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Int J Gynaecol Obstet 2022 Jun 25. Epub 2022 Jun 25.

Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Ramat-Gan, Israel.

Objective: To study the association between the method of induction of labor (IOL) and perinatal outcomes, among women undergoing labor after cesarean (LAC) with no prior vaginal delivery.

Method: A retrospective study including all women with no prior vaginal delivery undergoing IOL for LAC between 3/2011 - 1/2021. Oxytocin administration following prelabor rupture of membranes, oxytocin administration only, extraamniotic balloon and amniotomy were compared. Read More

BMC Pregnancy Childbirth 2022 Jun 23;22(1):508. Epub 2022 Jun 23.

University of Helsinki and Helsinki University Hospital, Obstetrics and Gynecology, Helsinki, Finland.

Background: Childbirth experience has been shown to depend on the mode of delivery. However, it is unclear how labour induction influences the childbirth experience in different modes of delivery. Thus, we assessed the childbirth experience among mothers with spontaneous and induced labours. Read More

PLoS Med 2022 Jun 23;19(6):e1004029. Epub 2022 Jun 23.

The Ritchie Centre, Hudson Institute of Medical Research, Melbourne, Australia.

Background: Globally, the majority of newborns requiring resuscitation at birth are full term or late-preterm infants. These infants typically have their umbilical cord clamped early (ECC) before moving to a resuscitation platform, losing the potential support of the placental circulation. Physiologically based cord clamping (PBCC) is clamping the umbilical cord after establishing lung aeration and holds promise as a readily available means of improving early newborn outcomes. Read More

Birth 2022 Jun 23. Epub 2022 Jun 23.

Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.

In the United States, Black, Indigenous, and People of Color (BIPOC) experience more adverse health outcomes and report mistreatment during pregnancy and birth care. The rights to bodily autonomy and consent are core components of high-quality health care. To assess experiences of coercion and nonconsent for procedures during perinatal care among racialized service users in the United States, we analyzed data from the Giving Voice to Mothers (GVtM-US) study. Read More

BMC Infect Dis 2022 Jun 20;22(1):562. Epub 2022 Jun 20.

Chakri Naruebodindra Medical Institute, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 111 Bang Pla, Bang Phli, Samut Prakan, 10540, Thailand.

Background: Intra-amniotic infection has a strong causal association with spontaneous preterm birth and preterm prelabor rupture of membranes (PPROM). The most common route of intra-amniotic infection is the ascending pathway in which microorganisms from the vagina gain access to the amniotic cavity. Distant microorganisms such as those from the oral cavity have been reported in intra-amniotic infection through hematogenous spreading. Read More

J Matern Fetal Neonatal Med 2022 Jun 20:1-6. Epub 2022 Jun 20.

Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.

Objective: Predicting likelihood of vaginal birth after cesarean (VBAC) is a cornerstone in counseling patients considering a trial of labor after cesarean (TOLAC). Yet, the simplified Bishop score (SBS), a score comprised cervical dilation, station, and effacement assessment used to predict successful vaginal delivery, has not been applied to the TOLAC population. We evaluated the relationship between admission SBS and likelihood of successful VBAC. Read More

Aust N Z J Obstet Gynaecol 2022 Jun;62(3):345-348

Front Microbiol 2022 26;13:868227. Epub 2022 May 26.

Department of Neonatology, Inner Mongolia People's Hospital, Hohhot, China.

To compare the gut microbiota of healthy infants based on specific interactions of delivery modes and feeding types, we recruited 62 healthy babies who were followed up for 2 years from our previous cohort study of 91 infants (the rest were lost to follow-up). They were exclusively fed breast milk or specific formulas for more than 4 months after birth. The fecal bacterial composition was tested at 40 days, 3 months, and 6 months of age. Read More

Int Urogynecol J 2022 Jun 18. Epub 2022 Jun 18.

2nd Department of Obstetrics and Gynecology, Faculty of Medicine, Comenius University Bratislava, University Hospital Bratislava, Ruzinovska 6, 826 06, Bratislava, Slovakia.

