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Arch Gynecol Obstet 2019 Feb 8. Epub 2019 Feb 8.

Department of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, HUS, Haartmaninkatu 2, 00029, Helsinki, Finland.

Purpose: To evaluate whether a trial of planned vaginal labor is associated with adverse perinatal outcome in singleton, small for gestational agefetuses in breech presentation at term.

Methods: This is a Finnish nationwide, population-based record linkage study. The studied population included all small for gestational age breech labors from January 1, 2004 to December 31, 2014. Read More

BMC Med 2019 Feb 7;17(1):28. Epub 2019 Feb 7.

Public Health Foundation of India, Sector 44, Institutional Area, Gurugram, National Capital Region, India.

Background: The India Newborn Action Plan (INAP) aims for < 10 stillbirths per 1000 births by 2030. A population-based understanding of risk factors for stillbirths compared with live births that could assist with reduction of stillbirths is not readily available for the Indian population.

Methods: Detailed interviews were conducted in a representative sample of all births between January and December 2016 from 182,486 households (96. Read More

Vopr Kurortol Fizioter Lech Fiz Kult 2019 ;96(1):30-36

Research Centre of Balneotherapy and Rehabilitation - the branch of the North-Caucasian Federal Research and Clinical Centre, Russian Federal Medico-Biological Agency, Sochi, Russia; Sochi State University, Sochi, Russia.

Background: The delivery of the fetus in breech presentation remains one of the most serious challenge for obstetricians. In the cases of pregnancy of more than 29 weeks, it is recommended to carry out the activities aimed at translating breech presentation into cephalic presentation by means of the external preventive rotation of the fetus to the head with the use various complexes of gymnastic exercises as well as other methods applied for the correction of the abnormal fetal presentation including water aerobics.

Aim: The objective of the present study was to evaluate the effectiveness of the method for the prenatal correction of the pathological presentation of the fetus based on the use of the water aerobics procedures. Read More

Acta Obstet Gynecol Scand 2019 Feb 5. Epub 2019 Feb 5.

Port Royal Maternity Unit, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France, DHU Risks in Pregnancy, Paris, France; Sorbonne Medical Faculty Paris Descartes UniversityParis, France.

Introduction: Whilst spontaneous onset of labor and vaginal delivery for breech presentation is considered to be a safe and effective option in selected cases, the safety of induction of labor is not established yet. The objectives of this study were to describe the outcomes of pregnancy in women induced with a fetus in breech presentation and compare with those undergoing planned caesarean delivery.

Material And Methods: We performed a secondary analysis of the observational prospective multicenter PREMODA study, including all singleton breech deliveries after 37 weeks in 174 centers in France and Belgium. Read More

Int J Gynaecol Obstet 2019 Feb 1. Epub 2019 Feb 1.

Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Objective: To determine optimum timing of external cephalic version (ECV).

Methods: A retrospective cohort study was conducted at a tertiary hospital in Israel between February 1, 2016, and July 1, 2017. Healthy primiparous women with breech presentation were offered either early ECV (35-36 weeks; n=54) or late ECV (37-38 weeks; n=106). Read More

Eur J Obstet Gynecol Reprod Biol 2019 Jan 11;234:96-102. Epub 2019 Jan 11.

Department of Obstetrics, Hvidovre University Hospital, Hvidovre, Denmark.

Objective: Caesarean section (CS) may reduce mortality and morbidity for very preterm breech infants, but evidence is inconclusive. We evaluated neonatal outcomes for singleton breech infants by mode of delivery in a European cohort.

Study Design: Data come from the EPICE population-based cohort of very preterm births in 19 regions in 11 European countries (7770 live births). Read More

J Matern Fetal Neonatal Med 2019 Jan 22:1-5. Epub 2019 Jan 22.

a Service de Réanimation néonatale , Centre Hospitalier Universitaire Sud-Réunion , Saint-Pierre , France.

Objectives: To identify if there is a specific neonatal morbidity/mortality among second twins relative to first twins.

Study Design: A 17-year (2001-2017) population-based observational cohort of all twin newborns born in the South of Reunion island after 21 weeks.

Results: Among 1062 dichorionic (DTP) and 281 monochorionic twin pregnancies (2686 newborns), twin 2 have a doubled risk to be in breech presentation and a bad Apgar at 1 mn (≤6) in vaginal deliveries. Read More

J Obstet Gynaecol Res 2019 Jan 17. Epub 2019 Jan 17.

Department of Obstetrics and Gynecology, Nippon Medical School Hospital, Tokyo, Japan.

