2,025 results match your criteria Labor and Delivery in the Emergency Department


The importance of non-technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams.

BJOG 2019 Feb 16. Epub 2019 Feb 16.

School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Switzerland.

Objective: Little is known about how teams' non-technical performance influences clinical performance in obstetric emergencies like postpartum haemorrhage.

Design: Video review - observational study.

Setting: A university hospital (5,000 deliveries) and a regional hospital (2,000 deliveries) in Denmark. Read More

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http://dx.doi.org/10.1111/1471-0528.15655DOI Listing
February 2019
1 Read

Impact of menthol on oral nicotine consumption in female and male Sprague Dawley rats.

Nicotine Tob Res 2019 Feb 11. Epub 2019 Feb 11.

Department of Pharmacology, Faculty of Medicine, Uludag University, Bursa, Turkey.

Introduction: One of the most preferable flavors in oral nicotine delivery systems is menthol which masks the harshness of tobacco. However, possible interactions between oral menthol and nicotine on intake and preference remain unclear. Therefore, we aimed to determine the impact of menthol on oral nicotine consumption. Read More

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http://dx.doi.org/10.1093/ntr/ntz019DOI Listing
February 2019
1 Read

Novel synthesized zinc oxide nanoparticles loaded alginate-chitosan biofilm to enhanced wound site activity and anti-septic abilities for the management of complicated abdominal wound dehiscence.

J Photochem Photobiol B 2019 Jan 30;192:124-130. Epub 2019 Jan 30.

Department of Emergency, Linyi Central Hospital, Linyi 276400, Shandong, China. Electronic address:

Wound dehiscence is a surgical complication and its management is inevitable because 25% to 35% of patients suffered from post laparotomy wound dehiscence. The excellent biodegradability and biocompatibility of chitosan and alginate have provided ample space for future developments in biomedical applications. Hence, the present work is directed towards the synthesis of robust biofilm made up of chitosan (CS), zinc oxide (ZnO) nanoparticles and Alginate (Alg). Read More

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http://dx.doi.org/10.1016/j.jphotobiol.2019.01.019DOI Listing
January 2019

Impact of automated OCT in a high-volume eye urgent care setting.

BMJ Open Ophthalmol 2019 20;4(1):e000187. Epub 2019 Jan 20.

Department of Ophthalmology, New York Eye and Ear Infirmary of Mt. Sinai, New York City, New York, USA.

Background/aims: Optical coherence tomography (OCT) has become standard of care in the diagnosis and management of a myriad of retinal and optic nerve pathology. Access to diagnostic equipment and skilled imaging personnel in the after-hours setting is often limited. We examined the utility and diagnostic indications for automated OCT in a high-volume after-hours clinic within an eye institute. Read More

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http://bmjophth.bmj.com/lookup/doi/10.1136/bmjophth-2018-000
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http://dx.doi.org/10.1136/bmjophth-2018-000187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340595PMC
January 2019
3 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

Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors.

Rural Remote Health 2019 Feb 6;19(1):4634. Epub 2019 Feb 6.

Flinders University Rural Clinical School, Flinders University, Ral Ral Avenue, Renmark, SA 5341, Australia

Introduction: The provision of critical management of obstetric emergencies is a vital service for rural women and their families. Emergency obstetric transfers are indispensable to reduce maternal and neonatal mortality and morbidity because local rural hospitals often do not have the resources or expertise to manage both maternal and neonatal outcomes. However, the transfer of a rural pregnant woman to a higher level, tertiary perinatal centre (TPC) is often stressful for the patient and costly for health services. Read More

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http://dx.doi.org/10.22605/RRH4634DOI Listing
February 2019
4 Reads
0.868 Impact Factor

HMGB1 and markers of oxidative stress in human cord blood.

Pediatr Int 2019 Feb 4. Epub 2019 Feb 4.

Neonatal Intensive Care Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, Italy.

Background: Parturition induces considerable oxidative stress and many inflammatory mediators, among which HMGB1, are involved from the beginning of pregnancy to the birth of the infant. The aim of the present work was to evaluate serum cord blood concentrations of derivated reactive oxygen metabolites (d-ROMs), biological antioxidant potential (BAP), and HMGB1 to study perinatal oxidative status of neonates and correlation with mode of delivery, as well as the influence of labour.

