3,403 results match your criteria Forceps Delivery


Implementing a perioperative efficiency initiative for orthopedic surgery instrumentation at an academic center: A comparative before-and-after study.

Medicine (Baltimore) 2019 Feb;98(7):e14338

University of California - San Francisco, San Francisco, CA.

Optimizing surgical instrumentation may contribute to value-based care, particularly in commonly performed procedures. We report our experience in implementing a perioperative efficiency program in 2 types of orthopedic surgery (primary total-knee arthroplasty, TKA, and total-hip arthroplasty, THA).A comparative before-and-after study with 2 participating surgeons, each performing both THA and TKA, was conducted. Read More

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http://dx.doi.org/10.1097/MD.0000000000014338DOI Listing
February 2019
1 Read

[Pathophysiology, diagnosis and management of occiput posterior presentation during labor.]

Gynecol Obstet Fertil Senol 2019 Feb 9. Epub 2019 Feb 9.

Service de gynécologie obstétrique, Hôpital Nord, Gynépôle, Assistance Publique des Hôpitaux de Marseille, Chemin des Bourelly, 13015 Marseille; EA 3279, Public Health, Chronic Diseases and Quality of Life, Research Unit, Aix-Marseille University, 13284, Marseille, France.

Persistant occiput posterior (OP) positions are the commonest malpresentations of the fetal head during labor and their diagnosis remains challenging. They are associated to prolonged second stage of labor, prolonged expulsive efforts, labor augmentation, cesarean sections and instrumental deliveries. On the maternal side, severe perineal tears, post-partum hemorrhage or chorioamnionitis are more frequent. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.02.002DOI Listing
February 2019
1 Read

The impact of variations in obstetric practice on maternal birth trauma.

Int Urogynecol J 2019 Feb 11. Epub 2019 Feb 11.

Sydney Medical School Nepean, The University of Sydney, Sydney, Australia.

Introduction And Hypothesis: Forceps delivery and length of second stage are risk factors of maternal birth trauma, i.e., levator ani muscle (LAM) avulsion and anal sphincter trauma. Read More

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http://dx.doi.org/10.1007/s00192-019-03887-zDOI Listing
February 2019
1 Read

Birthweight and pelvic floor trauma after vaginal childbirth.

Int Urogynecol J 2019 Feb 8. Epub 2019 Feb 8.

Sydney Medical School Nepean, University of Sydney, Sydney, Australia.

Introduction And Hypothesis: Birthweight seems to be a risk factor for levator ani muscle (LAM) avulsion and a predictive factor for pelvic organ prolapse (POP). Most trauma seems due to first vaginal birth.

Methods: One thousand one hundred twenty-five women with at least two vaginal deliveries underwent a physician-directed interview, followed by clinical examination (digital palpation and Pelvic Organ Prolapse Quantification-POPQ) and 4D translabial ultrasound. Read More

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http://dx.doi.org/10.1007/s00192-019-03882-4DOI Listing
February 2019
1 Read

Implications of vaginal instrumental delivery for children's school achievement: A population-based linked administrative data study.

Aust N Z J Obstet Gynaecol 2019 Feb 7. Epub 2019 Feb 7.

Department of Obstetrics and Gynaecology, Monash Medical Centre, Monash University, Melbourne, Victoria, Australia.

Background: Vaginal instrumental delivery is a common obstetrical intervention, but its effect on children's later development is not well known.

Aims: To determine if vaginal instrumental delivery is associated with adverse neurodevelopment as measured by school achievement.

Material And Methods: We performed a whole-of-population study involving linkage of routinely collected perinatal data with school assessments among children born in South Australia from 1999 to 2008. Read More

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http://dx.doi.org/10.1111/ajo.12952DOI Listing
February 2019
1 Read

Female genital mutilation: Obstetric outcomes in metropolitan Sydney.

Aust N Z J Obstet Gynaecol 2019 Feb 7. Epub 2019 Feb 7.

Department of Obstetrics and Gynaecology, Royal Prince Alfred Hospital and The Canterbury Hospital, Sydney, Australia.

Background: Female genital mutilation (FGM) and its impact on women's health are becoming relevant in Australia due to increases in numbers of refugees and migrants from affected countries. Notwithstanding the psychological trauma from FGM, there is a broad range of sequelae relevant to obstetrics and gynaecology, particularly related to maternal morbidity from labour and delivery.

Aims: To assess the prevalence of FGM in our unit and document its effect on maternal and neonatal outcomes. Read More

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http://dx.doi.org/10.1111/ajo.12954DOI Listing
February 2019
2 Reads

Demographic changes and effects on the mode of delivery: a retrospective analysis of a large birth registry containing 27,729 singleton deliveries in a level I center.

