Inducing Labor Safer Bet for Late-Term Pregnancies

It's widely believed that mothers and babies have an increased risk of problems at or beyond 42 weeks of pregnancy.
Source: WebMD Health - Category: Consumer Health News Source Type: news

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No visitors. Induced labor. Converted delivery wards. Tens of thousands of women across the country are giving birth in unprecedented circumstances.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Coronavirus (2019-nCoV) Pregnancy and Childbirth Hospitals Telemedicine Midwives and Doulas Quarantines Source Type: news
Some recent things you may need to know.ResearchMembrane sweeping for induction of labour (Cochrane systematic review)Efficacy of Digital Cognitive Behavioral Therapy for the Treatment of Insomnia Symptoms Among Pregnant Women: A Randomized Clinical Trial(JAMA Psychiatry)Waterbirth in low ‐risk pregnancy: An exploration of women’s experiences (Journal of Advanced Nursing)Ask your librarian if you are having problems accessing full text (for University of Leicester staff and students,that's me librarians@le.ac.uk)Coronavirus resources, my lists, being kept up to date.Stay safe.
Source: Browsing - Category: Databases & Libraries Source Type: blogs
Labor induction is among the common and widely practiced obstetric interventions aiming at achieving vaginal delivery. However, cesarean section (CS) delivery incidences have been reported following its use. T...
Source: BMC Pregnancy and Childbirth - Category: OBGYN Authors: Tags: Research article Source Type: research
ang Lee Wang Currently, there is no meta-analysis comparing intravaginal misoprostol plus intracervical Foley catheter versus intravaginal misoprostol alone for term pregnancy without identifying risk factors. Therefore, the purpose of this study is to conduct a systematic review and meta-analysis of randomized control trials (RCTs) comparing concurrent intravaginal misoprostol and intracervical Foley catheter versus intravaginal misoprostol alone for cervical ripening. We systematically searched Embase, Pubmed, and Cochrane Collaboration databases for randomized controlled trials (RCTs) comparing intracervical F...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
CONCLUSIONS: The multi-disciplinary approach for treating women with PGDM practiced in the high-risk pregnancy clinic at the Sheba Medical Center resulted in lower rates of macrosomia, LGA, and pregnancy induced hypertension compared to rates reported in the literature. PMID: 32147976 [PubMed - in process]
Source: The Israel Medical Association Journal - Category: General Medicine Tags: Isr Med Assoc J Source Type: research
Abstract It has long been observed that neonates born between 39 and 40 gestational weeks have the best perinatal outcomes. What has not been known, until recently, is whether these ideal perinatal outcomes would be achieved in neonates whose delivery was brought on intentionally in this window by labor induction. Recent randomized trials and large observational cohorts have answered this question: labor induction, as compared with expectant management, lowers the rate of cesarean delivery (without increasing other adverse maternal outcomes) and improves perinatal outcomes. For those women still pregnant, delivery...
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
Preexisting diabetes in pregnancy is associated with an increased risk of adverse outcomes such as; preterm delivery, hypertensive complications, large for gestational age infants (LGA), shoulder dystocia and perinatal mortality (1 –3). In many clinical settings, pregnant women with preexisting diabetes undergo induction of labor before their due date to prevent perinatal complications. However, many will end up with an emergency cesarean section (CS), in fact the rate of emergency CS in pregnancies complicated by preexistin g diabetes is 3-4 fold compared with women without diabetes (1,4,5).
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research
CONCLUSIONS: Women with placental bed disorders have higher risk for vascular disease. Mechanisms behind the abnormal placentation remain elusive although maternal constitutional factors, abnormal implantation as well as impaired angiogenesis have been suggested. PMID: 32145044 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research
AJP Rep 2020; 10: e37-e41 DOI: 10.1055/s-0040-1702924 Objective The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success. Study Design This is a secondary analysis case-control study using the MFMU (Maternal-Fetal Medicine Units Network) Cesarean Registry. Women were included if they had a singleton pregnancy, were attempting VBAC, and underwent induction with artificial rupture of membr...
Source: American Journal of Perinatology Reports - Category: Perinatology & Neonatology Authors: Tags: Case Report Source Type: research
CONCLUSION: A substantial minority of women did not feel adequately informed or prepared, and indicated they were not given alternatives to induction. Suggested improvements include for face-to-face discussions to be supplemented with written information, and for shared decision-making interventions, such as the introduction of decision aids and training, to be implemented and evaluated. PMID: 32146087 [PubMed - as supplied by publisher]
Source: Women Birth - Category: Midwifery Authors: Tags: Women Birth Source Type: research
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