Aim: This study aimed to assess whether hysteroscopic metroplasty using the incision method for septate uterus is a risk factor for adverse obstetric outcomes during pregnancy or delivery.

Methods: This retrospective, single-center cohort study of obstetric complications included 41 patients with recurrent pregnancy loss or unexplained infertility who underwent hysteroscopic metroplasty using the incision method for septate uterus. As controls, we recruited 1139 women who delivered at our hospital during the same period. Read More

J Matern Fetal Neonatal Med 2019 Feb 6:1-7. Epub 2019 Feb 6.

a Department of Medical and Surgical Sciences , Universidad de Las Palmas de Gran Canaria Facultad de Ciencias de la Salud , Las Palmas de Gran Canaria , Spain.

Objective: To analyze the effectiveness of pain relief with transcutaneous electrical nerve stimulation (TENS) dispositive during labor in breech vaginal delivery and also to describe its tolerance and satisfaction.

Design: A randomized, double-blind, and placebo-controlled trial was conducted.

Setting: Labor room of Complejo Hospitalario Universitario Insular-Materno Infantil (Spain). Read More

J Obstet Gynaecol 2019 Jan 11:1-7. Epub 2019 Jan 11.

c Department of Pharmacology , Sheikh Zayed Hospital , Abu Dhabi , United Arab Emirates.

A retrospective study was conducted in women with history of a caesarean scar pregnancy (CSP) to explore the possible causative mechanisms. Over a period of 40 months, a total of 16,926 deliveries and 3554 caesarean sections (CS) occurred in our hospital. Nine cases of CSP were identified at an incidence of 1:1880 births and 0. Read More

J Family Med Prim Care 2018 Nov-Dec;7(6):1561-1565

Department of Obstetrics and Gynecology №1, Marat Ospanov, West Kazakhstan State Medical University, Aktobe, Kazakhstan.

Background: The incidence of cesarean section increased worldwide with subsequent increase in the risk of cesarean section scar dehiscence (CSSD). The clinical significance and the management of the CSSD are still unclear.

Case Reports: Here, we report two cases of CSSD. Read More

Int J Environ Res Public Health 2018 Dec 21;16(1). Epub 2018 Dec 21.

Clinic for Gynaecology and Obstetrics, Danube Hospital, A-1220 Vienna, Austria.

Caesarean section (CS) rates are increasing in many parts of the world, recently reaching about 20% worldwide. The postmodern lifestyle characteristics, obesity and delayed childbirth, have been put forward as the main reasons for high CS rates. The present study tests the association patterns between lifestyle parameters and delivery mode on a data set of 3786 births in Vienna between 2005 and 2013. Read More

Aust N Z J Obstet Gynaecol 2018 Dec 18. Epub 2018 Dec 18.

Department of Obstetrics and Gynaecology, Eastern Health, Melbourne, Victoria, Australia.

Background: The number of vaginal breech and twin deliveries may be insufficient for adequate training.

Objective: To determine whether advanced trainees and new Fellows in obstetrics are gaining adequate experience and confidence in vaginal breech and twin deliveries.

Methods: An online survey was emailed to registered Royal Australia and New Zealand College of Obstetrics and Gynaecology (RANZCOG) advanced trainees and new Fellows (Years 1-5). Read More

Gynecol Obstet Fertil Senol 2019 01 15;47(1):11-17. Epub 2018 Dec 15.

Clinique d'obstétrique, CHU de Lille, avenue Eugène-Avinée, 59000 Lille, France; EA 4489, faculté de médecine Henri-Warembourg, université de Lille, 2, avenue Eugène-Avinée, 59120 Loos, France.

Objectives: Delivery mode of term breech presentation is debated because of higher rate of neonatal acidosis (pH<7.15) in planned vaginal delivery than in planned caesarean section. The objective was to evaluate per-partum risk factors of neonatal acidosis in vaginal delivery for podalic fetuses. Read More

BMC Pregnancy Childbirth 2018 Dec 17;18(1):498. Epub 2018 Dec 17.

Department of Woman's and Child's Health, Obstetrics and Gynecological Unit, San Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00152, Rome, Italy.

Background: Herlyn-Werner-Wunderlich syndrome (HWWS) is an uncommon congenital anomaly of the female urogenital tract, characterised by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. We reported the difficult pregnancy course complicated by an extremely rare and unique case of this syndrome associated with ectrodactyly, a clinical combination never described in literature.

