3,430 results match your criteria Forceps Delivery


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

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

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

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

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

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

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

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

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

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

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

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

Fear of childbirth and associated factors among low-risk pregnant women.

J Obstet Gynaecol 2019 Apr 22:1-5. Epub 2019 Apr 22.

a Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital , Mahidol University , Bangkok , Thailand.

The aims of this study were to determine prevalence of childbirth fear among uncomplicated pregnant women in Siriraj Hospital and possible associated factors. A total of 305 uncomplicated, singleton pregnant women were enrolled during early third trimester. All participants were interviewed regarding baseline demographic, social, economic, family, and obstetric characteristics. Read More

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https://www.tandfonline.com/doi/full/10.1080/01443615.2019.1
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http://dx.doi.org/10.1080/01443615.2019.1584885DOI Listing
April 2019
1 Read

Impact of Episiotomy During Operative Vaginal Delivery on Obstetrical Anal Sphincter Injuries.

J Obstet Gynaecol Can 2019 Apr 16. Epub 2019 Apr 16.

Department of Obstetrics and Gynecology, University of Alberta, Lois Hole Hospital for Women, Edmonton, AB. Electronic address:

Objective: The purpose of this study was to describe associations between episiotomy at the time of forceps or vacuum-assisted delivery and obstetrical anal sphincter injuries (OASIS).

Methods: This population-based retrospective cohort study used delivery information from a provincial perinatal clinical database. Full-term, singleton, in-hospital, operative vaginal deliveries of vertex-presenting infants from April 1, 2006 to March 31, 2016 were identified. Read More

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http://dx.doi.org/10.1016/j.jogc.2019.02.016DOI Listing

Operative vaginal delivery and post-partum infection.

Best Pract Res Clin Obstet Gynaecol 2019 Apr 29;56:93-106. Epub 2018 Sep 29.

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

During the past decade, there has been an increase in the awareness of infections associated with pregnancy and delivery. The most significant cause of post-partum infection is caesarean section; 20-25% of operations are followed by wound infections, endometritis or urinary tract infections. Approximately 13% of women in the UK undergo operative vaginal delivery (OVD) with forceps or vacuum, which is also associated with an increased risk of infection, estimated at 0. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.09.005DOI Listing
April 2019
2 Reads

Exploring standardisation, monitoring and training of medical devices in assisted vaginal birth studies: protocol for a systematic review.

BMJ Open 2019 Apr 14;9(4):e028300. Epub 2019 Apr 14.

Centre for Surgical Research, School of Social and Community Medicine, University of Bristol, Bristol, UK.

Introduction: Assisted vaginal birth (AVB) can markedly improve maternal and neonatal outcomes arising from complications in the second stage of labour. Historically, both forceps and ventouse devices have been used to assist birth; however, they are not without risk and are associated with complications, such as cephalohaematoma, retinal haemorrhage and perineal trauma. As new devices are developed to overcome the limitations of existing techniques, it is necessary to establish their efficacy and effectiveness within randomised controlled trials (RCTs). Read More

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http://dx.doi.org/10.1136/bmjopen-2018-028300DOI Listing
April 2019
2 Reads

[Short-term neonatal outcomes of vacuum-assisted delivery. A case-control study].

An Pediatr (Barc) 2019 Apr 10. Epub 2019 Apr 10.

Servicio de Neonataologia B, Maternidade Bissaya Barreto, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Introduction: The purpose of this study was to assess the neonatal morbidity and mortality associated with vacuum-assisted vaginal deliveries compared to all other vaginal deliveries, and to identify the associated risk factors.

Material And Methods: We conducted a retrospective case-control study in a level iii maternity hospital between 2012 and 2016, including 1,802 vacuum-assisted vaginal deliveries and 2control groups: 1802 spontaneous deliveries and 909 forceps-assisted deliveries. We considered minor complications (soft tissue trauma, cephalohaematoma, jaundice, intensive phototherapy, transient brachial plexus injury) and major complications (hypoxic-ischaemic encephalopathy, intracranial and subgaleal haemorrhage, seizures, cranial fracture, permanent brachial plexus injury), admission to the neonatal intensive care unit and death. Read More

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http://dx.doi.org/10.1016/j.anpedi.2018.11.016DOI Listing
April 2019
1 Read

Effect of team training and monitoring on the rate of failed mid and low cavity vacuum extraction: a hospital based intervention study.

