Complication rates following rotational forceps delivery ‘low’

The short-term rates of neonatal and maternal complications following successful Kielland’s rotational forceps delivery are low and comparable with other forms of delivery, and lower than those seen with cesarean delivery, say UK investigators.
Source: MedWire News - Pediatrics - Category: Pediatrics Source Type: news

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Abstract BACKGROUND: Increased use of operative vaginal delivery (use of forceps, vacuum or other device) has been recommended to address high rates of cesarean delivery. We sought to determine the association between rates of operative vaginal delivery and obstetric trauma and severe birth trauma. METHODS: We carried out an ecological analysis of term, singleton deliveries in 4 Canadian provinces (2004-2014) using data from the Canadian Institute for Health Information. The primary exposure was mode of delivery. The primary outcomes were obstetric trauma and severe birth trauma. RESULTS: Data on 1 938 9...
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Source Type: research
PMID: 29914909 [PubMed - in process]
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Source Type: research
AbstractObjectiveTo investigate the association between episiotomy and perineal damage in the subsequent delivery.Study designA retrospective cohort study was conducted, comparing outcome of subsequent singleton deliveries of women with and without episiotomy in their first (index) delivery. Deliveries occurred between the years 1991 –2015 in a tertiary medical center. Traumatic vaginal tears, multiple pregnancies, and cesarean deliveries (CD) in the index pregnancy were excluded from the analysis. Multiple logistic regression models were used to control for confounders.ResultsDuring the study period, 43,066 women me...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
This study was aimed to assess the effectiveness and safety of surgical induction of labour in term and postdated pregnancy.This prospective clinical study was conducted in the in-patient Department of Obstetrics and Gynecology, Combined Military Hospital (CMH), Dhaka from July, 2005 to June 2006. A total of 100 pregnant women with term and postdated pregnancy were selected for the study by simple random sampling. The particulars of the patient, detailed menstrual and obstetric history, induction delivery interval, mode of delivery and foetal outcome and maternal complications were recorded. The results were analysed by St...
Source: Bangladesh Medical Research Council Bulletin - Category: International Medicine & Public Health Source Type: research
Conclusion Where low-risk status is assigned at registration, neonatal encephalopathy is more prevalent. This data is relevant for the design of prenatal care models and demonstrates that assignment of low obstetric risk on the basis of maternal or pre-pregnancy factors alone may erroneously be interpreted as conferring low-risk status to the fetus.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Abstract Simulation in obstetrics is a widely accepted and valuable tool that benefits all levels of learners from medical students to maternal-fetal medicine subspecialists. What began as an adjunct to medical education now has a rapidly expanding role in acquisition of new and innovative procedures, team and unit training, and safety and quality initiatives. The number of obstetric simulation peer-reviewed reports has increased exponentially in recent years, yet only a small percentage of reports primarily addresses clinical outcomes. Studies link simulation to a reduction in neonatal brachial plexus injury, mat...
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
Publication date: July 2018 Source:Chemical Engineering and Processing - Process Intensification, Volume 129 Author(s): Gioele Di Marcoberardino, Stefano Foresti, Marco Binotti, Giampaolo Manzolini This paper investigates the potentiality of membrane reactor for green hydrogen production from raw biogas. The assessment is carried out both from thermodynamic and economic point of view to outline the advantages of the innovative technology with respect to the conventional one based on reforming, water gas shift and pressure swing adsorption unit. Both biogas produced by landfill and anaerobic digestion are considered to eva...
Source: Chemical Engineering and Processing: Process Intensification - Category: Chemistry Source Type: research
CONCLUSIONS: Our prematurely stopped randomised trial did not demonstrate any reduction in failed instrumental delivery and maternal and fetal morbidity in women submitted to sonographic assessment of fetal position prior to vacuum delivery. This article is protected by copyright. All rights reserved. PMID: 29785716 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
(BJOG. 2017;124(9):1365–1372) Operative vaginal delivery, using forceps or vacuum extraction during the second stage of labor, is an important labor management option. Indications for the use of an operative vaginal delivery include situations where it is beneficial to shorten the second stage of labor, such as a concerning fetal heart rate tracing, certain maternal medical conditions, and maternal exhaustion. The use of operative vaginal delivery in the United States, particularly forceps deliveries, has declined recently. As a result, concerns have been raised that obstetric residents currently being trained may n...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports, Surveys Source Type: research
I will occasionally report inLab Soft News about examples of artificial intelligence (AI) that are being introduced into healthcare because the use of such tools will radically change the way care is rendered. One such example is a recently developed algorithm that generates warnings about which patients are in imminent danger of"coding" in the hospital (see: Ochsner Health System: Preventing cardiac arrests with AI that predicts which patients will ‘code’). Such a warning enables physicians to intervene earlier for them. Below is an excerpt from the article:In modern hospitals, doctors and nurse...
Source: Lab Soft News - Category: Laboratory Medicine Authors: Tags: Healthcare Delivery Healthcare Information Technology Healthcare Innovations Medical Ethics Medical Research Quality of Care Source Type: blogs
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