Arch Gynecol Obstet 2019 Feb 6. Epub 2019 Feb 6.

Department of Women's Health, University Hospital of Tuebingen, Tuebingen, Germany.

Purpose: To characterize and understand the demographics (age and body mass index, BMI) of a cohort of women who delivered at a single institution over an 11-year period. The purpose of this analysis is to look for effects over time of demographic characteristics on mode of delivery.

Methods: Retrospective analysis of singleton deliveries between 2004-2014, n = 27,729; level 1 perinatal center, university hospital setting. Read More

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http://dx.doi.org/10.1007/s00404-019-05073-4DOI Listing
February 2019
2 Reads

Subdural haematoma in neonates following forceps-assisted delivery: case series and review of the literature.

Childs Nerv Syst 2019 Jan 28. Epub 2019 Jan 28.

Department of Paediatric Neurosurgery, University Hospital of Wales, Cardiff, UK.

Purpose: Subdural haematoma (SDH) is a recognised complication of forceps-assisted delivery (FAD). There are no guidelines regarding its management. This study aims to provide a better insight into the management and outcomes of neonatal SDH post-FAD. Read More

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http://dx.doi.org/10.1007/s00381-018-04043-6DOI Listing
January 2019
1 Read

A comparable rate of levator ani muscle injury in operative vaginal delivery (forceps and vacuum) according to the characteristics of the instrumentation.

Acta Obstet Gynecol Scand 2019 Jan 25. Epub 2019 Jan 25.

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

Introduction: Forceps delivery is associated with a high rate of levator ani muscle (LAM) trauma (avulsion) at 35-65% while data on avulsion rates after vacuum delivery vary greatly. Nevertheless, a common characteristic of all previous studies carried out to evaluate the association between instrumental deliveries (forceps and vacuum) and LAM-avulsion,is the fact that characteristics of the instrumentation have not been described or evaluated. The objective of this study is to compare the rate of LAM-avulsion between forceps and vacuum-deliveries according to the characteristics of the instrumentation. Read More

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http://dx.doi.org/10.1111/aogs.13544DOI Listing
January 2019
2 Reads

Simulation to Improve Trainee Skill and Comfort with Forceps-Assisted Vaginal Deliveries.

AJP Rep 2019 Jan 21;9(1):e6-e9. Epub 2019 Jan 21.

Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California, Los Angeles, California.

 Simulation training is a powerful learning tool for low frequency events. Forceps-assisted vaginal deliveries (FAVD) are an important tool in reducing cesarean deliveries. The aim of this study is to create a high-fidelity simulation-based curriculum for residency education and investigate pre- and posttest skill and confidence. Read More

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http://dx.doi.org/10.1055/s-0039-1677736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340792PMC
January 2019

The role of manual rotation in avoiding and managing OVD.

Best Pract Res Clin Obstet Gynaecol 2018 Dec 13. Epub 2018 Dec 13.

Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; Dept of Women's Health, The Chilterns, Southmead Hospital, Bristol, BS10 5NB, UK. Electronic address:

Manual rotation (MR) is the most common technique used by accoucheurs who wish to correct malposition of the foetal head to either avoid or facilitate an operative vaginal delivery (OVD). MR can be performed using either a whole-hand or a digital approach. MR should be formally taught and trainees should be assessed for competence, and later, performance should ideally be tracked with statistical control charts. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.12.001DOI Listing
December 2018

Contributing factors in forceps associated pelvic floor trauma.

Int Urogynecol J 2019 Jan 21. Epub 2019 Jan 21.

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

Introduction And Hypothesis: Levator avulsion occurs in 10-35% of women after a first vaginal delivery, with forceps being the main risk factor. Three mechanisms have been proposed to account for the high risk of trauma: the additional space requirement, increased speed of distension, and/ or greater force. This study examines the additional space requirements associated with forceps to determine any associated increase in avulsion risk. Read More

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http://dx.doi.org/10.1007/s00192-019-03869-1DOI Listing
January 2019
1 Read

Operator experience affects the risk of obstetric anal sphincter injury in vacuum extraction deliveries.

Acta Obstet Gynecol Scand 2019 Jan 19. Epub 2019 Jan 19.

Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.

Introduction: Delivery by vacuum extraction is a major risk factor for obstetric anal sphincter injury. The aim of this study was to assess risk factors for obstetric anal sphincter injury in vacuum extraction in nulliparous women, specifically operator-related factors. A secondary aim was to assess other complications of vacuum extraction that are dependent on operator experience. Read More

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http://dx.doi.org/10.1111/aogs.13538DOI Listing
January 2019
2 Reads

Delivery mode and the risk of levator muscle avulsion: a meta-analysis.

