58,208 results match your criteria Cesarean Delivery


Preoperative Serum Leptin Level is Associated with Preoperative Pain Threshold and Postoperative Analgesic Consumption in Patients Undergoing Cesarean Section.

Med Princ Pract 2019 Apr 26. Epub 2019 Apr 26.

Objective: This study aimed to investigate the preoperative level of serum leptin in cesarean section (C-section) patients with and without acute labor pain and its association with postoperative analgesic consumption and preoperative pain threshold.

Materials And Methods: Preoperative leptin levels, preoperative pain threshold, postoperative analgesic consumption in the following 24 hours, and postoperative pain severity (visual analog scale-VAS scores at postoperative 1st, 2nd, 4th, 6th, 12th, and 24th hours) in C-section patients with labor pain (emergency C-section; n=21) and without labor pain (elective C-section; n=25) were compared.

Results: There were no significant differences between the groups regarding the demographic characteristics. Read More

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http://dx.doi.org/10.1159/000500556DOI Listing

Risk of cesarean after induction of labor in twin compared to singleton pregnancies.

Eur J Obstet Gynecol Reprod Biol 2019 Apr 8;237:68-73. Epub 2019 Apr 8.

Port-Royal Maternity Unit, Cochin Hospital, Assistance Publique-Hôpitaux de Paris (APHP), DHU Risks in pregnancy, Paris-Descartes university, Paris, France; Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Centre For Epidemiology and Statistics Sorbonne Paris Cité (CRESS), DHU Risks in pregnancy, Paris-Descartes university, Paris, France.

Objective: To assess the risk of cesarean delivery after induction of labor in twin compared with singleton pregnancies.

Study Design: This retrospective multicenter study compared data from two nationwide prospective cohorts: one of twin pregnancies established from February 2014 through March 2015 (JUMODA cohort), and the other of singleton pregnancies in November and December 2015 (MEDIP cohort). This study includes all women in both cohorts who had labor induced at ≥ 35 weeks of gestation, with a live fetus in cephalic presentation (Twin 1 for the twin pregnancies). Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.04.005DOI Listing

Home and Birth Center Birth in the United States: Time for Greater Collaboration Across Models of Care.

Obstet Gynecol 2019 May;133(5):1033-1050

Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, and the Department of Anthropology, Oregon State University, Corvallis, Oregon.

There has been a small, but significant, increase in community births (home and birth-center births) in the United States in recent years. The rate increased by 20% from 2004 to 2008, and another 59% from 2008 to 2012, though the overall rate is still low at less than 2%. Although the United States is not the only country with a large majority of births occurring in the hospital, there are other high-resource countries where home and birth-center birth are far more common and where community midwives (those attending births at home and in birth centers) are far more central to the provision of care. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003215DOI Listing

Maternal risk factors for neonatal acidosis in women with type 1 diabetes.

Pol Arch Intern Med 2019 Apr 25. Epub 2019 Apr 25.

INTRODUCTION Type 1 diabetes in the mother is associated with a high risk of adverse neonatal outcomes. OBJECTIVES To identify maternal factors associated with low arterial pH values  (pH< 7.10) in infants of type 1 diabetic mothers. Read More

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http://dx.doi.org/10.20452/pamw.14809DOI Listing

Inflammation-mediated fetal injury by maternal granulocyte-colony stimulating factor and high-dose intraamniotic endotoxin in the caprine model.

Turk J Obstet Gynecol 2019 Mar 27;16(1):41-49. Epub 2019 Mar 27.

Kütahya Health Sciences University Faculty of Medicine, Department of Histology and Embryology, Kütahya, Turkey.

Objective: To define a novel experimental model with maternal intravenous (i.v.) granulocyte-colony stimulating factor (G-CSF) followed by a single- and high-dose of 20 mg intra-amniotic (IA) endotoxin to induce fetal brain injury in the preterm fetal goat. Read More

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http://dx.doi.org/10.4274/tjod.tjod.galenos.2019.92300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463425PMC

Effects of reviewing childbirth scenarios on choice of delivery type: a randomized controlled trial.

Turk J Obstet Gynecol 2019 Mar 27;16(1):15-22. Epub 2019 Mar 27.

Shahroud University of Medical Sciences, School of Public Health, Department of Epidemiology, Shahroud, Iran.

Objective: The incidence of cesarean section (CS) was estimated as about 48% between 2000 and 2012 in Iran. This study was conducted to assess the effects of reviewing written childbirth scenarios on the selection of delivery method.

Materials And Methods: This randomized controlled trial was conducted in Shohada Women's Hospital in Behshahr, Mazandaran, Iran, from May to December 2015. Read More

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http://dx.doi.org/10.4274/tjod.galenos.2019.92260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463434PMC

C4d Deposition in Fetal Vessels of the Placenta in Neonatal Lupus Syndrome.

Case Rep Obstet Gynecol 2019 25;2019:5863476. Epub 2019 Mar 25.

Department of Pathology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.