Introduction And Hypothesis: Increased post-voiding residual volume (PVRV), known as covert postpartum urinary retention (PUR), is an asymptomatic condition with unknown long-term adverse effects. The objectives were to determine the frequency of this phenomenon 3 days after delivery and to examine the associated risk factors and consequences of the increased residuum on women´s health 6 weeks postpartum.

Methods: We carried out a prospective observational study including a total of 926 primiparous women, giving birth to singletons. Read More

Int Urogynecol J 2022 Jun 18. Epub 2022 Jun 18.

Siirt Training and Research Hospital, Obstetrics and Gynecology, Siirt, Turkey.

Introduction And Hypothesis: Various methods are used in pelvic organ prolapse (POP) surgery. Organ-preserving methods are gaining importance and popularity. Although the success rates of abdominal sacrocervicopexy, which is one of these methods, are known, data on pregnancy outcomes are insufficient. Read More

Health Care Women Int 2022 Jun 17:1-21. Epub 2022 Jun 17.

Department of Midwifery, Health Science Faculty, Kütahya Health Science University, Kütahya, Turkey.

What is known about deciding the mode of delivery after cesarean section (CS) is limited. Our aim was explore women's decision-making process since pregnancy. Constant comparative analysis was used in the analysis. Read More

Am J Perinatol 2022 Jun 16. Epub 2022 Jun 16.

Division of Maternal Fetal Medicine, Maternal Child Health Research Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, United States.

Objective: To evaluate the impact of elevated early HbA1c values on perinatal outcomes in patients without a diagnosis of diabetes or gestational diabetes.

Study Design: This is a retrospective study of patients with a singleton pregnancy who underwent universal HbA1c screening in early pregnancy at an urban tertiary care center between December 1, 2016 and December 31, 2018. Patients with pregestational diabetes (DM) and gestational diabetes (GDM) were excluded from analysis. Read More

Am J Perinatol 2022 Jun 16. Epub 2022 Jun 16.

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, United States.

Objective: The experience of an unplanned cesarean birth may be a risk factor for mood disorders and other challenges in the postpartum period, yet qualitative data on the patient experience are limited. We sought to understand individuals' experiences of having an unplanned cesarean birth.

Study Design: This was a secondary analysis of a prospective qualitative investigation among low-income postpartum individuals at a single, tertiary care center in which the primary aim was to evaluate patients' postpartum pain experience after a cesarean birth. Read More

Midwifery 2022 May 27;112:103385. Epub 2022 May 27.

Psychological Institute, Russian Academy of Education, Russia.

Objective: The principal goal of this study was to examine risk factors for postpartum posttraumatic stress disorder (PTSD), such as mode of birth, obstetric violence and medical interventions during labor, in Russia. This study is also the first attempt to investigate the association between the support during labor and postpartum PTSD in a Russian sample.

Research Design: 611 Russian-speaking mothers aged 18 to 45 years (M = 31. Read More

Nutrients 2022 May 28;14(11). Epub 2022 May 28.

School of Community Health and Policy, Portage Campus, Morgan State University, 1700 E. Cold Spring Lane, Baltimore, MD 21201, USA.

Mothers and newborns have a natural physiological requirement to be together immediately after birth. A newborn has a keen sense of smell and will instinctively seek out the mother's nipple and begin breastfeeding if placed skin-to-skin with her. This practice is known as Kangaroo Mother Care (KMC). Read More

Front Endocrinol (Lausanne) 2022 23;13:851213. Epub 2022 May 23.

State Key Laboratory of Reproductive Medicine, Clinical Center of Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Objective: To study the influence of the previous cesarean section on the pregnancy outcomes and perinatal outcomes in single embryo transfer (SET) cycles in an fertilization/intracytoplasmic sperm injection-embryo transfer (IVF/ICSI-ET) setting compared to those with previous vaginal delivery (VD). In addition, the association between fertility outcomes and different cesarean scar defect (CSD) sizes was studied.

Method: This was a retrospective cohort study conducted in the Reproductive Center of the First Affiliated Hospital of Nanjing Medical University. Read More

Comput Math Methods Med 2022 27;2022:4912053. Epub 2022 May 27.

