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Results 151 - 200 of 1009
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Baskett Thomas F - - 2008
OBJECTIVE: To determine the maternal and perinatal outcomes associated with delivery by the rigid plastic OmniCup vacuum delivery device. METHODS: We conducted a prospective observational study of 1000 consecutive vacuum-assisted deliveries using the OmniCup vacuum device in singleton pregnancies. The relationship of the cup application to the flexion point was ...
Thapa K - - 2008
A retrospective study of 68 eclamptic women who received Magnesium sulphate at Koshi Zonal Hospital were analyzed during a one year period (2006-2007 AD). Maternal conditions at admission, associated complications in mothers and babies, delivery outcomes and cause of death were also studied in each case. There were 5240 deliveries ...
Juliano Rudy - - 2008
The potential use of antisense and siRNA oligonucleotides as therapeutic agents has elicited a great deal of interest. However, a major issue for oligonucleotide-based therapeutics involves effective intracellular delivery of the active molecules. In this Survey and Summary, we review recent reports on delivery strategies, including conjugates of oligonucleotides with ...
Kok Marjolein - - 2008
OBJECTIVE: To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS: Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and ...
Ismail Nor Azlin M - - 2008
AIM: To compare the success, clinical outcomes, and maternal and neonatal complications between the Kiwi Omnicup and the Malmstrom metal cup in vacuum assisted delivery. METHODS: This was a prospective randomized comparative trial. Women who required vacuum assisted vaginal delivery were randomized into the Kiwi Omnicup (KO) group and the ...
Mancuso A - - 2008
We aimed to evaluate regional differences in women's motivations and in obstetricians' attitudes re 'caesarean section on request' between obstetricians practicing in Southern and Northern Italy. An anonymous questionnaire was sent to 70 randomly selected specialists practicing in the Veneto region and Sicily. Demographic characteristics, percentage of caesarean section, increase ...
Hirsch Emmet - - 2008
OBJECTIVE: This study was undertaken to assess the impact of a focused intervention on reducing high-order (third and fourth degree) perineal lacerations during operative vaginal delivery. STUDY DESIGN: The following recommendations for clinical management were promulgated by departmental lectures, distribution of pertinent articles and manuals, training of physicians, and prominent ...
Fenger-Gron Jesper - - 2008
A case of perinatally acquired spinal cord injury (SCI) is presented. The foetus was vigorous until birth, the breech presented and delivery was performed by a non-traumatic Caesarean section. The infant displayed symptoms of severe SCI but diagnosis was delayed due to severe co-morbidity. Diagnostic considerations are briefly reviewed. Ventilatory ...
Dinas Konstantinos - - 2008
BACKGROUND: Over the past 25 years, there has been a sustained increase in caesarean section (CS) rates around the world. However, there is a paucity of data regarding the current CS rates and particularly the trends of CS indications in Greece. AIM: To assess the overall CS rates and indications ...
Adaji, S E; ;
Birth trauma remains a source of worry to patients and birth attendants but information remains scarce about its range and extent as well as evidence based preventive techniques. To determine the prevalence/pattern of lower genital tract lacerations during spontaneous vaginal deliveries and determine the influence of age, parity and fetal ...
Tan P C - - 2008
INTRODUCTION: Caesarean delivery rates are still increasing, and reliable predictors of adverse outcomes at a subsequent trial of scar are important as they guide decision-making on the best mode of delivery. We aimed to evaluate whether there are any predictors for caesarean delivery and neonatal admission, following trial of labour ...
Zayed F - - 2008
BACKGROUND: Malpresentation is a deviation from the normal presentation, which occurs in approximately 5% of labours (Seeds and Cefalo in Clin Obstet Gynaecol 25:145-156, 1982). The commonest form of malpresentation at delivery is breech presentation followed by face and brow presentation. OBJECTIVES: To review the incidence and management of face ...
Mahran M A - - 2008
In this study, we aimed to distinguish true shoulder dystocia from mere difficulty with delivery of the shoulder, by investigating the risk factors that lead to shoulder dystocia. Shoulder dystocia is a bony problem which occurs when either the anterior or, less commonly, the posterior fetal shoulder impacts on the ...
