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Midwife-led births 'safer', finds major study review

Women are less likely to need an epidural, forceps or ventouse delivery if midwives lead their care, according to researchers.
Source: Nursing Times Breaking News - Category: Nursing Source Type: news

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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: Source Type: research
Transmission of intense ultrashort laser pulses through hollow-core fibers (HCFs) is investigated for molecular-tagging velocimetry. A low-vacuumed HCF beam-delivery system is developed to transmit high-peak-power pulses. Vacuum pressure effects on transmission efficiency and nonlinear effects at ...
Source: Applied Optics - Category: Physics Authors: Source Type: research
AbstractThe impacts of emulsions based on commercial oils on the biogenic amine formation and their indices of vacuumed packed sea bass fillets were investigated. The results showed that among biogenic amines, cadaverine, putrescine, spermidine, spermine, serotonin, dopamine, and agmatine were predominant amines in sea bass fillets stored under vacuum packaging. Significant differences (P
Source: Journal of Food Science - Category: Food Science Authors: Tags: Food Engineering, Materials Science, & Nanotechnology Source Type: research
Abstract Intrapartum angle of progression (AoP) is the leading sonographic parameter for the assessment of fetal head descent in labor. An AoP> 120° in the second stage of labor was correlated with spontaneous vaginal delivery and AoP> 145.5° with successful vacuum extraction.1-3. PMID: 29330888 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
Intrapartum angle of progression (AoP) is the leading sonographic parameter for the assessment of fetal head descent in labor. An AoP> 120° in the second stage of labor was correlated with spontaneous vaginal delivery and AoP> 145.5° with successful vacuum extraction.1‐3
Source: Ultrasound in Obstetrics and Gynecology - Category: Radiology Authors: Tags: Letter to the Editor Source Type: research
In the depths of the hospital, through doors that often go unnoticed by most employees, is a transportation system that plays a huge role in modern health care. The passengers are not people, although some are samples of people – blood samples, that is, secured in a “carrier” and on their way to the hospital lab. The carriers – cylindrical cartridges with a secure latch on each end — race all over the hospital through pneumatic tubes hidden deep behind the walls. Unit nurses can send samples to the lab for testing, or receive blood products and medications to administer to their patients. Pneu...
Source: Life in a Medical Center - Category: Universities & Medical Training Authors: Tags: Miscellaneous Technology health care medical center pneumatics tube system UMMC University of Maryland Source Type: blogs
Source: MayoClinic.com Full Feed - Category: Consumer Health News Source Type: news
Abstract OBJECTIVE: To characterize the rate of obstetric anal sphincter injuries and identify key risk factors of obstetric anal sphincter injuries, including duration of the second stage of labor. METHODS: This retrospective cohort study included all singleton, term, cephalic vaginal deliveries within Kaiser Permanente Northern California between January 2013 and December 2014 (N=22,741). Incidence of obstetric anal sphincter injuries, defined as third- or fourth-degree perineal lacerations, was the primary outcome. Multiple logistic regression models were conducted to identify obstetric anal sphincter inju...
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
This study was conducted to evaluate the incidence of severe lacerations during forceps delivery and the risk factors associated with such delivery in a hospital where simulation training is held annually. MethodsThe medical records of 857 women who underwent forceps delivery at term with singleton cephalic presentation from 2010 to 2015 were reviewed. The relationship between clinical characteristics and birth canal trauma was analyzed. Birth canal trauma included third and fourth degree perineal lacerations. Univariable and multivariable models of logistic regression were employed to estimate the raw odds ratio and were ...
Source: Journal of Obstetrics and Gynaecology Research - Category: OBGYN 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
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