Neonatal lupus syndrome (NLS) is a rare, passively acquired autoimmune syndrome caused by maternal autoantibodies. We describe a case of a newborn with NLS and the accompanying placental findings. A female neonate was born by emergency cesarean delivery due to non-reassuring fetal status at 35 weeks and 3 days. Read More

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http://dx.doi.org/10.1155/2019/5863476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452554PMC

Comparison of intradermal Dexmedmotidine and subcutaneous Ketamine for post-surgical pain management in patients with abdominal hysterectomy.

Eur J Transl Myol 2019 Jan 11;29(1):7873. Epub 2019 Jan 11.

Department of Anesthesiology, Arak University of Medical Sciences, Arak Iran.

Hysterectomy after cesarean section is the second most commonly used surgery for women in the United States. One of the most common problem after hysterectomy is pain. We decided to compare the effects of dexmedmotidine or ketamine on pain in patients by a double blind randomized clinical trial on 126 female candidates for abdominal hysterectomy in three groups of 42 persons referred to Taleghani hospital in Arak. Read More

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http://dx.doi.org/10.4081/ejtm.2019.7873DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460212PMC
January 2019

What's Happening When the Pregnancies Are Not Terminated in Case of Anencephalic Fetuses?

J Clin Med Res 2019 May 14;11(5):332-336. Epub 2019 Apr 14.

Department of Obstetrics and Gynecology, Ataturk Education and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey.

Background: To review the obstetric outcomes of pregnancies with anencephalic fetuses when these pregnancies are not terminated and ongoing.

Methods: A retrospective chart review is made of the cases with a prenatal diagnosis of anencephaly and who were opted to continue the pregnancy in 1-year period. The evaluated data included gestational age at diagnosis, gestational age at birth, labor induction rates, cesarean delivery rates, stillbirth, shoulder dystocia rate, antepartum and postpartum hemorrhage. Read More

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http://dx.doi.org/10.14740/jocmr3777DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469884PMC

Weight gain during pregnancy: Does the antenatal care provider make a difference? A retrospective cohort study.

CMAJ Open 2019 Apr-Jun;7(2):E283-E293. Epub 2019 Apr 23.

Midwifery Education Program (Murray-Davis, Syed), Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont.; Division of Maternal-Fetal Medicine (Berger, Mawjee), Department of Obstetrics and Gynecology, St. Michael's Hospital, University of Toronto; Division of Maternal-Fetal Medicine (Melamed, Barrett), Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ont.; Better Outcomes Registry & Network (BORN) Ontario (Hasan), Children's Hospital of Eastern Ontario, Ottawa, Ont.; Departments of Medicine (Ray) and Obstetrics and Gynaecology (Ray), St. Michael's Hospital, University of Toronto, Toronto, Ont.; Department of Obstetrics & Gynaecology (Geary), Rotunda Hospital, Dublin, Ireland; Division of Maternal-Fetal Medicine (McDonald), Department of Obstetrics and Gynecology, Department of Radiology (McDonald) and Department of Research Methods, Evidence and Impact (McDonald), McMaster University, Hamilton, Ont.

Background: The primary aim of this study was to examine weight gain during pregnancy and associated adverse outcomes across different types of antenatal health care providers. Our research question examined whether type of antenatal health care provider (family physician, obstetrician, midwife, or family physician plus obstetrician) was associated with differing rates of excess or inadequate weight gain and associated adverse outcomes including being large for gestational age, being small for gestational age, cesarean delivery and preterm birth.

Methods: This retrospective cohort study used data from the Better Outcomes Registry & Network Information System, 2014-2016, for singleton hospital births at 20-42 weeks' gestation in Ontario. Read More

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http://dx.doi.org/10.9778/cmajo.20180116DOI Listing

Quality in perinatal care: applying performance measurement using joint commission on accreditation of healthcare organizations indicators in Italy.

BMC Med Res Methodol 2019 Apr 24;19(1):83. Epub 2019 Apr 24.

Department of Health Sciences, University of Catanzaro "Magna Græcia", Via Tommaso Campanella, 88100, Catanzaro, Italy.

Background: Maternal and child health are internationally considered to be among the best measures for assessing health-care quality. The study was carried out with the following aims: 1) to assess the quality of perinatal care (PC) by measuring the frequencies of the five PC indicators developed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and comparing results with international standards; 2) to examine whether maternal, pregnancy care and neonatal characteristics could be factors associated with the quality of perinatal care hospital performance, measured through these indicators.

Methods: We retrospectively reviewed medical charts of women over the age of 18 who experienced delivery in Gynecology/obstetrics wards between January-December 2016, and those of their newborns hospitalized in the Neonatology or Neonatal Intensive Care Unit (NICU) of a public non-teaching hospital in Catanzaro (Italy). Read More

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http://dx.doi.org/10.1186/s12874-019-0722-zDOI Listing

Negative pressure wound therapy system in extremely obese women after cesarean delivery compared with standard dressing.

