3,682 results match your criteria Forceps Delivery

Maternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center.

Oman Med J 2021 May 31;36(3):e263. Epub 2021 May 31.

Pharmacy Department, Sultan Qaboos University Hospital, Muscat, Oman.

Objectives: Our study sought to assess the maternal and neonatal outcomes of operative vaginal deliveries (OVDs) at Sultan Qaboos University Hospital (SQUH). We assessed the proportion of OVDs along with the proportion of maternal and neonatal outcomes of kiwi OmniCup vacuum, metal cup vacuum, and forceps deliveries.

Methods: We conducted a retrospective cohort study in the Obstetrics and Gynecology Department at SQUH from June 2015 to March 2018. Read More

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Endovascular management of episiotomy site hematoma: Two cases and a brief review

Turk J Obstet Gynecol 2021 06;18(2):163-166

All India India Institute of Medical Sciences, Department of Radiology, New Delhi, India

Episiotomy site hematoma, though uncommon, can be associated with serious maternal morbidity. It arises mostly due to tissue trauma or injury to blood vessels, leading to the formation of a pseudoaneurysm. Sometimes, when surgical management fails, embolization of the bleeding vessel is a lifesaving option. Read More

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Exploring human factors in the operating room: a protocol for a scoping review of training offerings for healthcare professionals.

BMJ Open 2021 Jun 2;11(6):e044721. Epub 2021 Jun 2.

Division of General Surgery, Department of Surgery, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada

Introduction: Applying human factors principles in surgical care has potential benefits for patient safety and care delivery. Although different theoretical frameworks of human factors exist, how providers are being trained in human factors and how human factors are being understood in vivo in the operating room (OR) remain unknown. The aim of this scoping review is to evaluate the application of human factors for the OR environment as described by education and training offerings for healthcare professionals. Read More

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Forceps and vacuum: one goal, two entities.

Int Urogynecol J 2021 Jun 2. Epub 2021 Jun 2.

Department of Obstetrics and Gynaecology, Sunshine Hospital, Western Health, Melbourne, Australia.

Damage to the pelvic floor during pregnancy and vaginal delivery is an inevitable consequence of the natural birthing process. As this damage is associated with functional and anatomical problems in later life, minimizing pelvic floor damage during pregnancy and vaginal delivery may serve as an important factor in the prevention of these unwanted sequelae. Operative vaginal delivery using forceps or vacuum extractor is common practice to achieve or expedite vaginal birth for maternal or fetal indications such as maternal exhaustion or fetal distress. Read More

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[Treatment of synechiae related to infertility].

Gynecol Obstet Fertil Senol 2021 May 26. Epub 2021 May 26.

AP-HP, GHU-Sud, CHU Bicêtre, Service Gynécologie Obstétrique, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France; Faculté de Médecine Paris-Sud Saclay, 63 rue Gabriel Péri, 94270 Le Kremlin Bicêtre, France; Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France. Electronic address:

Synechiae are intrauterine adhesions that affect the fertility of women. They are most often of post-traumatic origin. The management of pregnancy abortions in the first trimester and post-delivery retention are the main contributing factors. Read More

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Pharmacologic interventions for mydriasis in cataract surgery.

Cochrane Database Syst Rev 2021 05 27;5:CD012830. Epub 2021 May 27.

Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Background: Cataract surgery is one of the most common surgical procedures performed worldwide. Achieving appropriate intraoperative mydriasis is one of the critical factors associated with the safety and performance of the surgery. Inadequate pupillary dilation or constriction of the pupil during cataract surgery can impair the surgeon's field of view and make it difficult to maneuver instruments. Read More

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Kielland's rotational forceps delivery: comparison of maternal and neonatal outcomes with pregnancies delivering by non-rotational forceps.

J Obstet Gynaecol 2021 May 25:1-6. Epub 2021 May 25.

Department of Obstetrics, Medway NHS Foundation Trust, Gillingham, UK.