Int Urogynecol J 2019 Jan 16. Epub 2019 Jan 16.

Sydney Medical School Nepean, University of Sydney, Sydney, NSW, Australia.

Introduction And Hypothesis: Female pelvic organ prolapse (POP) is a common condition, with a lifetime risk for surgery of 10-20%. Pregnancy and childbirth are the commonest modifiable risk factors for POP, and avulsion of the levator ani muscle is likely to be an etiological factor. Avulsion is more common in instrumental delivery. Read More

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http://link.springer.com/10.1007/s00192-018-3827-8
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http://dx.doi.org/10.1007/s00192-018-3827-8DOI Listing
January 2019
8 Reads

A rare cause of scalp swelling in infancy: delayed subaponeurotic fluid collections in five cases.

Childs Nerv Syst 2019 Jan 7. Epub 2019 Jan 7.

Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Cebeci Hospital, 06590, Ankara, Turkey.

Subaponeurotic (subgaleal) fluid collection (DSFC) is a rare clinical entity of unknown etiology. We aimed to present our series of infants who were diagnosed with DSCF at Ankara University Children's Hospital. We retrospectively reviewed clinical findings, imaging studies, laboratory tests, management, and clinical courses of infants diagnosed with DSCF between June 2014 and June 2018. Read More

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http://link.springer.com/10.1007/s00381-018-04040-9
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http://dx.doi.org/10.1007/s00381-018-04040-9DOI Listing
January 2019
16 Reads

Effects of maternal obesity on the success of assisted vaginal delivery in Chinese women.

BMC Pregnancy Childbirth 2018 Dec 27;18(1):509. Epub 2018 Dec 27.

Department of Gynaecology and Obstetrics, Liaocheng People's Hospital, Liaocheng, 252000, Shandong Province, People's Republic of China.

Background: We examined the influence of pre-pregnancy body weight on the rates of attempted and successfully assisted-vaginal delivery.

Methods: We used 2008-2016 inpatient records including 3408 women who had singleton gestations and needed operative delivery assistance to conduct a retrospective cohort study. Patients were categorized based on pre-pregnancy BMI (normal weight = 18. Read More

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http://dx.doi.org/10.1186/s12884-018-2151-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307111PMC
December 2018
2 Reads

[Laser in laparoscopic urology].

Urologiia 2018 Dec(5):94-99

Department of Urology of Sechenov First Moscow State Medical University of the Ministry of Health of Russia.

Nowadays, various laparoscopic instruments for tissue dissection and vessel coagulation are available. However, there are ongoing studies dedicated to "ideal" type of energy suitable for this aim. Laser radiation has been used for many years in medical practice and it is established as reliable and effective method in surgical armamentarium. Read More

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December 2018
1 Read

Trifid mandibular condyle: A case report and literature review.

J Stomatol Oral Maxillofac Surg 2018 Dec 16. Epub 2018 Dec 16.

Department of oral implantology, Central military hospital, Algiers, Algeria.

Trifid mandibular condyle is a rare anatomical malformation characterized by a division of the mandibular condylar head. The two articulating surfaces of the bifid condyle are divided by a groove that can be oriented mediolaterally or anteroposteriorly. This anomaly of the mandibular condyle has been described as a condition of unknown ætiology and uncertain pathogenesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687855183027
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http://dx.doi.org/10.1016/j.jormas.2018.12.008DOI Listing
December 2018
2 Reads

Unit Leadership and Climates for Evidence-Based Practice Implementation in Acute Care: A Cross-Sectional Descriptive Study.

J Nurs Scholarsh 2019 Jan 15;51(1):114-124. Epub 2018 Dec 15.

Rho, Professor, University of Michigan School of Nursing, Ann Arbor, MI, USA.

Purpose: The purposes of this study were to (a) describe nurse manager (NM) leadership behaviors for evidence-based practice, NM evidence-based practice competencies, and unit climates for evidence-based practice implementation in acute care, and (b) test for differences in NMs' and staff nurses' (RNs') perceptions.

Design: A multisite cross-sectional design was used to collect data from a sample of 24 NMs and 553 RNs from 24 adult medical-surgical units in seven U.S. Read More

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http://dx.doi.org/10.1111/jnu.12452DOI Listing
January 2019

Consultant led peer assisted learning model.

Clin Teach 2018 Dec 2. Epub 2018 Dec 2.

University of Exeter Medical School, Exeter, UK.

Background: Undergraduate medical students frequently report inadequate basic surgical skills such as suturing and knot tying. In recent years, peer assisted learning (PAL) has proven to be an effective method of teaching basic surgical skills. The consistency of the teaching and the quality of the content may be questionable in these workshops. Read More

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http://dx.doi.org/10.1111/tct.12970DOI Listing
December 2018
2 Reads

Surveys: Merging qualitative and quantitative research methods.

