Induced labor after 39 weeks in healthy women may reduce need for C section
NIH-funded study suggests this approach may also reduce risk of preeclampsia, need for newborn respiratory support.
Introduction: In many international guidelines, it is mentioned that there is no indication to perform an elective cesarean section in case of elective preterm birth but there are no specific guidelines regarding preterm labor induction because data remains sparse, especially in moderate and late preterm birth.
Introduction: Although breech presentation occurs in 3 –4% of all term deliveries, the clinical management of those patients is still a controversially discussed topic among experts. Despite missing empirical evidence, a planned cesarean is often recommended to women with a prior cesarean section. Further research is inevitable to develop a guideline for breech deliveries, encourage vaginal birth after cesarean section (VBAC) in breech and prevent unnecessary elective cesarean sections.
Introduction: The clinical management of breech presentations at term is still a controversially discussed issue among clinicians. Clear predictive criteria for planned vaginal breech deliveries are desperately needed to prevent adverse fetal and maternal outcomes and to reduce elective cesarean section rates. The green-top guideline considers an estimated birth weight of 3.8kg or more an indication to plan a cesarean section despite the lack of respective evidence.
Introduction: At term, 3 –4% of pregnant women expect a baby in breech presentation. National societies regard vaginal breech delivery as a safe option, but only for a specific and thoroughly counseled group of patients. To avoid adverse outcomes, many practitioners recommend elective cesarean section once their patients go past the estimated due date. Since encompassing evidence is missing, we need to evaluate this common clinical practice.
Introduction: Numerous factors are known to increase the risk of a uterine rupture (UR) but even in high-risk subgroups, incidence is low. A previous Cesarean section (CS) has shown to be the strongest risk factors for UR, and increased at least two-fold when labor is induced. Women are allowed to deliver vaginally after one previous CS, regardless if labor starts spontaneously or is induced. An important question is whether the method of induction is of importance for UR, and if so, which method is the most effective and safe.
AbstractIntroductionOur objective was to compare the efficacy of a 200 ‐μg misoprostol vaginal insert (MVI) vs oral misoprostol regarding the cesarean section rate and the time interval to vaginal delivery in nulliparous women with unfavorable cervix.Material and methodsIn this prospective multicenter trial 283 nulliparous women at term with Bishop score
The objective of the study was to explore trial of labor and its failure in pregnancies with medical risk conditions, in a population with a high trial of labor rate.Material and methodsIn a cohort study (n=57 109), using data from the Medical Birth Registry of Norway 1989‐2014, women with a second delivery after a first pregnancy cesarean section were included. Preterm, multiple, and non‐cephalic deliveries were excluded. The outcomes were trial of labor and failed trial of labor, assessed as rates and relative risk, using deliveries without risk conditions as reference. Temporal trends were assessed by three‐...
CONCLUSION: For low-risk midwifery clients at 41 weeks or more gestation, the odds of Caesarean section and neonatal morbidity and mortality are similar when induction of labour with oxytocin under the care of a midwife is compared with induction of labour under obstetrical care, and rates of intervention are decreased. PMID: 30712906 [PubMed - as supplied by publisher]
ConclusionsNon ‐D Rh alloimmunisation is a relatively uncommon complication of pregnancy, occurring in only 0.33% of pregnancies in the study period. It can lead to significant fetal/neonatal morbidity (and may lead to mortality). The most severe outcomes (including perinatal deaths) were mostly associated with the compound antibodies anti‐CD and anti‐cE, or a non‐D Rh antibody in conjunction with anti‐D.This article is protected by copyright. All rights reserved.
This study aims to assess the effectiveness and safety of a balloon catheter as method of induction of labor in women with one previous cesarean section and an unfavorable cervix compared to an elective repeat cesarean section.Material and methodsWe performed a prospective cohort study in 51 hospitals in the Netherlands on term women with one previous cesarean section, a live singleton fetus in cephalic position, an unfavorable cervix and an indication for delivery. We recorded obstetric, maternal and neonatal characteristics. We compared the outcome of women who were induced with a balloon catheter to outcome of women who...