Shijiazhuang Fourth Hospital, 16 Tanggu street, Chang'an District, Shijiazhuang City, Hebei Province, China.

Objective: To investigate the impact of midwives using an intelligent delivery room management system on the outcome of deliveries.

Method: A total of 100 primiparas admitted to the department of obstetrics and gynecology of our hospital from January 2019 to June 2020 were selected as the research objects. They were randomly assigned to one of two groups: control or observation. Read More

Arch Gynecol Obstet 2022 Jun 4. Epub 2022 Jun 4.

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

Purpose: Childbirth pain has been associated with the risk for postpartum depression. However, existing studies have been limited by the use of depression screening tools as outcomes, and none to date have used a structured clinical interview for DSM-V (SCID), which is considered the gold standard for psychiatric diagnoses. This study aimed to quantify the relationships between labor and postpartum pain and postpartum depression diagnosis detected by SCID, as well as depression symptoms detected by the Center for Epidemiological Studies Depression Scale (CESD) screening tool, among a high-risk cohort. Read More

Brain Behav Immun 2022 Jun 1;104:122-136. Epub 2022 Jun 1.

Neuroscience Institute, Georgia State University, Atlanta, GA 30302, USA.

Birth is preceded by inflammation at the fetal/maternal interface. Additionally, the newborn experiences stimuli that under any other circumstance could elicit an immune response. It is unknown, however, whether birth elicits an inflammatory response in the newborn that extends to the brain. Read More

Zhonghua Fu Chan Ke Za Zhi 2022 May;57(5):339-345

Department of Obstetrics and Gynecology, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450052, China.

To establish a scoring scale for trial of labor after cesarean section (TOLAC), to explore the evaluation ability of this scoring scale for vaginal delivery after cesarean section (VBAC), and to improve the success rate of TOLAC. The delivery information of 661 TOLAC pregnant women admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from 2014 to 2017 was retrospectively analyzed, and the TOLAC scoring scale was established by referring to relevant literatures. A prospective cohort study of pregnant women with TOLAC from January 2018 to December 2019 in Zhengzhou Central Hospital was conducted, including 440 pregnant women who were excluded from contraindications in trial labor. Read More

Healthcare (Basel) 2022 May 9;10(5). Epub 2022 May 9.

Department of Industrial and Management Systems Engineering, University of South Florida, Tampa, FL 33620, USA.

The state of Florida implemented mandatory managed care for Medicaid enrollees via the Statewide Medicaid Managed Care (SMMC) program in April of 2014. The objective of this study was to examine the impact of the implementation of the SMMC program on the access to care and quality of maternal care for Medicaid enrollees, as measured by several hospital obstetric outcomes. The primary data source for this retrospective observational study was the Hospital Cost and Utilization Project (HCUP) all-payer State ED (SED) visit and State Inpatient Databases (SIDs) from 2010 to 2017. Read More

BMC Pregnancy Childbirth 2022 May 26;22(1):439. Epub 2022 May 26.

Service de Gynécologie Obstétrique, UMR 1280, Centre Hospitalier Universitaire de Nantes, CIC Et Hôpital Mère-Enfant-Adolescent, NUN, INRAE, PhAN, 44000, Nantes, France.

Background: To assess women's positive and negative perceptions after giving birth. The secondary objectives were to identify the women who had a negative perception of their delivery, define the risk factors, and propose actions that maternity units can take to improve their management.

Methods/design: This study was a multicenter, prospective cohort, conducted in 23 French maternity units constituting one perinatal network, in 2019. Read More

Birth 2022 May 24. Epub 2022 May 24.

Department of Public Health Sciences, College of Medicine, Penn State University, Hershey, PA, USA.

Background: The goals of this study were (a) to determine how experiences in the first perinatal period shape birth mode preference among individuals with a first birth by cesarean; and (b) to examine the relationship between birth mode preference and other factors and subsequent labor after cesarean (LAC).

