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Parente Marco P - - 2010
OBJECTIVE: The purpose of this study was to investigate the influence of fetal head flexion during vaginal delivery with a 3-dimensional computational finite element model. STUDY DESIGN: A finite element model of the pelvic skeletal structure, pelvic floor, and fetus was developed. The movements of the fetus during birth were ...
Falkert A - - 2010
OBJECTIVES: Morphological changes of the pelvic floor during pregnancy and delivery can be visualized by three-dimensional (3D) perineal ultrasound. The aim of this study was to compare biometric measurements of the levator ani muscle according to maternal constitutional factors, delivery mode and size of the baby immediately after the first ...
Hasan Jahan Ara - - 2010
OBJECTIVE: To assess the incidence, risk factors ,maternal and foetal outcome in women with peripartum cardiomyopathy. METHODS: A descriptive study was conducted in the department of gynae obstetrics Civil Hospital, and Dow University of Health Sciences, Karachi from Oct, 2003 till Sept, 2007. Thirtytwo patients of any parity and age ...
Triglia Maria Teresa - - 2010
OBJECTIVE: To compare 24-hour controlled-release vaginal dinoprostone pessary vs. gel for induction of labor at term in women with an unfavorable cervix. DESIGN: Randomized controlled trial. SETTING: University hospital. POPULATION: A total of 133 women with singleton pregnancies, fetal cephalic presentation, Bishop score < or = 4, gestational age of ...
Alperin Marianna M Division of Urogynecology and Reconstructive Pelvic Surgery, University of Pittsburgh, Pittsburgh, PA, USA. - - 2010
We sought to define changes in vaginal distensibility (VD) induced by pregnancy and vaginal delivery using a novel in vivo biomechanical testing protocol. Under sedation, a balloon was inserted into the vagina of 27 virgin, pregnant and 4-week postpartum Long-Evans rats and incrementally distended. Pressure-volume curves were generated with slopes ...
Muthulakshmi Balakrishnan - - 2010
The surgical treatment of intractable detrusor overactivity is complex and includes clam ileocystoplasty and appendix Mitrofanoff. Due to improved health and quality of life of these patients after surgery, the option of pregnancy is made possible for them. Pregnancy for these women can be complicated and requires multidisciplinary team input. ...
Yanushpolsky Elena - - 2010
To compare the efficacy of Crinone vaginal gel and intramuscular progesterone (IMP) for luteal phase support in in vitro fertilization-embryo transfer (IVF-ET) with respect to pregnancy rates and outcomes, and to assess patient satisfaction with both products. Prospective randomized trial. University-affiliated IVF unit. Women under age 40 years with day-3 ...
Geller Elizabeth J - - 2010
We compared maternal morbidity between planned vaginal and planned cesarean delivery. A university hospital's database was queried for delivery outcomes. Between 1995 and 2005, 26,356 deliveries occurred. Subjects were divided into two groups: planned vaginal and planned cesarean delivery. This was based on intent to deliver vaginally or by cesarean, ...
Ramos Dalmo Borges DB - - 2010
OBJECTIVE: To describe the first vaginal approach to an ectopic pregnancy after hysterectomy. DESIGN: Case report. SETTING: Private hospital. PATIENT(S): A 38-year-old woman presenting with an ectopic pregnancy 5 months after having a vaginal hysterectomy due to uterine myomatosis. INTERVENTION(S): Vaginal adnexectomy. MAIN OUTCOME MEASURE(S): Vaginal surgery as a plausible ...
Nordeng Hedvig - - 2010
AIM: To investigate factors related to analgesic use after delivery, and especially whether rates of analgesic use were different in a midwife-managed maternity hotel as compared to conventional postnatal wards. SETTING: One maternity hotel and two conventional postnatal wards at Ullev?l University Hospital in Oslo, Norway. METHOD: Data were obtained ...
Fox Nathan S - - 2010
OBJECTIVE: To estimate neonatal morbidity and delivery outcomes according to planned mode of delivery in twin pregnancies with active second-stage management. METHODS: This was an historic cohort of twin pregnancies delivered in one practice between June 2005 and September 2009 using a strict protocol of second-stage management, including breech extraction ...