Methods: The study subjects were 214 neonates delivered at University Hospital "G. Read More

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http://dx.doi.org/10.1111/ped.13795DOI Listing
February 2019
2 Reads

A RARE CASE OF OXYTOCIN-INDUCED MATERNAL CARDIAC BRADYARRHYTHMIA DURING LABOUR.

Georgian Med News 2018 Dec(285):28-31

Gold Coast University Hospital, Department of Obstetrics and Gynecology, QLD, Australia.

The report a rare case of oxytocin-induced severe maternal bradyarrhythmia of a young healthy term primigravida with a singleton pregnancy in spontaneous labour. Augmentation of labour was initiated immediately following the diagnosis of poor progression of labour at four centimetres dilatation. An oxytocin infusion was administered as per standard hospital titration protocol. Read More

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December 2018
1 Read

Evaluating the Usefulness of Translation Technologies for Emergency Response Communication: A Scenario-Based Study.

JMIR Public Health Surveill 2019 Jan 28;5(1):e11171. Epub 2019 Jan 28.

School of Public Health, Department of Health Services, University of Washington, Seattle, WA, United States.

Background: In the United States, language barriers pose challenges to communication in emergency response and impact emergency care delivery and quality for individuals who are limited English proficient (LEP). There is a growing interest among Emergency Medical Services (EMS) personnel in using automated translation tools to improve communications with LEP individuals in the field. However, little is known about whether automated translation software can be used successfully in EMS settings to improve communication with LEP individuals. Read More

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http://dx.doi.org/10.2196/11171DOI Listing
January 2019

Vaginal delivery in women with a low-lying placenta; a systematic review and meta-analysis.

BJOG 2019 Jan 21. Epub 2019 Jan 21.

Amsterdam UMC, University of Amsterdam, Department of Obstetrics, Amsterdam Reproduction and Development Research Institute, Meibergdreef 9, Amsterdam, Netherlands.

Background: Low-lying placentas are lying close to the internal os of the cervix. The preferred way of delivery within this group is unclear.

Objectives: To review the literature on the success of a vaginal delivery with a low-lying placenta. Read More

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http://dx.doi.org/10.1111/1471-0528.15622DOI Listing
January 2019
1 Read

Location, Location, Location: The Association Between Imaging Setting and Follow-Up of Findings of Indeterminate Malignant Potential.

J Am Coll Radiol 2019 Jan 17. Epub 2019 Jan 17.

Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Perelman School of Medicine, the University of Pennsylvania, Philadelphia, Pennsylvania; Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, Pennsylvania.

Purpose: To evaluate the relationship between patient location at time of imaging and completion of relevant imaging follow-up for findings with indeterminate malignant potential.

Methods: We used a mandatory hospital-wide standardized assessment categorization system to analyze all ultrasound, CT, and MRI examinations performed over a 7-month period. Multivariate logistic regression, adjusted for imaging modality, characteristics of patients, ordering clinicians, and interpreting radiologists, was used to evaluate the relationship between patient location (outpatient, inpatient, or emergency department) at the time of index examination and completion of relevant outpatient imaging follow-up. Read More

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http://dx.doi.org/10.1016/j.jacr.2018.11.010DOI Listing
January 2019

Safety and efficiency of the fifth generation Woven EndoBridge device: technical note.

J Neurointerv Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Interventional Neuroradiology Neuro Brain Vascular Center, Hopital Bicetre, APHP, Paris Sud Université, Le Kremlin-Bicetre, Île-de-France, France.

Backround: The treatment of wide neck bifurcation aneurysms remains challenging despite the introduction of new techniques (Y stenting, waffle cone technique, or flow diverter stents). The Woven EndoBridge (WEB) device is an innovative solution for this type of cerebral aneurysm. A new WEB 17 is now available and has been designed to offer smaller sized devices to optimize navigability and delivery. Read More

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http://jnis.bmj.com/lookup/doi/10.1136/neurintsurg-2018-0143
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http://dx.doi.org/10.1136/neurintsurg-2018-014343DOI Listing
January 2019
5 Reads

Use of Systems Engineering to Design a Hospital Command Center.