Methods: Data are from the First Baby Study, a prospective cohort of 3006 primiparous individuals. The analytic sample includes individuals with a first cesarean birth and a second birth during the 5-year follow-up period (n = 394). Read More

SAGE Open Med 2022 13;10:20503121221097597. Epub 2022 May 13.

Department of Nursing, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.

Objective: Vaginal birth after cesarean could be considered a reasonable and safe option for most women with a previous cesarean section. However, it is not easy to select pregnant mothers who are a candidate for a trial of labor after cesarean. Therefore, this study is aimed to identify determinants of successful vaginal birth after previous cesarean delivery in public hospitals in East Wollega, Western Ethiopia, 2020. Read More

Taiwan J Obstet Gynecol 2022 May;61(3):422-426

Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsin-Chu Br, National Taiwan University Hospital, National Taiwan University College of Medicine, Hsin-Chu, Taiwan. Electronic address:

Objective: Trial of labor after cesarean section (TOLAC) is an option for women with previous cesarean section. However, few women choose this option because of safety concerns. We evaluate the safety and risks associated with TOLAC and the success rate of vaginal birth after cesarean delivery (VBAC). Read More

Med (N Y) 2021 08 17;2(8):951-964.e5. Epub 2021 Jun 17.

Department of Biochemistry and Microbiology, Rutgers University, New Brunswick, NJ 08901, USA; Department of Anthropology, Rutgers University, New Brunswick, NJ 08901, USA; New Jersey Institute for Food, Nutrition and Health, Rutgers University, New Brunswick, NJ 08901, USA; Humans and the Microbiome Program, Canadian Institute for Advanced Research, Toronto, ON M5G 1M1, Canada. Electronic address:

Background: Early microbiota perturbations are associated with disorders that involve immunological underpinnings. Cesarean section (CS)-born babies show altered microbiota development in relation to babies born vaginally. Here we present the first statistically powered longitudinal study to determine the effect of restoring exposure to maternal vaginal fluids after CS birth. Read More

Med (N Y) 2021 08;2(8):889-891

Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA. Electronic address:

In this issue of Med, Song et al. compared 174 maternal and 177 infant microbiota after vaginal and cesarean delivery, including 30 vaginally seeded cesarean-born infants. Vaginal seeding partially corrected the microbial divergence observed between cesarean- and vaginal-born infant microbiomes. Read More

BMJ Open 2022 05 18;12(5):e051004. Epub 2022 May 18.

Centre for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, BRAC University, Dhaka, Dhaka District, Bangladesh

Objectives: Late initiation of breast feeding (LIBF) is associated with increased neonatal mortality and morbidity. This study aimed to assess the association between intrapartum, early postpartum and neonatal factors, and LIBF in Bangladesh.

Design, Setting And Participants: In this analysis, we used data from the mothers participating in a cluster-randomised controlled trial (Rang-Din Nutrition Study) conducted in rural northwest Bangladesh. Read More

Arch Gynecol Obstet 2022 May 16. Epub 2022 May 16.

Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Hadassah-Hebrew University Medical Center, POB 12000, 91120, Ramat-GanJerusalem, Israel.

Key Message: Trial of labor among women who never delivered vaginally with hypertensive disorder is associated with nearly half the success rate of the general population.

Purpose: To study the trial of labor after cesarean (TOLAC) among women with hypertensive disorders and no prior vaginal delivery.

Methods: A retrospective cohort study was conducted including women with no prior vaginal delivery undergoing TOLAC during 2010-2020. Read More

BMC Pregnancy Childbirth 2022 May 14;22(1):409. Epub 2022 May 14.

Department of Community Medicine, College of Medicine, Hawler Medical University, Kurdistan Region, Erbil City, Iraq.

Background: There is a lack of reliable methods to estimate the risk of uterine rupture or dehiscence during a trial of labor in women with previous cesarean sections. This study aimed to assess the lower uterine segment and myometrial thickness by ultrasonography in women with previous cesarean sections during labor and assess their association with the uterine defect.

Methods: A cross-sectional study was conducted on 161 women in the active phase of labor having one previous cesarean section. Read More