We compared complications in pregnancies that had Kielland's rotational forceps delivery (KRFD) with non-rotational forceps delivery (NRFD). Maternal outcomes included post-partum haemorrhage (PPH) and obstetric anal sphincter injury (OASIS); neonatal outcomes included admission to neonatal intensive care unit (NICU), 5-minute Apgar scores <7, hypoxic ischaemic encephalopathy (HIE), jaundice, shoulder dystocia and birth trauma. The study population included 491 (2. Read More

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Exploring the reporting standards of RCTs involving invasive procedures for assisted vaginal birth: A systematic review.

Eur J Obstet Gynecol Reprod Biol 2021 May 14;262:166-173. Epub 2021 May 14.

Centre for Surgical Research, Population Health Sciences, University of Bristol, Bristol, UK; University Hospitals Bristol NHS Foundation Trust, Bristol, UK.

Objective: Assisted vaginal birth (AVB) is a complex intervention involving medical devices, comprising multiple components. This complexity creates difficulties when designing and conducting randomised controlled trials (RCTs), in terms of describing, standardising and monitoring the intervention, and accounting for differing clinician expertise. This review examines the reporting standards of complex interventions involving a medical device, in the context of AVB RCTs. Read More

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Obstetric anal sphincter injury and anal incontinence.

Ceska Gynekol 2021 ;86(2):118-122

Objective: The aim of our study is to clarify the problems of OASI (obstetric anal sphincter injuries) and anal incontinence and prevention of this injury.

Methods: Review of articles in peer reviewed journals with the usage of Google Scholar function and PubMed.

Conclusion: OASI is a severe injury which is more commonly associated with assisted vaginal delivery. Read More

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Maternal and perinatal factors are associated with risk of pediatric central nervous system tumors and poorer survival after diagnosis.

Sci Rep 2021 May 17;11(1):10410. Epub 2021 May 17.

Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, USA.

Central nervous system (CNS) tumors are the most common solid tumors in children. Findings on the role of maternal and perinatal factors on the susceptibility or outcome of these tumors are inconclusive. Therefore, we investigated the association between these early-life factors, risk, and survival of pediatric CNS tumors, using data from one of the world's largest and most diverse cancer registries. Read More

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Current and future use of telemedicine in surgical clinics during and beyond COVID-19: A narrative review.

Ann Med Surg (Lond) 2021 Jun 8;66:102378. Epub 2021 May 8.

Department of Surgery, Northern Health, Epping, VIC, Australia.

Introduction: Telemedicine has emerged as a powerful tool in the delivery of healthcare to surgical patients and enhances clinician-patient encounters during all phases of patient care. Our study aims were: to review the current use and applicability of telemedicine; evaluate its suitability, safety and effectiveness in a surgical outpatient setting, particularly in the era of social distancing restrictions and provide insight into future applications.

Methods: Databases searched included: PubMed, OVID Medline, Embase, Scopus, Web of Science and review of reference lists. Read More

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Reported Case Numbers and Variability in Delivery Route and Volume by Obstetrician-Gynecologist Residents from 2003 to 2019.

Am J Obstet Gynecol MFM 2021 May 13:100398. Epub 2021 May 13.

Division of Maternal Fetal Medicine, Thomas Jefferson University, 833 Chestnut Street, Philadelphia, PA 19107.

Background: The obstetric landscape in the United States has changed over the past several decades, during which there has been a decline in number of operative vaginal deliveries (OVD) performed. Obstetrician-gynecologist (OB/GYN) resident procedural cases are tracked in the Accreditation Council for Graduate Medical Education (ACGME) database, with a minimum requirement of 15 OVD prior to graduation. At present, it is unknown whether the decreasing OVD numbers are impacting OB/GYN resident delivery case volume and experience. Read More

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Rotational forceps: a retrospective study evaluating anatomical and functional consequences for the pelvic floor.

Int Urogynecol J 2021 May 15. Epub 2021 May 15.