Jt Comm J Qual Patient Saf 2019 Jan 10. Epub 2019 Jan 10.

Background: In hospitals and health systems across the country, patient flow bottlenecks delay care delivery-emergency department boarding and operating room exit holds are familiar examples. In other industries, such as oil, gas, and air traffic control, command centers proactively manage flow through complex systems.

Methods: A systems engineering approach was used to analyze and maximize existing capacity in one health system, which led to the creation of the Judy Reitz Capacity Command Center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15537250183020
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http://dx.doi.org/10.1016/j.jcjq.2018.11.006DOI Listing
January 2019
3 Reads

Reducing Cesarean Delivery Surgical Site Infections: A Resident-Driven Quality Initiative.

Obstet Gynecol 2019 Feb;133(2):282-288

Departments of Obstetrics and Gynecology, MedStar Washington Hospital Center and MedStar Georgetown University Hospital, Washington, DC; the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, Maryland; and Georgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC.

Objective: To examine the association of a resident-driven quality initiative with cesarean delivery surgical site infections.

Methods: This was a quasi-experimental, preintervention and postintervention study of women undergoing cesarean delivery at 23 weeks of gestation or greater between January 2015 and June 2018 at a single tertiary care center. We implemented a resident-driven, evidence-based surgical bundle, excluding women who underwent emergency cesarean or had chorioamnionitis. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353635PMC
February 2019
3 Reads

Corneal and conjunctival injury seen in urgent care centres in Israel.

Ophthalmic Physiol Opt 2019 Jan;39(1):46-52

Department of Optometry, Hadassah Academic College, Jerusalem, Israel.

Purpose: Corneal and conjunctival injuries (CCI) comprise a large portion of the cases presenting to hospital-based emergency departments (ED) with ocular involvement. Urgent Care Centres (UCC) offer community based emergency care at lower cost than hospital-based emergency departments (ED) and with greater temporal convenience than primary care office settings. While CCI prevalence and treatment at hospital-based EDs has been well studied, this is the first report, to our knowledge, on CCI demographics and aetiology presenting to UCCs. Read More

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http://doi.wiley.com/10.1111/opo.12600
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http://dx.doi.org/10.1111/opo.12600DOI Listing
January 2019
5 Reads

Risk Factors for Postpartum Emergency Department Visits in an Urban Population.

Matern Child Health J 2019 Jan 9. Epub 2019 Jan 9.

Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Objectives To identify risk factors associated with urban postpartum emergency department utilization. Methods This case-control study included 100 matched pairs of postpartum women who had delivered at a large, integrated urban medical system in Bronx, New York, in 2012-2013, with the cases having had an emergency department visit within 42 days of delivery. The cases, identified utilizing administrative and billing data, were matched 1:1 with controls by labor unit, delivery mode and date, excluding nonviable pregnancies. Read More

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http://link.springer.com/10.1007/s10995-018-2673-0
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http://dx.doi.org/10.1007/s10995-018-2673-0DOI Listing
January 2019
7 Reads

Permanent Supportive Housing and Specialized Co-Occurring Disorders Wraparound Services for Homeless Individuals.

J Dual Diagn 2019 Jan 4:1-10. Epub 2019 Jan 4.

d DMA Health Strategies , Boston , Massachusetts , USA.

Objective: Among individuals experiencing chronic homelessness, there is a high rate of co-occurring mental health and substance use, which has traditionally been addressed through the delivery of permanent supportive housing along with substance use and mental health services. However, this population often has difficulty engaging in treatment for co-occurring disorders, which can result in exacerbation of symptoms and housing loss. Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (MISSION) is a co-occurring mental health and substance use wraparound approach that was pilot-tested alongside Permanent Supportive Housing (PSH) to improve treatment access and engagement. Read More

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https://www.tandfonline.com/doi/full/10.1080/15504263.2018.1
Publisher Site
http://dx.doi.org/10.1080/15504263.2018.1506195DOI Listing
January 2019
8 Reads

Advanced cervical dilatation as a predictor for low emergency cesarean delivery: a comparison between migrant and non-migrant Primiparae - secondary analysis in Berlin, Germany.

BMC Pregnancy Childbirth 2019 Jan 3;19(1). Epub 2019 Jan 3.

