19,219 results match your criteria induction labor


Dinoprostone pessary for labor induction in Chinese patients with premature rupture of membranes at term: A retrospective cohort.

J Obstet Gynaecol Res 2021 May 5. Epub 2021 May 5.

Department of Obstetrics, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Aim: Whether the use of dinoprostone pessary increased the vaginal delivery rate of labor induction in Chinese nulliparous women with term premature rupture of membranes (PROM) and unfavorable cervices?

Methods: PROM women at term with singleton pregnancies and Bishop scores ≤4 who needed labor induction were enrolled in this retrospective study. They received either the dinoprostone pessary followed by oxytocin infusion if necessary (n = 102, PGE2 group) or oxytocin infusion alone (n = 103, oxytocin group).

Results: Compared with oxytocin infusion alone, vaginal delivery within 12 h and total vaginal delivery were higher in the PGE2 group (28. Read More

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Association of chorioamnionitis with failed conversion of epidural labor analgesia to cesarean delivery anesthesia: A retrospective cohort study.

PLoS One 2021 5;16(5):e0250596. Epub 2021 May 5.

Department of Anesthesiology, Juntendo University Hospital, Hongo, Bunkyo-ku, Tokyo, Japan.

Aim: This study aimed to examine the association between clinically diagnosed chorioamnionitis and failed conversion of epidural labor analgesia to cesarean delivery anesthesia.

Methods: This retrospective, single-center cohort study, conducted in a university hospital, enrolled term parturients undergoing emergency cesarean section after induction of epidural labor analgesia between September 2015 and May 2019. For the purpose of this study, all cases were re-examined to ensure that they fulfilled the criteria of chorioamnionitis, regardless of the actual indication for cesarean section proposed by obstetricians at the time of application. Read More

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Induction of labor in late-FGR.

Minerva Obstet Gynecol 2021 May 5. Epub 2021 May 5.

Centre for Fetal Care and High-risk Pregnancy, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy -

Late-onset FGR is a peculiar condition characterized by the inability for the fetus to reach its growth potential diagnosed from 32 weeks of gestation. Placental insufficiency is among the leading causes of late FGR and is commonly due to a primary maternal cardiovascular non-adaptation potentially leading to fetal decompensation during labor especially once exposed to uterine hyperstimulation. Abnormalities that usually characterize late FGR include reduced fetal growth, decreased amniotic fluid index, and loss of fetal heart rate variability at CTG. Read More

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Women's expectations and experiences of labor induction - a questionnaire-based analysis of a randomized controlled trial.

BMC Pregnancy Childbirth 2021 May 4;21(1):355. Epub 2021 May 4.

Department of Clinical Science and Education Karolinska Institute, Sodersjukhuset, 118 83, Stockholm, Sweden.

Background: Although labor induction is a commonly used procedure in obstetrical care, there are limited data on its psycho-emotional effects on the woman. This study analysed the expectations and experiences of women in different routes of labor induction. The study's primary aim was to compare women's delivery experience if induced by orally administrated misoprostol (OMS) compared with misoprostol vaginal insert (MVI). Read More

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Single Fetal Demise in Twin Pregnancy-A Great Concern but Still a Favorable Outcome.

Diseases 2021 Apr 29;9(2). Epub 2021 Apr 29.

Department of Morphological Sciences, Faculty of Medicine and Pharmacy, University "Dunarea de Jos" Galati, 800008 Galati, Romania.

The incidence of multiple pregnancies has increased in the last decades, mostly explained by the more frequent use of ovulation induction drugs and assisted reproduction techniques. Although single fetal death in the first trimester of twin pregnancy is not an uncommon event nor does it have serious consequences on the survival fetus, the death of one fetus in the second or third trimester of pregnancy is associated with a serious increase in morbidity and mortality for the surviving co-twin. Preterm labor, preeclampsia, intrauterine growth restriction (IUGR), neurological complications or even the death of the surviving twin have been associated with single fetal demise after mid gestation. Read More

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The effect of yoga on the delivery and neonatal outcomes in nulliparous pregnant women in Iran: a clinical trial study.

