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J Matern Fetal Neonatal Med 2019 Apr 18:1-211. Epub 2019 Apr 18.

d Alexandria Health , Boston , USA.

Objective: To evaluate whether extremely prolonged second stage of labor in nulliparous women affects mode of delivery and perinatal outcomes.

Methods: We performed a retrospective cohort study of nulliparous women with singleton gestations and cephalic presentation who reached 10 cm of cervical dilation at gestational age 36 0/7-41 6/7. Women were stratified by epidural status. Read More

BMC Pregnancy Childbirth 2019 Apr 16;19(1):130. Epub 2019 Apr 16.

Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Background: There is high-quality evidence supporting induction of labour (IOL) for a number of maternal and fetal indications. However, one fifth of inductions fail to result in vaginal births, requiring cesarean deliveries. This has negative clinical, emotional and resource implications. Read More

J Matern Fetal Neonatal Med 2019 Apr 7:1-221. Epub 2019 Apr 7.

h Department of Obstetrics and Gynaecology , Faculty of Medicine , Assiut University , Assiut , Egypt.

Background: Postpartum hemorrhage (PPH) is a direct cause of maternal death all over the world. A Bakri balloon is recommended by ACOG and WHO as a treatment line for PPH unresponsive to uterotonics. We carried out a systematic review to assess the safety and effectiveness of Bakri balloon in the management of PPH. Read More

Midwifery 2019 Mar 30;74:116-125. Epub 2019 Mar 30.

Center for Liver Diseases, Nantong Third People's Hospital, Nantong University, Nantong, PR China. Electronic address:

Objective: HBV mother to child transmission (MTCT) can be prevented by passive and active immunoprophylaxis. In this study, we aim to assess whether vaginal delivery is safe for HBV MTCT after immunoprophylaxis.

Material And Methods: PubMed and Web of Science were systematically searched. Read More

J Perinatol 2019 Apr 5. Epub 2019 Apr 5.

University of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, USA.

Objective: To determine the influence of delivery hospital on the rate of vaginal birth after cesarean (VBAC).

Study Design: This retrospective cohort study used claims data from Blue Cross and Blue Shield of Michigan. Women with a prior cesarean and a singleton livebirth between 2012 and 2016 were included. Read More

Medicine (Baltimore) 2019 Apr;98(14):e15025

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education.

Rationale: Pernicious placenta accrete (PPP) is an obstetrical complication associated with severe life-threatening hemorrhage, which is one of the leading causes of maternal mortality worldwide. Caesarean hysterectomy is the effective method to control intraoperative bleeding for this unscheduled high-risk patient. But a challenge for clinicians in this case is to determine the optimal timing of hysterectomy, because it will directly determine maternal outcome. Read More

J Matern Fetal Neonatal Med 2019 Apr 8:1-7. Epub 2019 Apr 8.

a Department of Obstetrics and Gynecology , Japanese Red Cross Nagoya Daiichi Hospital , Nagoya , Japan.

Objective: To elucidate the efficacy and safety of attempting a vaginal birth and to understand the factors that contribute to the increased risk of operative delivery in women aged 40 years or older.

Methods: A database of the Japanese Red Cross Nagoya Daiichi Hospital was reviewed to identify women aged 40 years or older with singleton, vertex, and vital pregnancies who attempted vaginal delivery at and after 37 + 0 gestational weeks between January 2011 and December 2016.

Results: A total of 415 women met the criteria for inclusion in this study, including 372 and 43 women who gave birth by vaginal delivery and by intrapartum cesarean section (CS), respectively. Read More

J Obstet Gynaecol Res 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics and Gynaecology, Faculty of Medicine, Al Azhar University for Girls, Cairo, Egypt.

Aim: A growing body of evidence has suggested a significant impact of mode of delivery on female sexual function. In the present study, we aimed to investigate the effect of mode of delivery on postpartum sexual function.

Methods: We conducted a cross-sectional study on 684 women during their first year after their first delivery. Read More

J Turk Ger Gynecol Assoc 2019 Mar 25. Epub 2019 Mar 25.

