Search Results
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Conway D L - - 2002
The macrosomic fetus of a diabetic woman faces increased risk for injury at the time of vaginal birth. Cesarean section offers the promise of avoiding trauma to the fetus, but can result in increased morbidity in the mother as compared to vaginal delivery. In this article, the advantages and disadvantages ...
Giles-Corti Billie - - 2002
BACKGROUND: Spatial access to recreational facilities and perceptions of the neighborhood environment and physical activity levels were examined by the socioeconomic status of area of residence (SES). METHODS: A cross-sectional survey of adults (18-59 years) (n = 1,803) stratified by SES using a geographic-based index was conducted. RESULTS: Respondents in ...
Flamm Bruce L - - 2002
PURPOSE OF REVIEW: This brief review will focus exclusively on very recent developments and controversial aspects of vaginal birth after cesarean. Only papers published in 2001 or 2002 are included. RECENT FINDINGS: Recent studies have addressed the intrapartum management of vaginal birth after cesarean patients and the safety of trial ...
Geissbuehler V - - 2002
In today's modern obstetrics, perinatal morbidity and mortality of mother and neonate have become extremely rare. Despite these advances, are pregnant women still afraid of childbearing and, if so, what--and how intense--are their fears? Are these fears influenced by previous birthing experiences and by birth preparation classes? Data from more ...
Chen Chung-Hey - - 2002
The purpose of this study was to examine differences in psychosocial outcomes between primiparas experiencing vaginal deliveries and primiparas experiencing cesarean deliveries. One hundred and ninety-four vaginal delivery primiparas and 81 cesarean delivery primiparas from the Kaohsiung city area in Taiwan were recruited at 6 weeks postpartum to participate in ...
- - 2002
In 2000, of all births in the United States, 23% were cesarean, approximately 37% of which were repeat cesarean births (i.e., births to women who had a previous cesarean birth). Approximately 60% of cesarean births might be by elective repeat cesarean delivery (ERCD). Because cesarean birth is associated with higher ...
Trujillo-Hernández B - - 2002
The aim of this study was to determine the frequency of, indications for and clinical epidemiological characteristics in patients having their first cesarean section (FCS) and then to compare the data with that found in patients with repeated cesarean section (RCS). PATIENTS AND METHODS: A cross-sectional study was carried out. ...
Kambo I - - 2002
OBJECTIVES: To obtain an estimate of cesarean section rates and examine the indications and consequences at teaching hospitals in India. METHODS: Information was obtained on total number of normal and cesarean deliveries during 1993-1994 and 1998-1999 from 30 medical colleges/teaching hospitals. In addition, prospective data were recorded for a period ...
Patterson Leslie S - - 2002
OBJECTIVE: To estimate the maternal and perinatal morbidity associated with cesarean delivery involving the upper uterine segment compared with that of low transverse cesarean delivery. METHODS: A 19-year review of a perinatal database and the relevant charts was used to determine the maternal and perinatal morbidity associated with low transverse ...
Kieser Katharina E - - 2002
OBJECTIVE: To review the incidence, associated factors, methods of diagnosis, and maternal and perinatal morbidity and mortality associated with uterine rupture in one Canadian province. METHODS: Using a perinatal database, all cases of uterine rupture in the province of Nova Scotia for the 10-year period 1988-1997 were identified and the ...
Redman Mark E - - 2002
OBJECTIVE: The purpose of this study was to assess whether the treatment of deliveries at the traditional threshold of viability has become more interventional since the publication of higher survival rates. STUDY DESIGN: State vital statistic data from 1995 to 2000 were reviewed to identify deliveries at 22 to 25 ...
Mizunoya Fujio - - 2002
OBJECTIVE: To raise the success rate of vaginal birth after cesarean (VBAC) without increasing maternal or perinatal morbidity and mortality rates. METHODS: Of 468 women with a prior scar, 365 gave valid informed consent for our management of VBAC at Akashi Municipal Hospital during 1986-1999. Trials of labor (TOL) were ...