School of Public Health, Department of Epidemiology & International Public Health, Bielefeld University, Bielefeld, Germany.

Background: Cesarean rates are higher in women admitted to labor ward during early stages rather than at later stages of labor. In a study in Germany, crude cesarean rates among Turkish and Lebanese immigrant women were low compared to non-immigrant women. We evaluated whether these immigrant women were admitted during later stages of labor, and if so, whether this explains their lower cesarean rates. Read More

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http://dx.doi.org/10.1186/s12884-018-2145-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318868PMC
January 2019
3 Reads

Emergency Care Utilization Among Pregnant Medicaid Recipients in North Carolina: An Analysis Using Linked Claims and Birth Records.

Matern Child Health J 2019 Jan 2. Epub 2019 Jan 2.

Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.

Objectives To estimate the rate of pregnancy-associated emergency care visits and identify maternal and pregnancy characteristics associated with high utilization of emergency care among pregnant Medicaid recipients in North Carolina. Methods A retrospective cohort study using linked Medicaid hospital claims and birth records of 107,207 pregnant Medicaid recipients who delivered a live-born infant in North Carolina between January 1, 2008 and December 31, 2009. Rates were estimated per 1000 member months of Medicaid coverage. Read More

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http://dx.doi.org/10.1007/s10995-018-2651-6DOI Listing
January 2019
1 Read

Analyzing the heterogeneity of labor and delivery units: A quantitative analysis of space and design.

PLoS One 2018 26;13(12):e0209339. Epub 2018 Dec 26.

Department of Pediatrics, Neonatal and Developmental Medicine, School of Medicine, Stanford University, Palo Alto, California, United States of America.

This study assessed labor and delivery (L&D) unit space and design, and also considered correlations between physical space measurements and clinical outcomes. Design and human factors research has increased standardization in high-hazard industries, but is not fully utilized in medicine. Emergency department and intensive care unit space has been studied, but optimal L&D unit design is undefined. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209339PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306211PMC
December 2018

Saved by the Massive Transfusion Protocol: A Case Report of an Obstetric Patient With Hemolysis, Elevated Liver Enzymes, and Low Platelet Count (HELLP) Syndrome and Glisson Capsule Rupture.

A A Pract 2018 Dec 19. Epub 2018 Dec 19.

Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.

A 31-year-old primigravid parturient with no pertinent medical history was admitted at 40 weeks and 4 days of gestation for postdate induction of labor. She was subsequently diagnosed with preeclampsia and developed hemolysis, elevated liver enzymes, and a low platelet count. An emergency cesarean delivery ensued owing to fetal bradycardia. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000949DOI Listing
December 2018

Systematic review to investigate the safety of induction and augmentation of labour among pregnant women with iron-deficiency anaemia.

BMJ Open 2018 Dec 19;8(12):e021793. Epub 2018 Dec 19.

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

Objective: To conduct a systematic review to investigate the safety of induction and/or augmentation of labour compared with spontaneous-onset normal labour among pregnant women with iron-deficiency anaemia.

Design: Systematic review.

Setting: Studies from all countries, worldwide. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-021793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303660PMC
December 2018
1 Read

Emergency peripartum hysterectomy: A great obstetric challenge.

Authors:
Sarah Kazi

Pak J Med Sci 2018 Nov-Dec;34(6):1567-1570

Dr. Sarah Kazi, FCPS, MRCOG. Associate Professor, Department of Obstetrics & Gynecology Unit I, Dow University of Health Sciences & Civil Hospital, Karachi, Pakistan.

Objective: To determine the prevalence, etiology and complications of emergency obstetric hysterectomy (EOH) at a tertiary care hospital in Karachi.

Methods: This was a retrospective cohort study which was carried out in the Department of Obstetrics & Gynecology Unit II, Civil Hospital Karachi from March 2015 to March 2017. All patients undergoing EOH were included in the study. Read More

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http://dx.doi.org/10.12669/pjms.346.13686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290222PMC
December 2018
2 Reads

Pregnancy outcomes in women with autism: a nationwide population-based cohort study.

Clin Epidemiol 2018 30;10:1817-1826. Epub 2018 Nov 30.

