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Fieni Stefania - - 2005
We report a case of a haematoma of the Retzius space after spontaneous uncomplicated delivery. In the postpartum period, the patient complained of urinary retention and pain in the hypogastric region radiating to her left hip and leg. The ultrasound examination showed the presence of 160 x 100 x 80 ...
Cornforth B M - - 2006
BACKGROUND: The number of women receiving neuraxial anaesthesia for labour and delivery is increasing. Women are also being discharged into the community sooner after delivery. Thus, complications arising from neuraxial anaesthesia may present to general practitioners, so it is of vital importance that they are familiar with and can manage ...
Welsh Toni - - 2005
Increased intrauterine prostaglandin (PG) production is crucial for the initiation of parturition. To investigate the mechanisms controlling intrauterine PG synthesis, we examined the expression of the key PG biosynthetic isoenzymes, PG-H2 synthase (PTGS)-1 and -2, in the amnion, visceral yolk sac (VYS), placenta and myo-endometrium of pregnant guinea pigs. This ...
van den Berg Anton A - - 2005
During placement of needles for combined spinal-epidural anesthesia (CSEA), patients may experience pain, pressure, paresthesia, or discomfort during skin and deeper injection of local anesthetic, needle impingement on periosteum, dural puncture by the spinal needle, and insertion of the epidural catheter. We investigated the incidence of perception of and spontaneous ...
Goh S H - - 2005
INTRODUCTION: Emergency department deliveries are uncommon in the Singapore setting, but when they do occur, the emergency physician has to be able to deliver the child safely, perform neonatal resuscitation if needed, and try to prevent any birth trauma to the child or complications of delivery in the mother. We ...
Chhabra S - - 2005
The present observational study was carried out at a rural referral healthcare, educational institute in India. The objectives were to study the trends of contribution of caesarean section (CS) for failure-to-progress to the overall CS rate and their relationship to variables such as age, parity, stage of labour, augmentation of ...
van den Hove Marjan M L - - 2006
OBJECTIVE: To test the hypothesis that in pregnancies with a clinically suspected growth restricted foetus at term, induction of labour is as safe as expectant management, and does not lead to increased obstetrical interventions or perinatal morbidity. STUDY DESIGN: In one obstetric centre, 33 women with a clinically suspected growth ...
Nystedt Astrid - - 2006
OBJECTIVES: To examine if a low level of psychosocial resources in early pregnancy is associated with the occurrence of prolonged labour. STUDY DESIGN: A cross sectional study of 644 women expecting their first child. Participants were asked to complete a questionnaire at their first antenatal visit, measuring psychosocial resources defined ...
Thomas V P - - 2005
This is a case of partial hypopituitarism resulting from surgery and radiation for a non- functioning pituitary macroadenoma. The patient had amenorrhea which was secondary to hypogonadotrophic hypogonadism and had been on L-thyroxine for central hypothyroidism. For pregnancy, ovulation was induced by gonadotrophins and this was followed by an intrauterine ...
Rai M R - - 2005
BACKGROUND: Anaesthetists are frequently involved in the management of high-risk pregnancy. Antenatal referral permits time to prepare an appropriate management plan for labour and delivery. This survey looked at current methods of referral in the UK and the role of a formal clinic. METHOD: A postal questionnaire was sent to ...
Allen Victoria M - - 2005
To estimate maternal and perinatal morbidity associated with caesarean delivery at full cervical dilatation, a population-based cohort study from 1997 to 2002 was used, which included 1623 nullipara with singleton pregnancies at 37-42 weeks of gestation requiring caesarean delivery in labour. Compared to caesarean delivery at less than full dilatation, ...
Graf Bernhard M - - 2005
PURPOSE OF REVIEW: Studies comparing the effects of epidural local anaesthetics have been limited by the lack of knowledge of their relative potencies. In 1995 the concept of the minimum local-anaesthetic concentration (MLAC) was introduced, this has been defined primarily as the median effective analgesic concentration in the first stage ...
