3,798 results match your criteria Forceps Delivery

Management of surgical instruments at loaner companies in upper-middle and high-income countries: The other side of the coin.

Infect Dis Health 2022 Jun 23. Epub 2022 Jun 23.

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

Background: The complex and specific surgical instruments (SI) acquired from loaner companies are provided non-sterile and must be reprocessed before each use. We evaluated the management practices of SI in loaner companies in a high (Australia) and a middle-income (Brazil) country.

Methods: Seven company managers in Australia and eight in Brazil replied to the self-administrated survey. Read More

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Childbirth experience, risk of PTSD and obstetric and neonatal outcomes according to antenatal classes attendance.

Sci Rep 2022 Jun 23;12(1):10717. Epub 2022 Jun 23.

Department Woman-Mother-Child, Lausanne University Hospital (CHUV), Avenue Pierre-Decker 2, 1011, Lausanne, Switzerland.

Antenatal classes have evolved considerably and include now a discussion of the parents' birth plan. Respecting this plan normally results in a better childbirth experience, an important protective factor of post-traumatic stress disorder following childbirth (PTSD-FC). Antenatal class attendance may thus be associated with lower PTSD-FC rates. Read More

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Obstetric interventions in a maternity hospital with a collaborative model of care: a comparative observational study.

Cien Saude Colet 2022 Jul 2;27(7):2741-2752. Epub 2022 Jan 2.

Escola Nacional de Saúde Pública Sergio Arouca, Fiocruz. Rio de Janeiro RJ Brasil.

Collaborative models (CM) focused on intrapartum care shared between both midwives and obstetricians have been proposed as a strategy to reduce these rates. Our aim was to compare use of evidence-based practices, obstetric interventions and c-section rates in two settings: a maternity hospital that applies a CM of care (MRJ) and data from a pool of maternity hospitals included in the Birth in Brazil Survey (NB) that do not adopt a CM. Data was abstracted from medical and administrative records in MRJ and from medical records and face-to-face interviews in NB. Read More

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Operative vaginal delivery: practice patterns and outcomes at a tertiary general hospital.

Singapore Med J 2022 06 16. Epub 2022 Jun 16.

Department of Obstetrics and Gynaecology, Singapore General Hospital, Singapore.

Introduction: There has been a global decrease in operative vaginal deliveries, with a marked shift towards the vacuum extractor. However, little is known about the trends in operative vaginal delivery in Singapore.

Methods: A retrospective study was conducted on all operative vaginal deliveries performed from 2012 to 2017 at Singapore General Hospital (SGH). Read More

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The use of a surgical boot camp combining anatomical education and surgical simulation for internship preparedness among senior medical students.

BMC Med Educ 2022 Jun 15;22(1):459. Epub 2022 Jun 15.

Department of Anatomy, Basic Medical College, Jinan University, Guangzhou, China.

Background: Senior medical students feel unprepared for surgical procedures and care for surgery patients when they begin their internship. This study sought to introduce and evaluate a surgical boot camp training for senior medical students.

Methods: A 44-h surgical boot camp program of lectures on clinical practice simulation, anatomical dissections, and simulated operation on cadavers was designed, implemented, and evaluated during the 2018 to 2019 academic year. Read More

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Caesarean section, vaginal instrumental delivery and perineal morbidity in the Slovak Republic in the years 2007-2018.

Ceska Gynekol 2022 ;87(2):80-86

Objective: Analysis of caesarean section, vaginal instrumental deliveries and severe perineal morbidity in the Slovak Republic in the years 2007-2018.

Methods: The analysis of prospectively collected caesarean section and vaginal instrumental delivery data in the years 2007-2018, and episiotomies and severe perineal morbidity data in the years 2008-2018 from obstetrics hospitals in the Slovak Republic.

Results: Caesarean section rate progressively increased from 24. Read More

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[Clinical characteristics and pregnancy outcomes of pregnant women with left ventricular non-compaction].

Zhonghua Fu Chan Ke Za Zhi 2022 May;57(5):332-338

Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China.