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Background: The consequences of autism in pregnancy outcomes have not been explored before, although it is of crucial importance because of the frequent comorbidities and medication in this group of women.

Objectives: To estimate the risk of adverse pregnancy outcomes in women diagnosed with autism.

Design: Nationwide population-based cohort study. Read More

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https://www.dovepress.com/pregnancy-outcomes-in-women-with-a
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http://dx.doi.org/10.2147/CLEP.S176910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280895PMC
November 2018
9 Reads

The SUMMIT ambulatory-ICU primary care model for medically and socially complex patients in an urban federally qualified health center: study design and rationale.

Addict Sci Clin Pract 2018 Dec 14;13(1):27. Epub 2018 Dec 14.

Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, 3181 SW Sam Jackson Park Road L475, Portland, OR, 97239-3098, USA.

Background: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research. Read More

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http://dx.doi.org/10.1186/s13722-018-0128-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295087PMC
December 2018

Impact of a digital health intervention on asthma resource utilization.

World Allergy Organ J 2018 3;11(1):28. Epub 2018 Dec 3.

Propeller Health, 47 Maiden Lane, San Francisco, CA 94108 USA.

Digital health interventions have been associated with reduced rescue inhaler use and improved controller medication adherence. This quality improvement project assessed the benefit of these interventions on asthma-related healthcare utilizations, including hospitalizations, emergency department (ED) utilization and outpatient visits. The intervention consisted of electronic medication monitors (EMMs) that tracked rescue and controller inhaler medication use, and a digital health platform that presented medication use information and asthma control status to patients and providers. Read More

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http://dx.doi.org/10.1186/s40413-018-0209-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276132PMC
December 2018
2 Reads

Continuous support during labour in childbirth: a Cross-Sectional study in a university teaching hospital in Shanghai, China.

BMC Pregnancy Childbirth 2018 Dec 6;18(1):480. Epub 2018 Dec 6.

The Hospital of Obstetrics & Gynaecology, Fudan University, Shanghai, China.

Background: Fear or anxiety could result in adverse consequences on the course of labour. To date, family members are still not permitted in the delivery rooms in the majority of hospitals in China, and continuous support from hospital professional staff is also limited. This study aimed to evaluate the benefits of continuous support by family members and hospital professional staff during labour in China. Read More

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http://dx.doi.org/10.1186/s12884-018-2119-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282363PMC
December 2018
2 Reads
2.190 Impact Factor

Progress and challenges in improving maternal health in the Tibet Autonomous Region, China.

Risk Manag Healthc Policy 2018 14;11:221-231. Epub 2018 Nov 14.

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand,

Background: The maternal mortality ratio (MMR) of the Tibet Autonomous Region (hereinafter "Tibet") is still five times higher than the national average. This study aims to identify the successes and pitfalls of the health system that might be related to the high mortality rate based on the WHO health system building blocks, focusing on human resources for health and health infrastructure and the impact on maternal health and outcomes.

Methods: Sources of information include China's central government and Tibet's local government policies and regulations, health statistical yearbooks, maternal and child health routine reporting system, and English and Chinese online research articles. Read More

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http://dx.doi.org/10.2147/RMHP.S170445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241686PMC
November 2018
1 Read

Correlation of short-term variation and Doppler parameters with adverse perinatal outcome in low-risk fetuses at term.

Arch Gynecol Obstet 2018 Dec 3. Epub 2018 Dec 3.

Department of Obstetrics and Gynecology, Erlangen University Hospital, Universitätsstraße 21-23, 91054, Erlangen, Germany.

Objective: To evaluate the association of short-term variation (STV) and Doppler parameters with adverse perinatal outcome in low-risk fetuses at term.

Methods: This was a retrospective study of 1008 appropriate-for-gestational age (AGA) term fetuses. Doppler measurements [umbilical artery (UA), middle cerebral artery (MCA), and cerebroplacental ratio (CPR)] and computerized CTG (cCTG) with STV analysis were performed prior to active labor (≤ 4 cm cervical dilatation) within 72 h of delivery. Read More

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http://dx.doi.org/10.1007/s00404-018-4978-zDOI Listing
December 2018
2 Reads

A 10-year update: national survey questionnaire of obstetric anesthesia units in Israel.

Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.

Department of Anesthesiology, Perioperative Medicine & Pain Treatment, Shaare Zedek Medical Center, Affiliated with the Hadassah-Hebrew University Medical School Ein-Kerem, Jerusalem, Israel.

Background: This nationwide survey was conducted to provide data about the obstetric anesthesia services in Israeli labor and delivery units in 2016.

Methods: Prospective survey questionnaire was emailed to obstetric anesthesia unit directors/chairperson of all 25 labor and delivery services units within the jurisdiction of the Israeli Ministry of Health.

Results: The response rate was 100%. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.10.014DOI Listing
November 2018
1 Read

The Geriatric Emergency Department Intervention model of care: a pragmatic trial.

BMC Geriatr 2018 Dec 3;18(1):297. Epub 2018 Dec 3.

Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Griffith, QLD, 4222, Australia.

Background: To evaluate a Geriatric Emergency Department Intervention (GEDI) model of service delivery for adults aged 70 years and older.

Methods: A pragmatic trial of the GEDI model using a pre-post design. GEDI is a nurse-led, physician-championed, Emergency Department (ED) intervention; developed to improve the care of frail older adults in the ED. Read More

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http://dx.doi.org/10.1186/s12877-018-0992-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276263PMC
December 2018
2 Reads

Quality of care indicators for a resuscitation unit: A descriptive study and proposal.

Medicine (Baltimore) 2018 Nov;97(48):e13467

Emergency Deparment. University Hospital Arnau de Vilanova de Lleida.

There are lack of indicators of quality of care in resuscitation units of emergency departments. With the aim of proposing a series of indicators to evaluate the quality of care delivered in hospital resuscitation areas, we conducted a descriptive study of 7579 admissions to the resuscitation unit of an emergency department at a Spanish hospital between 2012 and 2016. The proposed indicators were the percentage of patients attending to the emergency department admitted to the resuscitation area by level of triage, the length of stay, the percentage of patients moved to intensive care and surgery at disposition, the mortality in the area or in the emergency department within 24 hours of disposition, and the data completeness. Read More

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http://dx.doi.org/10.1097/MD.0000000000013467DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283204PMC
November 2018

The Prevalence and Payer Costs of Potentially Avoidable Emergent Care Visits for Suspected Amniotic Membrane Rupture in Pregnant Women.

Am Health Drug Benefits 2018 Jul;11(5):241-250

Professor and Vice Chair, Department of Obstetrics, Gynecology, and Reproductive Sciences, and Director of Women's Health Institute, Rutgers Robert Wood Johnson Medical School.

Background: Concern over amniotic fluid leakage is common among pregnant women. Uncertainty about prelabor rupture of amniotic membranes (PROM) can lead women to present to emergency departments or to labor and delivery units for medical evaluation. Many of such visits do not result in delivery, yet they carry significant, and potentially unnecessary, healthcare expenditures. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207302PMC
July 2018
7 Reads

A road to obstetric fistula in Malawi: capturing women's perspectives through a framework of three delays.

Int J Womens Health 2018 5;10:699-713. Epub 2018 Nov 5.

Kamuzu College of Nursing, University of Malawi, Blantyre, Malawi.

Introduction: Obstetric fistula (OF) is a devastating birth injury, which leaves a woman with leaking urine and/or feces accompanied by bad smell, a situation that has been likened to death itself. The condition is caused by neglected obstructed labor. Many factors underlie fistula formation, most of which are preventable. Read More

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http://dx.doi.org/10.2147/IJWH.S171610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223335PMC
November 2018
8 Reads

Massive hemorrhage protocol survey: Marked variability and absent in one-third of hospitals in Ontario, Canada.

Injury 2019 Jan 12;50(1):46-53. Epub 2018 Nov 12.

Sunnybrook Health Sciences Centre, Toronto, Canada; Laboratory Medicine and Pathology, University of Toronto, Canada. Electronic address:

Background: Massive hemorrhage protocols (MHP) are critical to standardized delivery of timely, safe, and resource-effective coordinated care for patients with life-threatening bleeding.