Case Presentation: A 28- year-old nulliparous woman previously diagnosed for HWWS associated with ectrodactyly of the right foot and with a history of abdominal left hemi-hysterectomy, ipsilateral salpingectomy, vaginal reconstruction when she was an adolescent. Read More

J Neonatal Perinatal Med 2018 Dec 1. Epub 2018 Dec 1.

Department of Pediatrics, Tulane University Health Sciences Center, New Orleans, LA, USA.

A 710 g male infant was born at a referring hospital at a gestational age of 23 weeks and 2 days via vaginal delivery and was transferred to our facility at 14 days of age. His delivery was complicated by the breech presentation with difficult head extraction. The infant's initial course was significant for respiratory distress syndrome, grade III-IV intraventricular hemorrhage (IVH), acute kidney injury, and large PDA. Read More

Clin Case Rep 2018 Nov 12;6(11):2040-2044. Epub 2018 Sep 12.

Department of Gynecology and Obstetrics Rambam Health Care Campus Haifa Israel.

Thorough prenatal evaluation allows for identification of fetuses with compromised airway. The ex utero intrapartum treatment procedure enables maintaining uteroplacental circulation during cesarean section while securing a potentially obstructed fetal airway, converting a potentially catastrophic situation into a controlled one. An expert multidisciplinary team is the key to success. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Jan 22;232:10-17. Epub 2018 Oct 22.

Department of Gynecology and Obstetrics, Goethe-University, Frankfurt, Germany.

Objectives: The purpose of this study was to investigate the role of the maternal pelvis, assessed by MRI pelvimetry in nulliparous women expecting a term fetus in breech presentation, to predict a successful and safe vaginal birth.

Study Design: In this monocentric and anonymized cohort study, we enrolled 367 nulliparous women with breech presentation at 39 to 41 weeks of gestation during a period of 8 years at the University Women's Hospital in Frankfurt/Main. Pelvic measurements were obtained by standard MRI imaging. Read More

J Obstet Gynaecol India 2018 Dec 8;68(6):493-497. Epub 2018 Feb 8.

Department of Obstetrics and Gynaecology, Christian Fellowship Hospital, Oddanchatram, Tamil Nadu 624619 India.

Purpose: Breech presentation is the most common abnormal presentation occurring in 3-4% of all deliveries. Incidence of caesarean section for breech presentation has increased markedly in the last few decades. Attempting external cephalic version (ECV) reduces the chance of non-cephalic presentation at term, thus reducing the rate of caesarean sections. Read More

Eur J Neurol 2018 Nov 10. Epub 2018 Nov 10.

National Centre for Epilepsy, Oslo University Hospital, Oslo.

Background And Purpose: Studies in women with epilepsy (WWE) regarding pregnancy and labour complications have disclosed contradictory results. Our purpose was to investigate whether WWE have a higher risk of acute caesarean section (CS) or pregnancy complications than women without epilepsy or women with other chronic diseases and, if we found a higher risk, to explore potential explanations.

Methods: The study used prospectively registered obstetric data from the Oppland Perinatal Database in the period 2001-2011, containing information on 18 244 births, including 110 singleton pregnancies in mothers with validated epilepsy. Read More

Acta Obstet Gynecol Scand 2018 Nov 10. Epub 2018 Nov 10.

Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Introduction: Uncertainty exists regarding the impact of malpresentation on pregnancy outcomes and the optimal mode of delivery in low- and middle-income countries. We sought to compare outcomes between cephalic and non-cephalic pregnancies.

Material And Methods: Using the NICHD Global Network's prospective, population-based registry of pregnancy outcomes from 2010 to 2016, we studied outcomes in 436 112 singleton pregnancies. Read More

BMJ Open 2018 Nov 8;8(11):e022583. Epub 2018 Nov 8.

National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Objectives: To assess the rate of stillbirth and associated risk factors across nine states in India.

Design: Secondary analysis of cross-sectional data from the Indian Annual Health Survey (2010-2013).

Setting: Nine states in India: Madhya Pradesh, Chhattisgarh, Rajasthan, Uttarakhand, Jharkhand, Odisha, Bihar, Assam and Uttar Pradesh. Read More

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatrics, Division of Neonatology, Regina General Hospital, Regina, Saskatchewan, Canada.

Brachial plexus birth injury (BPBI) and phrenic nerve injury can sometimes occur concurrently in neonates following difficult deliveries like breech presentation, shoulder dystocia, forceps or vacuum extraction. Phrenic nerve palsy should be suspected in a newborn with respiratory distress and an elevated hemidiaphragm on the imaging studies in presence of the associated risk factors. The right side is affected more often than the left side and most of it is associated with BPBI. Read More

J Obstet Gynaecol Can 2018 Nov 5. Epub 2018 Nov 5.

