Operative Vaginal Delivery Is a Safe Option in Women Undergoing a Trial of Labor after Cesarean

AJP Rep 2019; 09: e190-e194 DOI: 10.1055/s-0039-1692482 Objective To compare outcomes of operative intervention in the second stage of labor during trial of labor after cesarean (TOLAC). Study Design A secondary analysis of the Maternal-Fetal Medicine Units Network cesarean section registry was conducted. Analysis was by first attempted mode of delivery. Results A total of 1,837 met inclusion criteria. Subjects in the operative vaginal groups (OVDs) were more likely to have a prior vaginal delivery (vacuum 34.2%; forceps 34.3%) than the repeat cesarean delivery (RCD) group (22.6%; p 
Source: American Journal of Perinatology Reports - Category: Perinatology & Neonatology Authors: Tags: Original Article Source Type: research

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Amer J Perinatol 2019; 36: S91-S98 DOI: 10.1055/s-0039-1692130 Objective To systematically evaluate pregnancy and labor course, obstetrical complications, and maternal and neonatal outcomes in women with endometriosis, stratifying according to the specific location of the disease. Study Design We retrospectively analyzed our prospectively maintained obstetrical database from January 2011 to August 2014 to identify all women with a previous histological diagnosis of endometriosis who delivered at our institution (cases). We divided the cases according to the specific location of the disease (deep infiltratin...
Source: American Journal of Perinatology - Category: Perinatology & Neonatology Authors: Tags: Original Article Source Type: research
s CC, Eggebø TM Abstract OBJECTIVES: To investigate if descent of the fetal head during active pushing was associated with duration of operative vaginal delivery, delivery mode and neonatal outcome in nulliparous women with prolonged second stage of labor. METHODS: We conducted a prospective cohort study between November 2013 and July 2016 in five European countries. Fetal head descent was measured with transperineal ultrasound. Head-perineum distance (HPD) was measured between contractions and at maximum contraction during active pushing, and the difference was calculated as delta-HPD. The main outcom...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
We describe below how metagenomic and nutritional data were integrated into the algorithm in Tobalina et al. (2015). Metagenomic Data From Vallès et al. (2014), we collected 454 pyrosequencing metagenomic data of the gut microbiota of 13 Spanish infants at five different time points during the first year after birth (1 week and 1, 3, 7 months, and 1 year). For the second time point considered (1 month), we only have data for 9 out of 13 infants and, therefore, we have 61 samples overall. Information on sex, type of delivery, antibiotic exposure, and feeding habits for these infants is provided in Supplementary Tab...
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
AbstractIntroductionThe number of women postponing childbirth until an advanced age is increasing. Our aim was to study the outcome of labor in nulliparous women ≥40 years, compared with women 25‐29 years, after both spontaneous onset and induction of labor.Material and methodsThe nationwide population ‐based Swedish Medical Birth Register was used to study the perinatal outcome in nulliparous women with a singleton, term (gestational weeks 37‐44), live fetus in cephalic presentation and a planned vaginal delivery from 1992 to 2011. We included 7796 nulliparous women ≥40 years and 264 262 nu...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
AbstractIntroductionThe number of women postponing childbirth until an advanced age is increasing. Our aim was to study the outcome of labor in nulliparous women ≥40 years, compared with women 25‐29 years, both after spontaneous onset and induction of labor.Material and methodsThe nationwide population ‐based Swedish Medical Birth Register was used to study the perinatal outcome in nulliparous women with a singleton, term (gestational week 37‐44), live fetus in cephalic presentation and a planned vaginal delivery from 1992 to 2011. We included 7796 nulliparous women ≥40 years and 264 262 nul liparous women 25...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
Introduction: Safe operative vaginal delivery (O.V.D.) requires a careful assessment of the clinical situation. The complexity of the delivery can lead to choose between an O.V.D. and a cesarean section (C-section). An emergency C-section for failed O.V.D. is associated with a higher fetal and maternal morbidity, compared to an O.V.D. and to a C-section straightaway.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Oral Poster at Breakfast 3 – Caesarean Source Type: research
Introduction: Failed attempted OVD (aOVD) followed by C-section is associated with significantly increased adverse perinatal outcomes compared to spontaneous vaginal delivery. Thus, knowledge of indicators prior to aOVD that are related to failed aOVD might improve clinical decision-making and clinical outcomes.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Oral Poster at Breakfast 3 – Caesarean Source Type: research
This study aimed to determine the association between variations in obstetric practice (between hospitals) and maternal birth trauma.MethodsThis was a retrospective ancillary analysis involving 660 nulliparous women carrying an uncomplicated singleton term pregnancy in a prospective perinatal intervention trial at two Australian tertiary obstetric units. They had been seen antenatally and at 3 –6 months postpartum for a standardized clinical assessment between 2007 and 2014. Primary outcome measures were sonographically diagnosed LAM and external anal sphincter (EAS) trauma.ResultsThe incidence of LAM avulsion (...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Publication date: Available online 6 February 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Bingjie Leng, Yong Zhou, Du Shuguo, Fang Liu, Lei Zhao, Guoqiang Sun, Yun ZhaoAbstractPelvic organ prolapse (POP) is a common disease in aged women with negative physical and psychological influences. The long-term impact of delivery mode on POP remains uncertain. To evaluate the relationship between delivery mode and POP, a meta-analysis was carried out in this study. PubMed, Web of Science and CENTRAL were combined to search for relevant studies. Data were extracted by two investigat...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
AbstractPurposeTo characterize and understand the demographics (age and body mass index, BMI) of a cohort of women who delivered at a single institution over an 11-year period. The purpose of this analysis is to look for effects over time of demographic characteristics on mode of delivery.MethodsRetrospective analysis of singleton deliveries between 2004 –2014,n = 27,729; level 1 perinatal center, university hospital setting. Data were extracted from the digital birth registry. All statistical analyses were done using R version 3.5.1. Variables analyzed were: age, BMI, and mode of delivery (in...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
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