Methods: A standardized MHP survey was sent to all hospitals (n = 150) in Ontario with a transfusion service. This study aim was to determine the proportion of hospitals with an MHP and assess for variability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183069
Publisher Site
http://dx.doi.org/10.1016/j.injury.2018.11.026DOI Listing
January 2019
9 Reads

Global Health Mentoring Toolkits: A Scoping Review Relevant for Low- and Middle-Income Country Institutions.

Am J Trop Med Hyg 2019 Jan;100(1_Suppl):48-53

Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.

Capacity building in low- and middle-income country (LMIC) institutions hinges on the delivery of effective mentorship. This study presents an overview of mentorship toolkits applicable to LMIC institutions identified through a scoping review. A scoping review approach was used to 1) map the extent, range, and nature of mentorship resources and tools available and 2) to identify knowledge gaps in the current literature. Read More

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http://dx.doi.org/10.4269/ajtmh.18-0563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329353PMC
January 2019
2 Reads

Written consent should not be obtained at the time of emergency caesarean section: AGAINST: Written consent should be obtained.

BJOG 2018 Dec;125(13):1756

Department of Obstetrics and Gynecology, Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.

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http://dx.doi.org/10.1111/1471-0528.15338DOI Listing
December 2018

Written consent should not be obtained at the time of emergency caesarean section: FOR: Written consent for emergency caesarean section is not legally required, may delay delivery, and can cause distress.

Authors:
Philip J Steer

BJOG 2018 Dec;125(13):1757

Academic Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, Imperial College, London, UK.

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http://dx.doi.org/10.1111/1471-0528.15339DOI Listing
December 2018

Brachial Plexus Birth Injury in Elective Versus Emergent Caesarean Section: A Cohort Study.

J Obstet Gynaecol Can 2018 Nov 7. Epub 2018 Nov 7.

Division of Plastic Surgery, McMaster University, Hamilton, ON. Electronic address:

Objective: Although Caesarean section (CS) is protective for brachial plexus birth injury (BPBI), the incidence is not zero. A trial of labour with unfavourable intrauterine positioning is hypothesized to result in excessive force on the brachial plexus. The purpose of this study was to determine the risk of BPBI in emergent CS versus elective CS. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183039
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http://dx.doi.org/10.1016/j.jogc.2018.05.002DOI Listing
November 2018
3 Reads

The global burden of multiple chronic conditions: A narrative review.

Prev Med Rep 2018 Dec 19;12:284-293. Epub 2018 Oct 19.

Yale School of Public Health, United States of America.

Globally, approximately one in three of all adults suffer from multiple chronic conditions (MCCs). This review provides a comprehensive overview of the resulting epidemiological, economic and patient burden. There is no agreed taxonomy for MCCs, with several terms used interchangeably and no agreed definition, resulting in up to three-fold variation in prevalence rates: from 16% to 58% in UK studies, 26% in US studies and 9. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22113355183024
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http://dx.doi.org/10.1016/j.pmedr.2018.10.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214883PMC
December 2018
5 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

Fetal closed head injuries following maternal motor vehicle accident: A clinicopathologic case report.

Medicine (Baltimore) 2018 Nov;97(44):e13133

Department of Pediatrics.

Rationale: The clinicopathologic appearance of fetal closed head injury (FCHI) due to a maternal motor vehicle accident has not been fully investigated because of its extreme rarity.

Patients Concern: A 22-year-old woman at 31 weeks of gestation was riding in the front passenger seat of a car, and another rightward-turning car struck the right side of her vehicle.

Diagnosis: Uterine injury with placental abruption was strongly suspected. Read More

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http://dx.doi.org/10.1097/MD.0000000000013133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221710PMC
November 2018
2 Reads

Assessing the competence of midwives to provide care during labor, childbirth and the immediate postpartum period - A cross sectional study in Tigray region, Ethiopia.

PLoS One 2018 31;13(10):e0206414. Epub 2018 Oct 31.

Department of Midwifery, College of Health Sciences, Aksum University, Aksum, Ethiopia.

Background: The availability of a skilled birth attendant is widely recognized as a critical factor in reducing maternal and newborn mortality. Competence of maternal healthcare providers directly affects quality of care and health outcomes. This study assessed competence of midwives and associated factors in provision of care during labor, and the immediate postpartum period at public health facilities in Tigray, Ethiopia. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0206414PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209306PMC
October 2018
12 Reads

Giant Ovarian Mucinous Cystadenoma Complicating Term Pregnancy.

