3,564 results match your criteria Forceps Delivery


Risk Factors for Postpartum Stress Urinary Incontinence: a Systematic Review and Meta-analysis.

Reprod Sci 2020 Jul 7. Epub 2020 Jul 7.

Department of Gynecology and Obstetrics, Women's Hospital of Nanjing Medical University Nanjing Maternity and Child Health Care Hospital Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu Province, China.

Stress urinary incontinence (SUI) is a distressing symptom affecting females globally and is one of the most common complications of delivery. The etiology of female SUI is multifactorial, and the trauma caused by delivery is one of the most important risk factors for SUI. We performed a meta-analysis to determine the relationship between these various factors and postpartum SUI. Read More

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http://dx.doi.org/10.1007/s43032-020-00254-yDOI Listing

[Effect of induction on maternal and neonatal outcomes of vaginal birth after cesarean].

Zhonghua Yi Xue Za Zhi 2020 Jul;100(25):1979-1982

Department of Perinatal Medicine, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.

To investigate the effect of induction on maternal and neonatal outcomes of vaginal birth after cesarean section (VBAC). Retrospective cohort study. A total of 452 pregnant women who underwent trail of labor after cesarean section (TOLAC) from January 2015 to March 2019 of Beijing Obstetrics and Gynecology Hospital, Capital Medical University were enrolled. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20191213-02720DOI Listing

Management of Descemet membrane detachment secondary to forceps assisted delivery in a newborn.

Arch Soc Esp Oftalmol 2020 Jun 29. Epub 2020 Jun 29.

Departamento de Oftalmología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.

To describe the clinical signs and management of Descemet membrane (DM) detachment after forceps-related trauma during birth. A 2-day-old term infant presented with right eye corneal clouding and history of forceps assisted delivery. Ophthalmic assessment was consistent for corneal trauma and anterior segment optical coherence tomography (AS-OCT Visante®) revealed DM detachment. Read More

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http://dx.doi.org/10.1016/j.oftal.2020.05.033DOI Listing

Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study.

Anemia 2020 16;2020:8979740. Epub 2020 Jun 16.

School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Read More

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http://dx.doi.org/10.1155/2020/8979740DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315250PMC

Induction of Labor in an Intubated Patient With Coronavirus Disease 2019 (COVID-19).

Obstet Gynecol 2020 Jun 23. Epub 2020 Jun 23.

Cascadia Women's Clinic, Legacy Salmon Creek Hospital, Legacy Health, and the Vancouver Clinic, Vancouver, Washington.

Background: In the global coronavirus disease 2019 (COVID-19) pandemic, to date, delivery of critically ill pregnant patients has predominantly been by cesarean.

Case: A 27-year-old pregnant woman was admitted to a 166-bed community hospital at 33 weeks of gestation with acute hypoxemic respiratory failure secondary to COVID-19. She underwent mechanical ventilation for 9 days. Read More

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http://dx.doi.org/10.1097/AOG.0000000000004044DOI Listing

Severe Perineal Trauma in a Brazilian Southeastern Tertiary Hospital: A Retrospective Cohort Study.

Female Pelvic Med Reconstr Surg 2020 Jun 22. Epub 2020 Jun 22.

From the Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Campinas, Brazil.

Objective: This study aimed to investigate the prevalence of severe perineal trauma (obstetric and anal sphincter injury [OASIS]) in a tertiary high-risk pregnancy facility and the associated factors.

Methods: A retrospective electronic chart review on perineal lacerations was performed from the period of April 2017 to February 2019. Obstetric and anal sphincter injury was diagnosed by a rectal examination. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000910DOI Listing

Type of breech presentation and prognosis for delivery.

J Gynecol Obstet Hum Reprod 2020 Jun 20:101832. Epub 2020 Jun 20.

Pôle Femme Mère Nouveau-né, clinique d'obstétrique, Hôpital Jeanne de Flandre, Université Nord de France, Lille, France; EA 2694, Université Lille Nord de France, F-59000, Lille, France.

Background: Although its role in the prognosis for delivery remains controversial, the type of breech is sometimes taken into account in the decision about mode of delivery. Objective of our study was to compare maternal and neonatal morbidity for trial of vaginal delivery according to the type of breech (complete or frank).