BMC Pregnancy Childbirth 2019 Mar 29;19(1):101. Epub 2019 Mar 29.

Department of Obstetrics and Gynecology, Karolinska University Hospital at Huddinge, K57, 141 86, Stockholm, Sweden.

Background: Clinical team training has been advocated as a means to improve delivery care, and failed extractions is a suggested variable for clinical audit in instrumental vaginal delivery. Other activities may also have intended or unintended effects on care processes or outcomes.

Methods: We retrospectively observed 1074 mid and low vacuum extraction deliveries during three time periods (prevalence periods): Baseline (period 0), implemented team training (period 1 and 2) and monitoring of traction force during vacuum extraction (period 2). Read More

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http://dx.doi.org/10.1186/s12884-019-2257-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440163PMC
March 2019
1 Read

[A single-center study of the incidence of neonatal birth trauma and its risk factors].

Zhongguo Dang Dai Er Ke Za Zhi 2019 Mar;21(3):249-252

Department of Pediatrics, Peking University International Hospital, Beijing 102206, China.

Objective: To investigate the incidence of neonatal birth trauma in the department of obstetrics in a single-center medical institution and the risk factors for neonatal birth trauma.

Methods: The maternal and infant medical records of all full-term singleton neonates delivered in the Department of Obstetrics, Peking University International Hospital, from October 2015 to September 2018 were collected. The neonates with birth trauma were assigned to case group, and those without birth trauma were assigned to control group. Read More

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March 2019
7 Reads

Duration of Operative Vaginal Delivery and Adverse Obstetric Outcomes.

Am J Perinatol 2019 Mar 20. Epub 2019 Mar 20.

Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon.

Objective:  To evaluate whether the number of vacuum pop-offs, the number of forceps pulls, or the duration of operative vaginal delivery (OVD) is associated with adverse maternal and perinatal outcomes.

Study Design:  This is a secondary analysis of a multicenter observational cohort of women who underwent an attempted OVD. Women were stratified by the duration of OVD and the number of pop-offs (vacuum) or pulls (forceps) attempted. Read More

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http://dx.doi.org/10.1055/s-0039-1683439DOI Listing
March 2019
1 Read

High-intensity focused ultrasound combined procedures treatment of retained placenta accreta with marked vascularity after abortion or delivery.

Int J Hyperthermia 2019 20;36(1):421-427. Epub 2019 Mar 20.

b Department of Pathology , West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University , Chengdu , China.

Objective: To evaluate the safety and feasibility of combined procedures: HIFU combined with systemic MTX followed by ultrasound-guided curettage or hysteroscopic resection while treating placenta accreta (PA).

Method: This study included 21 patients diagnosed with retained PA with marked vascularity after abortion or delivery from July 2015 to December 2017. Patients with high serum β-hCG level (≥100 mIU/mL) received systemic MTX + HIFU treatment for 3 days and the ones with low β-hCG level (<100 mIU/mL) only received USgHIFU treatment for 3 days before ultrasound-guided curettage or hysteroscopic resection. Read More

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http://dx.doi.org/10.1080/02656736.2019.1581279DOI Listing
March 2019
1 Read

Prevention and Management of Severe Obstetric Anal Sphincter Injuries (OASIs): a National Survey of Nurse- Midwives.

Int Urogynecol J 2019 Mar 15. Epub 2019 Mar 15.

Division of Reproductive Sciences, Department of Obstetrics & Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Introduction And Hypothesis: There are no data on midwives' knowledge and management of obstetric anal sphincter injuries (OASIs) in the USA. We performed a cross-sectional national survey characterizing OASI practice by certified nurse midwives (CNMs), hypothesizing that few midwives personally repair OASIs and that there are gaps in CNM OASI training/education.