Gregory Kimberly D - - 2002
To develop a methodology to identify indications and normative rates for elective primary cesarean delivery using administrative data. All delivery discharges in 1995, as reported to the California Office of Statewide Health Planning and Development (secondary data). Retrospective population based study. Data were entered into a recursive partitioning algorithm to ...
Toppenberg Kevin S - - 2002
Vaginal birth after cesarean section is common in this country. Physicians providing obstetric care should be aware of the potential complications. Uterine rupture occurs in approximately one of every 67 to 500 women (with one prior low-transverse incision) undergoing a trial of labor for vaginal birth after cesarean section. Rupture ...
Kotagal Uma R - - 2002
OBJECTIVES: To examine the impact of state legislation mandating minimum maternal and newborn length of stay (LOS). Study design: By using Medicaid claims data linked to vital statistics files, LOS, and "short stay" (</=1 day after vaginal delivery, </=2 days after cesarean delivery) were determined for 151,464 term newborns born ...
Skari Hans - - 2002
BACKGROUND/PURPOSE: There is a lack of large contemporary studies on the management of congenital diaphragmatic hernia (CDH), and the prediction of mortality remains difficult. The aim of this study was to investigate the influence of perinatal factors on mortality rate in a contemporary multicenter study. METHODS: The authors conducted a ...
Segar Jeffrey L - - 2002
Birth is characterized by a surge in sympathetic outflow, heart rate (HR), mean arterial blood pressure (MABP) and circulating catecholamines. The paraventricular nucleus (PVN) of the hypothalamus is an important central regulatory site of sympathetic activity, but its role in the regulation of sympathoexcitation at birth is unknown. To test ...
Yaguramaki Naoko - - 2002
We examined gait development in a longitudinal and cross-sectional study in 35 infants, age range 7-70 months. We estimated walking stability from mediolateral motion of body segments and mobility from the angular displacement of joints. Motion at the shoulder, hip, knee and ankle decreased significantly over several months after the ...
Glantz Chris - - 2002
OBJECTIVE: To determine the sensitivity and specificity of sonography for detection of placental abruption and whether sonographic results correlate with management or outcome. METHODS: We identified 149 consecutive patients who underwent sonography at 24 weeks' gestational age or later for ruling out abruption or vaginal bleeding. Obstetric and neonatal data ...
Young Thomas K - - 2002
OBJECTIVE: The purpose of this study was to examine body mass index and pregnancy weight gain as risk factors for primary cesarean delivery in nulliparous women in a middle-class private practice. STUDY DESIGN: Primiparous women who delivered in a private practice setting between February 1993 and July 13, 2001, were ...
Hefni Mohamed - - 2002
Sacrospinous cervico-colpopexy was performed for marked uterine prolapse in a young woman desirous of childbearing. Follow-up at 2 years following elective cesarean delivery revealed a well-supported cervix and vaginal vault at the level of the ischial spine. Although this represents an appropriate management, more information is still needed before the ...
Lin Sheng-Shing - - 2002
The survival rates and the influential perinatal factors of extremely low birth weight (ELBW) infants were compared between two periods, including January 1997 through May 1998 (Period 1, n = 84) and June 1998 through December 2000 (Period 2, n = 145). The survival rate was 48.8% (41/84) during Period ...
Boksa Patricia - - 2002
There is an epidemiological association between increased obstetric complications and disorders involving CNS dopamine dysregulation, such as schizophrenia. In light of this, a rat model of global hypoxia during Caesarean section (C-section) birth has been used to directly test if birth complications can produce long-term dopaminergic dysregulation. Previous studies have ...
Kastner Elana S - - 2002
OBJECTIVES: To estimate the incidence, indications, risk factors, and complications associated with emergency peripartum hysterectomy at a community-based academic medical center. METHODS: We analyzed retrospectively 47 of 48 cases of emergency peripartum hysterectomy performed at Winthrop-University Hospital from 1991 to 1997. Emergency peripartum hysterectomy was defined as one performed for ...
Richmond Jane R - - 2002
OBJECTIVE: To describe an alternative method of vaginal birth to the conventional assisted delivery for extremely preterm breech infants within intact amnions, and to compare the immediate neonatal outcomes with those delivered by cesarean. METHODS: Retrospective review of singleton breech deliveries under 26 weeks' gestation after spontaneous labor with intact ...