Material And Method: Single-center retrospective study of women with trials of vaginal delivery of a singleton fetus in breech presentation at of after 37 weeks of gestation. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101832DOI Listing

The role of ultrasound imaging in the management of partial placental retention after third trimester livebirth.

J Matern Fetal Neonatal Med 2020 Jun 17:1-7. Epub 2020 Jun 17.

EGA Institute for Women's Health, Faculty of Population Health Sciences, University College London, London, UK.

To evaluate the impact of different ultrasound signs in the management and the role of ultrasound guidance in the surgical evacuation of partial placental tissue retention. This is an observational cohort study and retrospective case assessment of 82 patients with clinical symptoms of partial placental retention following a third trimester singleton livebirth between January 2013 and May 2019. The ultrasound signs were recorded using a standardized protocol and the outcome of the management strategy and the use of ultrasound guidance during any surgical procedure was evaluated. Read More

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http://dx.doi.org/10.1080/14767058.2020.1777272DOI Listing

The effect of replacing vacuum with forceps in operative vaginal delivery: an observational study.

Int Urogynecol J 2020 Jun 13. Epub 2020 Jun 13.

Nepean Hospital, Nepean Clinical School, University of Sydney, Penrith, NSW, 2750, Australia.

Introduction And Hypothesis: An increase in vaginal delivery with forceps may increase rates of pelvic floor trauma. This study was designed to predict trauma rates resulting from policies preferencing forceps.

Methods: This is an observational cohort study utilizing data from 660 primiparae enrolled in an RCT in two tertiary obstetric units in Sydney, Australia. Read More

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http://dx.doi.org/10.1007/s00192-020-04352-yDOI Listing

Brachial Plexus Birth Injury: Epidemiology and Birth Weight Impact on Risk Factors.

J Pediatr Orthop 2020 Jul;40(6):e460-e465

Department of Orthopedics, Musculoskeletal Research Center, Children's Hospital Colorado.

Background: Brachial plexus birth injury (BPBI) is a condition in which the brachial plexus is thought to be damaged during the birth process. Studies have cited a varying incidence rate ranging from 0.5 to 4. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001447DOI Listing

'Please Squeeze': A novel approach to perineal guarding at the time of delivery reduced rates of obstetric anal sphincter injury in an Australian tertiary hospital.

Aust N Z J Obstet Gynaecol 2020 Jun 5. Epub 2020 Jun 5.

Pelvic Floor Unit, Westmead Hospital, Sydney, Australia.

Background: Over the last decade the incidence of obstetric anal sphincter injuries (OASIS) has been steadily increasing locally and internationally. Investigations into reducing rates, and the long-term complications, of OASIS are required.

Aims: To determine if applying a new method of perineal guarding at the time of delivery reduces the incidence of OASIS at an Australian tertiary hospital. Read More

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http://dx.doi.org/10.1111/ajo.13181DOI Listing

Women's, partners' and healthcare providers' views and experiences of assisted vaginal birth: a systematic mixed methods review.

Reprod Health 2020 Jun 1;17(1):83. Epub 2020 Jun 1.

Research in Childbirth and Health Unit, University of Central Lancashire, Preston, PR1 2HE, UK.

Background: When certain complications arise during the second stage of labour, assisted vaginal delivery (AVD), a vaginal birth with forceps or vacuum extractor, can effectively improve outcomes by ending prolonged labour or by ensuring rapid birth in response to maternal or fetal compromise. In recent decades, the use of AVD has decreased in many settings in favour of caesarean section (CS). This review aimed to improve understanding of experiences, barriers and facilitators for AVD use. Read More

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http://dx.doi.org/10.1186/s12978-020-00915-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268509PMC

Resident Operative Vaginal Delivery Volume after Educational Curriculum Implementation.

Am J Perinatol 2020 May 26. Epub 2020 May 26.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, The University of Alabama at Birmingham, Birmingham, Alabama.

Objective:  The percentage of operative vaginal deliveries (OVDs) in the United States has sharply declined. In May 2016, our institution's obstetrics and gynecology (OB/GYN) residency program implemented a twice-yearly OVD curriculum consisting of didactics and simulation. We sought to evaluate the impact of this curriculum. Read More

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http://dx.doi.org/10.1055/s-0040-1710543DOI Listing

Prevalence of levator ani avulsion in a multicenter study (PAMELA study).

