Search Results
Results 301 - 350 of 1453
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Chalmers Beverley - - 2010
BACKGROUND: Many publications have examined the reasons behind the rising cesarean delivery rate around the world. Women's responses to the Maternity Experiences Survey of the Canadian Perinatal Surveillance System were examined to explore correlates of having a cesarean section on other experiences surrounding labor, birth, mother-infant contact, and breastfeeding. METHODS: ...
Menacker Fay - - 2010
Data from the Natality Data File, National Vital Statistics System. The cesarean rate rose by 53% from 1996 to 2007, reaching 32%, the highest rate ever reported in the United States. From 1996 to 2007, the cesarean rate increased for mothers in all age and racial and Hispanic origin groups. ...
Klaus Marshall - - 2010
Abstract In the 1990s a rising tide of medical, surgical, and instrumental interventions served to make childbirth almost treated like a disease. This report supports a different approach to childbirth. A case and discussions of induction are presented. A national survey of 1,573 pregnant women throughout the United States was ...
Chongsuvivatwong Virasakdi - - 2010
To compare the mortality, morbidity of emergency and elective cesarean section with vaginal delivery among Asian teaching hospitals. Hospital based prospective study at 12 centers of 9 countries. 12 591 vaginal deliveries, 3062 elective and 4328 emergency cesarean section were followed up to 5 days postpartum. Maternal deaths (95% CI) ...
Moczygemba Charmaine K - - 2010
OBJECTIVE: We sought to examine rates of birth trauma in 2 groupings (all International Classification of Diseases, Ninth Revision codes for birth trauma, and as defined by the Agency for Healthcare Research and Quality Patient Safety Indicator [PSI]) among infants born by vaginal and cesarean delivery. STUDY DESIGN: Data on ...
Fu Jung-Chung - - 2010
Cultural and ethnic roots impact women's fertility and delivery preferences This study investigated whether the likelihood of cesarean delivery, primary cesarean, and vaginal delivery after cesarean (VBAC) varies by maternal national origin. We conducted a nation-wide, population-based, observational study using secondary data from Taiwan. De-identified data were obtained on all ...
Chen Jian Sheng - - 2010
OBJECTIVE: The aim of this study was to demonstrate the feasibility of using linked health records to assess data quality in population health data. STUDY DESIGN AND SETTING: Reproductive histories of 155,897 women were constructed by longitudinal linkage of the New South Wales (Australia) birth records in 1998-2005, and 127,952 ...
Gajjar Ketan - - 2009
This case report illustrates the cosmetic outcome of a scalpel-related laceration injury sustained to a newborn infant that occurred during the course of an elective cesarean section for breech presentation. This buttock laceration was noted to be 2 cm in length at the time of birth. Twelve years later, the ...
Shah Archana - - 2009
OBJECTIVE: To assess the association between cesarean delivery rates and pregnancy outcomes in African health facilities. METHODS: Data were obtained from all births over 2-3 months in 131 facilities. Outcomes included maternal deaths, severe maternal morbidity, fresh stillbirths, and neonatal deaths and morbidity. RESULTS: Median cesarean delivery rate was 8.8% ...
Maayan-Metzger Ayala - - 2010
OBJECTIVE: To investigate the extent and risk factors for hypotension among women undergoing elective cesarean section, and whether maternal hypotension has any impact on perinatal infant outcome. STUDY DESIGN: Retrospective analysis of data on 919 mother-infant pairs after elective cesarean section that involved the use of regional anesthetic. Data collection ...
Nolan Anne - - 2009
OBJECTIVE: To pilot test a standardized intraoperative and postoperative nursing intervention protocol to minimize maternal-infant separation after Cesarean. DESIGN: Randomized-controlled trial. SETTING: A 250-bed acute care community hospital labor/delivery/recovery/postpartum unit with approximately 150 repeat Cesarean deliveries per year. PARTICIPANTS: Fifty women having a live, term, singleton, repeat Cesarean delivery and ...
Ruggiero Angela M - - 2009
Developmental studies of pre- to postnatal continuities in rhesus monkeys sometimes require infants be reared with their mothers. However, complications during pregnancy or experimental designs may require cesarean delivery. Owing to lack of published information on this subject, strategies are needed to introduce mothers to their infants following cesarean delivery. ...
