Induction of labour at 39  weeks in low-risk women increases costs

Source: PharmacoEconomics and Outcomes News - Category: Drugs & Pharmacology Source Type: news

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Publication date: Available online 21 October 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Charline Bertholdt, Manuel Gomes David, Priscillia Gabriel, Olivier Morel, E. Perdriolle-GaletAbstractObjectivesThe main objective of this study was to assess the induction-to-delivery interval with or without the use of osmotic dilators for induced abortion. As secondary objectives, women outcomes were assessed.Study designThis retrospective single-center observational before and after study reviewed records from a university hospital maternity unit from 2002 through 2016 and included...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
AbstractIntroductionGreat variations in cesarean rates after induction of labor exist and reasons for these disparities remain unclear. They may be explained by individual characteristics or obstetric practices. Ten ‐group classification systems have proved their utility to monitor cesarean rates in general population. We aimed to identify groups of women that account for most cesareans after induction of labor using the Nippita reproducible ten‐group classification, specifically designed for induced popula tion.Material and methodsA prospective population ‐based cohort study was performed in 94 French maternity unit...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Publication date: Available online 17 October 2019Source: Canadian Journal of DiabetesAuthor(s): Alexandra Pouliot, Riham Elmahboubi, Catherine AdamAbstractBackgroundAt one Canadian university hospital, pregnant women have been routinely screened for gestational diabetes mellitus (GDM) with a 75g OGTT. Diagnostic plasma glucose thresholds were: fasting: ≥5.3mmol/l, 1-hr: ≥10.6mmol/l or 2-hr: ≥9.0mmol/l. In 2015, diagnostic thresholds were reduced to those recommended by the International Diabetes in Pregnancy Study Group (IADPSG): fasting ≥ 5.1mmol/l, 1-hr ≥10.0mmol/l or 2-hr ≥8.5mmol/l. However, subseque...
Source: Canadian Journal of Diabetes - Category: Endocrinology Source Type: research
Abstract BACKGROUND: Mechanical methods were the first methods developed to ripen the cervix and induce labour. During recent decades they have been substituted by pharmacological methods. Potential advantages of mechanical methods, compared with pharmacological methods may include reduction in side effects that could improve neonatal outcomes. This is an update of a review first published in 2001, last updated in 2012. OBJECTIVES: To determine the effectiveness and safety of mechanical methods for third trimester (> 24 weeks' gestation) induction of labour in comparison with prostaglandin E2 (PGE2) (vagin...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
The induction of labour is an increasingly common procedure in the obstetrics field. Various methods have been used to induce labour, among which balloon catheters play an important role. Whether the specifica...
Source: BMC Pregnancy and Childbirth - Category: OBGYN Authors: Tags: Research article Source Type: research
Abstract During human pregnancy, Regulatory T cell (Treg) function is enhanced, and immune activation repressed allowing the growth and development of the feto-placental unit. Here, we have investigated whether human labour is associated with a reversal of the pregnancy-induced changes in the maternal immune system. We tested the hypothesis that human labour is associated with a decline in Treg function, specifically their ability to modulate toll-like receptor (TLR)-induced immune responses. We studied the changes in cell number, activation status and functional behaviour of peripheral blood, myometrial (myoMC) a...
Source: Clinical and Developmental Immunology - Category: Allergy & Immunology Authors: Tags: Clin Exp Immunol Source Type: research
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): B Gao, Q Feng, D Xu, X GuanStudy ObjectiveTo investigate the delivery outcome of women in the third trimester who previously underwent hysteroscopic adhesiolysis (HA).DesignRetrospective cohort study.SettingUniversity-affiliated hospital.Patients or ParticipantsA total of 127 women with a history of HA before pregnancy and delivery in the third trimester from May 2011 to May 2018 were enrolled (Study Group). Additionally, a total of 127 women with a negative history of HA were randomly se...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ng Jae Kang One of the 100 worst invasive exotic species, Solenopsis invicta (red imported fire ant), has the possibility to induce an allergic reaction that may eventually cause death from its aggressive stinging. In 2017, S. invicta was found at a container yard in Gamman Port, Busan, South Korea for the first time. It may result in an infestation of fire ants in the Korean environment. After this incident, sensitive quarantine procedures are required to detect possible contamination of fire ants in imported containers. However, currently, fire ant identification relies on phenotypic characteristics. This requires hi...
Source: Genes - Category: Genetics & Stem Cells Authors: Tags: Article Source Type: research
AbstractIntroductionDespite the associations between delayed childbearing and poorer maternal and perinatal outcomes, little is known about these issues in regular exercisers and in women with healthy lifestyles. The aims of the present study were to: (a) compare lifestyle variables and exercise, pregnancy and birth outcomes in women ≥35 years and women
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Despite a lower percentage of primary cesareans than non-Hispanic White and Black women, Hispanic women in the United States had the highest rate of repeat cesarean deliveries (RCD) in 2016; it is unclear if reasons for differences are due to known risk factors. Our study examined the association between ethnicity/race and RCD among women with one previous cesarean and whether demographic (age, marital status, education, language, and delivery year), anthropomorphic (height, prepregnancy body mass index), obstetrical/medical (parity, gestational age, infant birth weight, gestational diabetes, labor induction or augmentatio...
Source: Womens Health Issues - Category: Primary Care Authors: Tags: Original article Source Type: research
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