Department of Midwifery, Mashhad University of Medical Sciences School of Nursing and Midwifery, Mashhad, Iran

Objective: In the new millennium, exclusive breastfeeding plays an important role in national and international policies. The effects of mother-infant skin-to-skin contact (SSC) after birth have been investigated in several studies. Given that there has been no overall estimate of this effects, the present study was conducted aimed at investigating the effects of mother-infant SSC on the rate of exclusive breastfeeding by the systematic review and meta-analysis of randomized controlled trials. Read More

Acta Obstet Gynecol Scand 2019 Mar 22. Epub 2019 Mar 22.

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

Introduction: The number of women postponing childbirth until an advanced age is increasing. Our aim was to study the outcome of labor in nulliparous women ≥40 years, compared with women 25-29 years, after both spontaneous onset and induction of labor.

Material And Methods: The nationwide population-based Swedish Medical Birth Register was used to study the perinatal outcome in nulliparous women with a singleton, term (gestational weeks 37-44), live fetus in cephalic presentation and a planned vaginal delivery from 1992 to 2011. Read More

Rev Bras Ginecol Obstet 2019 Mar 14;41(3):147-154. Epub 2019 Mar 14.

Bedfordshire Centre for Mental Health Research in association with University of Cambridge, Cambridge, United Kingdom.

Objective:  The objective of the present study was to explore obstetric management in relation to clinical, maternal and child health outcomes by using the Robson classification system.

Methods:  Data was collected from obstetrics registries in tertiary care hospitals in Dubai, United Arab Emirates (UAE).

Results:  The analysis of > 5,400 deliveries (60% of all the deliveries in 2016) in major maternity hospitals in Dubai showed that groups 5, 8 and 9 of Robson's classification were the largest contributors to the overall cesarean section (CS) rate and accounted for 30% of the total CS rate. Read More

PLoS One 2019 14;14(3):e0213784. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Foshan Chancheng Central Hospital, Foshan, Guangdong, China.

Preterm birth continues to be an important problem in modern obstetrics and a large public health concern and is related to increased risk for neonatal morbidity and mortality. The aim of this study was to evaluate the data in the literature to determine the relationships between mode of delivery (cesarean section and vaginal birth) in the first pregnancy and the risk of subsequent preterm birth from a multi-year population based cohorts (PROSPERO registration number: 42018090788). Five electronic databases were searched. Read More

J Womens Health (Larchmt) 2019 Mar 13. Epub 2019 Mar 13.

2 College of Nursing, University of Massachusetts Amherst, Amherst, Massachusetts.

Background: Little is known about trial of labor after cesarean (TOLAC) uptake and vaginal birth after cesarean (VBAC) success on the national level, which is important as national-level data may help shape future clinical guidelines. This study examined correlates of trial of labor and successful VBAC among women with one prior cesarean in the United States in 2016.

Materials And Methods: We used publically available birth certificate data for 2016. Read More

Breastfeed Med 2019 Mar 13. Epub 2019 Mar 13.

Department of Clinical Nursing, School of Nursing, Nantong University, Nantong, China.

Objective: To explore the relationship of early breastfeeding behaviors after Cesarean section (CS) to long-term breastfeeding outcome.

Materials And Methods: A total of 648 healthy breastfeeding primiparas (333 delivered by CS, and 315 by vaginal birth) were recruited from three teaching hospitals using probability proportional to size sampling method. Data of the first 3 days breastfeeding behaviors, including breastfeeding initiation, frequency and duration, formula supplement, and infant sucking performance, were gathered. Read More

Sci Rep 2019 Mar 11;9(1):4117. Epub 2019 Mar 11.

Division of Neonatology, University of Basel Children's Hospital (UKBB), Basel, Switzerland.

Vaginal birth prepares the fetus for postnatal life. It confers respiratory, cardiovascular and homeostatic advantages to the newborn infant compared with elective cesarean section, and is reported to provide neonatal analgesia. We hypothesize that infants born by vaginal delivery will show lower noxious-evoked brain activity a few hours after birth compared to those born by elective cesarean section. Read More

Best Pract Res Clin Obstet Gynaecol 2019 Feb 10. Epub 2019 Feb 10.

St George's, University of London MBBS Programme at the University of Nicosia Medical School, Nicosia, Cyprus.