Arch Gynecol Obstet 2020 Jul 24;302(1):273-280. Epub 2020 May 24.

Sant Pau Biomedical Research Institute (IIB Sant Pau) and CIBER Epidemiology and Public Health (CIBERESP), Barcelona, Spain.

Purpose: The objective is to determine the prevalence of levator ani muscle (LAM) avulsion using four-dimensional ultrasound in primiparous women after vaginal delivery and according to delivery mode.

Methods: This prospective, multicenter study included 322 women evaluated at 6-12 months postpartum by four-dimensional transperineal ultrasound to identify levator ani muscle avulsion. The researcher who performed the ultrasound was blinded to all clinical data. Read More

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http://dx.doi.org/10.1007/s00404-020-05585-4DOI Listing

SMFM Special Statement: Operative vaginal delivery: checklists for performance and documentation.

Am J Obstet Gynecol 2020 05;222(5):B15-B21

Society for Maternal-Fetal Medicine, 409 12 St. SW, Washington, DC 20024, USA.

The frequency of operative vaginal delivery has been declining, even though it can be an attractive alternative to cesarean delivery in selected cases. Performance of operative vaginal delivery required consideration of many indications, contraindications, and prerequisites. Optimal documentation of operative vaginal delivery requires the recording of several specific elements that are unique to forceps or vacuum delivery. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.011DOI Listing

Use of the Robson Ten Group Classification System to categorise operative vaginal delivery.

Aust N Z J Obstet Gynaecol 2020 Apr 29. Epub 2020 Apr 29.

Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin 1, Ireland.

Background: Operative vaginal delivery (OVD), either vacuum or forceps, can be used to expedite vaginal delivery. While rates of OVD have been reducing worldwide, rates in Ireland remain high. The Robson Ten Group Classification System (TGCS) was originally created to compare rates of caesarean delivery between healthcare units, although no similar system exists for the analysis of OVD. Read More

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http://dx.doi.org/10.1111/ajo.13169DOI Listing

Pubic Arch Angle Measurement by Transperineal Ultrasonography: A Prospective Cross-Sectional Study.

Rev Bras Ginecol Obstet 2020 Apr 24;42(4):181-187. Epub 2020 Apr 24.

Maternal Fetal Medicine Service, Maternidade Assis Chateaubriand, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

Objective:  To evaluate the ability of the pubic arch angle (PAA) as measured by transperineal ultrasonography during labor to predict the delivery type and cephalic pole disengagement mode.

Methods:  The present prospective cross-sectional study included 221 women in singleton-gestational labor ≥ 37 weeks with cephalic fetuses who underwent PAA measurement using transperineal ultrasonography. These measurements were correlated with the delivery type, cephalic pole disengagement mode, and fetal and maternal characteristics. Read More

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http://dx.doi.org/10.1055/s-0040-1709690DOI Listing

A novel technique for performing gallbladder tumor biopsy using a stent delivery system and biopsy forceps.

Endoscopy 2020 Apr 24. Epub 2020 Apr 24.

Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

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http://dx.doi.org/10.1055/a-1149-8625DOI Listing

Vaginal operative delivery in Germany: a national survey about experience and self-reported competency.

J Matern Fetal Neonatal Med 2020 Apr 20:1-7. Epub 2020 Apr 20.

Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany.

To determine German obstetricians' self-perceived experience with vacuum and forceps deliveries. Using a web-based survey, German obstetricians were invited to participate in a survey. This survey was approved by the German society of obstetrics and gynecology. Read More

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http://dx.doi.org/10.1080/14767058.2020.1755648DOI Listing

Methods for mechanical delivery of viral vectors into rhesus monkey brain.

J Neurosci Methods 2020 Jun 14;339:108730. Epub 2020 Apr 14.

