Search Results
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Poggi Sarah H - - 2004
OBJECTIVE: Epidural anesthesia (EA) is used in 80% of vaginal deliveries and is linked to neonatal and maternal trauma. Our objectives were to determine (1) whether EA affected clinician-applied force on the fetus and (2) whether this force influenced perineal trauma. STUDY DESIGN: After informed consent, multiparas with term, cephalic, ...
Khawaja Marwan - - 2004
This paper examines the impact of near birth complications and socio-demographic, healthcare and spatial characteristics of caesarean section in Egypt, using data on 4032 births from the 2000 Egypt Demographic and Health Survey. The hospital caesarean section rate was 22% in Egypt. Fever/vaginal discharge around delivery, birth weight, mother's age ...
Bader D - - 2004
AIM: To compare the breathing patterns of infants born by elective caesarean section to those infants delivered by caesarean section after a failed trial of labour. METHODS: Healthy term infants born by caesarean section were studied. The study group (n = 13) had no trial of labour, whereas infants in ...
Boulet S L - - 2004
This review examines and summarises the literature regarding the mode of delivery of macrosomic infants and subsequent perinatal outcomes. A search of electronic databases was conducted and supplemented with investigation of the references cited in the original articles. Although the rates of obstetric complications differ among high birth weight infants ...
Gopalani Sameer - - 2004
OBJECTIVE: The purpose of this study was to determine what factors are independently associated with an increased likelihood of failed operative vaginal delivery. STUDY DESIGN: We conducted a population-based case-control study evaluating maternal, pregnancy, provider, care setting, and fetal factors associated with failed operative vaginal delivery. Subjects were identified using ...
Poggi Sarah H - - 2004
OBJECTIVE: In an effort to reduce shoulder dystocia incidence and morbidity, some obstetricians use prophylactic maternal hip hyperflexion (McRoberts maneuver), with the hope of facilitating delivery and decreasing the traction needed for delivery. The objective of this study was to evaluate whether the delivery force is reduced with the prophylactic ...
Mauck Christine K - - 2004
BACKGROUND: C31G is an antimicrobial and spermicidal agent that contains two surface-active compounds, cetyl betaine and myristamine oxide. It is being developed as a vaginal microbicide and contraceptive. METHOD: Three C31G concentrations (0.5%, 1.0% and 1.7%) were tested and compared with Extra Strength Gynol II(R), a marketed spermicide containing 3% ...
Sood Mini - - 2004
OBJECTIVE: There are conflicting reports regarding the results of amnioinfusion in the management of meconium passage in utero. This study was done to evaluate transcervical amnioinfusion for meconium stained amniotic fluid during labour. METHODS: 196 women at term in early labour with meconium were randomized to receive either transcervical intrapartum ...
Liu Shiliang - - 2004
OBJECTIVE: To examine recent trends in Caesarean delivery rates as well as the indications for Caesarean delivery in Canada, excluding the provinces of Manitoba and Quebec. METHODS: All deliveries (N = 1 807 388) recorded in the Canadian Institute for Health Information's Discharge Abstract Database for the years 1994/95 to ...
Kovacs Gabor T - - 2004
BACKGROUND: A German report suggested significantly better outcomes in terms of perineal care, second stage length and neonatal outcome for users of Epi-No. OBJECTIVE: To carry out a pilot study of the first use of the Epi-No birth training device in Australia for women having their first baby. STUDY POPULATION ...
Sunday-Adeoye I M - - 2004
One thousand and thirteen (1013) symphysiotomies were performed and 27,477 deliveries were conducted during the period. The symphysiotomy rate in the study period was 3.7%. Fifty-six percent (56%) of the patients who had symphysiotomy were aged 39 years and below, and the mean age was 27.94 +/- 7.16 years. Mothers ...
Orji E O - - 2004
BACKGROUND: Researchers have held varied opinions on the effect of prolonged birth spacing on maternal and perinatal outcome. OBJECTIVES: To determine the reasons for prolonged birth spacing and to compare the maternal and perinatal outcome compared to shorter normal birth spacing. DESIGN: Comparative case - controlled study between January 1st, ...