The increasing rate of elective and indicated caesarean sections worldwide has led to new pathologies and management challenges. The number of patients undergoing trial of labor after caesarean section (TOLAC) is also increasing. Three professional societies provide detailed guidelines based on scientific evidence for the management of patients attempting vaginal birth after caesarean section (VBAC). Read More

J Matern Fetal Neonatal Med 2019 Mar 5:1-6. Epub 2019 Mar 5.

c Department of Infertility , Shaheed Beheshti University of Medical Sciences , Tehran , Iran.

Background: Compared with vaginal delivery, early-term cesarean section (CS) is associated with an increased risk of neonatal respiratory morbidity. Given the role of steroids in lung maturation in preterm labor, few studies have investigated their effects on early-term delivery. Therefore, this study aimed to investigate the effect of antenatal betamethasone on neonatal respiratory morbidity in early-term elective cesarean (37-38 weeks and 6 d). Read More

J Matern Fetal Neonatal Med 2019 Mar 9:1-6. Epub 2019 Mar 9.

a Department of Obstetrics and Gynecology , Edith Wolfson Medical Center , Holon , Israel , affiliated with the Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.

Introduction: To assess trial of labor and vaginal delivery rates in pregnancies following cesarean delivery (CD) due to nonreassuring fetal heart rate (NRFHR) according to phase of labor at cesarean.

Materials And Methods: This was a retrospective cohort of deliveries at a university hospital between 2009 and 2016. We compared primary CDs performed due to NRFHR during nonactive labor (cervical dilatation < 5 cm) and active labor (cervical dilatation ≥ 5 cm). Read More

Birth 2019 Feb 27. Epub 2019 Feb 27.

College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.

Background: Continuous electronic fetal monitoring (CEFM) is a standard of hospital care during the intrapartum period. We investigated its use on childbirth outcomes in low-risk pregnancies, and examined whether outcomes differed by gestational age within a term pregnancy.

Methods: A retrospective secondary data analysis using birth registry data from two diverse northeastern US states from 1992 to 2014. Read More

Am J Obstet Gynecol 2019 Feb 22. Epub 2019 Feb 22.

Department of Obstetrics and Gynecology, NYU Winthrop Hospital, NYU Long Island School of Medicine, Mineola.

Background: Prior studies have reported an increased risk for preterm delivery following a term cesarean delivery. However, these studies did not adjust for high-risk conditions related to the first cesarean delivery and are known to recur.

Objective: The objective of the study was to determine whether there is an association between term cesarean delivery in the first pregnancy and subsequent spontaneous or indicated preterm delivery. Read More

Int J Obes (Lond) 2019 Feb 14. Epub 2019 Feb 14.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Background: Mother-to-newborn transmission of obesity-associated microbiota may be modified by birth mode (vaginal vs. Cesarean delivery). Prospective data to test this hypothesis are still sparse. Read More

Am J Obstet Gynecol 2019 Feb 11. Epub 2019 Feb 11.

Department of Gynaecology, Rigshospitalet, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Background: By being non-invasive, medical termination of pregnancy has increased worldwide access to abortion and improved safety of unsafe abortion. However, secondary surgical intervention is the most frequent complication to medical abortion.

Objective: We aimed to identify and quantify risk factors for surgical intervention in women undergoing medically induced termination of pregnancy before nine completed weeks of gestation. Read More

Acta Obstet Gynecol Scand 2019 Feb 14. Epub 2019 Feb 14.

Norwegian National Advisory Unit on Women's Health, Rikshospitalet, Oslo University Hospital, Oslo, Norway.

Introduction: Complete uterine rupture, a rare peripartum complication, is often associated with a catastrophic outcome for both mother and child. However, few studies have investigated large datasets to evaluate maternal outcomes after complete ruptures, particularly in unscarred uteri. This paucity of studies is partly due to the rarity of both the event and the serious outcomes, such as peripartum hysterectomy and maternal death. Read More

Reprod Health 2019 Feb 8;16(1):15. Epub 2019 Feb 8.

Maternal Health Department, Ministry of Health, Tehran, Iran.

Background: Iran has one of the highest national caesarean section rates worldwide. Few studies explored in-depth the health-facility and health-system level factors that affect women's choices on mode of delivery in Iran. The aim of this study was to explore the health-facility and health-system level factors affecting women's preferences on mode of delivery in Tehran. Read More

BJOG 2019 03;126(4):546-547

University Hospital Coventry, Coventry, UK.