Laboratory of Neuropsychology, NIMH/NIH/DHHS, Bethesda, MD, USA. Electronic address:

Background: Modern molecular tools make it possible to manipulate neural activity in a reversible and cell-type specific manner. For rhesus monkey research, molecular tools are generally introduced via viral vectors. New instruments designed specifically for use in monkey research are needed to enhance the efficiency and reliability of vector delivery. Read More

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http://dx.doi.org/10.1016/j.jneumeth.2020.108730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238764PMC
June 2020
2.025 Impact Factor

Quality of Pregnancy Dating and Obstetric Interventions During Labor: Retrospective Database Analysis.

JMIR Pediatr Parent 2020 Apr 15;3(1):e14109. Epub 2020 Apr 15.

Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Background: The correct dating of pregnancy is critical to support timely decisions and provide obstetric care during birth. The early obstetric ultrasound assessment before 14 weeks is considered the best reference to assist in determining gestational age (GA), with an accuracy of ±5 to 7 days. However, this information is limited in many settings worldwide. Read More

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http://dx.doi.org/10.2196/14109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191349PMC

Operative Vaginal Birth: ACOG Practice Bulletin, Number 219.

Authors:

Obstet Gynecol 2020 04;135(4):e149-e159

Despite significant changes in management of labor and delivery over the past few decades, operative vaginal birth remains an important component of modern labor management, accounting for 3.3% of all deliveries in 2013 (). Use of obstetric forceps or vacuum extractor requires that an obstetrician or other obstetric care provider be familiar with the proper use of the instruments and the risks involved. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003764DOI Listing

Operative Vaginal Birth: ACOG Practice Bulletin Summary, Number 219.

Authors:

Obstet Gynecol 2020 Apr;135(4):982-984

Despite significant changes in management of labor and delivery over the past few decades, operative vaginal birth remains an important component of modern labor management, accounting for 3.3% of all deliveries in 2013 (1). Use of obstetric forceps or vacuum extractor requires that an obstetrician or other obstetric care provider be familiar with the proper use of the instruments and the risks involved. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003765DOI Listing

Antibiotic prophylaxis for operative vaginal delivery.

Cochrane Database Syst Rev 2020 03 26;3:CD004455. Epub 2020 Mar 26.

Liverpool School of Tropical Medicine, Liverpool, UK.

Background: Vacuum and forceps assisted vaginal deliveries are reported to increase the incidence of postpartum infections and maternal readmission to hospital compared to spontaneous vaginal delivery. Prophylactic antibiotics may be prescribed to prevent these infections. However, the benefit of antibiotic prophylaxis for operative vaginal deliveries is still unclear. Read More

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http://dx.doi.org/10.1002/14651858.CD004455.pub5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096725PMC

Patents and Innovation Among Neurosurgeons from the American Association of Neurological Surgeons.

Cureus 2020 Feb 18;12(2):e7031. Epub 2020 Feb 18.

Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.

Objective Neurosurgeons have taken on the role of innovators, continuing to move the field forward over the centuries. More recently, innovation has taken the form of new technological devices and therapeutics, which require patenting. The aim of this study is to identify major areas of innovation in the field of neurosurgery by evaluating patent records. Read More

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http://dx.doi.org/10.7759/cureus.7031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082787PMC
February 2020

Comparison of spontaneous versus operative vaginal delivery using Obstetric Quality of Recovery-10 (ObsQoR-10): An observational cohort study.

J Clin Anesth 2020 Aug 20;63:109781. Epub 2020 Mar 20.

Hillingdon Hospital, United Kingdom of Great Britain and Northern Ireland.

Study Objective: We aimed to determine whether patient-reported quality of recovery differed between spontaneous and operative vaginal delivery. We also aimed to psychometrically evaluate the Obstetric Quality of Recovery-10 scoring tool (ObsQoR-10) for use in this setting.

Design: Single center observational cohort study. Read More

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http://dx.doi.org/10.1016/j.jclinane.2020.109781DOI Listing

Awake fiberoptic intubation with an epidural catheter in a morbidly obese patient.

J Anesth 2020 Jun 21;34(3):468-471. Epub 2020 Mar 21.

Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0375, Japan.

We report successful awake intubation in a morbidly obese patient (body mass index of 61.2) using an epidural catheter inserted through the external forceps channel of the fiberscope for delivery of local anesthetic. Direct application of local anesthetic to the pharyngolaryngeal area and proximal tracheal, through the use of a relatively firm epidural catheter. Read More

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http://dx.doi.org/10.1007/s00540-020-02760-4DOI Listing

Association between sexual dysfunction and avulsion of the levator ani muscle after instrumental vaginal delivery.