Alexander Jo - - 2002
to evaluate the Midwifery Ventouse Practitioners' (MVPs) Course and the MVPs' perception of its effect on their practice. qualitative and quantitative. 18 midwives who had completed the MVP course at Bournemouth University 1998-2000. focus group (n=8) and postal questionnaire (n=18). important issues were identified by the focus group and informed ...
Coppage Kristin H - - 2002
OBJECTIVE: This study was designed to determine whether immediate cesarean delivery for patients with severe preeclampsia confers any benefit to the mother or neonate. STUDY DESIGN: This retrospective chart review included all deliveries complicated by severe preeclampsia between July 1, 1999, and June 30, 2000. Cesarean deliveries performed for malpresentation, ...
Peaceman Alan M - - 2002
Risk-adjustment of cesarean birthrates has been hampered by inadequacies in the existing secondary data sources or by the need for extensive chart review. This study presents an efficient risk-adjustment model for cesarean birth, based on easily retrievable ICD-9 codes and clinical risk factors least influenced by physician practice style. Data ...
Wyszynski Diego F - - 2002
OBJECTIVE: To describe medical service utilization and maternal morbid conditions of women who carry offspring with oral clefts (OCs), to describe maternal and offspring complications during birth, and to evaluate postnatal characteristics of their newborns with isolated OCs. METHODS: Two thousand four hundred thirty-seven patients with isolated OCs and 4871 ...
DiMaio Heather - - 2002
OBJECTIVE: The purpose of this study was to evaluate the relative cost-effectiveness of attempted vaginal birth after cesarean delivery compared with elective repeat cesarean delivery. STUDY DESIGN: We performed an historic cohort analysis of women with a single prior cesarean delivery who were delivered at our institution during 1999. Inclusion ...
Abu-Heija AdelK T - - 2003
OBJECTIVE: To study maternal and neonatal outcome of triplets, quadruplets and quintuplets gestations. METHOD: This retrospective review of 21 triplet, 3 quadruplet and 3 quintuplet deliveries between 1(st) January 1990 and 31(st) of August 2001. RESULTS: Preterm labor was the most common maternal complication (96%). The 27 high order gestation ...
Hannah Mary E - - 2002
CONTEXT: The Term Breech Trial found a significant reduction in adverse perinatal outcomes without an increased risk of immediate maternal morbidity with planned cesarean delivery compared with planned vaginal birth. No randomized controlled trial of planned cesarean delivery has measured benefits and risks of postpartum outcomes months after the birth. ...
Gonzalez Fernando - - 2002
The authors analyzed mode of delivery and resuscitation rates in a group of 1410 newborns. Comparisons were made between vaginal and cesarean deliveries, and these were further stratified with regard to whether cesarean section was performed as a routine elective procedure or whether an indication existed that necessitated operative delivery ...
Haas D M - - 2002
OBJECTIVE: To determine the infant laceration injury rate during Cesarean sections at Naval Medical Center, San Diego and to describe risk factors associated with this complication. METHODS: Retrospective chart review of all infants born between 1 January 1996 and 31 December, 1999 identified by computer coding as having sustained a ...
Oppenheimer Lawrence W - - 2002
OBJECTIVE: To determine whether analysis of the frequency or regularity of uterine contractions can distinguish between women delivering vaginally and women requiring Cesarean section for dystocia. STUDY DESIGN: This was a case-control study. Cases meeting the following criteria were identified: nulliparous women in spontaneous labor, singleton pregnancy, cephalic presentation, 37 ...
Walker Ruth - - 2002
BACKGROUND: The steadily increasing global rates of cesarean section has become one of the most debated topics in maternity care. This paper reviews and reports on the success of strategies that have been developed in response to this continuing challenge. METHODS: A literature search identified studies conducted between 1985 and ...
Leeman Lawrence - - 2002
OBJECTIVES: We analyzed perinatal outcomes at a rural hospital without cesarean delivery capability. STUDY DESIGN: This was a historical cohort outcomes study. POPULATION: The study population included all pregnant women at 20 weeks or greater of gestational age (n = 1132) over a 5-year period in a predominantly Native American ...