BJOG 2019 03;126(4):547

Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

Acta Obstet Gynecol Scand 2019 Feb 5. Epub 2019 Feb 5.

Port Royal Maternity Unit, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Introduction: Whereas spontaneous onset of labor and vaginal delivery for breech presentation is considered to be a safe and effective option in selected cases, the safety of induction of labor is not established yet. The objectives of this study were to describe the outcomes of pregnancy in women induced with a fetus in breech presentation and compare the outcomes with those undergoing planned cesarean delivery.

Material And Methods: We performed a secondary analysis of the observational prospective multicenter PREMODA study, including all singleton breech deliveries after 37 weeks in 174 centers in France and Belgium. Read More

Acta Obstet Gynecol Scand 2019 Feb 5. Epub 2019 Feb 5.

Division Women and Baby, Department of Obstetrics, Birth Center Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, the Netherlands.

Introduction: When women with a previous cesarean section and an unfavorable cervix have an indication for delivery, the choice is to induce labor or to perform a cesarean section. This study aims to assess the effectiveness and safety of a balloon catheter as a method of induction of labor in women with one previous cesarean section and an unfavorable cervix compared with an elective repeat cesarean section.

Material And Methods: We performed a prospective cohort study in 51 hospitals in the Netherlands on term women with one previous cesarean section, a live singleton fetus in cephalic position, an unfavorable cervix and an indication for delivery. Read More

Am J Obstet Gynecol 2019 Feb 1. Epub 2019 Feb 1.

Department of Obstetrics and Gynecology, Duke University Health System, Durham, NC.

Background: The use of trial of labor after cesarean delivery calculators in the prediction of successful vaginal birth after cesarean delivery gives physicians an evidence-based tool to assist with patient counseling and risk stratification. Before deployment of prediction models for routine care at an institutional level, it is recommended to test their performance initially in the institution's target population. This allows the institution to understand not only the overall accuracy of the model for the intended population but also to comprehend where the accuracy of the model is most limited when predicting across the range of predictions (calibration). Read More

Pediatr Int 2019 Mar;61(3):264-270

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

Background: Parturition induces considerable oxidative stress and many inflammatory mediators, such as high mobility group box 1 (HMGB1), are involved from the beginning of the pregnancy to birth. The aim of the present study was to evaluate serum cord blood concentration of diacron-reactive oxygen metabolites (d-ROM), biological antioxidant potential (BAP), and HMGB1 to investigate the perinatal oxidative status of neonates and correlation with mode of delivery, as well as the influence of labor.

Methods: The subjects consisted of 214 neonates delivered at University Hospital "G. Read More

Pediatr Neonatol 2019 Jan 19. Epub 2019 Jan 19.

Department of Pediatrics, Faculty of Medical Sciences, University of Fukui, Fukui, Japan. Electronic address:

Background: Although the mode of delivery is well known to affect pulmonary function, the effects of a cesarean delivery on postnatal changes in cardiac mechanics have not been clearly defined.

Methods: To evaluate whether delivery mode influences cardiac function in the early transitional period, 42 infants delivered by cesarean section (CS) and 110 by vaginal delivery (VD) were enrolled, and they underwent serial echocardiography at 0, 1, 2, and 5 days of age. Longitudinal changes in ejection fraction (EF), fractional area change (FAC), mitral annular plane systolic excursion (MAPSE), tricuspid annular plane systolic excursion (TAPSE), Tei index, ratio of peak early diastolic flow velocity (E) to peak early diastolic annular velocity (e') (E/e'), and deceleration time (DcT) were compared between the two groups. Read More

J Matern Fetal Neonatal Med 2019 Jan 30:1-8. Epub 2019 Jan 30.

b Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , Thomas Jefferson University Hospital , Philadelphia , Pennsylvania , USA.

Background: Membrane sweeping has been shown to reduce time to the onset of labor in women at term but the effects of membrane sweeping in women with a prior cesarean delivery are largely unknown.

Objective: To determine the effects of membrane sweeping on promoting labor in patients undergoing a trial of labor after cesarean.

Study Design: Searches were performed in Medline, Ovid, Scopus, ClinicalTrials. Read More

Acta Obstet Gynecol Scand 2019 Jan 30. Epub 2019 Jan 30.

Department of Gynecology and Obstetrics, Holbaek Hospital, Holbaek, Denmark.

