Search Results
Results 351 - 400 of 1009
< 3 4 5 6 7 8 9 10 11 12 13 >
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 ...
Baskett T F - - 2003
A population-based review (1988-2000) of 142,634 deliveries found an incidence of emergency obstetric hysterectomy of 0.53 per 1000 deliveries. The relative risk for caesarean versus vaginal delivery was 18.32 (10.26, 32.71) P<0.001. Previous caesarean delivery occurred in 47.4% and 22.4% were primiparous. Causes and morbidity were ascertained in a hospital-based ...
Rietberg Christine C Th - - 2003
OBJECTIVE: To analyse neonatal mortality and morbidity in term infants born in breech presentation in relation to the mode of delivery (planned caesarean section, emergency caesarean section or vaginal delivery) and to compare these findings with those of the Term Breech Trial Collaborative Group [Hannah et al. Lancet 2000; October]. ...
Dodd Jodie - - 2003
AIMS: Women with a single prior Caesarean section (CS) in a subsequent pregnancy will be offered either a planned elective repeat CS or vaginal birth after Caesarean (VBAC). Recent reports of VBAC have highlighted risks of increased morbidity, including uterine rupture, and adverse infant outcome. A survey of practice was ...
Macfarlane P I - - 2003
OBJECTIVE: To describe the outcome of labour, signs of life at birth, and duration of survival after delivery at 20-23 weeks gestation. DESIGN: An observational study using data from the Confidential Enquiry into Stillbirths and Deaths in Infancy 1995-2000. SETTING: All deliveries to mothers resident in Trent Health Region. PATIENTS: ...
Macleod C - - 2003
In the United Kingdom and Republic of Ireland 10% of all deliveries are vacuum assisted. The vacuum is preferred over forceps because it is easier to perform and associated with less maternal morbidity. It is, however, also associated with subaponeurotic haemorrhage that has an incidence of 6.4 per 1000 vacuum ...
Pattinson R C - - 2003
OBJECTIVE: To compare labour outcomes using aggressive or expectant management protocols. DESIGN: Randomised trial. SETTING: Pretoria Academic Complex, South Africa. It serves an indigent urban population. POPULATION: Healthy nulliparous women in active labour, at term, with a health singleton pregnancy and cephalic presentation. METHODS: The women were randomised to either ...
Matonhodze Baron B BB Department of Obstetrics and Gynaecology, Coronation Hospital, University of the Witwatersrand, - - 2003
To compare three methods of labour induction. Randomised controlled trial. Academic hospitals in Johannesburg, South Africa. Women with intact membranes due for induction of labour. Randomised, sealed opaque envelopes were used to allocate women to labour induction with extra-amniotic Foley catheter/titrated oral misoprostol solution (N = 174), titrated oral misoprostol ...
Sadan Oscar - - 2003
OBJECTIVES: To determine whether there is a difference in maternal and neonatal outcomes if a sequential operative vaginal or cesarean delivery follows failed vacuum delivery. STUDY DESIGN: A cross sectional study. We have analyzed maternal and neonatal outcomes of 215 vacuum extractions (group 1), 106 forceps assisted deliveries (group 2), ...
Singh S J - - 2003
This retrospective study elicits information regarding the dependence of neonatal outcome in gastroschisis upon: (1) the mode of delivery, (2) place of birth, (3) time for birth to surgery, (4) method of closure, (5) time from operation to commencement of first enteral feeds. The neonatal intensive care database from five ...
Patel H - - 2003
OBJECTIVES: To determine antenatal factors associated with the need for ventilatory support in babies born between 30 and 36 weeks gestational age and use this information to help referring obstetricians decide which mothers need antenatal transfer. METHODS: Babies born at Royal Prince Alfred Hospital at 30-36 weeks' gestation inclusive between ...
