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Laursen M - - 2009
OBJECTIVES: To examine the associations between fear of childbirth and emergency caesarean section and between fear of childbirth and dystocia or protracted labour and fetal distress. DESIGN: Prospective cohort study. SETTING: Danish National Birth Cohort. POPULATION: A total of 25 297 healthy nulliparous women in spontaneous labour with a single ...
Ande Adedapo Babatunde - - 2010
To document the experience with social induction of labour (IOL) and compare its outcome with electively induced labour for prolonged pregnancy. A prospective matched case-control study. Social IOL was significantly common in women of high social class (78.3 vs. 45.6%, P = 0.03) and the commonest indication was because the parturient was ...
Pundir J - - 2009
Fetal macrosomia represents a continuing challenge in obstetrics, as it has risk of shoulder dystocia leading to transient or permanent fetal, maternal injury and medicolegal liability. The overall incidence of macrosomia has been rising. Non-diabetic macrosomia is still an obstetric dilemma, as there is no clear consensus regarding its ante-partum ...
Shynlova Oksana - - 2009
In this review, we describe a new model to explain the regulation of myometrial function during pregnancy and labour. We propose that the myometrium undergoes dramatic changes in phenotype from early pregnancy until the onset of labour, characterized by an early proliferative phase, an intermediate phase of cellular hypertrophy and ...
Mozurkewich E - - 2009
BACKGROUND: Rates of labour induction are increasing. OBJECTIVES: To review the evidence supporting indications for induction. SEARCH STRATEGY: We listed indications for labour induction and then reviewed the evidence. We searched MEDLINE and the Cochrane Library between 1980 and April 2008 using several terms and combinations, including induction of labour, ...
Diejomaoh Michael F - - 2009
OBJECTIVE: To investigate the intrapartum performance of pregnancies complicated by diabetes mellitus (DM). SUBJECTS AND METHODS: A pilot study (April-June 2005) of medical records of patients with DM admitted into the labour wards of the Maternity Hospital, Kuwait, was undertaken. Consecutive patients, matched for age and parity with the study ...
Steer Philip J - - 2009
The technology of intrapartum surveillance made rapid strides from the 1960s through the 1980s but then stagnated as increasing resort to caesarean section was made rather than improving measures of fetal condition and labour progress. However, despite caesarean section rates commonly over 30%, medicolegally expensive mistakes continue to be made ...
Tsu V D - - 2009
In 2003, maternal health experts met in Bellagio, to consider new and underutilised technologies vital to pregnancy-related health services in low-resource settings. Five years later, we examine what progress has been made and what new opportunities may be on the horizon. Based on a review of literature and consultation with ...
Reddy Aparna - - 2009
Maternal circulating levels of anti-angiogenic factors such as soluble fms-like tyrosine kinase-1 (sFlt-1), endoglin (sEng) and placental proteins like activin A and inhibin A are increased before the onset of pre-eclampsia. There is evidence for oxidative stress in pre eclampsia. Recently it was shown that placental oxygen concentration is related ...
Cong Binhai - - 2009
Corticotropin-releasing hormone (CRH) and CRH-related peptide are shown to modulate uterine contractility through two CRH receptor subtype, CRH-R1 and CRH-R2 during pregnancy. Through different signaling pathways, CRH-R1 maintains myometrial quiescence whereas CRH-R2 promotes smooth muscle contractility. We hypothesized that the expression of CRH receptors in myometrium might be changed during ...
van Lonkhuijzen Luc - - 2009
A Maternity Waiting Home (MWH) is a facility, within easy reach of a hospital or health centre which provides Emergency Obstetric Care (EmOC). Women may stay in the MWH at the end of their pregnancy and await labour. Once labour starts, women move to the health facility so that labour ...
Orsi Nicolas Michel - - 2008
Pregnancy is an immunological compromise geared towards inducing maternal immunopermissiveness that promotes tolerance of the foetal allograft. This process is mediated by an extensive array of cytokines, which operate in a highly coordinated and complex network system at both local (compartmentalized) and systemic levels. These glycoproteins also play an active ...