Department of Obstetrics and Gynecology, Sohar Hospital, Sohar, Oman.

Background: Alpha-methylacetoacetic aciduria, an autosomal recessive disorder of isoleucine and ketone body metabolism, is caused by a mutation in the acetyl coenzyme A acetyltransferase-1 gene (ACAT1; 607809) on chromosome 11q22. Ketoacidotic episodes in such patients are triggered by stress situations with increased energy demands. Pregnancy, surgical procedures, and prolonged fasting are potential triggers for metabolic crisis in such cases. Read More

J Obstet Gynaecol 2018 Nov 8:1-2. Epub 2018 Nov 8.

Obstet Gynecol 2018 Dec;132(6):1377-1385

Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Service de Gynécologie Obstétrique, Université Paris Diderot, INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cité Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team, Maternité Notre Dame de Bon Secours, Groupe Hospitalier Saint-Joseph, and Université René Descartes, Paris, CHRU de Lille, Maternité Jeanne de Flandre, and Université de Lille 2, Lille, Assistance Publique-Hôpitaux de Paris, Hôpital Trousseau, Service de Gynécologie Obstétrique, and Université Pierre et Marie Curie, Paris, Centre Hospitalier Intercommunal de Poissy, Service de Gynécologie Obstétrique, Poissy, Université de Versailles Saint-Quentin-en-Yvelines, Versailles, CHU de Strasbourg, Hôpital Hautepierre, and Université de Strasbourg, Strasbourg, Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Service de Gynécologie Obstétrique, and; Université Paris Sud, Le Kremlin Bicêtre, CHU de Bordeaux, Service de Gynécologie Obstétrique, and Université de Bordeaux, Bordeaux, CHU de Toulouse, Service de Gynécologie Obstétrique, and Université Toulouse III Paul Sabatier, Toulouse, CHU de Nantes, Service de Gynécologie Obstétrique, CIC Mère enfant, INRA, UMR 1280 Physiologie des adaptations nutritionnelles; Université de Nantes, Nantes, and Assistance Publique-Hôpitaux de Paris, Maternité Port-Royal, and DHU risques et grossesse, Paris, France.

Objective: To assess neonatal mortality and morbidity according to whether a resident or senior obstetrician initially managed vaginal delivery of noncephalic second twins.

Methods: The JUmeaux MODe d'Accouchement study was a national, prospective, population-based, cohort study of twin deliveries in 176 maternity units in France, where active management of second-twin delivery is recommended. The primary outcome of our study was a composite of neonatal mortality and morbidity. Read More

JNMA J Nepal Med Assoc 2018 Jul-Aug;56(212):796-799

Department of Obstetrics and Gynecology, Pokhara Academy of Health Sciences, Kaski, Nepal.

Introduction: Breech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup. Read More

Medicine (Baltimore) 2018 Nov;97(44):e13133

Department of Pediatrics.

Rationale: The clinicopathologic appearance of fetal closed head injury (FCHI) due to a maternal motor vehicle accident has not been fully investigated because of its extreme rarity.

Patients Concern: A 22-year-old woman at 31 weeks of gestation was riding in the front passenger seat of a car, and another rightward-turning car struck the right side of her vehicle.

Diagnosis: Uterine injury with placental abruption was strongly suspected. Read More

Gynecol Obstet Fertil Senol 2018 12 28;46(12):937-947. Epub 2018 Oct 28.

Pôle Mère-Femme, CHRU Besançon, 3, boulevard Fleming, 25000 Besançon, France.

Objective: The objective for all obstetricians and midwifes who intervene during the release of the fetal presentation is to prevent at best the perineal lesions. This work consisted in analyzing the literature, researching and evaluating interventions that reduce this perineal risk during the release.

Methods: A keyword search for each medical intervention during the expulsion phase was conducted by selecting studies assessing perineal risk. Read More

JNMA J Nepal Med Assoc 2018 Mar-Apr;56(210):629-632

Department of Pathology, Birat Medical College and teaching Hospital, Nepal.

Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18. Read More

Rev Med Suisse 2018 Oct;14(624):1888-1892

Département femme-mère-enfant, CHUV, 1011 Lausanne.