Duke Kate - - 2005
Traditionally acupuncture at four points, Yanglingquan GB-34, Zusanli ST-36, Sanyinjiao SP-6 and Zhiyin BL-67, has been used for pre-birth treatments (Maciocia and West (eds.), Acupuncture in Pregnancy and Childbirth, Churchill Livingston, New York, 2000, pp. 559-575, Chapter 44). These points are specifically used to prepare the woman's body for birth, ...
Ara Jehan - - 2005
OBJECTIVE: To study the efficacy, safety and maternal satisfaction of oral misoprostol for induction of labour in patients with prelabour rupture of membrane at term (PROM). METHODS: Pregnant women with singleton pregnancy at term with cephalic presentation with prelabour rupture of membranes having no other obstetric and maternal contraindications for ...
Ek Sverker - - 2005
OBJECTIVES: In low-risk pregnancies, the management of oligohydramnios is not clear. The aim of this study was to compare maternal and neonatal outcomes in cases of isolated oligohydramnios randomised to either induction of labour or expectant management. METHODS: 87 women pregnant beyond 40 completed weeks were asked to participate in ...
Giberti L - - 2005
The pathogenetic role of patent foramen ovale (PFO) in embolic stroke and its prognostic and therapeutic implications have not yet been clearly defined. Nonetheless, recent availability of non-invasive diagnostic techniques, such as the transcranial Doppler (TCD), has increased the frequency with which this anomaly is diagnosed. Here we present the ...
Thornton James G - - 2005
BACKGROUND: Women who are undelivered after 48 hours of tocolysis remain at increased risk of preterm labour, but it is not clear whether prolonged treatment is effective. OBJECTIVE: To review the current evidence for the effectiveness of maintenance tocolysis. METHODS: The results of published systematic reviews were summarised. RESULTS: Four ...
Ahmed O A - - 2005
A questionnaire-based study was conducted on 189 Traditional Birth Attendants (TBAs) on their knowledge and practices in prenatal services. Only 86 (45.5%) of them associated cessation of menstrual period with pregnancy while others use mystic power 46 (24.3%), early morning sickness, pallor of conjunctiva and reaction to herbs 56 (29.6%) ...
Caritis Steve - - 2005
The rationale for using tocolytics in preterm labour is to enable transfer of the mother to a tertiary centre and to prolong pregnancy sufficiently so that glucocorticoids can be administered to the mother. There is little question that these short term objectives can be achieved with contemporary tocolytics. Whether tocolytics ...
Vadillo-Ortega Felipe - - 2005
Extracellular matrix homeostasis is a key process in the maintenance of the tensile strength of the amniochorion. This tensile strength guarantees the role of the membranes as a physical and functional boundary for the fetus during human pregnancy. Pathological rupture of these structures before 37 completed weeks of gestation is ...
Larsen, Hanne Cicilie
The idea of this web page is to give information about central topics of pregnancy and labour in an easy, understandable way. Being pregnant and giving birth to a child is an amazing experience. It is commom to have many questions and worries. The first main issue on the web ...
Molyneux M K - - 2005
We describe the peripartum anaesthetic management of a 36-year-old woman who was a manifesting carrier of Duchenne muscular dystrophy. Duchenne muscular dystrophy is an X-linked recessive disorder affecting young males associated with severe complications during anaesthesia if depolarising neuromuscular blocking drugs and volatile agents are used. A manifesting carrier is ...
Cordero D R - - 2005
Women heterozygous for mutations at the ornithine transcarbamylase (OTC) locus may be at risk for hyperammonaemia and its untoward effects including coma and death in the postpartum period. We present the case of a pregnant woman heterozygous for OTC deficiency (McKusick 311250) whose past medical history was significant for two ...
Riley M - - 2005
Successful parturition requires the co-ordination of numerous myometrial signalling events to allow for timely and efficient uterine contractions. Late pregnancy and labour onset in humans may be associated with changes in the expression of myometrial proteins implicated in such uterine contractile signal integration. Accordingly, in myometria from non-pregnant women and ...