Skowronski Emma - - 2008
OBJECTIVE: Pregnancy in tetraplegia is a rare event, with only sporadic cases reported. This case series describes seven pregnancies in five tetraplegic women, all with spinal cord injuries in the region of C6. DESIGN: Retrospective case series. SETTING: Sydney, Australia. POPULATION: All tetraplegic women presenting to the obstetric service of ...
Faiz Shakeel Ahmed - - 2008
A 30-years-old third gravida with previous normal pregnancies and an unremarkable prenatal course had an emergency lower segment caesarean section at a periphery hospital for failure of labour to progress. She developed bilateral cortical blindness immediately after recovery from anesthesia due to cerebral angiopathy shown by CT and MR scan ...
Denison F C - - 2008
To investigate the effect of maternal body mass index (BMI) on postdates pregnancy, length of gestation and likelihood of spontaneous onset of labour at term. Retrospective cohort study. Swedish Medical Birth Register. A total of 186 087 primiparous women (of whom 143 519 had spontaneous onset of labour at term) ...
Nicolet J - - 2008
BACKGROUND AND OBJECTIVE: Combined spinal epidural analgesia is effective for fast relief of severe labour pain but has been associated with worrisome decreases in fetal heart rate. Since the reasons for this phenomenon remain elusive, some anaesthesiologists may abstain from using this technique. We postulated that factors unrelated to the ...
Bako B G - - 2008
BACKGROUND: Induction of labour is an important intervention in obstetrics. Misoprostol is increasingly being used for induction of labour in many obstetric units and it may replace the traditional Foleys catheter/oxytocin protocol. METHOD: This was a retrospective study of the 3 methods of induction of labour used at the University ...
Allam J - - 2008
Epidural mixtures containing lidocaine with or without additives are commonly used to convert epidural analgesia in labour to anaesthesia for emergency Caesarean section, but direct comparisons with alternative, single agents in this situation are few. In a prospective double-blinded trial, we compared a freshly prepared lidocaine-bicarbonate-adrenaline mixture (final concentrations 1.8%, ...
Orsi N M - - 2008
Complex cytokine networks play an important role in a wide range of reproductive and pregnancy related processes. Here, we review the current knowledge concerning the impact of cytokines on uterine physiology and pathophysiology. Cytokines influence a range of uterine functions during the menstrual cycle, implantation, pregnancy and labour. The synergistic ...
Grammatopoulos D K - - 2008
It is now accepted that, in humans, placental corticotrophin-releasing hormone (CRH) is involved in the mechanisms controlling the onset of labour; however, the precise biological role in foeto-maternal tissues remain enigmatic. Maternal plasma levels of CRH rise exponentially as pregnancy progresses towards term and peak during labour; however, evidence to ...
Baud David - - 2008
PURPOSE OF THE REVIEW: This review considers the roles of Chlamydia spp. and newly identified Chlamydia-like organisms in miscarriage, stillbirths and preterm labour in both animals and humans. RECENT FINDINGS: The cause of miscarriage, stillbirth and preterm labour often remains unexplained. Intracellular bacteria that grow either poorly or not at ...
Kelly B A - - 2008
This is a retrospective analysis of post-myomectomy pregnancies beyond 20 weeks' gestation in a teaching hospital for a 16-year period. There were 117 pregnancies, with complete data available for 112 pregnancies, in 81 women. A total of 92 deliveries followed myomectomy at laparotomy, 1 at laparoscopy and 19 at hysteroscopy. ...
Olagundoye V - - 2008
To correlate the severity of fetal distress assessed retrospectively using the Dublin intrapartum fetal monitoring classification, with decision-to-delivery intervals (DDI) and neonatal outcome, a prospective 3-month study of 78 consecutive instrumental deliveries was conducted. There were 66 cardiotocographs (CTGs) with an 83% majority agreement on classification: it was agreed 95% ...
Adeniji A O - - 2008
This prospective study of parturients at a tertiary health institution in south-western Nigeria aims to identify the incidence, severity and obstetric factors predisposing to feto - maternal haemorrhage (FMH) in our population. The exclusion criteria were haemoglobinopathy and patient's refusal of consent to participate in the study. The prepared slide ...