Smith Gordon C S - - 2004
To determine the factors associated with an increased risk of perinatal death related to uterine rupture during attempted vaginal birth after caesarean section. Population based retrospective cohort study. Data from the linked Scottish Morbidity Record and Stillbirth and Infant Death Survey of births in Scotland, 1985-98. All women with one ...
Demissie Kitaw - - 2004
To compare the risk of neonatal and infant adverse outcomes between vacuum and forceps assisted deliveries. Population based study. US linked natality and mortality birth cohort file and the New Jersey linked natality, mortality, and hospital discharge summary birth cohort file. Singleton live births in the United States (n = ...
Kok J - - 2004
INTRODUCTION: To study the use, safety and effectiveness of a novel antenatal vaginal birth training device (EPI-NO) in primiparous women. METHODS: Antenatal use of the EPI-NO vaginal birth trainer was prospectively studied in 31 primiparous booked patients who were delivered by obstetricians from July to December 2002 at the KK ...
Kumari A S - - 2004
OBJECTIVES: To compare maternal and neonatal outcomes of planned vaginal delivery vs. elective cesarean delivery for breech presentation at term. METHODS: Retrospective study of term breech deliveries from January 1997 through December 2000. A group of 128 women for whom vaginal delivery was planned was compared with a group of ...
Khanal Rita - - 2004
This is a retrospective study conducted in Department of Obstetrics and Gynaecology. The study includes all delivery in Nepal Medical College Teaching Hospital (NMCTH) from March 09, 1997 to April 13, 2002. The objective of this study is to find out the incidence, indications, complications and fetal outcome in all ...
Adefuye, Peter O; Department ...
A retrospective review of all cases of vacuum assisted vaginal deliveries at the Olabisi Onabanjo University Teaching Hospital, Sagamu, between January 1990 and December 2001 is presented. During the study period there were 4962 deliveries and assisted vaginal deliveries by vacuum was 223, giving an incidence of 4.53%. Primiparous patients ...
Hoffman Matthew K - - 2004
BACKGROUND: Interval delivery of the fetuses in multiple gestations has been shown to increase perinatal survival. CASE: A woman attempting interval delivery of triplets at 21 weeks developed chorioamnionitis, acute respiratory distress syndrome and tubular necrosis 7 days after delivery of the first fetus. CONCLUSION: When counseling women about the ...
Sharma Jai Bhagwan - - 2004
A 55-year-old lady, menopausal for 8 years, presented with vaginal swelling for the preceding 6 months and with post menopausal bleeding (two bouts). Examination revealed a vaginal mass of 7 x 5 cm which was ultrasonically diagnosed as vaginal fibroid. The vaginal mass was excised and confirmed to be a ...
Bassaw B - - 2004
The objective of this retrospective analysis of 344 singleton pregnancies of gestational ages greater than 24 weeks conducted at a tertiary hospital was to determine the fetal outcome in relation to the mode of delivery of the fetus with a breech presentation. Caesarean section was performed in 157 mothers, and ...
Eldridge Alexandra - - 2004
We set out to see how long it takes to achieve an operative vaginal delivery in normal practice. This was a prospective survey, conducted in a major and well-staffed British maternity unit over 1 month. Sixty-two assisted vaginal deliveries occurred in the month of the study. Thirteen data collection sheets ...
Ezechi O C - - 2004
We reviewed our experience with vaginal misoprostol induction of labour in 339 consecutive women with a live fetus and intact fetal membrane using 100 mcg 12-hourly until labour was established. The labours were monitored using the WHO partograph protocol. Two hundred and sixty-five women had a successful induction while 74 ...
Ibekwe P C - - 2004
BACKGROUND: Caesarean section rates have been on the increase for the past decades. Reasons for this increase and the danger it portends, especially in developing countries, are evaluated. METHOD: Literature on caesarean sections performed in various centres in Nigeria and Western countries were retrieved through manual library search. RESULTS: There ...
Miguil M - - 2004
A 19-year-old primiparous woman in labour presented with spontaneous pneumomediastinum, pneumothorax and surgical emphysema. The membranes were intact and the fetus had a breech presentation. There was little improvement in her symptoms and labour progressed slowly. A caesarean section was performed under intrathecal block resulting in the birth of a ...