Methods: We emailed a REDCap internet-based survey to 6909 American College of Nurse Midwives members (ACNM). Read More

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http://dx.doi.org/10.1007/s00192-019-03897-xDOI Listing
March 2019
2 Reads

Obstetrical and epidemiological factors influence the severity of anal incontinence after obstetric anal sphincter injury.

BMC Pregnancy Childbirth 2019 Mar 14;19(1):94. Epub 2019 Mar 14.

Departement of Obstetrics and Gynecology, University Hospital of Basel, Basel, Switzerland.

Background: Obstetric anal sphincter injury (OASI) is one of the most severe obstetrical complications. Although risk factors for OASI have been identified, little is known about various parameters that can influence symptoms' severity. The aim of this study is to explore whether obstetrical and epidemiological factors can have an effect on the severity of symptoms after OASI. Read More

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http://dx.doi.org/10.1186/s12884-019-2238-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417116PMC

Prevalence and factors affecting the negative childbirth experiences: a systematic review.

J Matern Fetal Neonatal Med 2019 Mar 12:1-8. Epub 2019 Mar 12.

a Student Research Committee, School of Nursing and Midwifery , Shahroud University of Medical Sciences , Shahroud , Iran.

Background: Childbirth and its related experiences have the potential physical and psychological effects on women's lives in the short and long term. Many factors play an effective role in the positive and negative childbirth experiences of the mother. This study aimed to examine the prevalence and factors affecting negative labor experiences. Read More

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https://www.tandfonline.com/doi/full/10.1080/14767058.2019.1
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http://dx.doi.org/10.1080/14767058.2019.1583740DOI Listing
March 2019
9 Reads

Operative vaginal delivery and pelvic floor complications.

Authors:
Richard P Deane

Best Pract Res Clin Obstet Gynaecol 2019 Apr 10;56:81-92. Epub 2019 Feb 10.

Department of Obstetrics and Gynaecology, Trinity College, The University of Dublin, Dublin, Ireland. Electronic address:

Operative vaginal delivery (OVD) is associated with injury to the pelvic floor and compromise to the urinary, genital and gastrointestinal systems. There has been significant evolution in recent years in the practice of OVD (from the use of forceps to vacuum delivery), the conduct of delivery (from routine to selective episiotomy) and the recognition and management of obstetric anal sphincter injury (OASIS). This review article considers a number of key questions from the perspective of the clinical practitioner: What effects does OVD have on the pelvic floor? How can the effects of OVD on the pelvic floor be reduced? When and how should episiotomy be performed during OVD? How should future pregnancies following OVD and OASIS be managed? The place of episiotomy during OVD, a much debated strategy to prevent injury to the obstetric anal sphincter during OVD, is considered. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15216934193000
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http://dx.doi.org/10.1016/j.bpobgyn.2019.01.013DOI Listing
April 2019
5 Reads

Forceps delivery for non-rotational and rotational operative vaginal delivery.

Best Pract Res Clin Obstet Gynaecol 2019 Apr 11;56:55-68. Epub 2019 Feb 11.

Trinity College, University of Dublin, Ireland. Electronic address:

Forceps are a commonly used instrument for assisting vaginal birth. Accepted indications include prolonged labour, suspected foetal distress and maternal medical conditions that benefit from a shortened second stage of labour. Maternal and offspring outcomes of forceps-assisted birth have been extensively reported in observational studies, but randomised trial evidence is limited. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2019.02.002DOI Listing
April 2019
5 Reads

Outcomes of operative vaginal delivery managed by residents under supervision and attending obstetricians: a prospective cross-sectional study.

Am J Obstet Gynecol 2019 Feb 23. Epub 2019 Feb 23.

Inserm CIC 1413, Nantes University Hospital, Nantes, France.

Background: To assess both severe maternal and neonatal mortality and morbidity after attempted operative vaginal deliveries by residents under supervision and by attending obstetricians.