Iavazzo Christos - - 2008
Pregnancy and labour are holy moments in a woman's life. Even in Greek mythology we can find descriptions of them. We searched in the Greek myths to find descriptions of labours of ancient heroes and gods. We identified descriptions of extracorporeal fertilization, superfecundation, ectopic pregnancy, preterm labour, prolonged pregnancy and ...
Elden Helen - - 2008
Previous publications indicate that acupuncture is efficient for the treatment of pelvic girdle pain, PGP, in pregnant women. However, the use of acupuncture for PGP is rare due to insufficient documentation of adverse effects of this treatment in this specific condition. The aim of the present work was to assess ...
Toohill Jocelyn - - 2008
In labour, ketosis (the elevation of ketone bodies in the blood) is a common occurrence, due to increased physical stress, which is often compounded by reduced oral intake. The effect of ketosis on the mother and baby during labour is not clear, therefore, there is uncertainty as to whether ketosis ...
Fletcher H - - 2007
We present two cases of maternal hydrocephalus in pregnancy. In one case, the patient had no medical problems and had a spontaneous vaginal delivery of a normal neonate at term. In the second case, the patient had an uneventful pregnancy until 36 weeks when she presented to the labour ward ...
Chi C - - 2008
The aim of the study was to review the complications, management and outcome of pregnancy in carriers of haemophilia over a 10-year period following the introduction of a multidisciplinary management guideline. Comparison was made to a 10-year cohort prior to implementation of the guidelines. A retrospective review of case notes ...
Shaheen Bushra - - 2007
Objective: To assess the preventable predictors of severe postpartum haemorrhage and the adverse outcome associated with it. Design: Observational study. Place and Duration of Study: Department of Obstetrics and Gynaecology, Hayatabad Medical Complex, PGMI, Peshawar, form January to December 2001. Patients and Methods: All the admitted patients who developed severe ...
Bibi Shamshad - - 2007
BACKGROUND: Postpartum haemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality. Its causes & risk factors are important for its prevention and management. Poor, unhealthy, high parity women delivering away from health facility are usual victims. The purpose of this study is to determine causes of ...
Ford Jane B - - 2007
OBJECTIVE: To determine the risk of occurrence and recurrence of postpartum haemorrhage (excessive bleeding after childbirth) among women having at least two consecutive pregnancies. DESIGN AND SETTING: Population-based study using longitudinally linked hospital discharge and birth records from New South Wales for the period 1 January 1994 to 31 December ...
Samuels L A - - 2007
OBJECTIVE: To determine whether hyoscine butylbromide shortens the first stage of labour, without an increase in maternal or neonatal complications. DESIGN: Randomised, double-blinded, controlled trial. SETTING: The Antenatal clinics and Labour and Delivery ward of the University Hospital of the West Indies, Kingston, Jamaica. POPULATION: Women in spontaneous labour at ...
Roy Anita - - 2007
A prospective randomised study of 200 women with spontaneous onset of labour was carried out in 100 women who were given 40mg of drotaverine hydrochloride intravenously at > or = 3cm dilatation of the cervix, the other 100 were taken as control. The effects of the drug on the progress ...
Javed Iffat - - 2007
OBJECTIVE: To determine the effect of partogram on the frequency of prolonged labour, augmented labour, operative deliveries and whether appropriate interventions based on the partogram will reduce maternal and perinatal complications. METHOD: A case controlled, prospective and interventional study on 1000 women in labour was carried out in the obstetric ...
Elsandabesee D - - 2007
Oligohydramnios at term in the absence of maternal and fetal complications poses a dilemma in management. It is one of the major indications for antenatal surveillance and induction of labour. There is a growing body of evidence that oligohydramnios in the absence of maternal or fetal risk factors ('isolated' oligohydramnios) ...
Terzidou Vasso - - 2007
Preterm delivery is a common obstetric problem occurring in about 1 in 10 of all births. Preterm babies have a high risk of morbidity and mortality. Such births account for 75% of all major neonatal problems. At the other end of the spectrum, prolonged pregnancy is also a subject of ...