J Matern Fetal Neonatal Med 2019 Apr 24:1-171. Epub 2019 Apr 24.

a Obstetrics and Gynecology , Division of Maternal-Fetal Medicine , Medstar Washington Hospital Center , Washington , District of Columbia , USA.

Objective: Data regarding the use of the negative pressure wound therapy system in extremely obese women (body mass index [BMI] ≥ 50 kg/m) undergoing cesarean delivery are limited. We sought to examine the rate of wound complications in extremely obese women according to postcesarean dressings (negative pressure wound therapy [PICO, Smith & Nephew, St. Peterburg, FL] versus standard dressings). Read More

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http://dx.doi.org/10.1080/14767058.2019.1611774DOI Listing

Trends in obstetric policies in cases of failed vacuum extraction in Japan.

J Matern Fetal Neonatal Med 2019 Apr 24:1-11. Epub 2019 Apr 24.

a Department of Obstetrics and Gynecology , Japanese Red Cross Katsushika Maternity Hospital , Tokyo.

Objective: In April 2008, the guidelines for obstetric practice in Japan have made the following recommendations: (1) do not use vacuum extraction (VE) for more than 20 minutes, and consider forceps delivery (FD) or an emergency cesarean section (CS) if necessary (20-minute VE trial rule), and (2) do not try VE more than 5 times, even if VE has been used for less than 20 minutes (5-time VE trial rule). The aims of the present study were to compare the obstetric policies related to failed VE before and after 2008.

Methods: We reviewed the obstetric records of all cases of VE in cases of singleton pregnancy with a neonatal birth weight ≥ 2500 g beyond 37 weeks' gestation at our hospital from April 2002 to March 2014. Read More

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http://dx.doi.org/10.1080/14767058.2019.1611767DOI Listing

Internal podalic version for delivery of high floating head during cesarean section and neonatal outcome.

J Obstet Gynaecol Res 2019 Apr 24. Epub 2019 Apr 24.

Department of Pediatrics and Neonatology, Faculty of Medicine, Tanta University, Tanta, Egypt.

Aim: To evaluate the technique of internal podalic version for delivery of high floating head during cesarean section as an alternative for other methods for its delivery and its effects on neonatal outcome.

Methods: This study used clinical randomized controlled study design. Three groups of patients each group has 50 patients who attended for elective cesarean section and found to have high floating head during operation, Group I: the babies were delivered by internal podalic version. Read More

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http://dx.doi.org/10.1111/jog.13979DOI Listing

The management of severe pre-eclampsia and HELLP syndrome in a twin pregnancy with a known morbidly adherent placenta: A case report.

Case Rep Womens Health 2019 Apr 11;22:e00114. Epub 2019 Apr 11.

Department of Women's and Newborn Health, Westmead Hospital, Sydney, Australia.

Introduction: Morbidly adherent placenta (MAP) is a rare obstetric complication, especially in cases of multiple gestation. We present a case of MAP complicating a dichorionic diamniotic (DCDA) twin pregnancy requiring delivery by emergency cesarean hysterectomy at 30 + 2 weeks of gestation.

Case Presentation: A 36-year-old woman, G3P2, with a DCDA twin pregnancy and known MAP presented to the labour ward at 30 + 2 weeks of gestation with evidence of pre-eclampsia and fulminating HELLP syndrome. Read More

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http://dx.doi.org/10.1016/j.crwh.2019.e00114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465756PMC

Abdominal Wall Endometriosis: A Case Report.

Cureus 2019 Feb 13;11(2):e4061. Epub 2019 Feb 13.

General Surgery, Saint George Hospital/ Lebanese University, Beirut, LBN.

Abdominal wall endometriosis is a rare condition that occurs after a cesarean section or pelvic surgery and it has an incidence of 0.03%-1.5% in women with previous cesarean delivery. Read More

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http://dx.doi.org/10.7759/cureus.4061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464279PMC
February 2019

The evaluation of embryotoxicity of Ligusticum chuanxiong on mice and embryonic stem cells.

J Ethnopharmacol 2019 Apr 20:111895. Epub 2019 Apr 20.

Guangzhou University of Chinese Medicine, School of Pharmaceutical Sciences, Guangzhou, 511400, China. Electronic address:

Ethnopharmacological Relevance: Chuanxiong (Chuanxiong Rhizoma, CR), the dried rhizome of Ligusticum chuanxiong Hort, has been used during pregnancy for more than 2000 years. However, the embryotoxicity of CR was not evaluated so far. The purpose of this study was to examine the safety and rational use of CR during pregnancy on mice and mouse embryonic stem cell (ES), and to explore the mechanism of embryotoxicity. Read More

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http://dx.doi.org/10.1016/j.jep.2019.111895DOI Listing

Comparison of Cerebroplacental Ratio, Intergrowth-21st Standards, Customized Growth, and Local Population References for the Prediction of Fetal Compromise: Which Is the Best Approach?

Fetal Diagn Ther 2019 Apr 23:1-12. Epub 2019 Apr 23.

