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Intrauterine Postpartum Hemorrhage-Control Devices
Obstet Gynecol. 2023 Oct 5. doi: 10.1097/AOG.0000000000005403. Online ahead of print.ABSTRACTPostpartum hemorrhage, defined as a cumulative blood loss of 1,000 mL or more or blood loss associated with signs or symptoms of hypovolemia regardless of the route of delivery, is the leading cause of preventable maternal death worldwide. The United States has one of the highest maternal mortality rates among developed countries, with about 14% of all maternal deaths associated with postpartum hemorrhage. Although postpartum hemorrhage has multiple causes, the most common is uterine atony-when the uterus fails to adequately contra...
Source: Obstetrics and Gynecology - October 5, 2023 Category: OBGYN Authors: Tracy L Jackson Methodius G Tuuli Source Type: research

Comparison of practice vs theory model training for vacuum-assisted delivery: A randomized controlled trial
CONCLUSIONS: Independent of the sequence of theoretical teaching and simulation training, trainees demonstrated high retention - and, actually, improvement - of technical skills for operative vaginal delivery at 12-month follow-up.PMID:37776704 | DOI:10.1016/j.ejogrb.2023.09.024 (Source: Reproductive Biology)
Source: Reproductive Biology - September 30, 2023 Category: Reproduction Medicine Authors: Claudio Celentano Federico Prefumo Barbara Matarrelli Jacopo Mastracchio Serena Mauri Maurizio Rosati Source Type: research

Comparison of practice vs theory model training for vacuum-assisted delivery: a randomized controlled trial
Simulation teaching has become a large part of the training curricula for many obstetrics and gynaecology residency programmes globally, as simulation has shown promise in teaching and evaluating performance, and correlates positively with patient-related outcomes [1]. Therefore, the American College of Obstetrics, Gynecology Simulation Working Group, and the Council on Resident Education in Obstetrics and Gynecology have developed and implemented simulation-based curricula as an adjunct to improve residency education and clinical competence during and after residency [2]. (Source: European Journal of Obstetrics, Gynecolog...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - September 25, 2023 Category: OBGYN Authors: Claudio Celentano, Federico Prefumo, Barbara Matarrelli, Jacopo Mastracchio, Serena Mauri, Maurizio Rosati Tags: Full length article Source Type: research

Evaluation of levator ani muscle elasticity after vaginal delivery and cesarean section using shear wave elastography
ConclusionLAM elasticity was significantly lower after vaginal delivery than after cesarean delivery. Furthermore, the elasticity of the right LAM was lower after operative vaginal delivery than after normal vaginal delivery. SWE has the potential to provide an objective quantitative assessment of postpartum pelvic floor muscle recovery. (Source: Journal of Medical Ultrasonics)
Source: Journal of Medical Ultrasonics - September 23, 2023 Category: Radiology Source Type: research

Real-World Utilization of an Intrauterine, Vacuum-Induced, Hemorrhage-Control Device
CONCLUSION: For both vaginal and cesarean births in real-world settings, rapid and effective bleeding control was achieved with an FDA-cleared intrauterine vacuum-induced hemorrhage-control device. The safety profile was consistent with that observed in the registrational trial (NCT02883673), and SAEs or adverse device effects were of the nature and severity expected in the setting of PPH. This device is an important new tool for managing a life-threatening condition, and timely utilization may help to improve obstetric hemorrhage outcomes.CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT04995887.PMID:37713322 | DOI:10....
Source: Obstetrics and Gynecology - September 15, 2023 Category: OBGYN Authors: Dena Goffman Kara M Rood Angela Bianco Joseph R Biggio Paul Dietz Kelly Drake Erica Heilman Maeve Hopkins Monique De Four Jones Tyler Katz Courtney Martin Mona Prasad Marcela C Smid Kathryn D Wine Robert Ryan Candice Yong Patricia I Carney Hyagriv N Simha Source Type: research

A preliminary quantification of the clinical gesture during vacuum assisted delivery on a training dummy
This is the first quantification of the clinical gesture associated with the vacuum assisted delivery. (Source: Clinical Biomechanics)
Source: Clinical Biomechanics - September 15, 2023 Category: Orthopaedics Authors: Y. Vallet, J. Lefebvre, C. Laurent, R. Rahouadj, O. Morel, C. Bertholdt Tags: Short communication Source Type: research

Operative delivery in the second stage of labour and preterm birth in a subsequent pregnancy: a systematic review and meta-analysis
To quantify the association between mode of operative delivery in the second stage of labour (cesarean delivery versus operative vaginal delivery) and spontaneous preterm birth (sPTB) in a subsequent pregnancy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 4, 2023 Category: OBGYN Authors: Abirami Kirubarajan, Nila Thangavelu, Misgav Rottenstreich, Giulia M. MURACA Tags: Systematic Review Source Type: research

Operative delivery in the second stage of labor and preterm birth in a subsequent pregnancy: a systematic review and meta-analysis
This study aimed to quantify the association between mode of operative delivery in the second stage of labor (cesarean delivery vs operative vaginal delivery) and spontaneous preterm birth in a subsequent pregnancy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 4, 2023 Category: OBGYN Authors: Abirami Kirubarajan, Nila Thangavelu, Misgav Rottenstreich, Giulia M. Muraca Tags: Systematic Review Source Type: research

Episiotomy practice in France and prevention of high-grade perineal tears at the time of operative vaginal delivery: a prospective multicentre ancillary cohort study
ConclusionsThis study did not demonstrate a significant reduction in risk for OASI at the time of OVD when the episiotomy suture angle was >45 ° from the median line. However, these results should be interpreted with caution owing to the low prevalence of OASIs in our cohort. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 1, 2023 Category: OBGYN Source Type: research

Projecting future prolapse outcomes with induction of labor at 39 weeks: a decision analysis
ConclusionWhile routine induction of labor at 39 weeks results in a meaningfully higher vaginal delivery rate, there was no increase in POP, possibly due to the protective effect of lower birthweight. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 30, 2023 Category: OBGYN Source Type: research