Search Results
Results 651 - 700 of 1531
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Kalish Robin B - - 2004
OBJECTIVE: The purpose of the study was to investigate the incidence of intrapartum patient choice cesarean delivery-patients' requesting cesarean delivery and physicians' offering it during labor-and factors possibly influencing these requests and offers. METHODS: For a 6-month period from May 1, 2002, to October 31, 2002, obstetricians were asked to ...
Hoffman Matthew K - - 2004
The purpose of this study was to examine factors that were associated with uterine rupture in patients attempting vaginal birth after cesarean delivery. We analyzed the results of all patients attempting vaginal birth after cesarean delivery between September 1996 to December 1999 at a single institution using a contemporaneously maintained ...
Oyelese Yinka - - 2004
OBJECTIVE: To evaluate outcomes and predictors of neonatal survival in pregnancies complicated by vasa previa and to compare outcomes in prenatally diagnosed cases of vasa previa with those not diagnosed prenatally. METHODS: We performed a multicenter study of 155 pregnancies complicated by vasa previa. Cases were obtained from the Vasa ...
Aina-Mumuney Abimbola J - - 2004
OBJECTIVE: The purpose of this study was to determine whether dilation of the fetal stomach is associated with increased perinatal complications in infants with prenatally diagnosed gastroschisis. STUDY DESIGN: From 34 newborn infants with gastroschisis who were delivered at our institution over a 10-year period, 2 groups were analyzed on ...
Zanardo Vincenzo - - 2004
The aim of this case-control study was to determine whether unplanned resuscitation using a laryngeal mask airway (LMA) is suitable for neonates delivered by elective cesarean section, a procedure known to carry a risk of inadequate physiological response to birth with a consequent adverse respiratory outcome. During a 3-year period, ...
Sandmire H F - - 2004
OBJECTIVE: The objective of this paper is to outline in a stepwise fashion a life-saving management sequence for catastrophic shoulder dystocia. METHOD: Five cases of catastrophic shoulder dystocia are analyzed to determine optimal management when confronted with this terrifying obstetric complication. RESULT: The management of these five cases reveals the ...
Forna Fatu - - 2004
OBJECTIVES: The purpose of this study was to evaluate the incidence, risk factors, indications, outcomes, and complications of emergency hysterectomy performed after cesarean deliveries (cesarean hysterectomy) and vaginal deliveries (postpartum hysterectomy). STUDY DESIGN: We conducted a retrospective cohort study from 1990 to 2002 of patients who had peripartum hysterectomies at ...
Puligandla Pramod S - - 2004
BACKGROUND/PURPOSE: The optimal mode of delivery for infants with gastroschisis is controversial. The authors compared the outcomes of infants with gastroschisis born vaginally (VD) or by cesarean section (CS). METHODS: A retrospective analysis of infants with gastroschisis born between 1990 and 2000 was performed. Assessment included patient demographics, respiratory distress, ...
Lurie Samuel - - 2004
OBJECTIVE: The aim of this study was to assess the decision to delivery interval (DDI) in our obstetric unit in comparison to current recommendations. STUDY DESIGN: A retrospective analysis of all non-elective cesarean sections during a 10 months period in a delivery ward of a university tertiary health care facility ...
Al-Ojaimi Eftekhar H - - 2004
A 37-year-old Pakistani lady, who had previously undergone one cesarean delivery and one uterine curettage, was admitted to the labor ward at 29 weeks of gestation with history of a sudden severe painless vaginal bleeding from a sonographically diagnosed placenta previa. An immediate cesarean section was performed and a live ...
Loebel G - - 2004
OBJECTIVE: To compare maternal and fetal outcomes after elective repeat Cesarean section versus a trial of labor in women after one prior uterine scar. STUDY DESIGN: All women with a previous single low transverse Cesarean section delivered at term with no contraindications to vaginal delivery were retrospectively identified in our ...
Bricca Gregory M - - 2004
BACKGROUND: There is significant debate over the use of frozen section processing in Mohs micrographic surgery (MMS) for melanoma. Opponents argue that individual melanocytes are too subtle to view consistently on frozen sections. On the other hand, proponents state that (1) melanocytes are visible on well-prepared frozen sections and (2) ...