Servicio de Obstetricia, Hospital Universitario y Politécnico La Fe, Valencia, Spain.

Objective: The aim of this work was to compare the accuracy of the cerebroplacental ratio (CPR), Intergrowth 21st standards (IG21), customized growth (CG), and local population references (LPR) in the prediction of intrapartum fetal compromise (IFC).

Methods: This was a prospective study of 714 fetuses that underwent an ultrasound examination at 34-41 weeks and were delivered within a 2-week interval. The CPR was converted into multiples of the median and the estimated fetal weight (EFW) transformed into CG, IG21, and LPR centiles. Read More

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http://dx.doi.org/10.1159/000497142DOI Listing

The utility of systemic inflammatory response syndrome (SIRS) for diagnosing sepsis in the immediate postpartum period.

J Infect Public Health 2019 Apr 19. Epub 2019 Apr 19.

Department of Obstetrics and Gynecology, Nassau University Medical Center, East Meadow, New York, USA; Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA.

Background: The systemic inflammatory response syndrome (SIRS) and sepsis definitions were developed to improve the ability for early detection of infection and sepsis. We studied the incidence of immediate postpartum SIRS and sepsis. We further studied immediate postpartum SIRS as a potential predictor for immediate postpartum sepsis. Read More

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http://dx.doi.org/10.1016/j.jiph.2019.04.003DOI Listing

Obstetric admissions and outcomes in an intensive care unit in Malawi.

Int J Obstet Anesth 2019 Mar 28. Epub 2019 Mar 28.

Dept. of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Background: Despite international commitment to Millennium Development Goal 5, maternal mortality remains high in low- and middle-income countries (LMICs) of sub-Saharan Africa. This is in part due to infrastructure gaps, including availability of intensive care units (ICUs). We sought to use obstetric ICU utilization as a marker of severe maternal morbidity and provide an initial characterization of its relationship with in-hospital mortality. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183037
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http://dx.doi.org/10.1016/j.ijoa.2019.03.004DOI Listing
March 2019
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[External anthropometric measurement and pelvimetry among nulliparous women in Lubumbashi: risk factors and predictive score of mechanical dystocia].

Pan Afr Med J 2018 2;31:69. Epub 2018 Oct 2.

Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, République Démocratique du Congo.

Introduction: Maternal and perinatal morbi-mortality is higher in most of sub-Saharan Africa compared to the rest of the world. All women at risk for mechanical dystocia should be screened before labor and referred to a better equipped Hospital for childbirth. This would reduce morbi-mortality. Read More

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http://dx.doi.org/10.11604/pamj.2018.31.69.16014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457727PMC
October 2018

Clinical and ultrasonographic parameters in assessment of labor induction success in nulliparous women.

J Matern Fetal Neonatal Med 2019 Apr 21:1-8. Epub 2019 Apr 21.

a Clinic of Obstetrics and Gynecology , Clinical Center of Serbia , Belgrade , Serbia.

Purpose: Evaluation of simplified Bishop score and ultrasound cervicometry in the assessment of labor induction success in nulliparous women.

Methods: Prospective cohort study included 146 nulliparous women with singleton pregnancy and indications for labor induction. Prior to labor induction, cervicometry and Bishop score were determined. Read More

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https://www.tandfonline.com/doi/full/10.1080/14767058.2019.1
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http://dx.doi.org/10.1080/14767058.2019.1594185DOI Listing
April 2019
1 Read

[Ultrasound assessment of gastric antrum in term pregnant women before elective cesarean section].

Rev Bras Anestesiol 2019 Apr 19. Epub 2019 Apr 19.

Universidade Federal de Mato Grosso, Faculdade de Medicina, Cuiabá, MT, Brasil.

Background And Objectives: Pregnant women are considered patients at risk for pulmonary aspiration of gastric contents. The study aim was to evaluate the gastric antral cross-sectional area using ultrasound.

Method: In this prospective study, 85 scheduled term pregnant women underwent gastric ultrasound. Read More

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http://dx.doi.org/10.1016/j.bjan.2019.03.001DOI Listing

Oral misoprostol for induction of labour at term: A randomized controlled trial of hourly titrated and 2 hourly static oral misoprostol solution.

J Matern Fetal Neonatal Med 2019 Apr 21:1-211. Epub 2019 Apr 21.

c Department of Medical Social Services , Ekiti State University Teaching Hospital , Ado-Ekiti , Nigeria.

Background: Misoprostol has been shown to be effective in induction of labour (IOL) with different dosages and routes of administration.

Objectives: This study compared the efficacy and safety of hourly titrated and 2-hourly static low dose oral misoprostol for IOL in Ekiti State University Teaching Hospital, Ado-Ekiti.

Methods: One hundred fifty women with singleton pregnancy at term admitted for IOL were randomized into the two groups. Read More

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http://dx.doi.org/10.1080/14767058.2019.1610378DOI Listing

Computerized fetal cardiotocography analysis in early preterm fetal growth restriction - a quantitative comparison of two applications.