Introduction: To compare short-term maternal outcomes in healthy primiparous women with uncomplicated pregnancies who delivered a singleton child at term by planned cesarean or planned vaginal delivery.

Material And Methods: Nationwide population-based cohort study of 145 821 low-risk primiparous women with healthy singletons in cephalic position in Denmark, 2008-2016. Data from the Medical Birth Register and the Danish National Patient Registry were linked and compared according to planned mode of delivery. Read More

Obstet Gynecol 2019 Feb;133(2):e110-e127

Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level (). Read More

Obstet Gynecol 2019 Feb;133(2):393-395

Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level (1-3). Read More

J Matern Fetal Neonatal Med 2019 Feb 10:1-8. Epub 2019 Feb 10.

b Department of Gynecology and Obstetrics, Uniwersytet Warminsko-Mazurski Wydzial Nauk Medycznych , Olsztyn , Poland.

Background: There is a great number of studies dealing with the impact of birth anesthesia on the course of labor and condition of the newborn. The aim of this study was to investigate the impact of birth anesthesia on the parameters of oxygenation and acid-base balance in umbilical cord blood.

Methods: Subjects were divided into four groups: vaginal delivery without anesthesia, vaginal delivery with epidural anesthesia, delivery by cesarean section under a subarachnoid block, and delivery by cesarean section under general anesthesia. Read More

J Obstet Gynecol Neonatal Nurs 2019 Mar 21;48(2):189-196. Epub 2019 Jan 21.

Objective: To examine whether delayed newborn bathing would increase rates of in-hospital exclusive breastfeeding and plans to use human milk at discharge.

Design: A retrospective, two-group, pre- and postintervention design.

Setting/local Problem: At our facility, the initial bath was completed within 2 hours of birth, and the rate of in-hospital exclusive breastfeeding was low. Read More

J Perinat Neonatal Nurs 2019 Jan/Mar;33(1):52-60

Nursing Practice and Education, University of Minnesota Medical Center, Minneapolis (Ms Gams); University of Minnesota Masonic Children's Hospital, Minneapolis (Ms Gams); University of Minnesota School of Nursing, Minneapolis (Dr Neerland); University of Minnesota Health, Women's Health Specialists Clinic, Minneapolis (Dr Neerland); and Southside Community Health Clinic, Minneapolis, Minnesota (Dr Kennedy).

Primary cesarean birth increases a woman's risk for hemorrhage, infection, pain, and cesarean births with subsequent pregnancies. A woman may experience difficulties with breastfeeding, bonding, and incorporating the newborn into the family structure. One urban, academic hospital in the Midwest participated in the American College of Nurse-Midwives Healthy Birth Initiative: Reducing Primary Cesarean Births Project. Read More

Obstet Gynecol Sci 2019 Jan 27;62(1):11-18. Epub 2018 Nov 27.

Department of Obstetrics and Gynecology, Institute of Women's Life Medical Science, Seoul, Korea.

Objective: In this study, we evaluated the prevalence of allergic disease in offsprings delivered via the delivery modes of vaginal delivery vs. planned Cesarean section vs. Cesarean section with labor. Read More

J Matern Fetal Neonatal Med 2019 Jan 17:1-7. Epub 2019 Jan 17.

a Department of Obstetrics and Gynecology, Sheba Medical Center , Tel-Hashomer, Sackler School of Medicine, Tel Aviv University , Tel Aviv , Israel.

Introduction: The aim of this study was to assess the success rate of a trial of labor after a previous cesarean section (TOLAC) in the settings of premature rupture of membranes (PROM) and to compare conservative management with spontaneous labor and induction of labor.

Methods: This was a retrospective cohort study conducted in a single tertiary care center between January 2011 and March 2017. Women with singleton pregnancy and a previous cesarean section (CS) who presented with PROM and underwent TOLAC were included. Read More

J Matern Fetal Neonatal Med 2019 Jan 31:1-7. Epub 2019 Jan 31.

a MOE, Shanghai Key Laboratory of Children's Environmental Health , Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine , Shanghai , China.

Aim: This study investigated whether the parturition mode (vaginal or cesarean [C-] section) affects breast milk concentrations of four essential trace elements (iron, copper, zinc, and manganese).