To investigate the clinical characteristics and pregnancy outcomes in pregnant women with left ventricular non-compaction (LVNC). The clinical data of seven pregnant women with LVNC from January 2011 to December 2021 in Beijing Anzhen Hospital,Capital Medical University were retrospectively analyzed, including age, gestational age of symptom first occured, LVNC history, clinical symptoms, New York Heart Association (NYHA) cardiac function class, echocardiography, blood brain natriuretic peptide (BNP), treatment and the maternal and fetal outcomes. Five cases were diagnosed before pregnancy, of which there were three women with medication; one case diagnosed in the month of pregnancy; one case diagnosed at 36 weeks of gestation. Read More

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"Labia majora fasciocutaneous flap reconstruction in complex urogynecological fistulas with vaginal deficit - A versatile approach".

Urology 2022 May 30. Epub 2022 May 30.

Senior resident, Department of Urology, JIPMER, Pondicherry, India, 605006. Electronic address:

Objectives: To appraise the pivotal points of different modifications of labia majora fasciocutaneous flap in combating the challenges of complex urogynecological fistula repair in the form of seven cases.

Methods: Seven patients with complex urogynecological fistulas with vaginal deficit were treated over last three years. The challenges associated with them were non-capacious rigid vagina, irradiated and inflamed surrounding tissues, inelasticity, long-standing fistula with radiation-induced vesicovaginal fistula(VVF), an iatrogenic urethrovaginal fistula with anterior vaginal wall loss with vaginal stenosis, and a case of vesicolabial fistula with a history of forceps delivery and transvaginal VVF repair. Read More

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Immediate unfavorable birth outcomes and determinants of operative vaginal delivery among mothers delivered in East Gojjam Zone Public Hospitals, North West Ethiopia: A cross-sectional study.

PLoS One 2022 1;17(6):e0268782. Epub 2022 Jun 1.

Debre Markos University, Debre Markos, Ethiopia.

Introduction: Operative vaginal delivery is the use of forceps or vacuum devices to assist the eligible laboring mother to avoid poor birth outcomes. It is associated with increased maternal, neonatal morbidity and perinatal complications if it is not used appropriately. Instrumental delivery use needs health care providers' skills, knowledge, and decision-making ability for good maternal outcomes. Read More

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Is urethral pressure associated with parity and delivery mode?

Int Urogynecol J 2022 Jun 1. Epub 2022 Jun 1.

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

Introduction And Hypothesis: Stress urinary incontinence is the most prevalent type of urinary incontinence and childbirth is a risk factor. The aim of this study is to evaluate the association between delivery mode and urethral sphincter function as measured by the maximum urethral pressure (MUP).

Methods: A retrospective study on women seen in a tertiary urogynaecological center for urodynamic testing between January 2017 to December 2019. Read More

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Maternal and neonatal outcomes among pregnant women with cardiovascular disease in the Philippines: a retrospective cross-sectional study from 2015-2019.

J Matern Fetal Neonatal Med 2022 May 30:1-12. Epub 2022 May 30.

Department of Cardiology, Rush University Medical Center, Chicago, IL, USA.

Purpose: Several studies link maternal cardiovascular disease (CVD) to maternal and fetal morbidity and mortality. This study describes the profile of maternal, obstetric, and neonatal outcomes among pregnant women with CVD in a tertiary hospital in the Philippines. It identifies the clinical and sociodemographic variables associated with these outcomes. Read More

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A Case of Preeclampsia with Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage.

Case Rep Obstet Gynecol 2022 17;2022:2859766. Epub 2022 May 17.

Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

Uterine necrosis is a rare complication in uterine artery embolization (UAE) for postpartum hemorrhage (PPH). Preeclampsia (PE) is a condition characterized with systemic endothelial damage and intravascular volume depletion. Whether a patient with PE is at high risk for uterine necrosis after UAE for PPH has been unknown. Read More

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Detection of SARS-CoV-2 contamination in the operating room and birthing room setting: a cross-sectional study.

CMAJ Open 2022 Apr-Jun;10(2):E450-E459. Epub 2022 May 24.