Onankpa Ben - - 2009
OBJECTIVE: To evaluate fetal outcome for the various indications for cesarean section. METHODOLOGY: A review of all cases of cesarean section that were done in the maternity unit at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, between January 2006 and April 2007, with emphasis on indications and perinatal outcome. RESULTS: ...
Jain Neetu J - - 2009
OBJECTIVE: This study examined whether rates of selected neonatal complications vary by mode of delivery and whether these rates are changing as a result of the increasing cesarean delivery rate. METHOD: Birth certificates in New Jersey from 1997 to 2005 were matched to hospital discharge records for mothers and newborns. ...
Kamath Beena D - - 2009
To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC. We conducted a retrospective cohort study of 672 women with one prior ...
Rachatapantanakorn Orasa - - 2009
We investigated demographic determinants for cesarean delivery based on a database of 25,829 singleton births at Pattani Hospital from October 1, 1996 to September 30, 2005. This database includes demographic information about the mother and delivery type outcomes. Using logistic regression analysis to adjust each factor for possible confounding effects ...
Michaluk Cynthia Acuff - - 2009
The rate of cesarean deliveries by maternal request (CDMRs) is rising in the U.S. This article explains why women choose this type of delivery, notes the risks of CDMR for the infant, and suggests ways neonatal nurses can minimize the risks for well infants, as well as for those who ...
Tuuli Methodius G - - 2009
The increasing rates of repeat cesarean delivery necessitate, more than ever, the need to time deliveries to optimize neonatal outcomes. A recent large multicenter cohort study demonstrated that, contrary to current recommendations, a high proportion of elective cesarean deliveries in the USA are performed before 39 weeks' gestation. These early ...
Premkumar Muralidhar H - - 2009
Scrotoschisis is a rare congenital defect of the scrotal sac associated with extrusion of one or both testicles. Only 9 cases have been reported in the literature. The exact mechanism causing this rare congenital defect is unknown. We describe a case of unilateral scrotoschisis in a 35-week preterm infant delivered ...
Liu Aizhong - - 2009
OBJECTIVE: To assess the utilization of health care services by pregnant women affected by preeclampsia (PE). DESIGN: Population-based study. SETTING: Perinatal partnership hospitals in Ontario. POPULATION: Obstetric deliveries in 2005 Canadian province of Ontario (about 95% of births). METHODS: For each PE case, four subjects without PE matched by age, ...
Tita Alan T N - - 2009
Because of increased rates of respiratory complications, elective cesarean delivery is discouraged before 39 weeks of gestation unless there is evidence of fetal lung maturity. We assessed associations between elective cesarean delivery at term (37 weeks of gestation or longer) but before 39 weeks of gestation and neonatal outcomes. We ...
Mailàth-Pokorny Mariella - - 2009
OBJECTIVE: To investigate neonatal outcome after breech presentation in term pregnancies. STUDY DESIGN: Data from 1345 term breech deliveries over a 12-year study period were retrospectively reviewed. Neonatal morbidity and mortality were compared by route of delivery. RESULTS: We investigated 1345 term breech deliveries. A total of 1041 patients (77.4%) ...
Hemminki Elina - - 2009
OBJECTIVE. The purpose of this paper is to establish whether health professionals in Finland have cesarean sections more or less often than other women of a similar educational background. DESIGN. Register-based study (Finnish birth register). SETTING. Finland 1990-2006. POPULATION. Singleton births, for midwives (3,009 births), nurses (101,199), and physicians (7,642). ...
Jonsdottir Gudny - - 2009
A rising cesarean section rate has been suggested as of benefit in reducing the already low perinatal death rates seen in developed countries for infants of normal birthweight. Iceland has one of the lowest national corrected and uncorrected perinatal mortality rates. Information was collected through the Icelandic birth registry for ...
Farchi Sara - - 2009
The aim of this study is to evaluate the association between the mode of delivery and the risk of neonatal respiratory complications in a cohort of term newborns in the Lazio region, Italy. Data on 139,379 term singleton infants born in 2003-2005 were retrieved from birth and hospital discharge database. ...