Guise Jeanne-Marie - - 2004
OBJECTIVE: To evaluate the benefits and harms of vaginal birth after cesarean compared with repeat cesarean delivery. DATA SOURCES: The computerized databases MEDLINE, EMBASE, HealthSTAR, Cochrane CENTRAL, and National Centre for Reviews and Dissemination Database of Abstracts of Reviews of Effectiveness, along with reference lists and national experts, were used ...
Avery Melissa D - - 2004
A recent trend discouraging or not offering women a choice to labor after a cesarean birth has resulted in higher cesarean birth rates and lower rates of vaginal birth after cesarean birth (VBAC). The few studies describing midwifery practice have demonstrated favorable outcomes; however, the studies are too small to ...
Linton Andrea - - 2004
BACKGROUND: National rates of cesarean birth continue a three decade-long escalation, despite widespread recognition that a reduction in the use of the procedure is a continuing appropriate public health goal, as evidenced by the Healthy People 2010 reduction targets. Nonclinical factors associated with cesarean delivery include maternal age, race, socioeconomic ...
Nasrallah Fayez K - - 2004
The objective of this study was to evaluate the effect of the current guideline of 30-minute decision-to-incision interval (D-I) in emergent cesarean delivery (ECD) on neonatal and maternal outcomes. A retrospective chart review was conducted of pregnant women who underwent ECDs between January 1999 and December 2001. The overall median ...
Negele Kathrin - - 2004
It has been hypothesized that cesarean delivery might have an impact on the development of atopic diseases because of its gut flora modulating properties. In the present study, we analysed the association between cesarean delivery and atopic diseases using data of 2500 infants enrolled in the LISA-Study, a German prospective ...
Wen Shi Wu - - 2004
OBJECTIVE: To explore the reasons for the high rate of intrapartum fetal death observed in a remote and indigent population in China. STUDY DESIGN: We conducted an epidemiologic analysis of determinants of intrapartum fetal death in a sample of 20,891 births in 18 hospitals participating in the Qingyuan Perinatal Surveillance ...
Wu Hsi-Yang - - 2004
PURPOSE: A change in calcium handling has been proposed as the cause of decreased maximal force generation by neonatal bladders with growth. Recent studies suggest that increased myosin heavy chain isoform SM1 increases force generation. We studied force generation in neonatal mouse bladders to determine if decreases in SM1 corresponded ...
Brantberg A - - 2004
OBJECTIVES: Infants with gastroschisis have a high survival rate. However, the rate (10-15%) of intrauterine fetal death (IUFD) is considerable, and the association with fetal distress is well known. The aim of this study was to describe the outcome of fetuses with a prenatal diagnosis of gastroschisis. The impact of ...
Cohain Judy Slome - - 2004
Socialized medicine provides free and easily accessible prenatal and intrapartum care in Israel. Mothers also receive the equivalent of dollars 100 to dollars 300 after delivering in hospital. The infant mortality rate is 5.5 per 1000 live births. Uncomplicated births (80%) are attended by midwives. Midwives routinely rupture membranes, attach ...
Kabir Azad A - - 2004
OBJECTIVE: The purpose of this study was to explore the temporal trends and factors that are associated with cesarean deliveries and potentially unnecessary cesarean deliveries. STUDY DESIGN: The Louisiana birth certificate database was evaluated to identify a total of 57 potential indications/risk factors and maternal demographic factors that are associated ...
Blickstein Isaac - - 2004
Cesarean section is commonly perceived as a simple and safe alternative to difficult vaginal birth. However, several trends in obstetrical practice may act in concert to cause impaction of the fetal head during the second stage of labor or, more commonly, following failed instrumental delivery. Subsequently, difficult and potentially traumatic ...
Koscica Karen L - - 2004
Our objective was to describe the change in the level of troponin I in patients who undergo a vaginal or cesarean delivery. We obtained troponin I levels on admission and 1 hour after delivery in women undergoing vaginal and cesarean deliveries. Exclusion criteria included <37 weeks' gestation, a history of ...
Chia Ee Ling - - 2004
We document the value of non-invasive fetal electrocardiography (fECG) in a case of fetal arrhythmia in which an unnecessary cesarean section was almost performed. The fetal heart rate (fHR) was 60-70 beats per minute (bpm) on the cardiotocography (CTG), with occasional, sudden fluctuations to 130 bpm. This was probably a ...