Servicio de Ginecología y Obstetricia, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima del Sur, s/n, 35016, Las Palmas de Gran Canaria, Spain.

Introduction And Hypothesis: The use of Kielland's rotational forceps is considered to involve greater technical difficulty and may be associated with a higher rate of pelvic floor trauma. Our main objective was to evaluate the association between avulsion of the levator muscle and rotational and non-rotational forceps.

Methods: This was an observational study carried out at a tertiary hospital that recruited singleton cephalic vaginally primiparous women with previous Kielland's forceps delivery between March 2012 and May 2017. Read More

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How do pregnant women's perceptions of obstetric forceps change according to their demographic background: a cross sectional study.

BMC Pregnancy Childbirth 2021 May 11;21(1):371. Epub 2021 May 11.

Department of OBGYN, The University of Kansas Health System, 3901 Rainbow Blvd, Kansas City, Kansas, 66160, USA.

Background: Women's attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women's attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its use in modern obstetrics and to improve residency training. Our objective is to document women's attitudes towards obstetric forceps and the influence basic demographic variables have on those attitudes. Read More

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Informal coercion during childbirth: risk factors and prevalence estimates from a nationwide survey of women in Switzerland.

BMC Pregnancy Childbirth 2021 05 10;21(1):369. Epub 2021 May 10.

Department of Health Professions, Applied Research & Development in Midwifery, Bern University of Applied Sciences, Murtenstrasse 10, 3008, Bern, Switzerland.

Background: In many countries, the increase in facility births is accompanied by a high rate of obstetric interventions. Lower birthrates or elevated risk factors such as women's higher age at childbirth and an increased need for control and security cannot entirely explain this rise in obstetric interventions. Another possible factor is that women are coerced to agree to interventions, but the prevalence of coercive interventions in Switzerland is unknown. Read More

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Ultrasonographic evaluation of pelvic floor structure at antepartum and postpartum periods using three-dimensional transperineal ultrasound.

J Med Ultrason (2001) 2021 May 8. Epub 2021 May 8.

Department of Obstetrics and Gynecology, Saitama Medical University, 38 Morohongo Moroyama-machi, Iruma-gun, Saitama, 3500495, Japan.

Purpose: To examine the changes in the pelvic floor structure caused by pregnancy and delivery.

Methods: A total of 141 nulliparous women were examined with three-dimensional transperineal ultrasound (3D-TPU) at the 24th and 34th weeks of gestation, 5th day postpartum, and 1 month postpartum. Puborectalis muscle trauma was diagnosed and the area of levator hiatus (ALH) was measured. Read More

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Localized Delivery of Theranostic Nanoparticles and High-Energy Photons using Microneedles-on-Bioelectronics.

Adv Mater 2021 May 6:e2100425. Epub 2021 May 6.

Center for Nanoparticle Research, Institute for Basic Science (IBS), Seoul, 08826, Republic of Korea.

The low delivery efficiency of light-responsive theranostic nanoparticles (NPs) to target tumor sites, particularly to brain tumors due to the blood-brain barrier, has been a critical issue in NP-based cancer treatments. Furthermore, high-energy photons that can effectively activate theranostic NPs are hardly delivered to the target region due to the strong scattering of such photons while penetrating surrounding tissues. Here, a localized delivery method of theranostic NPs and high-energy photons to the target tumor using microneedles-on-bioelectronics is presented. Read More

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Training and expertise in undertaking assisted vaginal delivery (AVD): a mixed methods systematic review of practitioners views and experiences.

Reprod Health 2021 May 5;18(1):92. Epub 2021 May 5.

School of Community Health and Midwifery, University of Central Lancashire, Preston, PR1 2HE, UK.