Wall R - - 2009
Early colonization of the infant gastrointestinal tract is crucial for the overall health of the infant, and establishment and maintenance of non-pathogenic intestinal microbiota may reduce several neonatal inflammatory conditions. Much effort has therefore been devoted to manipulation of the composition of the microbiota through 1) the role of early ...
Clark Steven L - - 2009
OBJECTIVE: To quantify adverse neonatal and maternal outcomes associated with elective term delivery at less than 39 completed weeks of gestation. STUDY DESIGN: Prospective observational study conducted in 27 hospitals over the course of 3 months in 2007. RESULTS: Of 17,794 deliveries, 14,955 (84%) occurred at 37 weeks or greater. ...
Wiswell T E - - 2008
Review of all medical literature dealing with delivery room management of meconium-stained infants. Additionally, the author contacted multiple individuals involved historically or clinically with the published studies or the persons who developed treatment guidelines. Although many therapies have been suggested as being effective, none have been definitively proven efficacious by ...
Pedroso Fleming Salvador - - 2008
To analyze cranial growth and size of anterior fontanel during the first year of life, we undertook a cohort study with a sample of 33 infants assessed at birth and reexamined at 1, 2, 3, 4, 5, 6, 9, and 12 months. Examination included assessment of head circumference, anterior fontanel ...
Roy K K - - 2008
OBJECTIVE: To find out the efficacy of continuous fetal heart monitoring by analyzing the cases of cesarean section for nonreassuring fetal heart in labor, detected by cardiotocography (CTG) and correlating these cases with perinatal outcome. To evaluate whether a 30 minute decision to delivery (D-D) interval for emergency cesarean section ...
Lee Young Mi - - 2008
PURPOSE OF REVIEW: A complicated but relevant and timely concept, cesarean delivery on maternal request (CDMR) is defined as a cesarean delivery for a singleton pregnancy on maternal request at term in the absence of medical or obstetrical indications. RECENT FINDINGS: Multiple potential risks and benefits exist with both vaginal ...
Essex Holly N HN Department of Health Sciences, University of York, United - - 2008
Studies have highlighted the benefits of social support during labor but no studies focused on women who choose to be unaccompanied or who have no companion available at birth. Our goals were, first, to identify characteristics of women who are unaccompanied at birth and compare these to those who had ...
David Matthias - - 2009
OBJECTIVES: Is out-of-hospital vaginal birth at a birth center safe for women with a previous cesarean section? Do their maternal or neonatal outcomes vary significantly from those of a "non-cesarean" control group? STUDY DESIGN: Retrospective evaluation of prospectively collected data on documented singleton births (cephalic presentation, >34/0 weeks of gestation), ...
Richard F - - 2008
OBJECTIVE: To assess the effects of a comprehensive intervention (staff training, equipment, internal clinical audits, cost sharing system, patients-providers meetings) in improving cesarean delivery access and quality in an urban district of Burkina Faso. METHODS: We conducted a before-after study in the health district sector 30 in Ouagadougou between 2003 ...
Burstein Eliezer - - 2008
OBJECTIVE: To determine the prevalence and risk factors for premature rupture of membranes (PROM) among pregnancies complicated with small for gestational age (SGA) neonates. METHODS: A computerised database was used to identify deliveries of SGA neonates in pregnancies complicated with PROM between the years 1988 and 2002. Pregnancies with PROM ...
Kandasamy Tharani - - 2009
OBJECTIVE: To use an active facility-based maternal and newborn surveillance system to describe cesarean delivery practices and outcomes in a resource-poor setting. METHODS: Using data from operating room logbooks, 392 cesarean deliveries were evaluated between April 1 and June 30 2006 at a large public maternity hospital in Kabul, Afghanistan. ...
Lara Diogo R - - 2008
BACKGROUND: Temperament relates to both emotional dimensions and prevailing mood, but these different views are rarely integrated. Based on a model where temperament works as a system with activation, inhibition and control (inspired in Cloninger's and Rothbart's models), which produce the affective tone (inspired by Akiskal's and Kraepelin's model), we ...