East C E - - 2005
Fetal vibroacoustic stimulation is a simple, non-invasive technique where a device is placed on the maternal abdomen over the region of the fetal head and sound is emitted at a predetermined level for several seconds. It is hypothesized that the resultant startle reflex in the fetus and subsequent fetal heart ...
Soltani H - - 2005
Cord drainage in the third stage of labour involves unclamping the previously clamped and separated umbilical cord and allowing the blood from the placenta to drain freely into an appropriate receptacle. Currently there are no systematic reviews of the effects of placental cord drainage on the management of the third ...
Hofmeyr G J - - 2005
Lateral and posterior position of the baby's head (the back of the baby's head facing to the side or the mother's back) may be associated with more painful, prolonged or obstructed labour and difficult delivery. It is possible that certain positions adopted by the mother may influence the baby's position. ...
Boulvain M - - 2005
Sweeping of the membranes, also named stripping of the membranes, is a relatively simple technique usually performed without admission to hospital. During vaginal examination, the clinician's finger is introduced into the cervical os. Then, the inferior pole of the membranes is detached from the lower uterine segment by a circular ...
Carson Ray J - - 2004
Preterm birth is a major public health problem, affecting up to 10% of pregnancies. The cause of premature labour in humans is not known, although some risk factors have been identified. Currently it is not possible to predict which women will go into labour prematurely or deliver preterm. New possible ...
Méhats Céline - - 2004
Pharmacological interventions in preterm labour attempt to target various protagonists involved in the signalling pathway leading to myometrial contractions. None of these interventions has clearly demonstrated any real clinical benefit, and some are associated with severe maternal and fetal side effects. The original study now reported has disclosed a new ...
Goyal Renu - - 2004
Maternal genital infections, particularly bacterial vaginosis has been implicated as a cause for preterm labour and adverse pregnancy outcomes. This prospective study aimed to study the association of bacterial vaginosis with preterm labour. The prevalence of bacterial vaginosis was studied in 60 women in preterm labour who had no recognisable ...
Cywinski Jacek B - - 2004
Spontaneous spinal epidural hematoma is a rare occurrence during pregnancy with only five cases described in the literature since 1900. Even in the general population, the frequency of spontaneous spinal epidural hematoma is extremely low and the etiology unclear. Several theories exist for the cause of spontaneous spinal epidural hematoma, ...
Salvesen Kjell A - - 2004
To examine a possible effect on labour of training the muscles of the pelvic floor during pregnancy. Randomised controlled trial. Trondheim University Hospital and three outpatient physiotherapy clinics in a primary care setting. 301 healthy nulliparous women randomly allocated to a training group (148) or a control group (153). A ...
Ugboma H A A - - 2004
BACKGROUND: Abdominal massage is an age long practice among obstetric and non obstetric patients in different parts of the riverine areas of Southern Nigeria. AIM: To highlight the consequences associated with this practice in pregnancy and labour even among literate clients. METHODS: Two hundred and eighty four pregnant women who ...
Li Xiao-mao - - 2004
OBJECTIVE: To evaluate the efficacy and safety of misoprostol in term labour induction. DATA SOURCES: Data from published English and Chinese literatures about misoprostol in term labour induction were identified from Medline and CBMdisk (using the search terms "misoprostol" and "labour induction") before 2001; hand searches of reference lists of ...
Ekele, Bissallah A; Department ...
Context: Induction of labour is always a therapeutic challenge in obstetrics. Objective: The aim of this study is to determine the incidence, indications and outcome of induction of labour in our obstetric unit. Study Design and Setting: Descriptive study involving 205 patients admitted for induction of labour between January 1995 ...
Sule-Odu, Adewale O.; Department ...
Context: Nulliparous women are reportedly at a higher risk of developing complications of pregnancy and delivery than multipara. There is a need to document the outcome of their pregnancy in order to improve the quality of care they receive. Objectives: To find out problems associated with pregnancy and labour in ...
Ngwenya S - - 2004
OBJECTIVE: To study the timing of pre-labour spontaneous rupture of membranes (SROM) in term pregnancies. DESIGN: Prospective cohort. SETTING: A maternity hospital in the United Kingdom. SAMPLE: Women who were more than 37 weeks gestation with confirmed spontaneous rupture of membranes and not in labour after 4 h. METHODS: Women ...