Acta Obstet Gynecol Scand 2020 Mar 20. Epub 2020 Mar 20.

Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain.

Introduction: The effects of levator ani muscle (LAM) avulsion after instrumental delivery on the sexual function of patients are currently unknown. Therefore, the objective of our study was to use a validated questionnaire, namely, the Female Sexual Function Index (FSFI), to compare the sexual function in patients with and without LAM avulsion after instrumental vaginal delivery.

Material And Methods: This was a prospective observational study of 112 primiparous women after instrumental (vacuum or forceps) vaginal delivery. Read More

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http://dx.doi.org/10.1111/aogs.13852DOI Listing
March 2020
1.985 Impact Factor

Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study.

Rev Esc Enferm USP 2020 13;54:e03549. Epub 2020 Mar 13.

Departamento De Enfermagem, Universidade Federal Do Ceará, Fortaleza, CE, Brazil.

Objective: Identify the associations between perineal outcome in primiparas and interventions during labor and delivery, newborn weight and APGAR score.

Method: Document-based, correlational, retrospective, quantitative study conducted in a tertiary maternity hospital in the state of Ceará, between July 2017 and January 2018. The independent variables were labor induction, amniotomy, non-pharmaceutical methods for relieving pain, forceps, episiotomy, Kristeller maneuver, position in the expulsion stage, shoulder dystocia, and newborn weight and APGAR score, and the dependent variable was perineal outcome. Read More

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http://dx.doi.org/10.1590/s1980-220x2018043503549DOI Listing

[Focus on the Odon Device™: Technical improvements, mechanical principles and progress of the clinical research program].

Gynecol Obstet Fertil Senol 2020 Mar 14. Epub 2020 Mar 14.

Service de gynécologie-obstétrique, centre hospitalo-universitaire de Besançon, université de Franche-Comté, 25000 Besançon, France; Service de gynécologie-obstétrique, centre hospitalo-universitaire de Grenoble, 38000 Grenoble, France.

The Odon Device™ has been described in the literature since 2013 and the World Health Organization supports its development through the Human Reproduction Program. This innovative device could be easier to use than usual instruments and could be an alternative to caesarean section during the second stage of labor, especially in countries where access to obstetric care is limited. The aim of the Odon Device™ is to position an air cuff over the fetal head, past its widest point (around the level of the fetal mouth anteriorly and the nape of the fetal neck posteriorly). Read More

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http://dx.doi.org/10.1016/j.gofs.2020.03.011DOI Listing

Possible Mode of Spread of Hepatitis B and Hepatitis C in Chronic Liver Disease Patients Presenting at CMH Lahore Medical College and Institute of Dentistry.

Cureus 2020 Feb 3;12(2):e6863. Epub 2020 Feb 3.

Medical Education and Simulation, CMH Lahore Medical and Dental College, National University of Medical Sciences, Lahore, PAK.

Introduction Chronic hepatitis B and C are the leading causes of chronic liver disease and a significant cause of mortality and morbidity worldwide. Hepatitis B is a preventable disease with vaccination, which is available worldwide. About 257 million people are affected worldwide with hepatitis B and around 71 million people with hepatitis C, and Pakistan is the second most prevalent country with hepatitis C. Read More

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http://dx.doi.org/10.7759/cureus.6863DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053683PMC
February 2020

Postpartum anal incontinence in women with and without obstetric anal sphincter injuries.

Int Urogynecol J 2020 Mar 10. Epub 2020 Mar 10.

Pelvic Floor Unit, St George Hospital, Sydney, New South Wales, Australia.

Introduction And Hypothesis: Postpartum anal incontinence is common and distressing for women. We sought to look at the prevalence of anal incontinence in women who sustained obstetric anal sphincter injuries (OASI) compared with women who did not, and factors leading to these symptoms during the postpartum period.

Methods: A total of 129 primiparous women sustaining OASI were compared with 131 women who did not (controls). Read More

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http://dx.doi.org/10.1007/s00192-020-04267-8DOI Listing

Reproductive outcome after operative hysteroscopy for uterine septum: scissors or diathermy?