J Perinat Med 2019 Apr 22. Epub 2019 Apr 22.

Department of Obstetrics, Amsterdam University Medical CenterAmsterdam, The Netherlands.

Background We developed an open-source software for the computerized analysis of antenatal fetal cardiotocography (CTG) without limitation of duration of the registration, enabling batch processing and adaptation to any digital storage system. Methods STVcalc was developed based on literature about the FetalCare system (Huntleigh Healthcare Ltd, Cardiff, UK). For comparison with FetalCare, we selected the CTGs of all women who delivered in 2011 a small-for-gestational-age (SGA) fetus between 24 and 31 weeks by cesarean section (CS) for fetal distress, or had fetal death, before labor onset. Read More

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http://dx.doi.org/10.1515/jpm-2018-0412DOI Listing

Post-cesarean delivery pain. Management of the opioid-dependent patient before, during and after cesarean delivery.

Authors:
R Landau

Int J Obstet Anesth 2019 Feb 10. Epub 2019 Feb 10.

Virginia Apgar Professor of Anesthesiology, Department of Anesthesiology, Columbia University Medical Center, Columbia University College of Physicians & Surgeons, New York, United States. Electronic address:

The opioid crisis has reached an unprecedented magnitude in the United States and worldwide, and data on opioid use and misuse in the obstetric population are extremely concerning. Despite an abundant number of studies evaluating strategies to prevent neonatal opioid withdrawal syndrome mothers who are chronic opioid users, in babies born to mothers using chronic opioids, numerous questions remain unanswered, including (1) how to optimally manage postpartum pain in opioid-dependent patients (2) how to reconcile buprenorphine and methadone use with intrapartum and postpartum analgesia, so as to avoid opioid withdrawal during and after delivery (3) how to safely and effectively provide a stepwise multimodal approach that incorporates systemic opioid-sparing approaches, such as neuraxial opioids, clonidine, ketamine, gabapentin, and regional anesthetic blocks, to ensure adequate pain relief while avoiding opioid withdrawal (4) how to optimally manage postpartum recovery and (5) how to avoid excessive opioid prescription and possibly left-over opioids that may promote persistent use, misuse and diversion. With the recognition that an increasing number of pregnant women are taking chronic opioids, the goals of this review article are to summarize the existing literature on post-cesarean pain management in the obstetric patient with an opioid-use disorder; and to provide clinicians with a stepwise approach for management before, as well as during and after, cesarean delivery of women who have been chronically using opioids during their pregnancy. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.011DOI Listing
February 2019

Association between preoperative adenomyosis detection rate during pelvic ultrasonography and the specialty of the reading physician.

J Minim Invasive Gynecol 2019 Apr 17. Epub 2019 Apr 17.

Department of Obstetrics and Gynecology, University of South Florida, Morsani College of Medicine, Tampa, FL. Electronic address:

Study Objective: To compare the detection rate of adenomyosis when ultrasound is performed by a radiologist compared to a gynecologic expert sonologist.

Design: A retrospective, single center study.

Setting: University teaching hospital PATIENTS: All women above 18 years of age with a positive histopathology diagnosis of adenomyosis obtained in a hysterectomy specimen from October 1, 2011 - October 1, 2017 were screened for inclusion. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.04.015DOI Listing

What's new in obstetric anesthesia in 2017?

Authors:
A S Habib

Int J Obstet Anesth 2019 Mar 28. Epub 2019 Mar 28.

Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA. Electronic address:

The Gerard W. Ostheimer lecture is delivered every year at the annual meeting of the Society for Obstetric Anesthesia and Perinatology. The lecture aims to provide the anesthesiologist who provides obstetric anesthesia care with a review of the most relevant articles that were published in the preceding calendar year. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.03.005DOI Listing
March 2019
7 Reads

Effect of grape seed extract ointment on cesarean section wound healing: A double-blind, randomized, controlled clinical trial.

Complement Ther Clin Pract 2019 May 20;35:323-328. Epub 2019 Mar 20.

Instructor, East Nursing and Midwifery Care Research Center Instructor, Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran. Electronic address:

Background: and purpose: Complications of the delayed recovery of cesarean section (CS) wound can include stress, discomfort, and dissatisfaction of the mother in the postpartum period. This study tried to determine the effect of grape seed extract ointment on CS wound healing.

Materials And Methods: This is a double-blind, randomized, controlled clinical trial incorporating 129 women eligible for CS in eastern Iran. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17443881183036
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http://dx.doi.org/10.1016/j.ctcp.2019.03.011DOI Listing
May 2019
1 Read

Pregnancy in a Woman with Latent Myeloproliferative Neoplasm Induced Chronic Portal Vein Thrombosis, Portal Cavernoma, and Gastric Varices.

Case Rep Obstet Gynecol 2019 14;2019:5702983. Epub 2019 Mar 14.

Department of General Internal Medicine, Faculty of Medicine, University of Sherbrooke, Quebec, Canada.