JNMA J Nepal Med Assoc 2018 Mar-Apr;56(210):629-632

Department of Pathology, Birat Medical College and teaching Hospital, Nepal.

Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18. Read More

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October 2018
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Birth preparedness and complication readiness among pregnant women in Ethiopia: a systematic review and Meta-analysis.

Reprod Health 2018 Oct 29;15(1):182. Epub 2018 Oct 29.

College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

ᅟ: Birth preparedness and complication readiness is an essential component of safe motherhood programs that promote appropriate utilization of skilled maternal and neonatal care. Preparing for childbirth and its probable complications can reduce delays in seeking care. In Ethiopia, there were limited data on birth preparedness and complication readiness at the national level except a small scale studies conducted. Read More

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http://dx.doi.org/10.1186/s12978-018-0624-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206720PMC
October 2018
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Barriers and facilitators to the provision of optimal obstetric and neonatal emergency care and to the implementation of simulation-enhanced mentorship in primary care facilities in Bihar, India: a qualitative study.

BMC Pregnancy Childbirth 2018 Oct 25;18(1):420. Epub 2018 Oct 25.

Institute for Global Health Sciences, University of California San Francisco, 550 16th Street, Box 1224, San Francisco, CA, 94158, USA.

Background: Globally, an estimated 275,000 maternal deaths, 2.7 million neonatal deaths, and 2.6 million third trimester stillbirths occurred in 2015. Read More

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https://bmcpregnancychildbirth.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12884-018-2059-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202860PMC
October 2018
3 Reads

Factors affecting home delivery among women living in remote areas of rural Zambia: a cross-sectional, mixed-methods analysis.

Int J Womens Health 2018 5;10:589-601. Epub 2018 Oct 5.

Department of Health Behavior & Biological Sciences, University of Michigan, School of Nursing, Ann Arbor, MI USA.

Purpose: Access to skilled care and facilities with capacity to provide emergency obstetric and newborn care is critical to reducing maternal mortality. In rural areas of Zambia, 42% of women deliver at home, suggesting persistent challenges for women in seeking, reaching, and receiving quality maternity care. This study assessed the determinants of home delivery among remote women in rural Zambia. Read More

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https://www.dovepress.com/factors-affecting-home-delivery-am
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http://dx.doi.org/10.2147/IJWH.S169067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181475PMC
October 2018
11 Reads

The problems associated with adolescent pregnancy in Romania: A cross-sectional study.

J Eval Clin Pract 2019 Feb 17;25(1):117-124. Epub 2018 Oct 17.

Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Rationale: The extent of pregnancy in adolescents and young adults, especially in low and middle-income countries, is a source of increasing concern given its social and economic impact.

Aims And Objective: We hypothesized that there would be correlations between female patients becoming pregnant at a young age and practices such as harmful alcohol misuse, cigarette smoking, and drug use, the use of toxic substances, low educational attainment, and an essential absence of health care seeking about the outcome of adolescent pregnancies.

Methods: We performed a prospective cross-sectional study of patients who gave birth between August and November 2017 at St. Read More

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http://doi.wiley.com/10.1111/jep.13036
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http://dx.doi.org/10.1111/jep.13036DOI Listing
February 2019
56 Reads
1.580 Impact Factor

Bleeding emergencies in neonatal and paediatric patients: improving the quality of care using simulation.

Transfus Med 2018 Dec 16;28(6):405-412. Epub 2018 Oct 16.

Division of Emergency Medicine, Department of Paediatrics, Seattle Children's Hospital, Seattle, Washington, USA.

Objectives: Using a multidisciplinary approach and simulation, a massive transfusion process (MTP) was developed to care for patients in need of emergency transfusion. It was then assessed for effectiveness.

Background: After a series of sentinel emergency bleeding events, a reliable process for hospital staff to deliver appropriate blood products and obtain relevant laboratory tests to guide therapy for patients with emergency bleeding was needed. Read More

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http://doi.wiley.com/10.1111/tme.12562
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http://dx.doi.org/10.1111/tme.12562DOI Listing
December 2018
14 Reads