Abdul M A - - 2007
BACKGROUND: Misoprostol - a stable prostaglandin E1 analogue- is effective and safe in the induction of labour. There is paucity of information about the use of misoprostol for labour induction in Nigeria. OBJECTIVE: To evaluate the efficacy of misoprostol in the induction of labour in the third trimester. METHODS. Consecutive ...
Al-Taani M I - - 2007
A prospective study examined the safety, efficacy and labour outcome in 436 women undergoing labour induction using intravaginal prostaglandin E2. Women with singleton pregnancies (235 nulliparas and 201 multiparas) were recruited if they had a clinically unfavourable cervix, and indications for induction. The mean (standard deviation) interval from initiation to ...
Berhan Yifru - - 2007
INTRODUCTION: Although induction of labour with oxytocin is a daily practice at public as well as private health institutions, to the best of our knowledge, there is no published study on induction in Ethiopia. OBJECTIVE: To assess the oxytocin dose required to achieve adequate uterine contraction, the time interval between ...
Eggebø T M - - 2008
PURPOSE: To evaluate the proportion of fetal head rotation from occiput posterior (OP) to occiput anterior (OA) during labour after term prelabour rupture of membranes (PROM), and to study if OP before labour are associated with a higher risk of operative deliveries and a longer duration of labour. MATERIALS AND ...
Lanzarone Valeria - - 2007
OBJECTIVE: To determine the correlations between dimensions of the levator hiatus in late pregnant nulliparous women, mode of delivery and length of second stage. METHODS: This was a prospective observational pilot study of 61 nulliparous women seen and examined between 36 and 40 weeks of pregnancy. A translabial ultrasound examination ...
Marrache D - - 2007
BACKGROUND: Epidural analgesia is usually contraindicated in von Willebrand disease. However, in type 1, the increased synthesis of von Willebrand factor (vWF) and factor VIII (FVIII:C) during pregnancy can lead to a correction of biological abnormalities and may allow epidural analgesia to be performed for delivery. METHODS: The clinical files ...
Wray Susan - - 2007
A better understanding of the mechanisms that generate and modulate uterine contractility is needed if progress is to be made in the prevention or treatment of problems in labour. Dysfunctional labour describes the condition when uterine contractility is too poor to dilate the cervix, and it is the leading cause ...
Olagundoye V - - 2007
OBJECTIVE: To observe the effect of a trial of instrumental delivery in theatre on outcome for mother and baby. DESIGN: A prospective observational study. METHODS: Relevant maternal and neonatal data were collected for all instrumental deliveries of singleton viable pregnancies delivered over a three month period. POPULATION: Two hundred and ...
Morano Sandra - - 2007
OBJECTIVE: To assess the experience of the first 5 years of the first midwife-led birth centre (MLBC) in Italy. STUDY DESIGN: Data were prospectively collected to analyse the first 5 years' experience of the MLBC. MLBC is located alongside a University hospital maternity unit and it offers care to women ...
Cross B E - - 2007
The underlying mechanisms regulating uterine contractions during labour are still poorly understood. Heat shock protein 20 (HSP20) is known to be present at high levels in smooth muscle and implicated in muscle relaxation, but HSP20 expression in the myometrium is completely undetermined. Since HSP20 has been implicated in smooth muscle ...
Goetzl Laura - - 2007
OBJECTIVE: To examine maternal temperature changes after epidural analgesia. METHODS: A prospective cohort of nulliparas at term was monitored with hourly maternal tympanic temperatures after epidural analgesia (n=99). Temperature response after epidural analgesia was examined in the group as a whole. Subsequently, mean maternal temperature curves were compared between women ...
Behera C - - 2007
A 23-year-old woman was found hanging from the ceiling of her house by the neighbours. A live healthy male newborn baby was found lying on the ground with the umbilical cord in situ and placenta inside the uterus. The woman, a primigravida, married 3 years back, was in labour since ...
Devane D - - 2007
This study describes the use of intrapartum electronic fetal monitoring in Ireland. Electronic fetal monitoring (EFM) has become routine in the assessment of fetal wellbeing during labour. Current evidence indicates that the routine use of EFM leads to an increased caesarean section and operative vaginal delivery rate and a reduction ...
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