Wai Clifford Y - - 2008
OBJECTIVE: To estimate the effect of prolonged vaginal distention and anal sphincter transection on contractile properties of the external anal sphincter. METHODS: Young female virgin rats were randomly assigned to four treatment groups (sham, vaginal distention, transection of anal sphincter plus repair, or combined distention and transection plus repair). After ...
Berglund S - - 2008
OBJECTIVE: To describe possible causes of delivery-related severe asphyxia due to malpractice. DESIGN AND SETTING: A nationwide descriptive study in Sweden. POPULATION: All women asking for financial compensation because of suspected medical malpractice in connection with childbirth during 1990-2005. METHOD: We included infants with a gestational age of >or=33 completed ...
Epstein Lee B - - 2008
The objective of this study was to determine if vaginal stiffness index, an in vivo vaginal biomechanical property, is correlated with pelvic floor disorder symptom distress, impact on quality of life, or sexual function as measured by disease-specific quality-of-life scales. Forty-eight women completed validated quality-of-life scales (pelvic floor distress inventory-short ...
Chen Liang - - 2008
The incidence of obstetric brachial plexus palsy is not declining. Heavy birth weight of the infant and breech delivery are considered two important risk factors and Caesarean section delivery seems to be a protective factor. There are two clinical appearances, that is, paralysis of the upper roots and that of ...
Bregar Andreja Trojner - - 2008
INTRODUCTION: We wished to evaluate the changes in the indications and rates of caesarean delivery over the past 50 years (1955-2005) at the Ljubljana Maternity Hospital, the largest maternity hospital in Slovenia and a tertiary center. METHODS: We retrospectively analyzed data obtained from delivery records, archived at the Department of ...
Ebulue Vincent - - 2008
OBJECTIVES: Cesarean section has largely replaced the role of difficult midcavity instrumental deliveries. The aim of this study was to determine the trend in trials of instrumental delivery as well as the maternal and fetal factors associated with successful and failed trial of instrumental deliveries. SETTING: North Middlesex University Hospital, ...
Wikström Anna-Karin - - 2008
BACKGROUND: Pre-eclampsia is associated with altered plasma concentrations of the pro- and anti-angiogenic factors placental growth factor (PlGF), vascular endothelial growth factor-A (VEGF-A) and soluble fms-like tyrosine kinase 1 (sFlt1). However, there is insufficient knowledge about how these concentrations change after delivery, and whether the changes differ between early-onset and ...
van Bogaert L-J - - 2008
The aim was to evaluate the effect of caesarean delivery on the neonatal outcome after labour with fetal distress and/or meconium staining (MS). We audited 199 caesarean sections performed for non-reassuring fetal condition (NRFC) and/or MS in a rural regional hospital. The 1 and 5 min Apgar scores were compared ...
Ekéus Cecilia - - 2008
BACKGROUND: The aim of this study was to examine the incidence and risk factors for anal sphincter tears (ASTs) at delivery. METHODS: A national population-based study was conducted with data from the Medical Birth Register including all primiparas with singleton pregnancy, who gave birth vaginally in Sweden from 1994 to ...
Calisti Alessandro - - 2008
OBJECTIVES: It was the aim of this study to determine if prenatal diagnosis of congenital duodenal obstruction (CDO) selects high-risk pregnancies and demands special perinatal attention. METHODS: Medical records of 62 neonates with intrinsic CDO, admitted since 1981 in 2 institutions, were reviewed and divided into 2 groups: 39 cases, ...
Kor-Anantakul O - - 2008
A hospital-based, prospective cohort study was conducted at the tertiary care university hospital in southern Thailand, between 1 November 2001 and 31 December 2003. The purpose of this study was to compare the various complications found in vaginal and caesarean deliveries based on the original elected intended mode of delivery. ...
van Eygen Luk - - 2008
We undertook this retrospective cross-sectional study in order to establish the outcome of 510 singleton breech presentations at term in seven district hospitals in rural Matabeleland-North Province, Zimbabwe. We also studied the mortality for 1093 caesarean sections (CS), in order to decide if CS should be the preferred option for ...