Whitby E H - - 2004
BACKGROUND: Subdural haematomas are thought to be uncommon in babies born at term. This view is mainly based on findings in symptomatic neonates and babies in whom subdural haemorrhages are detected fortuitously. We aimed to establish the frequency of subdural haemorrhages in asymptomatic term neonates; to study the natural history ...
Sule S T - - 2004
AIM: The objectives of this study were to determine the sex ratio at birth in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria and its relationship with certain pathologies including breech presentation, twin delivery, major degree placenta praevia and abruptio placentae. METHODOLOGY: A retrospective analysis of records of all deliveries in ...
Alarab May - - 2004
OBJECTIVE: To examine the obstetric and perinatal outcome of pregnancies with singleton breech presentation at term when selection for vaginal delivery was based on clear prelabor and intrapartum criteria. METHODS: The outcomes of all pregnancies with a breech presentation after 37 weeks of gestation were retrospectively reviewed from January 1997 ...
Johnson Jennifer H - - 2004
OBJECTIVE: To estimate the differences in immediate maternal and neonatal effects of forceps and vacuum-assisted deliveries. METHODS: We conducted a medical record review of all forceps and vacuum-assisted deliveries that occurred from January 1, 1998, to August 30, 1999, at Winthrop-University Hospital. Maternal demographics and delivery characteristics were recorded. Maternal ...
Olayemi, O.; Department of ...
Objective: The aim of the study was to ascertain whether or not abdominal delivery is associated with less perinatal mortality and morbidity than vaginal delivery in singleton fetuses with breech presentation. Materials and Method: Data from patients with singleton breech fetuses in a teaching hospital in the south-western part of ...
Mears Katrina - - 2004
We set out to measure fetal cortisol in the human umbilical vein in relation to onset of labour, intrapartum complications and mode of delivery. Umbilical cord venous samples were obtained after delivery from 98 infants and serum total cortisol was measured. The onset of spontaneous labour, induction of labour, elective ...
Khawaja N P - - 2004
We conducted an analysis of caesarean sections (CS) in a tertiary care hospital in Pakistan to determine the rate of CS, indications and outcome. This information will be useful to formulate strategies to control the rate of CS and its associated complications in our hospital. This was a descriptive study ...
Ulander Veli-Matti - - 2004
BACKGROUND: The aim of this study was to compare the effect of fetal presentation and mode of delivery on infant outcome in a nation-wide study. METHODS: In a retrospective observational cohort study, we compared, with the help of Finnish Medical Birth Register and other nation-wide registers, the short-term and long-term ...
Singh T - - 2004
An audit of 197 patients with one previous caesarean section was undertaken over a 1-year period to determine the rates of vaginal delivery and main indications for repeat caesarean section. Trial of labour was attempted in 51.3% of women, of whom 65.3% had had a successful vaginal delivery. Vaginal birth ...
Nicoll A E - - 2004
Studies have suggested that a reduction in neonatal respiratory morbidity may be achieved by delaying elective caesarean section until 39 weeks gestation. In 1997 staff at the Glasgow Royal Maternity Hospital were concerned at the level of neonatal respiratory morbidity following elective caesarean section. AIMS: To determine the extent of ...
Vlková E - - 2004
Thirty-three fully breast-fed infants aged between 1 and 12 weeks were screened for bifidobacteria in feces. Bifidobacteria counts in most fecal samples determined both by TPY agar and FISH procedure ranged from 10(8) to 10(11) CFU/g. Three infants did not contain any bifidobacteria in their fecal samples. One child was ...
Livingston Jeffrey C - - 2004
OBJECTIVE: The purpose of this study is to estimate the maternal and fetal morbidities associated with asynchronous delivery. METHODS: A review of maternal and fetal medical records was performed at 2 tertiary care centers over 12 years. Charts were identified by the International Classification of Diseases, 9th Revision, Clinical Modification ...
Dodd J M JM Department of Obstetrics and Gynaecology, University of Adelaide, Women's and Children's Hospital, 72 King William Road, Adelaide, South Australia, Australia, 5006. - - 2004
When a woman has had a previous caesarean birth, there are two options for her care in a subsequent pregnancy: planned elective repeat caesarean or planned vaginal birth. While there are risks and benefits for both planned elective repeat caesarean birth and planned vaginal birth after caesarean, current sources of ...