BMC Pregnancy Childbirth 2021 May 3;21(1):351. Epub 2021 May 3.

Clinical Research Development Unit, Kowsar Hospital, Qazvin University of Medical Science, Qazvin, Iran.

Background: Yoga can reduce the risk of preterm delivery, cesarean section (CS), and fetal death. The aim of the present study was to investigate the effects of Yoga on pregnancy, delivery, and neonatal outcomes.

Methods: This was a clinical trial study and using the random sampling without replacement 70 pregnant women entered Hatha Yoga and control groups according to the color of the ball they took from a bag containing two balls (blue or red). Read More

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The effect of parity on obstetric and perinatal outcomes in pregnancies at the age of 40 and above: a retrospective study.

Croat Med J 2021 Apr;62(2):130-136

Simten Genc, Obstetrics and Gynecology Department, Okmeydani Training and Research Hospital, Istanbul 34384, Turkey,

Aim: To examine the characteristics of pregnancies at a very advanced maternal age and the effect of parity on adverse obstetric outcomes.

Methods: We retrospectively reviewed the records of women who gave birth at the Obstetrics and Gynecology Department of Okmeydanı Training and Research Hospital between January 2012 and December 2019. Overall, 22 448 of women were younger than 40 and 593 were aged 40 and older. Read More

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Labor induction in pregnancy complicated by myelodysplastic syndrome: A case report.

Clin Case Rep 2021 Apr 14;9(4):2032-2035. Epub 2021 Feb 14.

Department of Gynecology and Obstetrics West China Second University Hospital Sichuan University Chengdu China.

Pregnancy may aggravate myelodysplastic syndrome. Cross-matched platelets can be used in cases of refractory thrombocytopenia. Vaginal delivery can be attempted if the platelet count is at least 20 × 10/L. Read More

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Circadian rhythm-associated Rev-erbα modulates polarization of decidual acrophage via PI3K/Akt signaling pathway.

Am J Reprod Immunol 2021 May 2:e13436. Epub 2021 May 2.

NHC Key Lab of Reproduction Regulation (Shanghai Institute of Planned Parenthood Research), Hospital of Obstetrics and Gynecology, Fudan University Shanghai Medical College, Shanghai, 200090, China.

Problem: Circadian rhythms are involved not only in the repair and regeneration of the immune system, but may also be associated with regulation of inflammation and immune responses. Rev-erbα could constitute a link between immunity and circadian rhythms since it is a transcription factor that regulates circadian rhythms and has functions in multiple physiological and pathological processes. Decidual macrophages (dMφs) play crucial roles in immune balance at the maternal-fetal interface, and abnormal macrophage polarization is related to adverse pregnancy outcomes, such as infertility, recurrent spontaneous abortion and preterm labor. Read More

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Is Exposure to Intrapartum Prostaglandins for Labor Induction Associated with a Lower Incidence of Neonatal Respiratory Distress Syndrome?

Am J Perinatol 2021 May 2. Epub 2021 May 2.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah.

Objective:  Respiratory distress syndrome (RDS) is implicated in 30% of neonatal deaths. Since prostaglandins promote surfactant secretion and labor is associated with a lower risk of RDS in term neonates, it is plausible that synthetic prostaglandin (sPG) exposure is associated with a lower risk of RDS. Thus, we evaluated the association between sPG exposure and RDS in neonates born after the induction of labor (IOL). Read More

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Robsons Ten Group Classification of Cesarean Section at a Tertiary Center in Nepal.

J Nepal Health Res Counc 2021 Apr 23;19(1):91-96. Epub 2021 Apr 23.

Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.

Background: Increasing trend in Ceasarean birth is the issue of both demand and supply side. One of the recommended tools to characterize every pregnancy admitted for childbirth is Robson ten-group classification system that may evaluate obstetric practice. The aim of the study was to assess the cesarean section pattern based on Robson's classification in a central referral hospital. Read More

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Application of ultrasound elastography in obstetrics and gynecology

Orv Hetil 2021 05 2;162(18):690-695. Epub 2021 May 2.