Klajnbard Anna - - 2010
BACKGROUND: Physiological changes during pregnancy may affect laboratory parameters. Reference values based on samples from non-pregnant women are not necessarily useful for clinical decisions during pregnancy. There is a need to establish reference values during pregnancy in order to recognize pathological conditions. METHODS: Eight hundred and one women with expected ...
Promes Susan B - - 2010
The focus of this article is first-trimester bleeding. Vaginal bleeding during the first 3 months of pregnancy is a common event. It is important that the emergency physicians recognize patients with vaginal bleeding who may have an adverse outcome if misdiagnosed or not treated appropriately in the emergency department. Causes ...
Kalogiannidis I - - 2010
PURPOSE OF INVESTIGATION: The aim of the present study was to estimate the risk for breech presentation in women with singleton pregnancies at-term who had had at least one previous cesarean section (CS) versus at least one previous vaginal delivery. METHODS: Out of 4269 singleton pregnancies during the study period, ...
Ozalp E - - 2010
OBJECTIVE: To compare the impact of a dinoprostone vaginal insert and intravenous oxytocin in reducing blood loss of women undergoing vaginal or cesarean delivery. METHODS: This study was conducted among term singleton pregnancies delivered vaginally or by elective cesarean section. In the vaginally delivered cases, active management of the third ...
Islam S - - 2010
This retrospective cohort study was conducted at Newham University Hospital, London to investigate maternal outcome of planned vaginal delivery as well as rate of maternal-to-child transmission. Between June 2004 and June 2006, 23 (16%) women of 144 HIV-infected pregnant women opted for planned vaginal delivery. Offer of vaginal delivery was ...
Gyarmati B - - 2010
Previous reports have suggested that delivery is associated with the induction of inflammatory cytokines. The present study was designed to investigate whether increased cytokine production was present on postpartum day 3 after a normal pregnancy and whether any changes were associated with the mode of delivery. In total, 33 pregnant ...
Johanson Richard - - 2010
Proponents of vacuum delivery argue that it should be chosen first for assisted vaginal delivery, because it is less likely to injure the mother. The objective of this review was to assess the effects of vacuum extraction compared to forceps, on failure to achieve delivery and maternal and neonatal morbidity. ...
Johanson Richard - - 2010
The original cups used for vacuum extraction delivery of the fetus were rigid metal cups. Subsequently, soft cups of flexible materials such as silicone rubber or plastic were introduced. Soft cups are thought to have a poorer success rate than metal cups. However they are also thought to be less ...
Hasan Reem R Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA. - - 2010
Vaginal bleeding during pregnancy has been considered a marker of an at-risk pregnancy, but the accuracy of reported bleeding has not been assessed. We sought to evaluate the agreement in vaginal bleeding reports based on prospective daily diary and retrospective recall at first-trimester interview and to investigate predictors of reporting ...
Mansor Asmah - - 2010
OBJECTIVE: To determine if shoulder dystocia can be predicted in babies born weighing 3.5 kg or more. STUDY DESIGN: A case-control study nested in a perinatal database of 899 mothers and their babies who weighed 3.5 kg or more. All were term pregnancies and delivered vaginally. A case was defined ...
Donati Laura - - 2010
BACKGROUND: The vaginal microflora of a healthy asymptomatic woman consists of a wide variety of anaerobic and aerobic bacterial genera and species dominated by the facultative, microaerophilic, anaerobic genus Lactobacillus. The activity of Lactobacillus is essential to protect women from genital infections and to maintain the natural healthy balance of ...
Snell B J - - 2009
Vaginal bleeding occurs in 15% to 25% of early pregnancies. While 50% of women who have vaginal bleeding in the first trimester of pregnancy will continue to have a viable pregnancy, the event creates significant anxiety for the woman and can be managed in a multitude of ways. The 3 ...
Mitchell Caroline - - 2009
Bacterial vaginosis (BV) is associated with preterm delivery, but there is little evidence that treatment improves pregnancy outcomes. We examined whether oral or vaginal metronidazole treatment for BV in early pregnancy was more effective in restoring the normal vaginal environment. This was a randomized controlled trial comparing oral and intravaginal ...
Alexander James M - - 2009
To compare maternal and neonatal outcomes in women undergoing second-stage cesarean delivery after a trial of operative vaginal delivery with those in women undergoing second-stage cesarean delivery without such an attempt. This study is a secondary analysis of the women who underwent second-stage cesarean delivery. The maternal outcomes examined included ...