Semin Pediatr Surg 2018 Dec 30;27(6):361-366. Epub 2018 Oct 30.

Division of Pediatric Surgery, Children's Hospital Los Angeles, 4650 Sunset Blvd., Mailstop #100, Los Angeles, CA, United States; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, United States; Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA, United States. Electronic address:

Survey methodologies enable researchers to obtain information not routinely captured in electronic medical records, including how delivery of surgical care is perceived through the lens of a child, a parent or caregiver, or a surgeon. Here we describe the approach to using surveys to aid pediatric surgery practice. This article has two aims, (1) to review key concepts in survey creation, administration, and data management, and (2) to describe previously validated survey instruments in pediatric surgery and how to optimize selection of such instruments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10558586183009
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http://dx.doi.org/10.1053/j.sempedsurg.2018.10.007DOI Listing
December 2018
16 Reads

Is episiotomy worthwile to prevent obstetric anal sphincter injury during operative vaginal delivery in nulliparous women?

Eur J Obstet Gynecol Reprod Biol 2019 Jan 14;232:60-64. Epub 2018 Nov 14.

Pôle femme et enfant, groupe hospitalier universitaire Paris Seine Saint-Denis, site Jean-Verdier, avenue du 14 Juillet, 93140 Bondy, France; Université Paris 13, Sorbonne Paris cité, UFR SMBH, 93000, Bobigny, France.

Objectives: Episiotomy is a marker of Obstetric Anal Sphincter Injury (OASIS) condition, therefore, unmeasured factors could have biased the strength of the association between episiotomy and reduced OASIS during Operative Vaginal Delivery (OVD). The aim of this study was to compare the OASIS rate during OVD according to episiotomy practice.

Study Design: Retrospective cohort study of all nulliparous pregnant women attempting an OVD between 2014-2017. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.11.014DOI Listing
January 2019

An unusual traumatic delivery malpractice: a case report.

Med Leg J 2018 Nov 22:25817218808721. Epub 2018 Nov 22.

Department of Forensic Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Head trauma may occur during delivery and can lead to a number of conditions. When an infant is injured during birth, the cause of injury is generally due to mechanical forces, such as compression, excessive or abnormal traction during delivery, and the use of forceps. A 39-year-old woman who was a primagravida (first pregnancy) with a gestational age of 26 weeks premature pregnancy was referred to a hospital in Tehran due to premature rupture of membranes (PROM) and fever. Read More

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http://dx.doi.org/10.1177/0025817218808721DOI Listing
November 2018
7 Reads

Cesarean section in Australian women with epilepsy.

Epilepsy Behav 2018 Dec 7;89:126-129. Epub 2018 Nov 7.

Royal Brisbane and Women's Hospital and School of Medicine and Biomedical Science, University of Queensland, Brisbane, Queensland 4027, Australia.

The literature suggests that cesarean delivery or birth is carried out more often in pregnant women with epilepsy (WWE) than in pregnant women in the general population. Data were utilized from the Australian Pregnancy Register (APR) for Women on Antiepileptic Medication to investigate this issue in Australia. Over almost two decades, the mean CS rate in 1900 APR women was 39. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15255050183066
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http://dx.doi.org/10.1016/j.yebeh.2018.10.008DOI Listing
December 2018
8 Reads

Global perspectives on operative vaginal deliveries.

Best Pract Res Clin Obstet Gynaecol 2018 Oct 3. Epub 2018 Oct 3.

South African Medical Research Council, Maternal and Infant Health Strategies Unit, Department of Obstetrics and Gynaecology, University of Pretoria, South Africa.

Operative vaginal delivery (OVD) refers to the use of an instrument (forceps or vacuum device) to assist with the delivery of the fetus from the vagina. This can help improve maternal and fetal outcomes and has to be weighed up against the risks and benefits of performing second-stage cesarean deliveries. OVD forms an integral part of basic emergency obstetric care and a skilled birth attendant's duties. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.09.004DOI Listing
October 2018
1 Read

Correlation Between Delivery Mode and Pelvic Organ Prolapse Evaluated by Four-Dimensional Pelvic Floor Ultrasonography.

Med Sci Monit 2018 Nov 4;24:7891-7897. Epub 2018 Nov 4.

Department of Ultrasound, Pudong New Area People's Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China (mainland).