3 Eastern Virginia Medical School, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Norfolk, VA, United States of America.

Összefoglaló. Az ultrahang-elasztográfia az elmúlt évek során egyre növekvő figyelmet kapott a lágyszövetek elaszticitásának vizsgálatában. A módszer használatát az teszi szükségessé, hogy egyes, a mechanikai tulajdonságaikban különböző szövetek hasonló echogenitásúak lehetnek, valamint hogy egy adott szövet megváltozott struktúrája vagy mechanikai tulajdonsága nem minden esetben jár együtt a szövet hagyományos ultrahangképének megváltozásával. Read More

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Induction of labor using Foley catheter with weight attached vs without weight attached: A randomized control trial.

Int J Gynaecol Obstet 2021 Apr 30. Epub 2021 Apr 30.

Department of Obstetrics and Gynecology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Objective: To assess the effectiveness in preventing Caesarean section for failed induction by using Foley catheter for cervical ripening in comparison to Foley catheter with a weight attached to it.

Methods: Randomized control trial conducted between November 2018 and July 2020 which looked at induction of labor with 30 ml Foley catheter in one arm and the Foley placed with a 500 ml weight attached to it in the other arm. Primary outcome was the Caesarean section rate. Read More

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Pseudocyesis Leading to Folie-à-Deux.

J Neurosci Rural Pract 2021 Apr 24;12(2):419-423. Epub 2021 Mar 24.

Department of Psychiatry, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India.

Pseudocyesis or false belief of pregnancy is the emergence of classical manifestations of pregnancy-nausea, breast enlargement and pigmentation, abdominal distention, amenorrhea, and labor pains-in a nonpregnant woman. It is a multifactorial disease and its development is influenced by many different elements such as neuroendocrine, social, psychodynamic, and cultural issues. "Folie-à-deux," is shared psychotic disorder, describes a syndrome in which delusion is transferred to another person who is more susceptible. Read More

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Is Misoprostol Vaginal Insert Safe for the Induction of Labor in High-Risk Pregnancy Obese Women?

Healthcare (Basel) 2021 Apr 14;9(4). Epub 2021 Apr 14.

Department of Clinical Laboratory, Food Safety, Carol Davila University of Medicine and Pharmacy, 6 Traian Vuia Street, 020945 Bucharest, Romania.

Induction of labor (IOL) is an event that occurs in up to 25% of pregnancies. In Europe, the misoprostol vaginal insert (MVI-Misodel) was approved for labor induction in 2013. Studies on the outcomes and safety of IOL in obese pregnant women are scarce; no data are available on MVI IOL in high-risk pregnancy obese women (HRPO-late-term, hypertension, diabetes). Read More

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Impact of COVID-19 on Healthcare Labor Market in the United States: Lower Paid Workers Experienced Higher Vulnerability and Slower Recovery.

Int J Environ Res Public Health 2021 04 8;18(8). Epub 2021 Apr 8.

Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA.

The resilience of the healthcare industry, often considered recession-proof, is being tested by the COVID-19 induced reductions in physical mobility and restrictions on elective and non-emergent medical procedures. We assess early COVID-19 effects on the dynamics of decline and recovery in healthcare labor markets in the United States. Descriptive analyses with monthly cross-sectional data on unemployment rates, employment, labor market entry/exit, and weekly work hours among healthcare workers in each healthcare industry and occupation, using the Current Population Survey from July 2019-2020 were performed. Read More

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Evaluating the association between maternal vitamin D deficiency and preeclampsia among Indian gravidas.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 15;261:103-109. Epub 2021 Apr 15.

Department of Biochemistry, Pt. B.D. Sharma Post Graduate Institute of Medical Science, Rohtak, Haryana, 124001, India.

Objective: The association between vitamin D deficiency and devastating preeclampsia is still debated. In this present study, our aim is to evaluate whether a statistically significant association exists between vitamin D deficiency and preeclampsia in Indian gravidas. As to the best of our knowledge, no study of this context with such a large sample size is done in the Indian population till now. Read More

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The effect of evening primrose oil on labor induction and cervical ripening: A systematic review and meta-analysis.