Grobman William A WA Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois, USA. - - 2009
We sought to construct a predictive model for vaginal birth after cesarean (VBAC) that combines factors that can be ascertained only as the pregnancy progresses with those known at initiation of prenatal care. Using multivariable modeling, we constructed a predictive model for VBAC that included patient factors known at the ...
Al-Suhel Raya - - 2009
BACKGROUND: The use of Kjelland's forceps is now uncommon, and published maternal and neonatal outcome data are from deliveries conducted more than a decade ago. The role of Kjelland's rotational delivery in the 'modern era' of high caesarean section rates is unclear. AIMS: To compare the results of attempted Kjelland's ...
Melamed Nir - - 2009
OBJECTIVE:: To assess pregnancy outcome and risk factors for repeat operative vaginal delivery in women with previous operative vaginal delivery. METHODS:: This was a case-control study of all nulliparous women who underwent operative vaginal delivery in a tertiary care medical center from 1993-2006 (n=4,153). The control group included nulliparous women ...
Sarafov Stayko - - 2009
There are few reports on pregnancies in sporadic and familial amyotrophic lateral sclerosis (ALS). We report on a young woman with sporadic ALS who gave birth twice during the course of her disease. The first pregnancy occurred 13 months after the onset of symptoms, and one month after diagnosis. The ...
Weidner Alison C - - 2009
The purpose of this study was to assess the effect of pregnancy and first vaginal delivery on urethral striated sphincter neuromuscular function. Quantitative electromyographic (EMG) interference pattern analysis of the urethral sphincter of 23 nulligravidas and 31 third trimester primigravidas allowed comparison of mean motor unit parameters before term vaginal ...
Sharma Vimla - - 2009
OBJECTIVE: To evaluate the effects of maternal age, induction of labour, epidural analgesia and birth weight on mode of delivery in nulliparous women with a singleton pregnancy and cephalic presentation at > or =36 weeks gestation, and to describe how these factors and their influence have changed over a 17-year ...
Wiklund Ingela - - 2009
AIM: This paper is a report of a study conducted to examine changes in personality from late pregnancy to early motherhood in primiparas having vaginal or caesarean deliveries. BACKGROUND: Birth of the first child is a major life event, possibly influencing personality. The physiological and emotional processes that start in ...
Mahajan N N - - 2009
In modern obstetrics, the role of internal podalic version (IPV) is limited to delivery of the second twin. A retrospective study was conducted to assess the efficacy of IPV in singleton neglected shoulder presentation with fetal demise. Women with live fetuses, previous CS or contracted pelvis were excluded. The procedure ...
Ghanizadeh Ahmad - - 2009
Electro-convulsive (ECT) therapy is frequently the treatment of choice in pregnant patients. It has been reported that administration of ECT in pregnancy is safe and effective. However, there are few controlled studies of the effects of ECT on pregnancy. The literature is not conclusive regarding ECT-related complications in pregnancy. We ...
Boutros John - - 2009
BACKGROUND/PURPOSE: Optimal perinatal treatment in gastroschisis remains uncertain. We sought to determine the effect of gestational age (GA), birth weight (BW), and intended and actual route of delivery on outcomes in gastroschisis. METHODS: Cases were abstracted from a national gastroschisis database. Outcomes analyzed by route of delivery, delivery plan conformity, ...
Mitwally Mohamed F - - 2010
OBJECTIVE: To study the outcome of IVF-ET in women who used vaginal P (vaginal P(4)) versus those who used P in oil via IM injection (IM-P(4)) for luteal support. DESIGN: Retrospective cohort. SETTING: Tertiary referral infertility center. PATIENT(S): A cohort of 544 women. INTERVENTION(S): In 145 women, vaginal P(4) was ...
Niemeijer Ilse C - - 2009
BACKGROUND: Erythema multiforme (EM), Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) can be distinguished by location, morphology and extent of cutaneous and mucosal lesions. EM has minimal effects on pregnancy and the genital tract. SJS and TEN on the other hand are related with premature labor and vaginal scarring ...
Kennedy Colleen M - - 2009
OBJECTIVE: To identify the prevalence of vulvar and vaginal symptoms during pregnancy and at 3 months post partum. METHODS: A prospective, longitudinal, descriptive study of 103 pregnant women was undertaken in which a self-administered questionnaire was completed at each trimester and 3 months post partum. Retrospective data was collected from ...