Extra-hepatic portal vein thrombosis (EHPVO) represents the obstruction of the portal vein outside the liver and is not related to chronic liver disease or neoplasia. In chronic EHPVO, collateral veins and portal hypertension develop, resulting in splenomegaly and variceal formation. Myeloproliferative neoplasms (MPN) are the most frequent acquired etiology of EHPVO. Read More

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http://dx.doi.org/10.1155/2019/5702983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437724PMC

Common patterns of gene regulation associated with Cesarean section and the development of islet autoimmunity - indications of immune cell activation.

Sci Rep 2019 Apr 18;9(1):6250. Epub 2019 Apr 18.

Institute of Computational Biology, Helmholtz Zentrum München, Neuherberg, Germany.

Birth by Cesarean section increases the risk of developing type 1 diabetes later in life. We aimed to elucidate common regulatory processes observed after Cesarean section and the development of islet autoimmunity, which precedes type 1 diabetes, by investigating the transcriptome of blood cells in the developing immune system. To investigate Cesarean section effects, we analyzed longitudinal gene expression profiles from peripheral blood mononuclear cells taken at several time points from children with increased familial and genetic risk for type 1 diabetes. Read More

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http://dx.doi.org/10.1038/s41598-019-42750-5DOI Listing

Use of routine ureteral stents in cesarean hysterectomy for placenta accreta.

J Matern Fetal Neonatal Med 2019 Apr 18:1-131. Epub 2019 Apr 18.

a Department of Neuroscience , Reproductive Sciences and Dentistry , School of Medicine , University of Naples "Federico II" , Naples , Italy.

Objective: To evaluate benefits of use of ureteral stents in association with cesarean hysterectomy in case of placenta accreta.

Methods: This was a single center, retrospective, cohort study. Clinical records of all consecutive singleton pregnancies with confirmed placenta accreta who underwent cesarean hysterectomy were included in the study. Read More

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https://www.tandfonline.com/doi/full/10.1080/14767058.2019.1
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http://dx.doi.org/10.1080/14767058.2019.1609935DOI Listing
April 2019
3 Reads

Pushing the limits: perinatal outcomes beyond prolonged second stage.

J Matern Fetal Neonatal Med 2019 Apr 18:1-211. Epub 2019 Apr 18.

d Alexandria Health , Boston , USA.

Objective: To evaluate whether extremely prolonged second stage of labor in nulliparous women affects mode of delivery and perinatal outcomes.

Methods: We performed a retrospective cohort study of nulliparous women with singleton gestations and cephalic presentation who reached 10 cm of cervical dilation at gestational age 36 0/7-41 6/7. Women were stratified by epidural status. Read More

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http://dx.doi.org/10.1080/14767058.2019.1609927DOI Listing

Combining Spinal-Epidural Anesthesia versus Single-Shot Spinal Anesthesia for Cesarean Delivery: A Meta-Analysis of 5 Randomized Controlled Trials.

Med Sci Monit 2019 Apr 18;25:2859-2867. Epub 2019 Apr 18.

Department of International Medical, China-Japan Friendship Hospital, Beijing, China (mainland).

BACKGROUND This study compared combined spinal-epidural anesthesia (CSEA) and single-shot spinal anesthesia (SSSA) by performing a meta-analysis. MATERIAL AND METHODS An electronic search of relevant studies was done through 2017. Primary endpoints included duration of surgery, and time for (1) sensory recovery to thoracic vertebra (T10), (2) maximal sensory, (3) motor blockade, and (4) motor recovery. Read More

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http://dx.doi.org/10.12659/MSM.913744DOI Listing
April 2019
2 Reads

Management of pregnancy complicated by ankylosing spondylitis: A case report and literature review.

Clin Case Rep 2019 Apr 6;7(4):766-769. Epub 2019 Mar 6.

Perinatal and Maternal Center of Saitama Medical Center Jichi Medical University Saitama Japan.

Pregnancy complicated by ankylosing spondylitis is rare. Labor assistance and instrumental delivery may be difficult due to hip stiffness. Restriction in lumbar flexion may cause difficulties in administering neuraxial analgesia. Read More

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http://dx.doi.org/10.1002/ccr3.2085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452484PMC
April 2019
1 Read

Guidelines for Postoperative care in Cesarean Delivery: Enhanced Recovery After Surgery (ERAS) Society Recommendations (Part 3 ).

Am J Obstet Gynecol 2019 Apr 14. Epub 2019 Apr 14.

Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, United States.

This Enhanced Recovery After Surgery (ERAS) Guideline for postoperative care in Cesarean Delivery (CD) will provide best practice, evidenced-based, recommendations for post-operative care with, primarily a maternal focus. The pathway process for scheduled and unscheduled CD, for this ERAS CD guideline, will consider time from completion of cesarean until maternal hospital discharge. The literature search (1966-2017) used Embase and PubMed to search medical subject headings including "Cesarean Section", "Cesarean Delivery", "Cesarean Section Delivery" and all post-operative ERAS® items. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378193057
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http://dx.doi.org/10.1016/j.ajog.2019.04.012DOI Listing
April 2019
3 Reads

Comparing pregnancy outcomes and loss rates in elective twin pregnancy reduction to ongoing twin gestations in a large contemporary cohort.