Lei Huizhong - - 2003
OBJECTIVE: To assess determinants of a high Caesarean delivery rate in a remote population in China. METHODS: A prospective cohort study including 20,891 women who gave birth between January 1, 1997, and June 30, 1998, in one of the 18 hospitals participating in a hospital-based regional perinatal surveillance system in ...
Orji E O - - 2003
BACKGROUND: The optimum mode of breech delivery remains a matter of controversy among obstetricians worldwide. OBJECTIVE: To determine whether term breech babies born by planned vaginal delivery are at higher risk of neonatal mortality and morbidity than those born by planned caesarean delivery. DESIGN: A hospital based non-experimental comparison of ...
Nelson Marvin D MD - - 2003
BACKGROUND: This is a study of the size of the lateral ventricles in a population of normal-term newborns following vaginal delivery. OBJECTIVE: To assess the time course for the lateral ventricles to change from closed to open following vaginal delivery. MATERIALS AND METHODS: A total of 143 normal-term newborns had ...
Beydoun Hind - - 2003
A hospital-based case-control study was conducted to examine the relationship between hyaline membrane disease (HMD) and caesarean route of delivery, in light of sociodemographic, obstetric and perinatal confounders and risk modifying factors. The study population consisted of 78 HMD cases and a control group of 803 infants delivered at 25-36 ...
Choudhary Pushpa - - 2003
AIM AND OBJECTIVE: This study was done to see the incidence, epidemiology , clinical profile of eclamptic patients and the effect of current intervention strategy for Eclampsia on maternal and perinatal outcome. METHODOLOGY: Analysis of case records of all Eclampsia cases from mid-April,2000 to mid-April,2001. RESULTS: Incidence of Eclampsia has ...
Donner Henrike - - 2003
Hospital births were introduced to India during the colonial period but became a popular option during the 1960s. Today they have replaced "traditional" home birth among the urban middle classes, and a significant proportion of hospital births are elective Caesarean sections. In this article I examine this mode of birth ...
Fenton Paul M - - 2003
To examine potentially modifiable factors that may influence the high maternal and perinatal mortality associated with caesarean section in Malawi. A prospective observational study of 8070 caesarean sections performed between January 1998 and June 2000 and associated complications. 23 district and two central hospitals in Malawi. 45 anaesthetists from hospitals ...
Evans K C - - 2003
OBJECTIVE: To determine the effect of caesarean section on breast milk transfer (BMT) to the normal term infant over the first week of life. METHOD: A sample of 88 healthy nursing mothers who had a normal vaginal delivery, and 97 mothers who had a caesarean section were recruited from a ...
Shabbits Jennifer A - - 2003
BACKGROUND: The pro-apoptotic activity of ceramide lipids has made this an exciting new target for therapeutic manipulation. While approaches using exogenous application of short-chain ceramides and modulation of endogenous ceramide levels via manipulation of metabolic pathways have been explored, controlled delivery of natural ceramide has not been previously reported. In ...
Aimakhu C O - - 2003
The incidence of forceps delivery has reduced in Nigeria and in the world in general. Some Obstetricians have not been trained in its use and lack the skill. OBJECTIVE: To determine the outcome of forceps delivery at this centre. METHODOLOGY: A retrospective analysis of all forceps delivery done at this ...
Karaçam Zekiye - - 2003
BACKGROUND: Historically, episiotomy has been carried out during labour to facilitate delivery, shorten the duration of the second stage and prevent spontaneous lacerations. However, recent studies of episiotomy have recommended that it be carried out only when necessary. In Turkey, midwives are authorized to perform episiotomy. AIM: To analyse the ...
Hillemanns Peter - - 2003
PURPOSE: The purpose was to investigate the decision-to-delivery interval for emergency caesarean section and to compare the perioperative maternal and neonatal morbidity to that of intrapartum non-emergent caesarean section. MATERIALS AND METHODS: A cohort study was designed evaluating 109 women undergoing 'crash' emergency caesarean section and 109 controls from 1988 ...
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