Sparrow Rosemary L - - 2002
BACKGROUND: The aim of this study was to determine the influence of mode of birth and umbilical cord blood (CB) collection before (in utero) or after delivery of the placenta (ex utero) on total number of WBCs and CD34+ cells in CB units. STUDY DESIGN AND METHODS: Consecutively donated, banked ...
Jaeggi Edgar T - - 2002
OBJECTIVES: We reviewed our institution's experience with isolated (congenital) third-degree atrioventricular block (CAVB) to identify pre- and post-natal predictors of mortality and the requirement for pacemakers in infancy and childhood. BACKGROUND: Because of the relative rarity of the disease, there is a paucity of data concerning the outcome of fetuses ...
Feldmann Robert - - 2002
Schönlein-Henoch purpura is a systemic vasculitis that affects vessels of a small caliber and rarely reported in the literature. We report on a 35-year-old woman who developed palpable purpura with necrotizing cutaneous lesions on the lower limbs at 27 weeks of gestation. She also complained of epigastric pain and arthralgias. ...
Pence S - - 2002
Umbilical arterial blood gas analysis is the most objective method to assess fetal well being at birth, is the gold standard assessment of uteroplacental function and fetal oxygenation/acid-base status at birth, and it excludes the diagnosis of birth asphyxia in approximately 80% of depressed newborns at term. This study was ...
McElrath Thomas F - - 2002
The objective of this study is to investigate the current understanding of neonatal survival and the willingness to provide aggressive obstetric intervention at the limit of fetal viability among practicing perinatologists in the United States. A pretested survey was mailed to members of the Society for Maternal Fetal Medicine. The ...
Chu R W P - - 2002
To determine the optimal method of suprapubic aspiration (SPA), the success rates of real-time ultrasound-guided SPA were compared with those of conventional SPA, and factors associated with success were studied. Thirty infants were randomly allocated to group A (for real-time ultrasound-guided SPA) and 30 infants to group B (for blind ...
Moore Mary Lou - - 2002
This column examines recent research that illustrates the varying perspectives of cesarean birth and vaginal birth.
Sule-Odu A O - - 2002
A cross-sectional study involving 564 parturients who delivered singleton babies and 214 matched non-pregnant controls was carried out to determine the prevalence and impact of asymptomatic maternal malaria parasitaemia at parturition on the perinatal outcome. One hundred and forty (24.8%) parturients and 50 (23.4%) non-pregnant women were found to have ...
Faridi Andree - - 2002
AIMS: Fear of damage to the pelvic floor from vaginal delivery and long-term sequelae (urinary and anal incontinence) sometimes being cited as an indication for cesarean section on request. The aim of the present study was to compare the effects of vaginal delivery versus elective cesarean section on anal sphincter ...
Goer H - - 2001
Prominent American and British obstetricians have been advocating for performing more Cesareans. They argue that Cesarean section is as safe or nearly as safe as vaginal birth, eliminates pelvic floor damage and the consequent symptoms caused by vaginal birth, is safer for the infant, and is desired by many women; ...
Winn H N - - 2001
OBJECTIVE: Our purpose was to assess the impact of the mode of delivery--vaginal delivery versus cesarean section--on the perinatal outcomes of the second-born breech twins. STUDY DESIGN: This study was a retrospective analysis of second-born breech twins with a gestational age of > or =24 weeks at the onset of ...
de Silva A A - - 2001
The purpose of this article was to evaluate socioeconomic and demographic indicators, reproductive health, use of prenatal, childbirth, and neonatal services, and anthropometric data for mothers and infants. The authors performed a cross-sectional analysis of a systematic sample of 2,831 hospital births in São Luís, Maranhão State, from March 1997 ...
Mulic-Lutvica A - - 2001
OBJECTIVE: To describe uterine and uterine cavity changes throughout the puerperium, as revealed by ultrasound. METHODS: This was a prospective, longitudinal study in which 42 women with uncomplicated vaginal term deliveries were examined serially by ultrasound on postpartum days 1, 3, 7, 14, 28 and 56. The first four examinations ...
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