Divisions of Urogynecology and Minimally Invasive Gynecologic Surgery (Lee, Kung, Gagnon, Liu), Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto; Division of Microbiology (Kozak), Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto; Sunnybrook Research Institute (Alavi, Mbareche, Perruzza, Jarvi, Salvant), Sunnybrook Health Sciences Centre, University of Toronto; Division of Maternal Fetal Medicine (Murphy), Department of Obstetrics and Gynecology, Sinai Health System; Temerty Faculty of Medicine (Perruzza, Jarvi); Division of Maternal Fetal Medicine (Ladhani), Department of Obstetrics and Gynecology; Divisions of Orthopaedic Surgery and Trauma Surgery (Yee, Jenkinson), Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ont.

Background: The exposure risks to front-line health care workers caring for patients with SARS-CoV-2 infection undergoing surgery or obstetric delivery are unclear, and an understanding of sample types that may harbour virus is important for evaluating risk. We sought to determine whether SARS-CoV-2 viral RNA from patients with SARS-CoV-2 infection undergoing surgery or obstetric delivery was present in the peritoneal cavity of male and female patients, in the female reproductive tract, in the environment of the surgery or delivery suite (surgical instruments or equipment used, air or floors), and inside the masks of the attending health care workers.

Methods: We conducted a cross-sectional study from November 2020 to May 2021 at 2 tertiary academic Toronto hospitals, during urgent surgeries or obstetric deliveries for patients with SARS-CoV-2 infection. Read More

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Survey of sarcoma surgery principles among orthopaedic oncologists.

Surg Oncol 2022 Jun 17;42:101782. Epub 2022 May 17.

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD, 21287, USA; Department of Oncology, The Johns Hopkins University School of Medicine, 401 North Broadway, Baltimore, MD, 21287, USA. Electronic address:

Background: Surgical principles and techniques used during primary sarcoma excision focus on acquiring negative margins, reducing the risk of local recurrence, and minimizing contamination. These principles and techniques within orthopaedic oncology are not well documented in the literature. No standardized surgical hand-off or approach to education across disciplines on orthopaedic oncology principles and techniques has been published. Read More

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Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery.

Obstet Gynecol 2022 May 5;139(5):833-845. Epub 2022 Apr 5.

Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, and the Clinical Research Center, Angers University Hospital, Angers, France.

Objective: To assess severe short-term maternal and neonatal morbidity and pelvic floor disorders at 6 months postpartum after attempted operative vaginal delivery according to the instrument used.

Methods: We conducted a prospective study of women with live, singleton, term fetuses in vertex presentation. Patients attempted operative vaginal delivery in a French tertiary care university hospital from December 2008 through October 2013. Read More

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Association of an Obstetric Surgical Closing Protocol With Infection After Cesarean Delivery.

Obstet Gynecol 2022 May 5;139(5):749-755. Epub 2022 Apr 5.

Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Division of Clinical Trials and Biostatistics, Department of Anesthesiology and Perioperative Medicine, and Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota; and Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: To examine surgical site infection rates before and after the addition of a closing protocol to an existing surgical site infection risk-reduction bundle used during cesarean delivery.

Methods: We conducted a single-center retrospective cohort study to review the association of a closing protocol with rates of surgical site infection after cesarean delivery. The closing protocol included fresh surgical instruments and physician and scrub nurse glove change before fascia closure. Read More

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Conjunctiva and Tenon's Capsule Handling in the Port Delivery System with Ranibizumab Implant Insertion Procedure: Surgical Pearls.

Ophthalmic Surg Lasers Imaging Retina 2022 05 1;53(5):266-273. Epub 2022 May 1.

Objectives: To describe conjunctiva and Tenon's capsule handling during the Port Delivery System with ranibizumab (PDS) implant insertion procedure including up-front assessments, planning, and instrumentation, with emphasis placed on the peritomy, scleral dissection, and closure steps.

Methods: Surgical pearls based on experience accumulated in the PDS clinical trial program in patients with retinal diseases.

Results: Preoperative preparation, specific instruments, and meticulous techniques are key to optimizing surgical outcomes. Read More

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[3D printing in fracture treatment : Current practice and best practice consensus].