Choosing between vaginal delivery and caesarean section in cases of breech presentation is still a matter of controversy. In this article, we present the Lausanne University Hospital's protocol following the introduction of an institutional vaginal breech delivery policy. Vaginal breech delivery is a viable alternative to caesarean section in the presence of an experienced obstetrician and rigorous patient-selection criteria. Read More

BMJ Open 2018 Oct 24;8(10):e022875. Epub 2018 Oct 24.

Intervention Centre, Oslo University Hospital Rikshospitalet, Oslo, Norway.

Objective: To analyse the current situation of caesarean section in Palestine using the Robson Ten Group Classification System (TGCS).

Design: A population-based birth cohort study.

Setting: Obstetrical departments in three governmental hospitals in Gaza. Read More

J Craniofac Surg 2018 Oct 24. Epub 2018 Oct 24.

Department of Neurosurgery, Duke University Medical Center, Durham, NC.

Background: Certain intrauterine risk factors are known to increase the risk of premature cranial suture fusion and may cause complications during birth. Some of these risk factors may be modifiable. Therefore, the authors sought to characterize the institutional patterns of prenatal risk factors and perinatal complications in nonsyndromic craniosynostosis patients compared to normal births from the surrounding area to identify areas for possible intervention or prevention. Read More

Arch Dis Child Educ Pract Ed 2018 Oct 8. Epub 2018 Oct 8.

Department of Clinical Genetics, Belfast Health and Social Care Trust, Belfast, UK.

An 8-month-old boy presented with a week's history of left lower limb swelling. He was apyrexic, well and developmentally age appropriate. He was born at 35+5 via by C-section for breech presentation, weighing 3. Read More

J Family Reprod Health 2017 Dec;11(4):225-227

Department of Obstetrics and Gynecology, PGIMS, Rohtak, India.

To report a case of Successful Pregnancy Outcome in Recurrent Ovarian Cancer in a 26 year Old. A 26 years old primigravida presented in antenatal clinic at 23 weeks of pregnancy with recurrence of ovarian cancer of mucinous type. Following refusal of surgical management, two courses of single dose carboplatin was administered. Read More

Saudi Med J 2018 Oct;39(10):1054-1056

Department of Obstetrics and Gynecology, College of Medicine, King Khalid University Hospital, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

[No Abstract Available]. Read More

J Genet 2018 Sep;97(4):925-930

Pediatric Orthopedic Surgery Department, King Abdullah Specialized Children Hospital (KASCH), P.O. Box 22490, Riyadh 11426, Saudi Arabia.

Developmental dysplasia of the hip (DDH) is a congenital condition characterized by abnormality in acetabulum size and/or shape. The incidence rate of DDH differs between different populations with risk factors including positive family history, breech presentation, sex, firstborn status, side of the hip, mode of delivery and oligohydramnios. It is recognized that DDH has a genetic component that exhibit autosomal dominant patterns. Read More

Rofo 2018 Sep 19. Epub 2018 Sep 19.

Gynecology and Obstetrics, University Hospital, LMU Munich, Germany.

Purpose:  Antepartal MR pelvimetry is used to assess the viability of vaginal breech delivery. We evaluated the reliability of MR pelvimetric measurements as well as incidental findings noted by different clinicians and assessed potential reference values.

Methods:  In this monocentric study, the radiologic database was searched for obstetric MR pelvimetries with singleton breech pregnancies between 1999 and 2016. Read More

BJOG 2019 Mar 23;126(4):493-499. Epub 2018 Oct 23.

Fetal Medicine Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.

Objective: To analyse the outcome of referrals for external cephalic version (ECV).

Design: Retrospective cohort study of prospectively collected data.

Setting: Major university hospital, UK. Read More

J Matern Fetal Neonatal Med 2018 Nov 4:1-7. Epub 2018 Nov 4.

b Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center , Jerusalem , Israel.

Background: Women may be unaware of the potential impact on subsequent deliveries of the decision to undergo primary breech cesarean (PBC) delivery rather than attempt external cephalic version (ECV). We investigated cesarean delivery rates and adverse maternal outcomes in the subsequent delivery following management of breech presentation by ECV versus PBC.

Methods: This retrospective study identified women who delivered subsequent to breech presentation managed by attempted ECV or PBC. Read More

Eur J Obstet Gynecol Reprod Biol 2018 Oct 19;229:123-126. Epub 2018 Aug 19.

Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis Location West, Amsterdam, The Netherlands.