Prager Martina - - 2008
BACKGROUND: During the last years, the incidence of obstetric anal sphincter rupture (OASR) has increased markedly in Sweden, and significantly less frequently in Italy. Our objective was to explore if different delivery management may explain the variation in OASR incidences. METHODS: In a retrospective study, data from 2,000 primiparous women ...
Omu A E - - 2008
OBJECTIVE: To evaluate the outcome of the use of MgSO4 therapy in women with severe pre-eclampsia in Kuwait from January 2002 to December 2004. SUBJECTS AND METHODS: The study involved 450 women managed at the Maternity Hospital in Kuwait with a blood pressure of 160/110 mm Hg and proteinuria of ...
Olsen Ingrid P - - 2008
BACKGROUND: Current ultrasound assessment of the anal sphincter is based on measurements during rest. However, active constriction plays a role in maintaining continence. Here we assess female anal dimensions during rest and squeeze. METHODS: Thirty women were recruited for a cross-sectional endoanal ultrasound study after written consent according to an ...
Yang Jin - - 2008
Caesarean section before labor or before ruptured membranes ("elective caesarean section", or ECS) has been introduced as an intervention for preventing mother-to-child transmission (MTCT) of hepatitis B virus (HBV). Currently, no evidence that ECS versus vaginal delivery reduces the rate of MTCT of HBV has been generally provided. The aim ...
Majoko Franz - - 2008
The majority of women have spontaneous vaginal births, but some women need assistance in the second stage with delivery of the baby, using either the obstetric forceps or vacuum extraction. Rates of instrumental vaginal delivery range from 5% to 20% of all births in industrialised countries. The majority of instrumental ...
Hansen Anne Kirkeby - - 2008
To investigate the association between elective caesarean sections and neonatal respiratory morbidity and the importance of timing of elective caesarean sections. Cohort study with prospectively collected data from the Aarhus birth cohort, Denmark. Obstetric department and neonatal department of a university hospital in Denmark. All liveborn babies without malformations, with ...
Mitsou Evdokia K - - 2008
This study aimed to explore, in our geographical region, the development of intestinal microflora and the colonization patterns of lactic acid bacteria and bifidobacteria during the first three months of life and to investigate the effect of the mode of delivery. Fecal specimens from 82 healthy, full-term infants were collected ...
Kicklighter S D - - 2007
Use of the vacuum for operative vaginal deliveries has become more favorable with fewer obstetricians and family practitioners trained in the use of forceps. When compared with forcep-assisted deliveries, the vacuum has been associated with a higher incidence of subgaleal hemorrhage (SGH), cephalhematomas, skull and clavicular fractures, Erb's Palsy, intracranial ...
Khawaja M - - 2007
This paper explores recent levels and trends in the prevalence of Caesarean section (C-section) delivery in Jordan during the period 1990--2002 and examines the impact of socio-demographic, healthcare and spatial characteristics on C-sections there. The study used three national data sets from the Jordan Demographic and Health Survey (JDHS) program ...
Dani Carlo - - 2007
The higher risk of respiratory problem in infants delivered by elective caesarean section in comparison with vaginally born infants may be favoured by lower level of nitric oxide (NO) and carbon monoxide (CO) and higher oxidative stress in infants born by caesarean section. We studied healthy term infants born by ...
Huurre Anu - - 2008
BACKGROUND: The rate of caesarean deliveries has increased 10-fold worldwide during the past decades. OBJECTIVE: To evaluate differences in the establishment of gut microbiota in infants born by vaginal or caesarean delivery and its impact on mucosal immunity. METHODS: Altogether, 165 consecutive children, prospectively followed from birth at our clinic ...
Jeffery Patricia - - 2007
Intrapartum use of oxytocin should entail controlled dosages administered through infusion, continual monitoring of mother and fetus and surgical back-up, since several adverse outcomes have been reported. However, in Uttar Pradesh, north India, small-scale ethnographic studies as well as a large-scale retrospective survey have established that unmonitored intramuscular oxytocin injections ...
Saleem S - - 2007
OBJECTIVE: To assess tolerance and safety of 0.6% chlorhexidine vaginal and neonatal wipes to improve perinatal outcomes in home deliveries in Pakistan and the ability of traditional birth attendants and project staff to perform a randomized trial of this intervention. METHODS: Focus groups of pregnant and nonpregnant women and in-depth ...