Study Design: Secondary analysis of a five-year prospective study with cross-sectional analysis including 2192 women with live singleton term fetuses in vertex presentation who underwent an attempted operative vaginal delivery in a tertiary care university hospital. Obstetricians who attempted or performed an operative vaginal delivery were classified into two groups according to their level of experience: attending obstetricians (who had 5 years or more of experience) and obstetric residents (who had less than 5 years of experience) under the supervision of an attending obstetrician. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.044DOI Listing
February 2019
4 Reads

Delivery mode, levator avulsion and obstetric anal sphincter injury: A cross-sectional study 20 years after childbirth.

Aust N Z J Obstet Gynaecol 2019 Feb 21. Epub 2019 Feb 21.

Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

Background: Levator ani muscle (LAM) and anal sphincter injuries are common after vaginal birth and are associated with pelvic organ prolapse and anal incontinence.

Aims: Our objective was to investigate long-term association between delivery mode, LAM avulsion and obstetric anal sphincter injuries (OASIS) in women at least 20 years after their first birth.

Methods: All women recruited at 'index birth' of the Dunedin (New Zealand) arm of ProLong (PROlapse and incontinence LONG-term research) Study, were invited to have translabial and transperineal ultrasound assessment of LAM and anal sphincters. Read More

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http://dx.doi.org/10.1111/ajo.12948DOI Listing
February 2019
3 Reads

Association between delivery mode and pelvic organ prolapse: A meta-analysis of observational studies.

Eur J Obstet Gynecol Reprod Biol 2019 Apr 6;235:19-25. Epub 2019 Feb 6.

Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Affiliated Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070, China. Electronic address:

Pelvic organ prolapse (POP) is a common disease in aged women with negative physical and psychological influences. The long-term impact of delivery mode on POP remains uncertain. To evaluate the relationship between delivery mode and POP, a meta-analysis was carried out in this study. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.01.031DOI Listing
April 2019
4 Reads
1.627 Impact Factor

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407992PMC
February 2019
6 Reads

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

Gynecol Obstet Fertil Senol 2019 04 10;47(4):370-377. Epub 2019 Feb 10.

Service de gynécologie obstétrique, hôpital Nord, Gynépôle, Assistance publique des Hôpitaux de Marseille, Chemin des Bourelly, 13015 Marseille, France; EA 3279, Publichealth, 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
April 2019
2 Reads

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
5 Reads

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
3 Reads

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
2 Reads

Female genital mutilation: Obstetric outcomes in metropolitan Sydney.

Aust N Z J Obstet Gynaecol 2019 Apr 7;59(2):312-316. 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
April 2019
7 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 Mar 6;299(3):747-754. 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
March 2019
3 Reads

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

Childs Nerv Syst 2019 Mar 28;35(3):403-409. 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
March 2019
2 Reads

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% whereas 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
6 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
7 Reads

The role of manual rotation in avoiding and managing OVD.

Best Pract Res Clin Obstet Gynaecol 2019 Apr 13;56:69-80. 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

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
2 Reads

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
3 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
16 Reads

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

Childs Nerv Syst 2019 May 7;35(5):875-878. 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
May 2019
24 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
3 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
2 Reads

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
3 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
1 Read

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
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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
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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
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An unusual traumatic delivery malpractice: a case report.

Med Leg J 2019 Mar 22;87(1):36-38. 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
March 2019
12 Reads

Cesarean section in Australian women with epilepsy.

Epilepsy Behav 2018 12 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
15 Reads

Rare case of a newborn baby with left-sided Erb's palsy and a contralateral/right-sided paralysis of the diaphragm.

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

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

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

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http://dx.doi.org/10.1136/bcr-2018-225373DOI Listing
November 2018
8 Reads

Global perspectives on operative vaginal deliveries.

Best Pract Res Clin Obstet Gynaecol 2019 Apr 3;56:107-113. 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
April 2019
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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
5 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
21 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
13 Reads
4.704 Impact Factor