Nizard Jacky - - 2009
OBJECTIVE: The purpose of this study was to compare the ultrasound-based LaborPro (Trig Medical Ltd, Yokneam, Israel) system determination of fetal head station and position with routine vaginal examination. STUDY DESIGN: This prospective study, which was conducted in 3 centers included 311 measurements that were performed in 166 singleton term ...
Tasnim Nasira - - 2009
OBJECTIVE: To determine the success rate of External Cephalic Version (ECV) with 0.25 mg Salbutamol in singleton term breech and to identify the predictors of success. STUDY DESIGN: Quasi experimental study. PLACE AND DURATION OF STUDY: Mother and Child Health Centre, Pakistan Institute of Medical Sciences, Islamabad, from January 2000 ...
Panayi Demetri C - - 2009
PURPOSE OF REVIEW: Women in pregnancy can experience lower urinary tract symptoms which are related to the pregnancy and delivery and iatrogenic, and related to use of epidural anaesthesia and urethral catheters. This article assesses the controversial relationship between pregnancy and delivery and the development of urinary incontinence and pelvic ...
Sarafov Stayko - - 2009
There are few reports on pregnancies in sporadic and familial amyotrophic lateral sclerosis (ALS). We report on a young woman with sporadic ALS who gave birth twice during the course of her disease. The first pregnancy occurred 13 months after the onset of symptoms, and one month after diagnosis. The ...
Lundholm Cecilia - - 2009
OBJECTIVE: To investigate the annual rates, types and indications for hysterectomy on benign indications in Sweden 1987-2003. DESIGN: A nationwide register-based cohort study. SETTING: The Swedish Inpatient Register. POPULATION: All women hysterectomized for benign disease in Sweden from 1987 through 2003 (n=121,947). MAIN OUTCOME MEASURE: Hysterectomy on benign indications calculated ...
Lataifeh Isam - - 2009
The personal preference of Jordanian obstetricians regarding mode of delivery in uncomplicated pregnancy with singleton cephalic presentation at term was surveyed by an anonymous structured questionnaire distributed at five conferences/scientific meetings on obstetrics and gynecology held in Jordan in 2007. The response rate was 70% (n=315), and 22 (7%) of ...
Brandt Kate Burkhardt - - 2009
In this column, a mother and her doula describe the strategies used during pregnancy and labor to maximize the success of a vaginal birth after a previous cesarean surgery.
Chi Claudia - - 2009
OBJECTIVES. To assess the obstetric outcome in women with factor XI (FXI) deficiency. DESIGN. Retrospective review of medical records. SETTING. Tertiary referral university hospital. POPULATION. Women with FXI deficiency. METHOD. Review of pregnancies over a 10-year period (1997-2006). Main outcome measures. Pregnancy outcome, mode of delivery, changes in FXI levels ...
Hajdyla-Banaƛ Iwona - - 2009
Leflunomide (LMF) is an immunemodulatory drug used in the therapy of Rheumatoid Arthritis (RA). After oral administration in the mucosa of digestive tract LMF is quickly converted to an active metabolite A77126 which is a competitive inhibitor of dihydroorotate dehydrogenase--enzyme required in pirymidyne synthesis resulting in decreased proliferation of T ...
Eskild Anne - - 2009
To study the association of preeclampsia with abnormal bleeding in the first trimester and after delivery. Register-based population study. Setting. The Medical Birth Registry of Norway. Population. A total of 315,085 women in Norway with singleton deliveries after 21 weeks of gestation (1999-2004). We compared frequencies of vaginal bleeding in ...
Mitchell Caroline M - - 2009
Bacterial vaginosis (BV) is a common condition that is associated with preterm birth and acquisition of complex communities of vaginal bacteria that include several fastidious species. Treatment of BV in pregnancy has mixed effects on the risk of preterm delivery, which some hypothesize is due to variable antibiotic efficacy for ...
Melamed Nir - - 2009
OBJECTIVE: To compare maternal and neonatal outcomes of forceps delivery or cesarean section (CS) following failed vacuum extraction. METHODS: A retrospective cohort study of all women who underwent forceps delivery and/or CS after failed vacuum extraction in 1993-2006 was conducted. Cases were identified by searching the computerized delivery discharge database. ...
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