Am J Obstet Gynecol 2019 Apr 14. Epub 2019 Apr 14.

Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: As compared to singleton gestations, twin pregnancies are associated with a significantly higher risk of preterm birth, maternal complications, as well as fetal and neonatal morbidity and mortality. Multifetal pregnancy reduction (MPR) is a technique developed in the 1980s to reduce the fetal number in higher-order multiple pregnancies to reduce the risk of adverse pregnancy outcomes, most importantly preterm birth.

Objective: To compare pregnancy outcomes and loss rates in elective twin pregnancy reduction to ongoing twin gestations in a large contemporary cohort. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.04.001DOI Listing
April 2019
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The relationship between maternal body mass index and pregnancy outcomes in twin compared with singleton pregnancies.

Int J Obes (Lond) 2019 Apr 16. Epub 2019 Apr 16.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada.

Objecive: Women with twins have an a priori increased risk for many of the complications associated with maternal obesity. Thus, the impact of maternal obesity in twins may differ from that reported in singletons. In addition, given the increased metabolic demands in twin pregnancies, the impact of maternal underweight may be greater in twin compared with singleton gestations. Read More

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http://dx.doi.org/10.1038/s41366-019-0362-8DOI Listing
April 2019
2 Reads

Long-term Breastfeeding in the Prevention of Allergic Rhinitis: Allergic Rhinitis Cohort Study for Kids (ARCO-Kids Study).

Clin Exp Otorhinolaryngol 2019 Apr 18. Epub 2019 Apr 18.

Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.

Objectives: There is a great deal of interest in the possibility that environmental factors may influence the risk of developing allergic rhinitis (AR) in early life. We investigated the simultaneous effects of mode of delivery and duration of breastfeeding on the development of AR in children.

Methods: Data from 1,374 children participating in the Allergic Rhinitis Cohort Study for kids (ARCO-kids study) was analyzed. Read More

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http://dx.doi.org/10.21053/ceo.2018.01781DOI Listing
April 2019
2 Reads

Obstetric outcomes in women with rheumatoid arthritis: Results from Nationwide Inpatient Sample Database 2003-2011.

Semin Arthritis Rheum 2019 Mar 23. Epub 2019 Mar 23.

University of Mississippi, 2500 North State Street, Jackson, MS 39232, United States.

Objective: Fertility is reduced in patients with Rheumatoid Arthritis due to unknown cause. Few studies have addressed pregnancy outcomes in RA. This study was undertaken to determine the frequency of complications occurring during pregnancy for women with RA and compare with the general obstetric population by using the largest inpatient care database. Read More

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http://dx.doi.org/10.1016/j.semarthrit.2019.03.011DOI Listing
March 2019
1 Read

Derivation and validation of a model predicting the likelihood of vaginal birth following labour induction.

BMC Pregnancy Childbirth 2019 Apr 16;19(1):130. Epub 2019 Apr 16.

Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Background: There is high-quality evidence supporting induction of labour (IOL) for a number of maternal and fetal indications. However, one fifth of inductions fail to result in vaginal births, requiring cesarean deliveries. This has negative clinical, emotional and resource implications. Read More

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https://bmcpregnancychildbirth.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12884-019-2232-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469110PMC
April 2019
2 Reads

Spatial and temporal trends of cesarean deliveries in Uganda: 2012-2016.

BMC Pregnancy Childbirth 2019 Apr 16;19(1):132. Epub 2019 Apr 16.

African Field Epidemiology Network, Kampala, Uganda.

Background: Cesarean section (CS) is an important intervention in complicated births when the safety of the mother or baby is compromised. Despite worldwide concerns about the overutilization of CS in recent years, many African women and their newborns still die because of limited or no access to CS services. We evaluated temporal and spatial trends in CS births in Uganda and modeled future trends to inform programming. Read More

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https://bmcpregnancychildbirth.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12884-019-2279-6DOI Listing
April 2019
2 Reads

Screening for breech presentation using universal late-pregnancy ultrasonography: A prospective cohort study and cost effectiveness analysis.

PLoS Med 2019 Apr 16;16(4):e1002778. Epub 2019 Apr 16.

Department of Obstetrics and Gynaecology, University of Cambridge, NIHR Cambridge Comprehensive Biomedical Research Centre, Cambridge, United Kingdom.

Background: Despite the relative ease with which breech presentation can be identified through ultrasound screening, the assessment of foetal presentation at term is often based on clinical examination only. Due to limitations in this approach, many women present in labour with an undiagnosed breech presentation, with increased risk of foetal morbidity and mortality. This study sought to determine the cost effectiveness of universal ultrasound scanning for breech presentation near term (36 weeks of gestational age [wkGA]) in nulliparous women. Read More

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http://dx.doi.org/10.1371/journal.pmed.1002778DOI Listing
April 2019
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Slow release vaginal insert of misoprostol versus orally administrated solution of misoprostol for induction of labor in primiparous term pregnant women: a randomized clinical trial.