Ononeze B O - - 2004
This study evaluates the management of third/fourth-degree obstetric tears and choice of mode of delivery in subsequent pregnancies amongst obstetricians practising in Ireland. Of the 185 obstetricians who were sent questionnaires 133 replied, giving a response rate of 72%. The consultant obstetricians were significantly more likely to suture third-degree tears ...
Mitchell Bryan F - - 2004
Preterm delivery (<37 weeks of gestation) is the major obstetrical complication in developed countries, yet attempts to delay labour and prolong pregnancy have largely been unsuccessful. One of the many reasons it is so difficult to prevent preterm birth is that the nature of preterm labour changes as a function ...
Dietz Hans Peter - - 2004
BACKGROUND: Vaginal childbirth is assumed to affect pelvic floor muscle function as a result of direct trauma and/or neuropathy. AIMS: To assess levator function by ultrasound prior to and after delivery and correlate changes with delivery data. METHODS: A total of 200 nulliparous women were seen at 6-18 and 32-37 ...
Cook Colleen-M - - 2004
AIM: To determine current attitudes and practices regarding the suppression of preterm labour among obstetricians in Australia and New Zealand. METHODS: A questionnaire mailed to all Diplomates, Members and Fellows of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists in April 2002. RESULTS: A total of 813 ...
Sullivan M H F - - 2004
Organisms appear to be present in human fetal membranes without any apparent impact on pregnancy maintenance or the fetal brain. A clear link between chorioamnionitis and fetal brain damage suggests that tissue responses at the feto-maternal interface may be the key determinant of whether preterm labour and brain damage occur.
Tsatsaris Vassilis - - 2004
Oxytocin antagonists are synthetic analogues that have the nonapeptide structure of oxytocin. They act by competing with oxytocin for receptors in the myometrium. Animal experiments and pilot clinical studies have examined several agents and, of these, atosiban has been the object of extensive clinical trials. In a large placebo-controlled trial ...
Tan Linda - - 2004
A retrospective case control study to assess the outcome of pregnancy after large loop excision of the transformation zone of cervix (LLETZ) was carried out. One hundred and nineteen women who had undergone LLETZ and delivered in Basildon District Hospital were identified between January 1995 and December 1998; 119 age- ...
Scicluna J K - - 2004
We report a case of severe symphysis pubis dysfunction in a parturient during her second trimester of a twin pregnancy. Symphysis pubis dysfunction produces pain, instability and limitation of mobility and function, of the symphysis pubis during pregnancy and labour. It is often under-treated. We provided lumbar epidural analgesia with ...
Cluett E R - - 2004
Enthusiasts for immersion in water during labour, and birth have advocated its use to increase maternal relaxation, reduce analgesia requirements and promote a midwifery model of supportive care. Sceptics are concerned that there may be greater harm to women and/or babies, for example, a perceived risk associated with neonatal inhalation ...
East C E - - 2004
Fetal pulse oximetry (FPO) may contribute to the evaluation of fetal well-being during labour. To compare the effectiveness and safety of FPO with conventional surveillance techniques, using the results of randomised controlled trials. We searched the Cochrane Pregnancy and Childbirth Group trials register (31 July 2004) and conducted a systematic ...
Smith C A - - 2004
This is one of a series of reviews of methods of cervical ripening and labour induction using standardised methodology. The use of complementary therapies is increasing and some women look to complementary therapies during pregnancy and childbirth to be used alongside conventional medical practice. Acupuncture involves the insertion of very ...
Dickinson Jan E - - 2003
OBJECTIVE: To assess maternal satisfaction with childbirth and intrapartum pain relief in nulliparous women labouring at term. METHODS: Prospective randomised clinical trial comparing epidural and non-epidural analgesic techniques on term labour outcomes in nulliparous women. Within 24 h of delivery the women were surveyed regarding their opinions about the birthing ...
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