BACKGROUND This study explored symptoms and signs of pelvic organ prolapse (POP) evaluated by 4-dimensional pelvic floor ultrasonography and analyzed the relationship between delivery mode and POP. MATERIAL AND METHODS A total of 578 women who underwent 4-dimensional transperineal ultrasound were enrolled in this study. Obstetric history together with other clinical information were gathered from clinical questionnaires and gynecologists. Read More

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https://www.medscimonit.com/abstract/index/idArt/911343
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http://dx.doi.org/10.12659/MSM.911343DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232913PMC
November 2018
4 Reads

Long-term risks of stress and urgency urinary incontinence after different vaginal delivery modes.

Am J Obstet Gynecol 2019 Feb 1;220(2):181.e1-181.e8. Epub 2018 Nov 1.

Departments of Urology and Public Health, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address:

Background: Although operative delivery increases the risk of immediate pelvic floor trauma, no previous studies have adequately compared directly the effects of different kinds of instrumental vaginal deliveries on stress urinary incontinence and/or urgency urinary incontinence.

Objective(s): The objectives of the study were to estimate and compare the impact of different kinds of vaginal deliveries, including spontaneous, vacuum, and forceps, on stress and urgency urinary incontinence.

Study Design: All women aged 20 years or older, living in 1 county in Norway were invited to participate in 2 surveys addressing stress and urgency urinary incontinence using validated questions, "Do you leak urine when you cough, sneeze, laugh, or lift something heavy?" and "Do you have involuntary loss of urine in connection with sudden and strong urge to void?" with response options yes or no. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378183094
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http://dx.doi.org/10.1016/j.ajog.2018.10.034DOI Listing
February 2019
14 Reads

A simple model to predict the complicated operative vaginal deliveries using vacuum or forceps.

Am J Obstet Gynecol 2019 Feb 1;220(2):193.e1-193.e12. Epub 2018 Nov 1.

Department of Obstetrics and Gynecology and the Biostatistics Unit, Department of Preventive Medicine and Public Health, University of Seville, Seville, Spain.

Background: Complicated operative vaginal deliveries are associated with high neonatal morbidity and maternal trauma, especially if the procedure is unsuccessful and a cesarean delivery is needed. The decision to perform an operative vaginal delivery has traditionally been based on a subjective assessment by digital vaginal examination combined with the clinical expertise of the obstetrician. Currently there is no method for objectively quantifying the likelihood of successful delivery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378183094
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http://dx.doi.org/10.1016/j.ajog.2018.10.035DOI Listing
February 2019
8 Reads
4.704 Impact Factor

Frailty and Prognostication in Geriatric Surgery and Trauma.

Clin Geriatr Med 2019 Feb 3;35(1):13-26. Epub 2018 Oct 3.

Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, 1211 21st Avenue South, Nashville, TN 37212-1750, USA.

Frailty is a predominant predictor of poor outcomes in older populations. This article presents a review of the concept of frailty and its role for prognostication among geriatric trauma and surgery patients. We discuss models of frailty defined in the scientific literature, emphasizing that frailty is a process of biologic aging. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490690183101
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http://dx.doi.org/10.1016/j.cger.2018.08.002DOI Listing
February 2019
14 Reads

The relationship between residual sphincter damage after primary repair, faecal incontinence, and anal sphincter function in primiparous women with an obstetric anal sphincter injury.

Neurourol Urodyn 2019 Jan 2;38(1):193-199. Epub 2018 Nov 2.

College of Medicine and Public Health and Centre for Neuroscience, Flinders University, Bedford Park, South Australia, Australia.

Background And Aims: Anal sphincter injury has been identified as a primary cause of post-partum fecal incontinence in women with obstetric anal sphincter injury. However, women without obstetric anal sphincter injury may also develop fecal incontinence. The aim is to determine the relationship between fecal incontinence severity; and i) residual anal sphincter injury, quantified by the Starck score, and ii) anal sphincter tone. Read More

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http://doi.wiley.com/10.1002/nau.23826
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http://dx.doi.org/10.1002/nau.23826DOI Listing
January 2019
3 Reads

Is Activity Tracker-Measured Ambulation an Accurate and Reliable Determinant of Postoperative Quality of Recovery? A Prospective Cohort Validation Study.

Anesth Analg 2018 Oct 30. Epub 2018 Oct 30.

From the Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada.

Background: Quality of recovery (QOR) instruments measure patients' ability to return to baseline health status after surgery. Whether, and the extent to which, postoperative ambulation contributes to QOR is unclear, in part due to the lack of valid tools to measure ambulation in clinical settings. This cohort study of the cesarean delivery surgical model examines the accuracy and reliability of activity trackers in quantifying early postoperative ambulation and investigates the correlation between ambulation and QOR. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003913DOI Listing
October 2018
5 Reads

Single prior caesarean section and risk of anal sphincter injury.

Int Urogynecol J 2018 Oct 30. Epub 2018 Oct 30.