Minerva Ginecol 2020 Feb;72(1):36-42

Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy -

Introduction: Hysteroscopic septoplasty is a safe and routinely used procedure for the treatment of septate uterus. The aim of this paper is to determine which hysteroscopic technique (scissors, monopolar/bipolar diathermy) is superior for post-treatment reproductive outcome.

Evidence Acquisition: Two different hysteroscopic septoplasty instruments (scissors and monopolar/bipolar diathermy) were compared, focusing on the pregnancy outcome. Read More

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http://dx.doi.org/10.23736/S0026-4784.20.04444-5DOI Listing
February 2020

Fetal Biparietal Diameter as a Potential Risk Factor for Emergency Cesarean Section due to Labor Arrest.

Tohoku J Exp Med 2020 03;250(3):161-166

Department of Obstetrics and Gynecology, National Hospital Organization Kofu National Hospital.

Labor arrest is the most common indication for emergency cesarean section (ECS). Increased biparietal diameter (BPD) has been reported as a risk factor for ECS due to labor arrest in different countries, but it is unclear whether this relationship is relevant in Japan. Considering the difference in maternal physique according to race and ethnicity, we retrospectively evaluated the association between ECS due to labor arrest and BPD, measured by ultrasonography < 7 days before term deliveries in Japanese women. Read More

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http://dx.doi.org/10.1620/tjem.250.161DOI Listing

A Case of Low Rectovaginal Fistula of Obstetric Origin: Treatment by Fistulotomy and Reconstitution or Advancement Flap?

Front Surg 2020 18;7. Epub 2020 Feb 18.

Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.

Many small low rectovaginal fistulas represent incompletely healed (third degree) perineal lacerations i. e., involving the sphincters. Read More

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http://dx.doi.org/10.3389/fsurg.2020.00002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041408PMC
February 2020

Childbirth in Ireland's capital city over sixty years.

Ir J Med Sci 2020 Feb 14. Epub 2020 Feb 14.

Coombe Women and Infants' University Hospital Dublin, Dublin, Ireland.

Background: Ireland has changed over the past sixty years, and the dynamic practice of obstetrics and gynaecology has changed with it.

Study Design And Methods: To describe these changes, a review was performed of clinical reports of a tertiary referral teaching hospital over six decades.

Results: Since the 1960s, the hospital's total births per annum has risen (3050 to 8362 births). Read More

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http://dx.doi.org/10.1007/s11845-020-02192-9DOI Listing
February 2020

The Evaluation of Laser Application in Surgery: A Review Article.

J Lasers Med Sci 2019 1;10(Suppl 1):S104-S111. Epub 2019 Dec 1.

Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

There are several types of surgeries which use lasers in the operating room. Surgeons use lasers in general surgery or surgical specialties to cut, coagulate, and remove tissue. In modern medicine, the application of laser therapy is an attractive subject due to its minimal invasive effect. Read More

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http://dx.doi.org/10.15171/jlms.2019.S18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983859PMC
December 2019

Does birthweight have a role in the effect of episiotomy on anal sphincter injury?

Arch Gynecol Obstet 2020 01 27;301(1):171-177. Epub 2020 Jan 27.

The Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel.

Purpose: Most professional guidelines advise against routine episiotomy during vaginal delivery, although mounting evidence supports its protective role regarding obstetric anal sphincter injury (OASI). We aimed to study the effect of lateral and mediolateral episiotomies on the rate of OASI in relation to birthweight among nulliparous women undergoing vaginal delivery.

Methods: A historical cohort study was conducted of all nulliparous women who delivered vaginally at term between 2011 and 2019 at a tertiary university hospital. Read More

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http://dx.doi.org/10.1007/s00404-020-05444-2DOI Listing
January 2020

Prevalence of levator hiatal overdistension after vacuum and forceps deliveries.

Neurourol Urodyn 2020 02 24;39(2):841-846. Epub 2020 Jan 24.

Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain.

Introduction: Levator ani avulsion rates after assisted vaginal delivery have been reported in the literature. However, there are no definitive data regarding the association between overdistention and assisted vaginal delivery. Therefore, our aim is to report overdistention rates after assisted vaginal delivery with a postpartum ultrasound examination. Read More

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http://dx.doi.org/10.1002/nau.24294DOI Listing
February 2020

Design and implementation of a low-cost birth simulator.