Liston F A - - 2008
OBJECTIVE: To estimate the impact of caesarean delivery on the incidence of selected neonatal outcomes. Patients and methods: A 15-year, population-based, cohort study (1988-2002) using the Nova Scotia Atlee Perinatal Database compared neonatal outcomes in term newborns born by spontaneous and assisted vaginal delivery, with newborns born by caesarean delivery, ...
Vranjes Maja - - 2008
AIM: To compare the influence of different modes of vaginal delivery in breech presentation on perinatal outcome. MATERIALS AND METHODS: During the period 2000-2005, perinatal outcome of newborns was compared in 144 vaginal breech deliveries divided into 5 groups depending on the mode of delivery used (Bracht, Thiessen, Muller, Mauriceau-Levret-Veit-Smellie ...
Chigbu C O - - 2007
OBJECTIVE: To investigate the prevalence, aetiology and outcomes of caesarean section refusal in pregnant women. DESIGN: A prospective controlled study. SETTING: University of Nigeria Teaching Hospital and Aghaeze Hospital, Enugu, Nigeria. POPULATION: A total of 62 Nigerian women who declined elective caesarean section. METHOD: Interviewer-administered questionnaires at the time of ...
Beckmann Michael - - 2007
BACKGROUND: A failed induction usually refers to failure to progress to the active phase of labour; however, there is no consensus regarding when an induction has failed. Aims: To investigate the factors (particularly length of latent phase) that may influence mode of birth for women undergoing Syntocinon induction of labour. ...
Todman Donald - - 2007
Caesarean section has been recorded in history since ancient times in both Western and non-Western literature. Although the first use of the term in obstetrics was from the seventeenth century, its early history is obscured by mythology. The origin of the term caesarean is believed to be from the birth ...
Sufang Guo - - 2007
OBJECTIVE: To quantify the influence of increasing use of health-care services on rising rates of caesarean section in China. METHODS: We used data from a population-based survey conducted by the United Nations Population Fund during September 2003 in 30 selected counties in three regions of China. The study sample (derived ...
Mutihir J T - - 2007
There were 297 unbooked patients constituting 2% of all deliveries in the Jos Teaching Hospital. Mean age and parity were 26.7 +/- 6.8 years and 3.7 +/- 3.0, respectively. Non-literate women accounted for 36.9%, secondary education 26.2% and tertiary education 3.8%. Housewives constituted 81.2% of the mothers. The majority (93%) ...
Moradi-Lakeh Maziar - - 2007
To determine the equality in safe delivery indices, i.e., appropriate place of delivery, type of delivery and skilled attendant for delivery, and their determinants in Iran. This study was performed using the data of Iran demographic and health survey, performed in 2000. Our sample was nationally representative and included 17,991 ...
Greco Anita - - 2007
OBJECTIVE: To investigate how the mode of delivery affects the level oxidative stress in newborns. DESIGN AND METHODS: 15-F(2t)-isoprostane, as index of oxidative stress, was measured in umbilical cord plasma samples from 37 infants born after vaginal delivery or caesarian section, using specific immuno-affinity extraction and immunoassay. RESULTS: 15-F(2t)-isoprostane levels ...
Biswas Arati - - 2007
To compare active management of third stage of labour with 15-methyl prostaglandin F2alpha (PGF2alpha) and conventional management with methylergometrine as prophylaxis for postpartum hemorrhage, a randomised comparative study was carried out at Calcutta National Medical College and Hospital, Kolkata on 100 women. They were randomly allotted to one of the ...
Tshorny M - - 2007
OBJECTIVE: Fetuses found to be in the breech presentation have limited motion of their lower limbs. The aim of this study was to test the hypothesis that bone speed of sound (SOS) would be lower in infants born after breech presentation than in those born after vertex presentation. STUDY DESIGN: ...
Haque Khalid N - - 2008
OBJECTIVE: To determine whether delivery by caesarean is associated with a better neuro-developmental outcome at two years for preterm infants born weighing 1,250 g or less. SETTING: District General Hospital, United Kingdom. DESIGN: All inborn infants weighing <1,250 g born at St Helier University Hospital between January 1995 and December ...
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