Search Results
Results 401 - 450 of 1530
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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 ...
Lee Hui-Ling - - 2008
BACKGROUND: The timing of initiation of epidural analgesia and its causal relationship with mode of delivery is controversial. This retrospective investigation reviews and determines whether early initiation of epidural analgesia in nulliparous women influences the rate of cesarean sections as well as other obstetric outcome measures. METHODS: The nursing records ...
Rossi A Cristina - - 2008
This study reviewed maternal morbidity following trial of labor (TOL) after cesarean section, compared with elective repeat cesarean delivery (ERCS). Articles were pooled to compare women planning vaginal birth after cesarean (VBAC) with those undergoing ERCS with regard to maternal morbidity (MM), uterine rupture/dehiscence (UR/D), blood transfusion (BT), and hysterectomy. ...
Baron Cindy - - 2008
Introduction: Obesity is increasing in prevalence among pregnant women in North America.1,2 Obesity worsens maternal morbidity with a greater incidence of hypertension, diabetes and cesarean section. This study examined the maternal and neonatal risks in obese compared to parturients with a normal body weight. METHODS: Following ethics committee approval, data ...
Hamrick Shannon E G - - 2008
Although cesarean deliveries frequently are performed for anomalous fetal conditions, available data do not always support a fetal benefit from this delivery management. The literature on cesarean delivery for anomalous infants reports insufficient information on comorbid neonatal conditions, so these complications are unknown in this population of newborns. In a ...
Malloy Michael H - - 2008
Births of extremely preterm infants, less than 26 weeks' gestation, by cesarean section have increased significantly in the United States over the past decade. The justification for this increase is not well supported in the literature. This review examines recent analyses that suggest there may be some survival advantage for ...
Bettegowda Vani R - - 2008
The increasing trend of delivering at earlier gestational ages has raised concerns of the impact on maternal and infant health. The delicate balance of the risks and benefits associated with continuing a pregnancy versus delivering early remains challenging. Among singleton live births in the United States, the proportion of preterm ...
Coonrod Dean V - - 2008
OBJECTIVE: This study was undertaken to determine individual and institutional level variables predictive of variations in nulliparous term singleton vertex cesarean delivery rates. STUDY DESIGN: Retrospective cohort study of 28,863 nulliparous term singleton vertex births at 40 Arizona hospitals. RESULTS: The average nulliparous term singleton vertex cesarean delivery rate was ...
MacDorman Marian F - - 2008
The percentage of United States cesarean births increased from 20.7% in 1996 to 31.1% in 2006. Cesarean rates increased for women of all ages, race/ethnic groups, and gestational ages and in all states. Both primary and repeat cesareans have increased. Increases in primary cesareans in cases of "no indicated risk" ...
Caughey Aaron B - - 2008
OBJECTIVE: The objective of the study was to examine the association between time of delivery and neonatal outcomes in term deliveries. STUDY DESIGN: We conducted a retrospective cohort study of all term pregnancies delivered at an academic institution with 24-hour in-house obstetric and anesthesia coverage. Time of delivery was categorized ...
Hermes R - - 2008
Obstetrics, one of the oldest fields in veterinary medicine, is well described and practiced in domestic and exotic animals. However, when providing care during elephant birth or dystocia, veterinary intervention options differ greatly from any domestic species, and are far more limited due to the dimensions and specific anatomy of ...
Velaphi Sithembiso - - 2008
Routine oronasopharyngeal suctioning (ONPS) of the infant at delivery is a common practice in the delivery room. ONPS is performed to remove lung fluid, meconium, or other secretions from the airway, thereby improving oxygenation and/or preventing aspiration. However, there are controversies regarding this practice, as it seems to be associated ...
Stamilio David M - - 2008
Evaluation of: Mercer BM, Gilbert S, Landon MB et al., for the National Institute of Child Health and Human Development Maternal-Fetal medicine Units Network: Labor outcomes with increasing number of prior vaginal births after cesarean delivery. Obstet. Gynecol. 111(2), 285-291 (2008). From a prospective US multicenter cohort of 45,988 patients ...
Zbären Peter - - 2008
OBJECTIVE: To analyze a series of carcinoma ex pleomorphic adenoma (CXPA) and to assess the diagnostic difficulties. STUDY DESIGN: The clinical presentation of 24 CXPAs was compared with 300 pleomorphic adenomas (PAs). Furthermore, pathohistological findings and follow-up results of CXPAs were evaluated. RESULTS: Eight of 24 (33%) CXPAs versus 41 ...
Kausel Wilfried - - 2008
Woodwinds are not much different from brass instruments in how intonation is determined by air column resonances. Nevertheless, it is easier to measure input impedance of brasses because the input cross-section at the mouthpiece rim is circular, plane and big enough to be easily coupled to standard measuring heads. In ...
Zhang Jun - - 2008
OBJECTIVE: To estimate the incidence of overall cesarean delivery and cesarean delivery on maternal request in southeast China in the past decade. METHODS: We used data from a population-based maternal and child health surveillance system, which covers 21 cities and counties in two provinces in southeast China. We examined the ...
Lo Joan C - - 2008
OBJECTIVES: To test the hypothesis that cesarean sections are less likely to be performed after equalizing the fees for vaginal births and cesarean sections. METHODS: Population-based National Health Insurance inpatient claims in Taiwan are used. Pre-periods and post-periods are identified to investigate the impact of the policy changes. Logistic regressions ...
Loyo Myriam - - 2008
Recurrent respiratory papillomatosis is the most common benign laryngeal neoplasm in children. We report an infant with widespread papillomatosis at the time of diagnosis and rapidly progressive disease as a neonate. This child did not have the usual risk factors for recurrent respiratory papillomatosis, being the second child born by ...
Rittenberger Jon C - - 2008
BACKGROUND: To date, pregnancy has been considered a contraindication to the use of therapeutic hypothermia after cardiac arrest. CASE: We present the case of a 35-yr-old woman, 13 wks pregnant, who had a witnessed out-of-hospital ventricular fibrillation cardiac arrest. She was resuscitated by prehospital personnel yet remained comatose at arrival ...
Siggelkow W - - 2008
OBJECTIVE: This study assessed the perinatal outcome in a series of macrosomic fetuses with mothers from a general obstetric population in whom vaginal delivery was planned. METHODS: In all, 215 women with macrosomic infants were included from a total of 2,622 deliveries. The pattern of maternal weight gain in pregnancy, ...
Calderon T C - - 2008
To examine the effect of mode of birth on plasma purine and malondialdehyde levels in normal term infants. Umbilical arterial cord blood was obtained immediately after birth from a convenience sample of 119 normal term newborns born by vaginal delivery, with or without oxytocin augmentation or by elective cesarean delivery. ...
Hug I - - 2008
BACKGROUND: In India, as in other parts of the world with high birthrates, there is an imbalance between maternal expectations and provision of labor pain services. Maternal experience may have an impact on attitudes toward the mode of future deliveries and on cesarean section rates. Maternal expectations regarding labor and ...
Lee Henry Chong - - 2008
The objective of the study was to determine whether cesarean delivery for breech has increased in the United States. We calculated cesarean rates for term singletons in breech/malpresentation from 1997 to 2003 using National Center for Health Statistics data. We compared rates by sociodemographic groups and state. Multivariable logistic regression ...
De Felice Claudio - - 2008
OBJECTIVE: Evidence suggests increased morbidity, in particular early neonatal respiratory complications, in newborns from elective cesarean section compared with those from vaginal delivery. No reliable maternal predictors of adverse neonatal outcome at elective cesarean section are known. Here, we prospectively tested the hypothesis that a low maternal perfusion index at ...
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