Conf Proc IEEE Eng Med Biol Soc 2019 Jul;2019:4182-4185

During spontaneous and operative deliveries it is important to correctly estimate the position and orientation of the fetus in the birth canal. In fact, incorrect evaluations can lead to errors in ventouse extraction, forceps application, and increased use of cesarean section. In this scenario, simulation is an appropriate tool for training and evaluating the abilities of gynecologists and midwives, because it allows student to practice both common situations and unlikely or risky events. Read More

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http://dx.doi.org/10.1109/EMBC.2019.8856376DOI Listing

Effect of perineum protection cooperated by two operators in the forceps-assisted vaginal delivery: a case-control study.

J Matern Fetal Neonatal Med 2020 Jan 12:1-4. Epub 2020 Jan 12.

Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

To investigate the effect of unique skill of perineum protection in forceps delivery on the maternal and neonatal morbidity. A case-control study was conducted. Singleton pregnancies with forceps-assisted and normal vaginal deliveries were recruited. Read More

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http://dx.doi.org/10.1080/14767058.2020.1712699DOI Listing
January 2020

Operative vaginal delivery: a review of four national guidelines.

J Perinat Med 2020 Mar;48(3):189-198

Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

There is a broad range in the rates of operative vaginal deliveries (OVD) worldwide, which reflects the variety of local practice patterns, the number of trained clinicians and the lack of international evidence-based guidelines. The aim of this study was to review and compare the recommendations from published guidelines on OVD. Thus, a descriptive review of guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG), the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), the Society of Obstetricians and Gynaecologists of Canada (SOGC) and the American College of Obstetricians and Gynecologists (ACOG) on instrumental vaginal birth was conducted. Read More

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http://dx.doi.org/10.1515/jpm-2019-0433DOI Listing

Changes and analysis of transvaginal forceps delivery rate in primary hospitals in the past 10 years.

Ginekol Pol 2019 ;90(12):711-716

Shanghai Jiading District maternal and child care hospital, NO.1226, Gaotai Road, Jiading District, Shanghai, 201821 Shanghai, China.

Objectives: This study analyzed the changes of vaginal forceps delivery rate in Jiading Maternal and Child Health Hospital in the past 10 years in order to provide theoretical reference for reducing the rate of cesarean section and solving cephalic dystocia.

Material And Methods: The basic information, delivery means and vaginal forceps indication of 78,811 parturients who gave birth in our hospital between January 1, 2009 to December 31, 2018 were analyzed retrospectively, and statistical analysis was carried out by analysis of variance and Chi-square test.

Results: In the past 10 years, there was a significant difference in the rate of vaginal forceps use among different years (p < 0. Read More

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http://dx.doi.org/10.5603/GP.2019.0122DOI Listing

Subgingival Instrumentation for Treatment of Periodontitis. A Systematic Review.

J Clin Periodontol 2019 Dec 30. Epub 2019 Dec 30.

Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Objectives: To evaluate the efficacy of subgingival instrumentation (PICOS-1), sonic/ultrasonic/hand instruments (PICOS-2) and different subgingival instrumentation delivery protocols (PICOS-3) to treat periodontitis.

Methods: Systematic electronic search (CENTRAL/MEDLINE/EMBASE/SCOPUS/LILACS) to March 2019 was conducted to identify randomized controlled trials (RCT) reporting on subgingival instrumentation. Duplicate screening and data extraction were performed to formulate evidence tables and meta-analysis as appropriate. Read More

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http://dx.doi.org/10.1111/jcpe.13245DOI Listing
December 2019

Hidden Costs of Hospital-Based Delivery Among Women Using Public Hospitals in Bale Zone, Southeast Ethiopia.

J Prim Care Community Health 2019 Jan-Dec;10:2150132719896447

Institutes of Health, Jimma University, Jimma, Ethiopia.

The Ethiopian health care system since 2005 has encouraged safe enhanced obstetrical care. However, hospital delivery has remained expensive for poor households due to hidden costs. Hidden costs are the costs that are not accounted for in direct hospital costs. Read More

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http://dx.doi.org/10.1177/2150132719896447DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927202PMC
December 2019

Delivery mode for prolonged, obstructed labour resulting in obstetric fistula: a retrospective review of 4396 women in East and Central Africa.