Department of Obstetrics and Gynaecology, Our Lady of Lourdes Hospital, Drogheda, Co. Louth, Ireland.

Introduction And Hypothesis: Injury to the anal sphincter at vaginal delivery remains the leading cause of faecal incontinence in women. Previous studies reported an increased incidence of obstetric anal sphincter injury (OASI) in women attempting vaginal birth after caesarean section (VBAC). The aim of the paper was to establish whether women in their second pregnancy, with one previous uterine scar, are at a higher risk of OASI compared with nulliparous women. Read More

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http://dx.doi.org/10.1007/s00192-018-3797-xDOI Listing
October 2018
2 Reads

[Fetal expulsion: Which interventions for perineal prevention? CNGOF Perineal Prevention and Protection in Obstetrics Guidelines].

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

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

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

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

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http://dx.doi.org/10.1016/j.gofs.2018.10.029DOI Listing
December 2018
2 Reads

Morbidity and Mortality Associated With Forceps and Vacuum Delivery at Outlet, Low, and Midpelvic Station.

J Obstet Gynaecol Can 2018 Oct 23. Epub 2018 Oct 23.

School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC; BC Children's Hospital Research Institute, Vancouver, BC.

Objective: This study sought to quantify perinatal and maternal morbidity and mortality associated with forceps and vacuum delivery compared with Caesarean delivery in the second stage of labour and to estimate whether these associations differed by pelvic station.

Methods: The investigators conducted a population-based, retrospective cohort study of term singleton deliveries by operative delivery with prolonged second stage of labour in Canada (2003-2013) using national hospitalization data. The primary study outcomes were severe perinatal morbidity and mortality (i. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183055
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http://dx.doi.org/10.1016/j.jogc.2018.06.018DOI Listing
October 2018
15 Reads

Imagining eye care in India (2018 Lalit Prakash Agarwal lecture).

Indian J Ophthalmol 2018 Nov;66(11):1532-1538

Indian Oil Center for Rural Eye Health, L V Prasad Eye Institute, Bhubaneswar, Odisha, India.

India has done well in eye care delivery by recognizing visual impairment and blindness as a major medical challenge. Major contributions have come from ophthalmologists (mass cataract surgery in the early 1900s; major participation of non-government organizations), policy makers (National Program for Control of Blindness and Visual Impairment 1976; systematic development under the World Bank assisted India Cataract Project, 1995-2002), and the industry (manufacturing of affordable surgical instruments and medicines). Although the country could boast of higher cataract surgical coverage and near-total elimination of trachoma, there is increasing prevalence of diabetic retinopathy and undetected glaucoma. Read More

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http://www.ijo.in/text.asp?2018/66/11/1532/244080
Publisher Site
http://dx.doi.org/10.4103/ijo.IJO_872_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213694PMC
November 2018
7 Reads

Risk factors for poor perineal outcome after operative vaginal delivery.

J Perinatol 2018 Dec 18;38(12):1625-1630. Epub 2018 Oct 18.

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Objective: Identify risk factors for poor perineal outcome after operative vaginal delivery.

Study Design: A retrospective cohort study was performed including operative vaginal deliveries during 2015 through 2016.

Results: Of 529 operative vaginal deliveries, 79 (14. Read More

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http://www.nature.com/articles/s41372-018-0252-2
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http://dx.doi.org/10.1038/s41372-018-0252-2DOI Listing
December 2018
13 Reads
2.350 Impact Factor

Predictors of Success for Pelvic Floor Muscle Training in Pelvic Organ Prolapse.

Phys Ther 2019 Jan;99(1):109-117

Department of General Practice, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, Postbus 196/FA21, Groningen, the Netherlands.

Background: Although the effectiveness of pelvic floor muscle training in women with prolapse has been demonstrated in several studies, there seem to be subgroups of responders and nonresponders.

Objective: The objective of this study was to identify factors that predict treatment success in women receiving pelvic floor muscle training for prolapse.

Design: The design was a secondary analysis of data from 2 randomized controlled trials comparing conservative prolapse treatments. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy114DOI Listing
January 2019
14 Reads

Endothelial Cell Loss in Obstetric Forceps-Related Corneal Injury: A Longitudinal Specular Microscopic Study.

Cornea 2018 Nov;37(11):1421-1424

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

Purpose: To assess the impact of ocular trauma associated with obstetric forceps delivery on the corneal endothelium in children.

Methods: Five patients who attended the Hospital for Sick Children, Toronto, between 2013 and 2016 with a diagnosis of unilateral obstetrical forceps-related corneal injury were included. Clinical presentation, best-corrected visual acuity, corneal endothelial cell density (ECD, cells/mm), and measures of cellular morphology were obtained. Read More

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http://Insights.ovid.com/crossref?an=00003226-900000000-9681
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http://dx.doi.org/10.1097/ICO.0000000000001683DOI Listing
November 2018
3 Reads

[Method selection and perioperative management of termination of pregnancy during the first and second trimester of pregnancy with severe cardiovascular disease].