Objective: Since publication of the Term Breech Trial in 2000 only 15% of term breech presentations is delivered vaginally in the Netherlands. This declined exposure to vaginal breech deliveries (VBD) is a problem for those who still need to be trained. The aim of this study was to evaluate the level of training of the Dutch gynecological residents, and their intentions on guiding VBDs during their careers. Read More

Gynecol Obstet Fertil Senol 2018 09 28;46(9):632-638. Epub 2018 Aug 28.

Service de gynécologie-obstétrique, hôpital mère-enfant-maternité, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France. Electronic address:

Objectives: Delivery mode in breech presentation (BP) is often controversial. Spontaneous labor, when vaginal birth seems safe, allows to better estimate uterus contractility, fetus' accommodation to maternal pelvis and optimize monitoring with a partograph. Induced labor in BP was usually contra-indicated. Read More

Women Birth 2018 Aug 24. Epub 2018 Aug 24.

Department of Epidemiology, University of Washington, Seattle, WA, United States.

Background: Breech presentation affects approximately 3% of women with singleton pregnancies. External cephalic version is a manual procedure that reorients a foetus to cephalic position in preparation for birth, reducing indications for caesarean birth. However, unsuccessful attempts are associated with some adverse health outcomes. Read More

J Gynecol Obstet Hum Reprod 2018 Nov 24;47(9):419-424. Epub 2018 Aug 24.

University Hospital centers Nord and Conception in Marseille, France; Department of Gynaecology and Obstetrics, Gynepole, AP-HM, Assistance Publique-Hôpitaux de Marseille, AMU, Aix-Marseille Université, France; Réseau Méditerranée (PACA Corse Monaco), France; Unité de Recherche sur les Maladies Infectieuses Tropicales et Emergentes, UM63, CNRS 7278, IRD 198, INSERM 1095, Marseille, France. Electronic address:

Background: Cesarean section is the most common surgical procedure performed in developed countries. Its incidence is increasing to a worrisome extent. The 2003 French National Perinatal Survey showed that the inflation in the overall cesarean rate was mainly due to an increase in the first cesarean delivery rate. Read More

Horm Mol Biol Clin Investig 2018 Aug 25;35(2). Epub 2018 Aug 25.

Department of Obstetrics and Gynaecology, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). Read More

PLoS One 2018 23;13(8):e0202760. Epub 2018 Aug 23.

FRABAT FRAnkfurt Breech At Term Study Group; Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, Frankfurt, Germany.

Introduction: The clinical management of breech presentations at term is still a controversially discussed issue among clinicians. Clear predictive criteria for planned vaginal breech deliveries are desperately needed to prevent adverse fetal and maternal outcomes and to reduce elective cesarean section rates. The green-top guideline considers an estimated birth weight of 3. Read More

AJP Rep 2018 Jul 7;8(3):e158-e160. Epub 2018 Aug 7.

Department of Obstetrics and Gynecology, Iwaki Kyouritsu Hospital, Iwaki, Japan.

 Birth-related femur fractures are rare. They have been reported following difficult delivery and are commonly diagnosed immediately after birth or on the following day. However, some birth-related femur fractures are diagnosed several days after birth. Read More

BMJ Open 2018 Aug 5;8(8):e021670. Epub 2018 Aug 5.

School of Public Health, Shanghai Jiao Tong University, Shanghai, China.

Objectives: To identify obstetrical subgroups in which (1) the caesarean delivery (CD) rate may be reduced without compromising safety and (2) CD may be associated with better perinatal outcomes.

Design: A multicentre cross-sectional study.

Setting: 19 hospitals in the USA that participated in the Consortium on Safe Labor. Read More

J Paediatr Child Health 2019 Feb 1;55(2):168-174. Epub 2018 Aug 1.

Department of Orthopaedics and Traumatology, Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.

Aim: The aim of the present study was to examine if there were gender differences in risk factors in 4415 infants who were evaluated through a physical examination and hip ultrasonography (USG).

Methods: Physical examination of the hip and hip USG were performed on 4415 infants by the same paediatric orthopaedics specialist. Barlow and Ortolani tests were performed together with the evaluation for the limitation of abduction. Read More

Mater Sociomed 2018 Jun;30(2):118-120

Obstetrics and Gynecology Department, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia.

Introduction: The incidence of grand multiparty in Saudi Arabia is high; there are no adequate studies about the grand multiparty.

Aim: The aim to determine the prevalence, fetal and maternal outcomes in grand multipara women in comparison to primipara's women.

Methods: A retrospective study, the data was collected from our hospital records of labour and delivery unit started from January 2016 to December 2016. Read More