Background: During childbirth, complications may arise which necessitate an expedited delivery of the fetus. One option is instrumental assistance (forceps or a vacuum-cup), which, if used with skill and sensitivity, can improve maternal/neonatal outcomes. This review aimed to understand the core competencies and expertise required for skilled use in AVD in conjunction with reviewing potential barriers and facilitators to gaining competency and expertise, from the point of view of maternity care practitioners, funders and policy makers. Read More

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Can ultrasound on admission in active labor predict labor duration and a spontaneous delivery?: Condensation: Ultrasound at the beginning of the active phase can predict length of labor and mode of delivery in nulliparous women.

Am J Obstet Gynecol MFM 2021 Apr 23:100383. Epub 2021 Apr 23.

National Center for Fetal Medicine, St. Olavs hospital, Trondheim University Hospital, Trondheim, Norway; Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway; Institute of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

Background: Identifying predictive factors for a normal outcome at admission in the labor ward would be of value for planning labor care, timing interventions and in preventing labor dystocia. Clinical assessments of fetal head station and position at the start of labor have some predictive value but the value of ultrasound methods for this purpose has not been investigated. Studies using transperineal ultrasound before labor onset show possibilities of using these methods to predict outcome. Read More

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Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy.

BMC Pregnancy Childbirth 2021 Apr 23;21(1):321. Epub 2021 Apr 23.

Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-sayama, Osaka, 589-8511, Japan.

Background: A uterine manipulator cannot be used to elevate the ovary in benign ovarian surgery during pregnancy. This report describes our method of elevation of the ovary using a metreurynter with the success rate of the procedure and a comparison of surgical results and pregnancy outcomes between the successful and unsuccessful cases.

Methods: Between August 2003 and February 2020, 11 pregnant patients with a tumor found sunk in the Cul-de-sac underwent laparoscopic cystectomy for a benign ovarian cyst with a metreurynter. Read More

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Large concealed paravaginal haematoma: A case report of an occult postpartum haemorrhage.

Case Rep Womens Health 2021 Apr 26;30:e00311. Epub 2021 Mar 26.

Department of Obstetrics & Gynaecology, Sutherland Hospital, Caringbah, NSW 2232, Australia.

Paravaginal haematomas are common but rarely do they cause severe postpartum haemorrhage. While surgical evacuation is classically recommended for large haematomas, conservative management may be an appropriate strategy. We present the case of a 30-year-old primiparous woman with a large paravaginal haematoma causing a postpartum haemorrhage managed conservatively. Read More

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Prenatal and perinatal factors associated with developing multiple sclerosis later in life: A systematic review and meta-analysis.

Autoimmun Rev 2021 Jun 15;20(6):102823. Epub 2021 Apr 15.

Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address:

Objective: Both genetic and environmental factors play roles in Multiple Sclerosis (MS) etiopathogenesis. The relationship between prenatal/perinatal factors/exposures and future MS occurrence in the offspring remains controversial. Here, we aimed to review the available evidence on prenatal/perinatal factors associated with later MS occurrence. Read More

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Risk factors for stress and urge urinary incontinence during pregnancy and the first year postpartum: a prospective longitudinal study.

Int Urogynecol J 2021 Apr 9. Epub 2021 Apr 9.

Department of Pediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Introduction And Hypothesis: We examined obstetric and maternal-newborn factors and UI history for stress urinary incontinence (UI) and urge UI during pregnancy and the first year postpartum.

Methods: This prospective cohort study included 1447 pregnant women who underwent prenatal examinations and completed an Incontinence Questionnaire-Urinary Incontinence Short Form before pregnancy, during early, mid- and late pregnancy, and at five visits during the first year postpartum. Data were analyzed using univariate/multivariate generalized estimating equation (GEE) logistic regression analyses. Read More

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Impact of nursing students on the quality of care perceived by patients: a systematic review of the literature.

Eur Rev Med Pharmacol Sci 2021 Mar;25(6):2711-2725

Department of Biomedicine and Prevention, Tor Vergata University; Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy.

Objective: The quality assessment process, based on customer satisfaction, is fundamental in the delivery of the best care services. This is most evident in care settings where trainee students are allowed to assist the patients. The purpose of this review is to clarify whether nursing students have an impact on patients' assessment of the quality of their nursing care. Read More

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Operative vaginal delivery: all you should know.

