Induced labor at 39 weeks may reduce likelihood of C-section, NIH study suggests

Elective induction at 39 weeks also linked to lower risk of maternal high blood pressure disorders.
Source: National Institutes of Health (NIH) News Releases - Category: American Health Source Type: news

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Abstract OBJECTIVE: The Hypertension and Preeclampsia Intervention Trial At near Term-I (HYPITAT-I) randomized controlled trial showed that, in women with gestational hypertension or mild pre-eclampsia at term, induction of labor, compared with expectant management, was associated with improved maternal outcome without compromising neonatal outcome. The aim of the current study was to evaluate the impact of these findings on obstetric management and maternal and perinatal outcomes in The Netherlands. METHODS: We retrieved data for the period 2000-2014 from the Dutch National Perinatal Registry, including 143&...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
CERVICAL RIPENING BALLOON AS A METHOD OF PREINDUCTION - ONE CENTER STUDY. Acta Clin Croat. 2018 Dec;57(4):762-767 Authors: Košec V, Djaković I, Sabolović Rudman S Abstract - Cervical ripening can be promoted in many ways, but mechanical methods are among the oldest. Like all other methods, this one also has its pros and cons. Disadvantages compared to pharmacological methods include some maternal discomfort upon manipulation of the cervix, a theoretical increase in the risk of maternal and neonatal infection from the introduction of a foreign body, potential disruption of a low-lying placenta,...
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
Conclusion Foley catheter is a safe tool for mechanical dilation in women undergoing IOL after prior cesarean. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: American Journal of Perinatology - Category: Perinatology & Neonatology Authors: Tags: SMFM Fellowship Series Article Source Type: research
Marjon E. Feenstra1†, Mirthe H. Schoots2†, Torsten Plösch1, Jelmer R. Prins1, Sicco A. Scherjon1, Albertus Timmer2, Harry van Goor2 and Sanne J. Gordijn1* 1Department of Obstetrics and Gynecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands 2Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands Objective: Management of late fetal growth restriction (FGR) is limited to adequate fetal monitoring and optimal timing of delivery. The Disproportionate Intrauterine Growth Intervention ...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
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‐...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
CONCLUSIONS: Elective induction of labor in uncomplicated singleton pregnancies from 39 weeks' gestation is not associated with maternal or perinatal complications and may reduce the risk of Cesarean section, hypertensive disease of pregnancy and need for neonatal respiratory support. This article is protected by copyright. All rights reserved. PMID: 30298532 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
Beyonce revealed that she experienced toxemia, also known as preeclampsia, while she was pregnant with her twins, Sir and Rumi. The condition left her swollen and put her on bed rest for more than a month. In an interview in the September issue of Vogue, the entertainer said that the condition led to an emergency Cesarean section, which required the twins to spend weeks in the neonatal intensive care unit (NICU). Here’s what you should know about toxemia, aka preeclampsia. What is preeclampsia, and why is it also called toxemia? About 5% of pregnant women will get preeclampsia while expecting — usually toward t...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime Reproductive Health Source Type: news
Publication date: July 2018Source: Pregnancy Hypertension, Volume 13Author(s): Reut Rotem, Gali Pariente, Matvey Golevski, Yael Baumfeld, David Yohay, Adi Y. WeintraubAbstractObjectiveTo examine the association between hypertensive disorders of pregnancy and third stage placental complications.MethodsA retrospective cohort study based on Soroka Medical Center institutional computerized database. All vaginal deliveries of women between the years 1998–2013 were included. Rates of third placental complications and other adverse pregnancy outcomes were compared between parturients with and without hypertensive disorders ...
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
We report the cases of three pregnant Japanese women definitively diagnosed with LVNC prepregnancy. Case 1 presented LVNC with restrictive phenotype. Her pregnancy was terminated due to exacerbated pulmonary hypertension and low output status at 30 weeks' gestation. Case 2 presented isolated LVNC with nonsustained ventricle tachycardia. A cesarean section was performed at 36 weeks' gestation because of placenta previa. Case 3 presented dilated LVNC. Labor induction was performed because of decreased left ventricular ejection fraction, leading to a vaginal delivery at 37 weeks' gestation. In all cases, no thromboembolic eve...
Source: International Heart Journal - Category: Cardiology Tags: Int Heart J Source Type: research
DISCUSSION: These results emphasize the need for screening and close follow-up of hypertension in pregnancy for safeguarding fetal and maternal wellbeing. Even after practicing the current standard of care, the higher rate of complications associated with PIH is unacceptable. The authors feel that unique management protocols should be implemented for different patient populations, based on ethnicity, lifestyle, and availability of medical resources. PMID: 29714877 [PubMed - in process]
Source: Clinical and Experimental Obstetrics and Gynecology - Category: OBGYN Tags: Clin Exp Obstet Gynecol Source Type: research
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