Kakaiya R - - 2004
A 24-year old female, gravida III, para III, delivered a full-term infant by cesarean section. A maternal blood sample at the time of admission showed antibody in her serum that had apparent anti-e specificity and that her RBCs were e+. Further studies determined that the antibody was anti-hrS. Cord RBCs ...
Tampakoudis P - - 2004
OBJECTIVE: To assess the overall cesarean section rates and indications in a Greek teaching hospital over a period of 24 years. METHOD: Data from 34,575 deliveries between 1977 and 2000 were reviewed. Analysis of cesarean section rates and indications followed. RESULTS: The overall cesarean section rate increased progressively from 13.8% ...
Hamilton Emily - - 2004
Dystocia, or slow labor, is the leading cause of first-time cesarean sections. Current diagnostic guidelines for dystocia are vague, and there is no clear postoperative confirmatory evidence to assess the correctness of this diagnosis. For several decades, various professional organizations have indicated that cesarean rates could be lowered safely and ...
Hanson A E - - 2004
This contribution examines the gynaecological sections in the fifth book of the Aphorismi, juxtaposing individual gnômai to similar information about women's diseases related elsewhere in the Corpus Hippocraticum. Although no startling contradictions exist between Aphorismi 5.28-63 and what is said in the major gynaecological treatises, the verbal similarities are not ...
Moore Mary Lou - - 2004
Issues surrounding cesarean birth are of interest to researchers from varied disciplines and nations. In this column, three studies that examine aspects of cesarean birth are reviewed. One study presented a review of 11 studies and found differences in the perceptions of white and minority mothers toward labor, vaginal birth, ...
Mendilcioglu Inanc - - 2003
AIM: To assess the effectiveness of post-partum placental biopsy and frozen section evaluation in diagnosing pregnancy disorders. STUDY DESIGN: Between January and July 1998, biopsies were carried out on 100 newly delivered placentas. Biopsies were carried out using a 14-gauge needle, and frozen section evaluations were reviewed. These were compared ...
Odibo Anthony O - - 2003
PURPOSE OF REVIEW: To review the current literature on vaginal birth after cesarean delivery efficacy and safety. RECENT FINDINGS: There are two major themes in current vaginal birth after cesarean delivery research. The first is continued work on the short-term safety, including maternal events such as uterine rupture and perinatal ...
Hoff Jana Midelfart - - 2003
OBJECTIVE: To investigate the effect of maternal myasthenia gravis (MG) on giving birth and on the newborn. METHODS: A retrospective cohort study for 1967 through 2000 was undertaken, using data from the Medical Birth Registry of Norway, based on the compulsory notification of all births. The target group consisted of ...
Myles Thomas D - - 2003
OBJECTIVE: To estimate whether variations in intrapartum management and complications exist with regard to the time of delivery within the academic year. METHODS: The delivery records of 7814 patients were separated by both term half year and quarter. Statistical comparisons were made using chi2 tests of association (P < .05) ...
Lal Mira - - 2003
PURPOSE OF REVIEW: Currently, prophylactic elective cesarean to prevent incontinence is being promoted without robust evidence supporting it, this has created confusion among health personnel [corrected]. Past research centered on defining the damaging effect of vaginal birth on continence whilst the limited research on elective cesarean considered it protective. Cesarean ...
Ofir Keren - - 2003
OBJECTIVES: This study aimed at determining risk factors and pregnancy outcome in women with uterine rupture. STUDY DESIGN: We conducted a population-based study, comparing all singleton deliveries with and without uterine rupture between 1988 and 1999. RESULTS: Uterus rupture occurred in 0.035% (n=42) of all deliveries included in the study ...
Mozurkewich Ellen - - 2003
OBJECTIVE: This study was undertaken to determine whether induction of labor with oral misoprostol will result in fewer cesarean deliveries than intravenous oxytocin in nulliparous women with premature rupture of membranes at term. STUDY DESIGN: Three hundred five women at 10 centers were randomly assigned to receive oral misoprostol, 100 ...
van den Bergh Janneke E - - 2003
BACKGROUND: To assess the influence of parity, mode of birth, place of birth, a history of birth by only cesarean section and birthweight on episiotomy rates. METHODS: Retrospective study of 3589 women giving birth vaginally from October 1997 to October 1998 in the Gutu district in Zimbabwe, to obtain the ...