Authors:
Z L Bao J Zhang

Zhonghua Fu Chan Ke Za Zhi 2018 Sep;53(9):608-612

Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

To summarize and analyze the methods of termination of pregnancy in the first and second trimester of pregnancy with severe cardiovascular disease. A retrospective analysis of 27 cases of termination of pregnancy in the first and second trimester of pregnancy in Beijing Anzhen Hospital from January 1, 2016 to December 30, 2017. All of these pregnant women were pregnancy complicated with severe cardiovascular disease in grade Ⅴ pregnancy risk. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2018.09.005DOI Listing
September 2018
15 Reads

Pelvic Floor Disorders After Obstetric Avulsion of the Levator Ani Muscle.

Female Pelvic Med Reconstr Surg 2019 Jan/Feb;25(1):3-7

University of Sydney, Sydney, New South Wales, Australia.

Objectives: With vaginal childbirth, 10% to 30% of women sustain levator ani muscle avulsion. The objective of this study was to estimate the cumulative incidence of prolapse and other pelvic floor disorders (PFDs), comparing vaginally parous women with and without levator avulsion.

Methods: Parous women enrolled in a longitudinal study were assessed annually for PFDs with the Pelvic Organ Prolapse Quantification Examination (for prolapse) and the Epidemiology of Prolapse and Incontinence Questionnaire (for stress incontinence, overactive bladder, and anal incontinence). Read More

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http://Insights.ovid.com/crossref?an=01436319-900000000-9955
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http://dx.doi.org/10.1097/SPV.0000000000000644DOI Listing
October 2018
3 Reads

Levator Morphology and Strength After Obstetric Avulsion of the Levator Ani Muscle.

Female Pelvic Med Reconstr Surg 2018 Sep 27. Epub 2018 Sep 27.

University of Sydney, Sydney, New South Wales, Australia.

Objectives: Obstetric levator avulsion may be an important risk factor for prolapse. This study compares the size of the levator hiatus, the width of the genital hiatus, and pelvic muscle strength between vaginally parous women with or without levator avulsion, 5 to 15 years after delivery.

Methods: Parous women were assessed for levator ani avulsion, using 3-dimensional transperineal ultrasound. Read More

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http://Insights.ovid.com/crossref?an=01436319-900000000-9956
Publisher Site
http://dx.doi.org/10.1097/SPV.0000000000000641DOI Listing
September 2018
3 Reads

Video-Based Teaching in Patient and Instrument Selection for Operative Vaginal Deliveries.

J Obstet Gynaecol Can 2018 09;40(9):1162-1169.e3

Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON; Department of Obstetrics and Gynaecology, St. Michael's Hospital, Toronto, ON.

Objective: Worldwide, the rate of operative vaginal deliveries has decreased, and as a result trainees are lacking exposure and training. The aim of this study was to determine whether a video-based masterclass can improve trainees' confidence, comfort, and knowledge in performing second stage labour assessments and selecting appropriate patients and instruments for operative vaginal deliveries.

Methods: Current University of Toronto obstetrics and gynaecology residents were invited to participate. Read More

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http://dx.doi.org/10.1016/j.jogc.2017.12.003DOI Listing
September 2018
2 Reads

First-in-human study of the safety and viability of intraocular robotic surgery.

Nat Biomed Eng 2018 Jun;2:649-656

Nuffield Laboratory of Ophthalmology, Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.

Microsurgery of the retina would be dramatically improved by instruments that offer supra-human precision. Here, we report the results of a first-in-human study of remotely controlled robot-assisted retinal surgery performed through a telemanipulation device. Specifically, 12 patients requiring dissection of the epiretinal or inner limiting membrane over the macula were randomly assigned to either undergo robot-assisted-surgery or manual surgery, under general anaesthesia. Read More

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http://www.nature.com/articles/s41551-018-0248-4
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http://dx.doi.org/10.1038/s41551-018-0248-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155489PMC
June 2018
6 Reads

Operative vaginal delivery - An historical perspective.

Authors:
Thomas F Baskett

Best Pract Res Clin Obstet Gynaecol 2018 Aug 23. Epub 2018 Aug 23.

Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address:

This chapter will cover the evolution of forceps and vacuum-assisted delivery of the foetus in cephalic presentation. The options available before the development of obstetric forceps are briefly reviewed. The invention of the forceps in the early 17th century was followed by their evolution over four centuries with the introduction of the pelvic curve, axis-traction and rotational forceps. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.08.002DOI Listing
August 2018
3 Reads

Reprocessing safety issues associated with complex-design orthopaedic loaned surgical instruments and implants.