BJOG 2019 Apr 16. Epub 2019 Apr 16.

Department of Clinical Science and Education Karolinska Institute, Department of Obstetrics and Gynecology, Sodersjukhuset, Sweden.

Objective: To compare the WHO recommended orally administrated dosage of misoprostol (25ug) with vaginal slow release (7ug/h) insert of misoprostol regarding time from induction-to-delivery and safety of the method.

Design: Open label, RCT.

Setting: Delivery ward at a secondary referral hospital, Stockholm, Sweden, 1 of October 2016 to 21 of February 2018. Read More

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http://dx.doi.org/10.1111/1471-0528.15796DOI Listing
April 2019
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Heterogeneous Mixture of Amniotic Cells is Likely a Better Source of Stem Cells than Adipose Tissue.

Arch Immunol Ther Exp (Warsz) 2019 Apr 16. Epub 2019 Apr 16.

Chair and Department of Descriptive and Topographic Anatomy, School of Medicine, Division of Dentistry in Zabrze, Medical University of Silesia, Zabrze Rokitnica, Poland.

Stem cells are increasingly being used in the course of burn treatment. As several different types of stem cells are available for the purposes, it is important to chose the most efficient and the most practicable stem cell type. The aim of this study was to compare the potential of heterogeneous amnion cell mixture with the presently used standard therapy, the adipose tissue-derived stem cells. Read More

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http://dx.doi.org/10.1007/s00005-019-00538-5DOI Listing
April 2019
1 Read
3.176 Impact Factor

Effectiveness and safety of intravenous application of dexmedetomidine for cesarean section under general anesthesia: a meta-analysis of randomized trials.

Drug Des Devel Ther 2019 25;13:965-974. Epub 2019 Mar 25.

Department of Anesthesiology, Tangshan People's Hospital, North China University of Science and Technology, Tangshan 063000, Hebei, China,

Objective: The meta-analysis was conducted to assess the effectiveness and safety of intravenous administration of dexmedetomidine for cesarean section under general anesthesia, as well as neonatal outcomes.

Materials And Methods: We searched PubMed, Embase, Cochrane Central Register of Controlled Trials and the China National Knowledge Infrastructure database for relevant randomized controlled trials (RCTs) about the application of intravenous dexmedetomidine under general anesthesia for cesarean section. RevMan 5. Read More

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http://dx.doi.org/10.2147/DDDT.S197165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438144PMC
March 2019
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Comparison of Nitroglycerin and Terbutaline for External Cephalic Version in Women Who Received Neuraxial Anesthesia: A Retrospective Analysis.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

From the Department of Anesthesiology, Pain, and Perioperative Medicine, Icahn School of Medicine, New York, New York.

External cephalic version is a technique that decreases the need for cesarean delivery in patients with breech presentation. Several techniques exist to increase the success of external cephalic version; however, there are no studies comparing different tocolytics in patients who also received neuraxial anesthesia. We, therefore, performed a review of 198 patients who presented for external cephalic version and compared their success rates based on the tocolytic medication utilized. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004155DOI Listing
April 2019
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General Anesthesia for Cesarean Delivery: Occasionally Essential but Best Avoided.

Anesthesiology 2019 Apr 9. Epub 2019 Apr 9.

From the University of Arkansas for Medical Sciences, Little Rock, Arkansas (J.M.M.) the Stanford University School of Medicine, Palo Alto, California (P.S.).

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http://dx.doi.org/10.1097/ALN.0000000000002708DOI Listing
April 2019
1 Read

Vitamin D status in pregnant women visiting a tertiary care center of North Eastern India.

J Family Med Prim Care 2019 Feb;8(2):356-360

Department of Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

Background: Studies of vitamin D (VD) physiology suggest that effects of vitamin D deficiency (VDD) could be much broader than rickets including cardiovascular disease, cancers, diabetes, infection, and allergy and pregnancy complications. Data regarding the prevalence of hypovitaminosis in pregnancy are scanty especially in north eastern part of India. Therefore, this study has undertaken with the intention to find out prevalence and outcome of hypovitaminosis of VD in pregnancy. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_404_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436274PMC
February 2019
2 Reads

Successful Management of Complicated Uterine Displacement Caused by Unilateral Incarceration of the Bicornuate Uterus.

Case Rep Obstet Gynecol 2019 7;2019:3205610. Epub 2019 Mar 7.

Department of Obstetrics and Gynecology, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan.

Uterine incarceration is a serious complication of pregnancy, in which the gravid uterus becomes trapped in the posterior pelvis. When labor occurs, delivery does not progress, and the uterus may rupture. Therefore, preoperative diagnosis of uterine incarceration is important, and a caesarian section is indispensable except when the polarity of the uterus can be successfully restored. Read More

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http://dx.doi.org/10.1155/2019/3205610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431465PMC
March 2019
1 Read