agenesis might be associated with decreased activity of galactose-1-phosphate uridyl transferase (GALT), we studied activity and genotype of GALT in 13 daughters with vaginal agenesis and their mothers. For comparison, GALT measurements were available from 113 pre-menopausal women with no known Müllerian anomalies ...
Scorza W E - - 1996
Breech presentation is associated with significantly increased risk of perinatal morbidity and mortality. Most of the morbidity and mortality associated with breech delivery results from cord compression, nuchal arm, and difficulty in the delivery of the aftercoming head. Routine cesarean delivery of term breeches may not be an unreasonable option, ...
Brost B C - - 1996
Limited reports exist about the frequency of compound presentation after external cephalic version. A compound hand and foot presentation is reported after external cephalic version in a woman desiring vaginal birth after cesarean delivery. We report a mechanism by which a forward roll during external cephalic version may predispose an ...
Ilesanmi O A - - 1996
Breech presentation at delivery occurred in 441 of 21,243 deliveries giving an incidence of 2.1% in Oluyoro Catholic Hospital, Ibadan. The fresh stillbirth rate was 7.8% and this was six times the cephalic (1.2%) fresh stillbirth rate for the same period. The incidence of breech presentation was lowest between parity ...
Lee H Y - - 1996
OBJECTIVE: To compare the advantages and disadvantages of the New Bird metal cups and silicone cups in terms of maternal and foetal outcome. To study the adverse effects and factors associated with failed vacuum deliveries. DESIGN: A prospective randomised study of all vacuum deliveries from 1 December 1991 to 31 ...
Nandan D - - 1996
The present study has been planned to identify healthy and unhealthy delivery practices in rural U.P. specially with reference to five cleans recommended under national C.S.S.M. programme. A total 120 women who had delivered in recent past were interviewed. Only in 3.1 percent deliveries, proper washing of floor was done, ...
Erkkola R - - 1996
Within two last decades many centers have adopted a policy of abdominal delivery, in particular of nulliparous women with breech presentations. In this review of the literature the justification for this policy is questioned. Instead, a recommendation for judicious attempts of vaginal delivery for some breech presentations is emphasized. The ...
Rayl J - - 1996
OBJECTIVE: We evaluated relationships between breech presentation and infant, maternal, and pregnancy characteristics of singleton births. STUDY DESIGN: A population-based case-control study (3588 breech cases, 8183 controls) was conducted with data from the 1987 to 1988 Washington State birth certificate. RESULTS: Low birth weight, short gestational age, primiparity, and older ...
Mikulandra F - - 1996
Caesarean and vaginal deliveries of macrosomic infants weighing > or = 4500 g were studied, and pregnant women analysed by indication for caesarean section, presentation, parity and age. Both maternal and neonatal injuries occurred. Puerperal morbidity was noted in women delivered either by caesarean section or vaginally. The control group ...
Thompson J P - - 1995
A historical review of the development of forceps and the refinements made that lend them to different clinical situations are presented. The proper settings for their use and the choice of instruments and methods of application for traction and rotation are discussed. The risks to mother and infant are considered. ...
Ben-Arie A - - 1995
The authors have reviewed the impact of their practice of external cephalic version (ECV) at term, with respect to success rate, factors associated with successful version and the effect of this protocol on the overall breech and cesarean breech rate. Two hundred and forty-nine parturients identified as having a breech ...
Yeo G S - - 1995
This paper is a univariate analysis of the demographic, antepartum and intrapartum risk factors in a series of 16,471 consecutive deliveries in a tertiary obstetric and gynaecological unit in Singapore. In total, 12,229 term vaginal cephalic deliveries with 77 cases of shoulder dystocia were entered into the study for analysis. ...
Robertson P A - - 1995
OBJECTIVES: Our purpose was to determine whether there are differences in the incidence of head entrapment and adverse neonatal outcome by mode of delivery in breech deliveries from 24 to 27 weeks of gestation. STUDY DESIGN: Charts of 132 viable consecutive singleton breech deliveries from 24 to 27 weeks' gestation ...
Rogers William B - - 1995
I agree with Dr Baptist's critique that a smile may not be a 100% accurate test to rule out meningitis in a febrile infant, but I hope no one thought I was failing to obtain a full history and results of a physical examination before deciding whether or not to ...
Krebs L - - 1995
BACKGROUND: The present study was designed to determine neonatal mortality and morbidity in non-malformed singleton term infants delivered in breech presentation and identify a possible correlation between outcome on the one hand and mode of delivery, parity and birth weight on the other. METHODS: Register-based cohort study of all (n ...
Mola G D - - 1995
The perinatal and maternal outcomes of 65 symphysiotomies and 108 caesarean sections carried out after failed trial of assisted delivery at the Port Moresby General Hospital between 1988 and 1994 were retrospectively analyzed. There were no significant differences in perinatal outcomes between the treatment groups. There were no maternal deaths ...
Eller D P - - 1995
OBJECTIVE: Our purpose was to determine the feasibility of resolving the controversy regarding route of delivery for breech presentation in a randomized, prospective fashion. STUDY DESIGN: The National Institute of Child Health and Human Development-sponsored Maternal-Fetal Medicine Units Network, which is composed of 11 perinatal centers, was surveyed to determine ...
Nissen E - - 1995
BACKGROUND: The aim of this study was to determine plasma levels of oxytocin in women immediately after delivery. METHODS: Oxytocin was measured in 18 healthy women at 15 minute intervals after normal vaginal deliveries with healthy infants. The mothers had their infants put skin-to-skin on their chests immediately after birth. ...
Weissman A - - 1995
OBJECTIVES: To investigate current attitudes to management of labor and delivery in pregnancies complicated by breech presentation. STUDY DESIGN: A questionnaire was sent to the directors of 23 units of maternal-fetal medicine, all members of the Israel Society of Perinatal Obstetricians. The survey included 69,072 deliveries in the year 1993. ...
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