Minerva Obstet Gynecol 2021 Feb;73(1):45-56

Unit of Obstetrics and Gynaecology 1, Department of Surgical Sciences, Sant'Anna University Hospital, Città della Salute e della Scienza, Turin, Italy.

Over the last three decades, the decrease in operative vaginal delivery (OVD) has lead to an increase in the rate of cesarean sections, giving rise to intense debate amongst healthcare providers. As the use of vacuum and forceps requires personnel be adequately trained so as to become familiar with the correct use of instruments, the lack of skilled and experienced instructors may well lead to this technique being discarded in the near future. The aim of this study was to review the literature, compare the recommendations from international OVD guidelines and to illustrate the correct technique of obstetrical vacuum and forceps application to promote OVD among clinicians as a safe way of delivery. Read More

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February 2021

Could Subtle Obstetrical Brachial Plexus Palsy Be Related to Unilateral B Glenoid Osteoarthritis?

J Clin Med 2021 Mar 12;10(6). Epub 2021 Mar 12.

Roth McFarlane Hand and Upper Limb Center, St Joseph's Health Care, London, ON N6A 4L6, Canada.

Background: Several factors associated with B glenoid are also linked with obstetrical brachial plexus palsy (OBPP). The purpose of this observational study was to determine the incidence of OBPP risk factors in type B patients.

Methods: A cohort of 154 patients (68% men, 187 shoulders) aged 63 ± 17 years with type B glenoids completed a questionnaire comprising history of perinatal characteristics related to OBPP. Read More

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Obstetric risk factors for anorectal dysfunction after delivery: a systematic review and meta-analysis.

Int Urogynecol J 2021 Mar 31. Epub 2021 Mar 31.

Department Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.

Introduction And Hypothesis: Pregnancy and childbirth are considered risk factors for pelvic floor dysfunction, including anorectal dysfunction. We aimed to assess the effect of obstetric events on anal incontinence and constipation after delivery.

Methods: We systematically reviewed the literature by searching MEDLINE, Embase and CENTRAL. Read More

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Spatulas for operative vaginal birth: A systematic review and meta-analysis.

Int J Gynaecol Obstet 2021 Mar 23. Epub 2021 Mar 23.

Obstetrics and Gynecology Department, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.

Background: Operative vaginal birth represents an alternative to address problems during the second stage of labor. Obstetricians have access to three different instruments forceps, vacuum, and spatulas.

Objective: To evaluate the safety and effectiveness of the use of spatulas for operative vaginal birth. Read More

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Evaluating the effectiveness of the Imperial Femoral Intramedullary Nailing Cognitive Task Analysis (IFINCTA) tool in a real-time simulation setting (Distributed Interactive Simulation): a randomized controlled trial.

Injury 2021 Mar 2. Epub 2021 Mar 2.

Clinical Reader and consultant orthopaedic surgeon, Imperial College London. Electronic address:

Introduction: Working time regulations, senior led service delivery and increasing complexity of surgical technology has led to significant strains in surgical training. Additionally, the current COVID-19 pandemic has placed substantial limitations on surgical training worldwide. Contact free, remote, web-based, validated learning tools which are easily accessible and allows repeated, sustained practice are the need of the hour. Read More

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Investigating Pelvic Floor Muscle Strength in Women of Reproductive Age and Factors Affecting It.

Clin Nurs Res 2021 Mar 14:10547738211000350. Epub 2021 Mar 14.

Ege University Faculty of Medicine, Izmir, Turkey.

This descriptive study was designed to investigate the pelvic floor muscle strength (PFMS) of women aged 18 to 49 years and to examine the factors that may have an effect on PFMS. The study was conducted on 258 women who visited a gynecology outpatient clinic between January 2019 and January 2020, who met the research criteria, and who agreed to participate in the study. The data were collected using the Sociodemographic Characteristics Information Form. Read More

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