Methods: Women giving birth at seven hospitals in seven different regions of China were enrolled in the study. Each participant provided breast milk, collected on postpartum day 3-5, for determination of iron, copper, zinc, and manganese concentrations. Read More

JAMA Netw Open 2018 Nov 2;1(7):e185025. Epub 2018 Nov 2.

Duke-NUS Medical School, Singapore, Singapore.

Importance: Global cesarean delivery (CD) rates have more than doubled over the past 2 decades, with an increasing contribution from elective CDs. Cesarean delivery has been linked to early childhood overweight and obesity, but limited studies have examined elective and emergency CDs separately.

Objective: To investigate whether elective or emergency CD was associated with risk of early childhood overweight. Read More

Neurourol Urodyn 2019 Feb 15;38(2):793-800. Epub 2019 Jan 15.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P. R. China.

Objective: To investigate the extent of lower urinary tract symptoms (LUTS) during pregnancy and 7 years after birth in primipara and their association with delivery mode history and other factors.

Methods: A longitudinal cohort study was conducted in 12 hospitals representative of the diversity of the seven administrative regions of China. Of 10 098 women recruited at the third trimester, 3862 (38. Read More

Pan Afr Med J 2018 6;30:255. Epub 2018 Aug 6.

Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.

The rate of uterine scars, an established risk factor for obstetric morbidity, is increasing worldwide. In developing countries, spontaneous uterine ruptures may constitute 87.4% of cases. Read More

Am J Obstet Gynecol 2019 Apr 8;220(4):387.e1-387.e12. Epub 2019 Jan 8.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur, Malaysia.

Background: Labor is induced in 20-30% of maternities, with an increasing trend of use. Labor induction with oral misoprostol is associated with reduced risk of cesarean deliveries and has a safety and effectiveness profile comparable to those of mechanical methods such as Foley catheter use. Labor induction in nulliparous women continues to be challenging, with the process often quite protracted. Read More

J Family Med Prim Care 2018 Nov-Dec;7(6):1542-1547

Department of Obstetrics and Gynecology, Marat Ospanov, West Kazakhstan State Medical University (WKSMU), Aktobe, Kazakhstan.

Background: Vaginal birth after cesarean section (VBAC) increases the chance of subsequent vaginal deliveries and reduces the repeat cesarean section (CS) rate with subsequent postoperative morbidity.

Objectives: To detect the outcome of VBAC during the second birth order in Aktobe region of West Kazakhstan.

Patients And Methods: A total of 832 women eligible for trial of VBAC were included in this study. Read More

JAMA 2018 12;320(23):2438-2447

Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland.

Importance: Pelvic floor disorders (eg, urinary incontinence), which affect approximately 25% of women in the United States, are associated with childbirth. However, little is known about the course and progression of pelvic floor disorders over time.

Objective: To describe the incidence of pelvic floor disorders after childbirth and identify maternal and obstetrical characteristics associated with patterns of incidence 1 to 2 decades after delivery. Read More

Clin Transl Sci 2019 Jan 18;12(1):53-57. Epub 2018 Dec 18.

The Second Department of Obstetrics, Cangzhou Central Hospital, Cangzhou, Yunhe District, Hebei Province, China.

This study was designed to establish a modified prediction score system to improve the safety and success rate of vaginal birth after cesarean delivery (VBAC). We recruited 406 patients (between January 2012 and December 2016) and generated a modified score system in predicting the success rate of VBAC. All patients were required to sign informed consent forms. Read More

J Matern Fetal Neonatal Med 2018 Dec 6:1-161. Epub 2018 Dec 6.

a Department of Obstetrics and Gynecology , Maimonides Medical Center , Brooklyn, New York , New York , USA.

Objective: To evaluate the association of pregestational diabetes with uterine rupture during a trial of labor with one prior cesarean delivery.

Study Design: A retrospective study of women undergoing trial of labor after cesarean. The study group consisted of women with pregestational diabetes, and control group was women without pregestational diabetes. Read More

Am J Perinatol 2018 Nov 30. Epub 2018 Nov 30.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.

Objective:  Excessive gestational weight gain (GWG) has been associated with adverse pregnancy outcomes, including increased risk of cesarean delivery (CD). Data are limited on associations between GWG and outcomes in women undergoing trial of labor after cesarean (TOLAC). We aimed to investigate whether appropriate GWG impacts TOLAC outcomes. Read More