Injury 2018 Nov 5;49(11):2005-2012. Epub 2018 Sep 5.

Faculty of Nursing, Federal University of Goias, Goiânia, Goiás, Brazil. Electronic address:

Background: The acquisition of reusable surgical instruments (RSIs) through loaner system is a worldwide phenomenon, particularly in orthopaedic surgeries. Loaner sets contain high-complex design RSIs, which are very difficult to clean, and also include single use implants, such as screws, that remain in the surgical tray and are subjected to multiple reprocessing until they are implanted. Inadequate cleaning of SI and various exposures of single-use implants to physical, chemical and biological agents can compromise their quality/safety and promote biofilm formation. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.006DOI Listing
November 2018
4 Reads

Helping Postpartum Women in Mali Achieve Their Fertility Intentions: Perspectives From Introduction of the Dedicated Postpartum IUD Inserter.

Glob Health Sci Pract 2018 10 4;6(3):515-527. Epub 2018 Oct 4.

Population Services International, Washington, DC, USA, and Stanford Program for International Reproductive Education and Services (SPIRES), Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA, USA.

Background: Mali has one of the highest maternal mortality ratios in the world coupled with one of the lowest modern contraceptive use rates. Nearly a quarter of the country's 750,000 annual births occur within 24 months of a previous birth, increasing the risks for mothers and babies. Nearly 70% of postpartum women have an unmet need for family planning. Read More

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http://dx.doi.org/10.9745/GHSP-D-18-00138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172117PMC
October 2018
2 Reads

Retained surgical needle and gauze after cesarean section and adnexectomy: a case report and literature review.

J Int Med Res 2018 Nov 17;46(11):4775-4780. Epub 2018 Sep 17.

1 Division of Gynecology and Perinatology, University of Maribor Clinical Center, Maribor, Slovenia.

Although the incidence of retained surgical items (RSIs) is low, it is nevertheless an important preventable cause of patient injury that can ultimately lead to the patient's death and to subsequent high medical and legal costs. Unintentional RSI is the cause of 70% of re-interventions, with a morbidity of 80% and mortality of 35%. The most common RSIs are sponges or gauze (gossypiboma or textiloma), while retained surgical instruments and needles are rare. Read More

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http://dx.doi.org/10.1177/0300060518788247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259383PMC
November 2018
6 Reads

A review of randomized trials comparisons of epidural with parenteral forms of pain relief during labour and its impact on operative and cesarean delivery rate.

Ginekol Pol 2018 ;89(8):460-467

Department of Obstetric and Gynaecological Nursing, Medical University in Gdansk, Poland, Poland.

Objectives: The aim of this review was to summarise the available literature on different modalities of labour pain relief (epidural vs. parenteral) and to assess their impact on the rate of caesarean section deliveries and instrumental deliveries, and on the need to support the uterine contractile function.

Material And Methods: The PubMed, Web of Science and Cochrane databases were reviewed to identify articles describing the effect of labour pain relief on the course of labour. Read More

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http://dx.doi.org/10.5603/GP.a2018.0079DOI Listing
January 2018
3 Reads

Topical and systemic antifungal therapy for chronic rhinosinusitis.

Cochrane Database Syst Rev 2018 09 10;9:CD012453. Epub 2018 Sep 10.

Cochrane ENT, Nuffield Department of Surgical Sciences, University of Oxford, UK Cochrane Centre, Summertown Pavilion, 18 - 24 Middle Way, Oxford, UK.

Background: This review adds to a series of reviews looking at primary medical management options for patients with chronic rhinosinusitis.Chronic rhinosinusitis is common and characterised by inflammation of the lining of the nose and paranasal sinuses leading to nasal blockage, nasal discharge, facial pressure/pain and loss of sense of smell. The condition can occur with or without nasal polyps. Read More

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http://dx.doi.org/10.1002/14651858.CD012453.pub2DOI Listing
September 2018
4 Reads

[Frey's syndrome in the allergology consultation].

Rev Alerg Mex 2018 Jul-Sep;65(3):299-303

Universidad de Antioquia, Grupo de Alergología Clínica y Experimental, Medellín, Colombia.

Background: Frey's syndrome is a group of symptoms that include unilateral sweating with malar region and external ear reddening after eating or drinking some food. It is a lesion of the auriculotemporal nerve that is secondary to surgery, parotid gland infection or facial trauma.

Clinical Cases: Three children between 4 and two and a half years of age: two girls and one boy. Read More

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http://dx.doi.org/10.29262/ram.v65i3.332DOI Listing
September 2018
18 Reads