Unfallchirurg 2022 May 9;125(5):342-350. Epub 2022 May 9.

National University Hospital, Singapur, Singapur.

The use of 3D printing in orthopedic trauma is supported by clinical evidence. Existing computed tomography (CT) data are exploited for better stereotactic identification of morphological features of the fracture and enhanced surgical planning. Due to complex logistic, technical and resource constraints, deployment of 3D printing is not straightforward from the hospital management perspective. Read More

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Episiotomy in Southern Brazil: prevalence, trend, and associated factors.

Rev Saude Publica 2022 22;56:26. Epub 2022 Apr 22.

Universidade Federal do Rio Grande. Faculdade de Medicina. Programa de Pós-graduação em Saúde Pública. Rio Grande, RS, Brasil.

Objective: To identify and analyze the prevalence, trend, and factors associated with episiotomy in Rio Grande, in the state of Rio Grande do Sul, Southern Brazil.

Methods: A single, standardized questionnaire was applied to all pregnant women, residents in the municipality of Rio Grande, who had children in local hospitals between January 1 and December 12 of the years 2007, 2010, 2013, 2016 e 2019. Demographic and socioeconomic characteristics were investigated, as well as the assistance received during pregnancy and delivery. Read More

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Analysis of Variables that Influence the Success Rates of Induction of Labor with Misoprostol: A Retrospective Observational Study.

Rev Bras Ginecol Obstet 2022 Apr 26;44(4):327-335. Epub 2022 Apr 26.

Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

Objective:  Determine the predictive criteria for success in inducing labor for live fetuses using misoprostol in pregnant women. Secondarily, the objective is to determine the rates of vaginal or cesarean delivery, duration of induction, interval of administration of misoprostol, the main causes of induction of labor and indication for operative delivery.

Methods:  Medical records of 873 pregnant women admitted for cervical maturation from January 2017 to December 2018 were reviewed in a descriptive observational study of retrospective analysis, considering the following response variables: age, parity, Bishop Index, doses of misoprostol, labor induction time. Read More

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Association between screening for antenatal depressive symptoms and delivery outcomes: The Born in Queensland Study.

Aust N Z J Obstet Gynaecol 2022 Apr 21. Epub 2022 Apr 21.

Institute for Social Science Research, University of Queensland, Brisbane, Queensland, Australia.

Background: Evidence shows that depressive symptoms during pregnancy increase the risk of an intervention during delivery (induction, the use of forceps or vacuum, and caesarean sections (CS)). Many women with depression during pregnancy are not identified and therefore will not receive appropriate follow up of their symptoms. We hypothesised that routine screening for depressive symptoms during pregnancy could reduce detrimental consequences of depressive symptoms on delivery outcomes. Read More

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Characterization of Tuna Gelatin-Based Hydrogels as a Matrix for Drug Delivery.

Gels 2022 Apr 12;8(4). Epub 2022 Apr 12.

Departamento de Física Aplicada, CINBIO, Universidade de Vigo, Campus Lagoas-Marcosende, 36310 Vigo, Spain.

The skin of yellowfin tuna is one of the fishery industry solid residues with the greatest potential to add extra value to its circular economy that remains yet unexploited. Particularly, the high collagen content of fish skin allows generating gelatin by hydrolysis, which is ideal for forming hydrogels due to its biocompatibility and gelling capability. Hydrogels have been used as drug carriers for local administration due to their mechanical properties and drug loading capacity. Read More

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Mediolateral/lateral episiotomy with operative vaginal delivery and the risk reduction of obstetric anal sphincter injury (OASI): A systematic review and meta-analysis.

Int Urogynecol J 2022 Jun 15;33(6):1393-1405. Epub 2022 Apr 15.

Consultant Obstetrician and Urogynaecologist, Croydon University Hospital, Croydon, UK.

Introduction And Hypothesis: OASI complicates approximately 6% of vaginal deliveries. This risk is increased with operative vaginal deliveries (OVDs), particularly forceps. However, there is conflicting evidence supporting the use of mediolateral/lateral episiotomy (MLE/LE) with OVD. Read More

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Mechanism design and force sensing of a novel cardiovascular interventional surgery robot.

