Inducing labor at 39 weeks may help avoid C-section, study finds

A new study finds that inducing labor at 39 weeks in healthy women may reduce the need for C-section and does not raise risks for the baby, compared with waiting for spontaneous labor. The study doesn't mean everyone should be induced, experts say.
Source: CNN.com - Health - Category: Consumer Health News Source Type: news

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Maternal obesity is associated with adverse obstetrics outcomes, including increase rate of cesarean section. There is limiting data addressing the optimal method of induction in obese women. Previous studies reported contradicting results regarding the best method of labor induction in obese women. In this prospective study we compared between medical inductions of labor to mechanical induction of labor in obese pregnant women
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Poster Session IV Source Type: research
AbstractPurposeTo assess whether there is an association between predicted fetal macrosomia and adverse outcomes in macrosomic newborns (>  4000 g), based on a sonographic evaluation up to 2 weeks prior to delivery.MethodsA retrospective cohort study of 3098 mothers of macrosomic babies who were delivered at our institution (2000 –2015). We compared the management and outcomes of women with predicted fetal macrosomia with that of women with unknown fetal macrosomia. The primary outcomes were cesarean section (CS) rate and postpartum hemorrhage. Secondary outcomes were composite maternal and neonat...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
CONCLUSION: Our results revealed that there were no differences between GTN and placebo regarding their effect on cervical ripening in overdue pregnant women.
Source: Indian Journal of Pharmacology - Category: Drugs & Pharmacology Authors: Source Type: research
ConclusionsCombined application of intracervical Foley balloon catheter and intravaginal PgE2 insert may result in a shorter time from labor induction to delivery without rising the risk of cesarean section in primiparous women with an unfavorable cervix.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
ConclusionsAlthough women who had an early term labor induction with large ‐for‐gestational age were less likely to have a cesarean section, the increased risk of neonatal morbidities and additional healthcare utilization suggests the need for caution in early induction of large‐for‐gestational age babies before 39 weeks gestation.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
This study aimed to investigate induced labor, cesarean delivery, and health care utilization in patients with a previous stillbirth and assess if anxiety and dread of childbirth may be possible causes of the increased cesarean rate and increased frequency of antenatal visits.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
This study aimed to develop and validate a prediction model for cesarean section to supplement counseling for nulliparous and multiparous women with an unfavorable cervix undergoing induction.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
Background: Von Willebrand disease (vWD) is the most common inherited bleeding disorder with a reported prevalence of 1% in epidemiological studies and symptomatic prevalence of 1 in 10,000.Pregnancy in vWD is associated with increased bleeding risk particularly postpartum hemorrhage. Treatment options include desmopressin acetate (DDAVP), plasma derived factor concentrates and antifibrinolytic agents. Human Recombinant von Willebrand factor (vWF) (Vonvendi®) has been approved in the United States for on demand treatment and perioperative management of adults with vWD. It has been shown to maintain sustained levels of ...
Source: Blood - Category: Hematology Authors: Tags: 401. Basic Science and Clinical Practice in Blood Transfusion Source Type: research
ConclusionRCE was well-tolerated and associated with good and possibly improved maternal and fetal outcomes in this small cohort of sickle cell patients. Larger studies are required to further characterise the benefit of prophylactic RCE during pregnancy in the SCD population.DisclosuresSzer: Alexion Pharmaceuticals, Inc.: Consultancy, Honoraria, Other: Travel Support , Research Funding.
Source: Blood - Category: Hematology Authors: Tags: 114. Hemoglobinopathies, Excluding Thalassemia-Clinical Source Type: research
ConclusionLow CPR, measured within 24 hours of induction of labor, is associated with increased risk of cesarean section for fetal distress and adverse neonatal outcome, but the performance of CPR for such surrogates of adverse perinatal outcome is poor.This article is protected by copyright. All rights reserved.
Source: Ultrasound in Obstetrics and Gynecology - Category: Radiology Authors: Tags: Original Paper Source Type: research
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