Hans Christine P - - 2004
Diffuse large B-cell lymphoma (DLBCL) can be divided into prognostically important subgroups with germinal center B-cell-like (GCB), activated B-cell-like (ABC), and type 3 gene expression profiles using a cDNA microarray. Tissue microarray (TMA) blocks were created from 152 cases of DLBCL, 142 of which had been successfully evaluated by cDNA ...
Tongsong Theera - - 2003
OBJECTIVE: To study the success rate of vaginal birth after cesarean delivery (VBAC) in pregnant women with prior cesarean scar who delivered at Maharaj Nakorn Chiang Mai Hospital. STUDY DESIGN: Prospective descriptive study. SETTING: Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand. SUBJECT: One hundred and seventy-seven pregnant women with ...
Boucher Marc - - 2003
OBJECTIVE: This study was undertaken to assess the association between amniotic fluid index (AFI), success of external cephalic version (ECV), and obstetric outcome in patients undergoing ECV. STUDY DESIGN: A prospective observational study was performed that included all patients who had a trial of ECV from 1987 to 2000 in ...
Su Min - - 2003
BACKGROUND: In the Term Breech Trial, the risk of adverse perinatal outcome was lower with planned cesarean section versus planned vaginal birth. We undertook secondary analyses to determine factors associated with adverse perinatal outcome. STUDY DESIGN: By using multiple logistic regression analyses, we determined the effect of prelabor cesarean section, ...
Goldstick Orly - - 2003
BACKGROUND: Even operative deliveries defined as "urgent" show marked diurnal variation with a significant increase during regular working hours. OBJECTIVE: To investigate the diurnal variation of urgent operative deliveries and its potential implications on the outcome of newborns. METHODS: We conducted a retrospective study of all deliveries in a public ...
Edwards Rodney K - - 2003
OBJECTIVES: This study was undertaken to estimate the vaginal birth after cesarean (VBAC) success rate, compare rates of infections in women attempting VBAC and those undergoing planned repeat cesarean, and compare the cost of these two plans of care for obese women. STUDY DESIGN: We performed a historical cohort analysis ...
Yamazaki Hajime - - 2003
BACKGROUND: Although elective cesarean sections are often performed after the 37th week of gestation without any complicating factor that may influence the timing of delivery,there is a possibility that infants born in the 37th week of gestation,especially early in the 37th week of gestation, do not obtain a satisfactory clinical ...
Hutton Eileen K - - 2003
OBJECTIVE: In about 3% to 4% of all pregnancies at term, the fetal presentation will be noncephalic. External cephalic version (ECV) at term has been shown to decrease the rate of noncephalic presentation at birth and to decrease the rate of cesarean section associated with breech presentation. However, success rates ...
O'brien-Abel Nancy - - 2003
For the woman with a prior uterine scar, neither repeat elective cesarean birth nor vaginal birth after cesarean birth (VBAC) trial of labor (TOL) is risk-free. When VBAC-TOL is successful, it is associated with less morbidity than repeat cesarean birth. However, when VBAC-TOL fails due to uterine rupture, severe consequences ...
Alexander April - - 2003
PURPOSE: Although metastases to the fetus via the placenta are rare, melanoma is the most common culprit. When it occurs, maternally derived melanoma metastasis in the infant is almost invariably fatal. PATIENTS AND METHODS: This article reviews current guidelines for placental evaluation in pregnant women with metastatic melanoma and presents ...
Fisler Rita E - - 2003
BACKGROUND: Trial of labor after cesarean section has been an important strategy for lowering the rate of cesarean delivery in the United States, but concerns regarding its safety remain. The purpose of this study was to evaluate the outcome of newborns delivered by elective repeat cesarean section compared to delivery ...
Li Tong - - 2003
OBJECTIVE: To compare perinatal outcomes in obstetric practices with high and low cesarean delivery rates. METHODS: We conducted a population-based study based on 171295 singleton births in New Jersey in 1996 and 1997. Vital certificate data for each birth were linked to the corresponding hospital discharge records. Nonsubspecialist obstetricians were ...
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