Brill Yoav - - 2003
OBJECTIVE: To determine antenatal factors that may predict successful vaginal birth after Caesarean (VBAC). DATA SOURCES: The MEDLINE database was searched for all English-language articles describing the impact of various factors on outcomes when VBAC is attempted. Articles reviewed included published abstracts, retrospective and prospective studies, and meta-analyses. CRITERIA FOR ...
Bodner-Adler Barbara - - 2003
OBJECTIVE: To examine the association of the frequency and severity of perineal trauma with episiotomy performed at forceps delivery. STUDY DESIGN: This retrospective study analyzed all forceps deliveries at the Semmelweis Women's Hospital Vienna between February 1999 and July 1999. Evaluation of a possible association of episiotomy with the frequency ...
Lumley Judith - - 2003
The principal issue concerning the mode of delivery is that while elective caesarean births may reduce the chances of fetal or neonatal death, this method of delivery might also increase maternal morbidity. Six trials with a total of 122 women investigated the effects of a policy of elective caesarean delivery ...
Leung W C - - 2003
OBJECTIVE: The study was originally designed to identify the risk factors that could predict those difficult instrumental deliveries resulting in birth trauma and birth asphyxia. DESIGN: A prospective study on all singleton deliveries in cephalic presentation with an attempt of instrumental delivery over a 12-month period (13 March 2000 to ...
Nassar Anwar H - - 2003
OBJECTIVE: To determine perinatal complications in infants >or = 4500 g according to delivery mode. STUDY DESIGN: Records of 231 mothers and live cephalic infants weighing >or = 4500 g over a 13-year period were retrospectively reviewed. Maternal and perinatal complications were compared in relation to delivery mode. RESULTS: Vaginal ...
King H - - 2003
A patient underwent an emergency Caesarean section under general anaesthesia for an antepartum haemorrhage. Following delivery of a live infant, cyclizine was administered in accordance with departmental anti-emetic protocol. On awakening she was confused, slow to articulate and had slurred speech. A computed tomography (CT) scan, which was performed to ...
Tunde-Byass Modupe O - - 2003
Three percent to 4% of term fetuses will be breech at delivery. Evidence from randomized controlled trials has found a policy of planned cesarean section to be significantly better for the singleton fetus in breech presentation at term compared to a policy of planned vaginal birth. However, some women may ...
Park Joong Shin - - 2003
Forceps delivery remains an important part of the obstetric armamentarium. When applied by practitioners skilled in their use, forceps delivery can quickly and safely deliver a fetus at risk. Unfortunately, forceps can also be an instrument of harm for the women or her infant. This is particularly true of rotational ...
Papp Zoltán - - 2003
Breech presentation is the most common malpresentation, with about 3-4% of singleton fetuses presenting breech at delivery. Management of breech presentation has been a contentious issue with a lowering threshold for cesarean section in recent years. Perinatal mortality and morbidity are estimated to be three times that of comparable infants ...
Connolly Geraldine - - 2003
Cephalopelvic disproportion (CPD) is a recognised obstetric problem with potential risk to both mother and infant. Identification of those mothers at risk of CPD is difficult and has concentrated in the past on such measurements as maternal shoe size and height. Our objective in this study was to examine new ...
Sobande A A - - 2003
A retrospective study that was conducted on 755 singleton breech deliveries over a 7-year period between January 1994 and December 2000 at a referral hospital in Saudi Arabia showed that it represented 3.35% of all deliveries. There was a statistically significant trend in caesarean section (P = 0.001) accompanied by ...
Aimakhu C O - - 2003
Anaemia is the most common medical disorder in pregnancy and a direct or indirect cause of maternal and perinatal mortality; therefore antenatal care should be concerned with early detection and management. The incidence of anaemia in 735 normal singleton pregnant patients at booking in the University College Hospital, UCH, Ibadan, ...
Hofmeyr G J - - 2003
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. To assess the effects of planned caesarean section for singleton breech presentation at term on measures of pregnancy outcome. ...
< 3 4 5 6 7 8 9 10 11 12 13 >