Int J Med Robot 2022 Apr 11:e2406. Epub 2022 Apr 11.

Institute of Forming Technology & Equipment, Shanghai Jiao Tong University, Shanghai, China.

Background: Robotic-assisted cardiovascular interventional surgery is an effective means to reduce the exposure of X-ray radiation to surgeons. However, some of the existing design structures cannot meet the surgical requirements for the coordinated delivery of multiple instruments or lack force sensing function.

Methods: This article proposes a novel cardiovascular interventional surgery robot, which is in line with the operating habits of surgeons. Read More

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Trends in Operative Delivery in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A 5 years' Retrospective Review.

Ethiop J Health Sci 2021 Nov;31(6):1199-1206

Department of Obstetrics and Gynecology, School of Medicine, CHS, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Operative vaginal delivery refers to the use of measures to accomplish vaginal delivery through the use of instruments, mainly obstetric forceps and vacuum cups. In developed countries, the rate of cesarean section is increasing for fear of vaginal delivery complications, including instrumental delivery. This study was done to explore trends of operative vaginal deliveries and their characteristics. Read More

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November 2021

Incidence, mortality, and factors associated with primary postpartum haemorrhage following in-hospital births in northwest Ethiopia.

PLoS One 2022 6;17(4):e0266345. Epub 2022 Apr 6.

School of Nursing and Midwifery, Monash University, Clayton, Melbourne, Australia.

Background: Of the 1010 reported maternal deaths in 2018, just over 65% occurred in hospitals in Ethiopia. However, there is a lack of standardised data about the contributing factors. This study aimed to investigate the incidence, mortality, and factors associated with primary postpartum haemorrhage following in-hospital births in northwest Ethiopia. Read More

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Brachial Plexus Birth Injuries.

Orthop Clin North Am 2022 Apr 5;53(2):167-177. Epub 2022 Mar 5.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, 700 Children's Drive, T2E- A2700, Columbus, OH 43205, USA; Department of Orthopedic Surgery, Nationwide Children's Hopsital, Columbus, OH, USA. Electronic address:

Brachial plexus birth injuries (BPBIs) are typically traction type injuries to the newborn that occur during the delivery process. Although the incidence of these injuries has overall decreased from 1.5 to around 0. Read More

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Modifiable and non-modifiable risk factors for obstetric anal sphincter injury in a Norwegian Region: a case-control study.

BMC Pregnancy Childbirth 2022 Apr 1;22(1):277. Epub 2022 Apr 1.

Department of Pediatrics, Innlandet Hospital Trust, Anders Sandvigsgate, 2619, Lillehammer, Norway.

Background: Obstetric anal sphincter injury (OASI) is a common and severe complication of vaginal delivery and may have short- and long-term consequences, including anal incontinence, sexual dysfunction and reduced quality of life. The rate of OASI varies substantially between studies and national birth statistics, and a recent meta-analysis concluded that there is a need to identify unrecognized risk factors. Our aim was therefore to explore both potential modifiable and non-modifiable risk factors for OASI. Read More

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Patient Satisfaction With Informed Consent for Cesarean and Operative Vaginal Delivery.

J Obstet Gynaecol Can 2022 Mar 29. Epub 2022 Mar 29.

Department of Obstetrics & Gynaecology, Unity Health Toronto, St. Michael's Hospital, Toronto, ON.

Objective: To evaluate patient satisfaction with the informed consent process for elective cesarean delivery (CD), emergency CD, and operative vaginal delivery (OVD).

Methods: A cross-sectional, survey-based study was conducted among patients on the postpartum floor of our institution. Patients were approached after delivery to complete a previously pilot-tested questionnaire, based on validated literature. Read More

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Another unexpected complication of a cost-saving version of Thierry's spatulas.

J Gynecol Obstet Hum Reprod 2022 05 15;51(5):102356. Epub 2022 Mar 15.

Department of Gynaecol-Obstetric, CHU Pitié Salpêtrière, Paris France.

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