Weiner Stuart - - 2008
Human biologic evolution involves a compromise between the physical adaptations for bipedalism with effects on birthing success and the much later increases in encephalization of our species. Much of what comes to define life history parameters like gestation length, and brain and birth weight in our species is best understood ...
Tan Peng Chiong - - 2008
OBJECTIVE: To evaluate the influences of mode of immediate preceding delivery and number of prior vaginal births on the risk of repeat cesarean and neonatal admission at attempted vaginal birth after cesarean. MATERIALS AND METHODS: We performed a retrospective study of the risk factors for emergency repeat cesarean delivery and ...
Kakkilaya Venkatakrishna - - 2008
Delay in cord clamping up to 30 to 40 seconds is feasible and should be practiced in preterm and term infants born by cesarean section. In term infants, this maneuver may decrease iron deficiency anemia at 6 months of age. Premature infants may have a higher blood volume and hematocrit ...
Biasucci Giacomo - - 2008
The gastrointestinal tract of neonates becomes colonized immediately after birth with environmental microorganisms, mainly from the mother; strong evidence suggests that the early composition of the microbiota of neonates plays an important role for the postnatal development of the immune system. The present study was designed to evaluate by means ...
Abdel-Latif Mohamed E - - 2008
OBJECTIVE: The aim of the study was to examine the short-term outcome of infants with gastroschisis by route of delivery, comparing vaginal delivery vs elective and emergency cesarean delivery (CD). METHODS: Six hundred thirty-one infants with gastroschisis (International Classification of Diseases, 10th Revision: Q79.3) were admitted to the Australian and ...
Lee Young Mi - - 2008
Mothers should be counseled that the most concerning risks related to maternal request cesarean delivery are neonatal respiratory morbidity and those that may affect the mother's future reproductive health, including life-threatening conditions, such as placenta accreta. The literature suggests that overall risks of maternal complications with cesarean delivery on maternal ...
Wylie Blair J - - 2008
Two trends are apparent regarding cesarean delivery in the developing world. In the least developed countries, access to the procedure remains limited at levels much less than 5% of all births. This limited access is linked with increases in maternal and neonatal mortality. Safety concerns are equally valid when more ...
Miller Russell - - 2008
Despite advances in obstetric and neonatal care, the last several decades have not witnessed an improvement in the prediction or prevention of term cerebral palsy. Obstetric interventions such as electronic fetal heart rate monitoring and cesarean delivery, although biologically plausible as intervention strategies, do not improve perinatal outcomes in clinical ...
Bonanno Clarissa - - 2008
Postpartum hemorrhage is an obstetric emergency that represents a major cause of maternal morbidity and mortality. With the recent rise in the cesarean delivery rate, prompt recognition and proper management at the time of cesarean delivery are becoming increasingly important for providers of obstetrics. Preparedness for hemorrhage can be achieved ...
Ong Ken K KK MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, - - 2008
We investigated the effects of normal variations in maternal glycemia on birth size and other birth outcomes. Women in two unselected birth cohorts, one retrospective (n = 3,158) and one prospective (n = 668), underwent an oral glucose challenge at 28 weeks of gestation. In the retrospective study, glycemia was ...
Harper Lorie M - - 2008
The goal of this manuscript is to review the contemporary evidence on issues pertinent to improving the safety profile of vaginal birth after cesarean (VBAC) attempts. Patients attempting VBAC have success rates of 60%-80%, and no reliable method of predicting VBAC failure for individual patients exists. The rate of uterine ...
Malloy Michael H - - 2008
OBJECTIVE: The objective of this analysis was to compare the neonatal mortality rates for infants delivered through primary cesarean section versus vaginal delivery, taking into consideration a number of potentially risk-modifying conditions. METHODS: US linked birth and infant death certificate files for 2000-2003 were used. Demographic, medical, and labor and ...
Chauhan Suneet P - - 2008
OBJECTIVE: We determined interobserver variability in the classification of fetal heart rate (FHR) tracing with periodic deceleration as being reassuring or nonreassuring and in the ability to predict emergency cesarean delivery (ECD) or umbilical arterial pH < 7.00. STUDY DESIGN: Five clinicians reviewed 100 FHR tracings 1 hour before abnormalities ...
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