BJOG 2020 May 2;127(6):702-707. Epub 2020 Jan 2.

Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.

Objective: To evaluate the mode of delivery and stillbirth rates over time among women with obstetric fistula.

Design: Retrospective record review.

Setting: Tanzania, Uganda, Kenya, Malawi, Rwanda, Somalia, South Sudan, Zambia and Ethiopia. Read More

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http://dx.doi.org/10.1111/1471-0528.16047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187175PMC

Provision of immediate postpartum intrauterine contraception after vaginal birth within a public maternity setting: Health services research evaluation.

Acta Obstet Gynecol Scand 2020 05 29;99(5):598-607. Epub 2019 Dec 29.

MRC Center for Reproductive Health, University of Edinburgh, Edinburgh, UK.

Introduction: Expanding access to postpartum intrauterine contraception (PPIUC) can reduce unintended pregnancies and short inter-pregnancy intervals; however, provision across Europe is limited. Our aim was to determine the feasibility, clinical outcomes and patient satisfaction of providing immediate PPIUC after vaginal birth using a health services research model.

Material And Methods: Phased introduction of PPIUC across two Lothian maternity hospitals; all women intending vaginal birth during the study period without a contraindication to use of the method were eligible to receive PPIUC. Read More

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http://dx.doi.org/10.1111/aogs.13787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217220PMC

Symptoms of pelvic organ prolapse in women who lift heavy weights for exercise: a cross-sectional survey.

Int Urogynecol J 2019 Dec 7. Epub 2019 Dec 7.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Introduction And Hypothesis: The aim of the study was to determine the prevalence of symptoms of pelvic organ prolapse (POP), defined as the sensation of a vaginal bulge, and associated risk factors in women over 18 years of age who lift light (≤15 kg), moderate (16-50 kg), and heavy (>50 kg) weights for exercise, and those who do not lift weights for exercise.

Methods: Women completed an online survey about risk factors for pelvic floor dysfunctions, physical activity history, and pelvic floor symptoms. A question about a vaginal bulge sensation from the validated Pelvic Floor Distress Inventory (PFDI-20) was used to indicate symptoms of POP. Read More

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http://dx.doi.org/10.1007/s00192-019-04163-wDOI Listing
December 2019

Postnatal pelvic floor muscle stiffness measured by vaginal elastometry in women with obstetric anal sphincter injury: a pilot study.

Int Urogynecol J 2020 03 4;31(3):567-575. Epub 2019 Dec 4.

Insigneo Institute for in silico Medicine, The University of Sheffield, Sheffield, UK.

Introduction And Hypothesis: Vaginal childbirth is associated with pelvic floor muscle (PFM) damage in a third of women. The biomechanics prediction, detection and management of PFM damage remain poorly understood. We sought in this pilot study to determine whether quantifying PFM stiffness postnatally by vaginal elastometry, in women attending a perineal trauma clinic (PTC) within 6 months of obstetric anal sphincter injury, correlates with their antecedent labour characteristics, pelvic floor muscle damage, or urinary/bowel/sexual symptoms, to inform future definitive prospective studies. Read More

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http://dx.doi.org/10.1007/s00192-019-04136-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093346PMC

Does epidural anesthesia influence pelvic floor muscle endurance and strength and the prevalence of urinary incontinence 6 weeks postpartum?

Int Urogynecol J 2020 03 4;31(3):577-582. Epub 2019 Dec 4.

Department of Obstetrics and Gynecology, Peking University People's Hospital, No.11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing, 100044, China.

Introduction And Hypothesis: With the increasingly extensive application of epidural analgesia, its effect on pelvic floor function outcomes has received growing attention. The aim of the study is to determine the possible effect of epidural analgesia on pelvic floor muscle (PFM) endurance and strength and the prevalence of urinary incontinence (UI) and stress urinary incontinence (SUI) at 6 weeks postpartum.

Methods: This is a retrospective cohort study of 333 primiparous women after vaginal delivery. Read More

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http://dx.doi.org/10.1007/s00192-019-04176-5DOI Listing