Improving labour progression among women with epidural anesthesia following use of a birthing ball: a review of recent literature.

The objective of this article is to review existing literature and highlight the potential clinical utility of birthing balls in current obstetric practice. What are the implications of these findings for clinical practice and further research? Use of birthing balls has been advocated to decrease labouring time and therefore reduce progression to caesarean section. Larger studies or meta-analysis would be required to confirm potential benefits of birthing ball use. PMID: 31476927 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

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ConclusionDyspareunia is common among primiparous women, and these patients are more likely to suffer perineal tears and anxiety during delivery.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
ConclusionDyspareunia is common among primiparous women, and these patients are more likely to suffer perineal tears and anxiety during delivery.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
The objective of this study was to use TGCS to evaluate potential associations between EA and cesarean and assisted vaginal delivery rates, according to the TGCS groups.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
Publication date: April 2018Source: Egyptian Journal of Anaesthesia, Volume 34, Issue 2Author(s): Yoong Chuan Tay, Kian Hian TanAbstractSymphysis pubis diastases complicate 1:300 to 1:30,000 pregnancies. Peripartum pain in chronological sequence with labor epidural analgesia often attracts instinctive causation and distress. Predisposing risk factors include macrosomia, short second stage of labor, forceps use, multiparity, small pelvis, intense uterine contractions, previous pelvic ring pathology and trauma. A gestational diabetic primigravid parturient presents with acute post-partum back pain after an uneventful analges...
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research
Epidural analgesia (EA) is the gold standard for pain relief during labor and delivery. Multiple randomized controlled trials show lower maternal pain scores and higher maternal satisfaction with epidural analgesia during labor compared to other analgesic techniques, such as systemic opioids and nitrous oxide.1 –4 In spite of its efficacy and increased use there has been significant controversy regarding the impact of EA on labor outcomes. Although evidence suggests that EA does not increase the overall rate of cesarean delivery,5 its impact on other outcomes, such as need for assisted vaginal delivery, has been stud...
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
Conclusions and Relevance Long-term sequelae, including pain, dyspareunia, and fecal incontinence, significantly impact quality of life for many patients who suffer OASISs and may be avoided if evidence-based guidelines for recognition and repair are utilized. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to state risk factors for OASISs, accurately diagnose OASISs, provide a framework for operative repair of OASISs, and describe the short- and long-term implications of OASISs for the patient.
Source: Obstetrical and Gynecological Survey - Category: OBGYN Tags: CME Articles Source Type: research
Publication date: Available online 24 August 2017 Source:Egyptian Journal of Anaesthesia Author(s): Yoong Chuan Tay, Kian Hian Tan Symphysis pubis diastases complicate 1:300 to 1:30,000 pregnancies. Peripartum pain in chronological sequence with labor epidural analgesia often attracts instinctive causation and distress. Predisposing risk factors include macrosomia, short second stage of labor, forceps use, multiparity, small pelvis, intense uterine contractions, previous pelvic ring pathology and trauma. A gestational diabetic primigravid parturient presents with acute post-partum back pain after an uneventful analgesic l...
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research
ConclusionHigher fetal head station and oxytocin use may be associated with higher failure rate. Labor outcomes related to epidural use, occurred at comparable rates, among women with failed and successful epidural.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
PJ Abstract BACKGROUND: Persistent pain after cesarean delivery and vaginal delivery has been the subject of only a few research articles. The primary outcome of our prospective study was the incidence of persistent pain and its association to mode of delivery. We also studied the nature and intensity of pain after delivery. METHODS: A questionnaire was distributed on postpartum day 2 to 1052 women who had given birth vaginally and to 502 who had undergone cesarean delivery in a tertiary maternity hospital in Helsinki, Finland, in 2010. A second questionnaire was mailed to the women 1 year later. We recorded...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
(Int J Gynecol Obstet. 2015;129:17–21) Although neuraxial analgesia is the most effective method for pain relief during labor and has physiological benefits for both the mother and the fetus, its impact on the overall duration of labor and the rates of operative vaginal delivery and episiotomy is uncertain. In China, where there are approximately 164 million deliveries per year, the estimated rate of cesarean delivery in 2010 was>50%.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia and Analgesia: Regional Analgesia Source Type: research
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