Phytother Res 2021 Apr 29. Epub 2021 Apr 29.

School of Nursing, Hubei University of Medicine, Shiyan, China.

The evening primrose oil has prostaglandin effects and is applied to soften the cervix. This systematic review and meta-analysis aimed to establish the results of clinical trials performed on the effect of evening primrose oil on labor induction and cervical ripening in pregnant women. Research studies were searched from 1990 to September 2019 in Pubmed, Science Direct, Embase, and Cochrane Library using the keywords: cervical ripening, Bishop score, labor induction, post-term pregnancy, evening primrose, and any possible combination of these keywords (Farsi, English). Read More

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Prolonged exposure to meconium in cases of spontaneous premature rupture of membranes at term and pregnancy outcome.

J Matern Fetal Neonatal Med 2021 Apr 28:1-6. Epub 2021 Apr 28.

Lis Hospital for Women, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Objective: To evaluate the impact of prolonged exposure to meconium-stained amniotic fluid (MSAF), in women with term pre-labor spontaneous rupture of membranes (PROM), on pregnancy outcome.

Methods: A retrospective cohort study of women who gave birth in a single university-affiliated tertiary medical center (2011-2019). Eligibility was limited to singleton pregnancies at term who presented with PROM. Read More

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Magnitude and factors associated with surgical site infection among mothers underwent cesarean delivery in Nekemte town public hospitals, western Ethiopia.

PLoS One 2021 27;16(4):e0250736. Epub 2021 Apr 27.

Department of Public Health, Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia.

Background: Surgical site infection (SSI) is a serious public health problem due to its impacts on maternal morbidity and mortality and it can have a significant effect on quality of life for the patient. However, little has been studied regarding the magnitude and factors associated with SSI among women underwent cesarean delivery (CD) in study area. Therefore, the aim of this study was to assess the magnitude and factors associated with SSI among women underwent cesarean delivery in Nekemte Town Public Hospitals 2020. Read More

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Intracervical double-balloon catheter versus dinoprostone for cervical ripening in labor induction in pregnancies with a high risk of uterine hyperstimulation.

Arch Gynecol Obstet 2021 Apr 27. Epub 2021 Apr 27.

Obstetrics and Gynecology Department, Centre Hospitalier Simone-Veil, Eaubonne, France.

Purpose: There are numerous methods for cervical ripening although not all of them are indicated in women presenting a higher risk of uterine hyperstimulation. To compare the efficacy and security of the two methods for cervical ripening in the induction of labor in these pregnancies.

Methods: Retrospective analysis of two cohorts consisting of pregnant women who gave birth from 2016 to 2019 (112 inductions with dinoprostone and 112 with intracervical double- balloon). Read More

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"It's a horrible assignment": A qualitative study of labor and delivery nurses' experience caring for patients undergoing labor induction for fetal anomalies or fetal demise.

Contraception 2021 Apr 22. Epub 2021 Apr 22.

University of California, Irvine Department of Obstetrics and Gynecology, Orange, CA, United States.

Objectives: This study sought to explore labor and delivery (L&D) nurses' experiences caring for women undergoing induction for intrauterine fetal demise (IUFD) or termination for fetal anomalies, and to characterize reluctance towards participation in abortion care or - conversely - the commitment to provide services.

Study Design: Researchers conducted a qualitative study that consisted of open-ended, semistructured interviews with 15 registered nurses who care for women on L&D at a large metropolitan hospital. We analyzed these data for content and themes. Read More

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Castor oil for induction of labor in post-date pregnancies: Evidence of selective outcome reporting?

Women Birth 2021 May;34(3):e334

Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road Parkville, Victoria 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria 3052, Australia.

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Pregnancy and Neonatal Outcomes Among Deaf or Hard of Hearing Women: Results From Nationally Representative Data.

Womens Health Issues 2021 Apr 19. Epub 2021 Apr 19.

The Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, 02453.

Background: Although the literature suggests that women with disabilities are at increased risk for pregnancy complications and adverse birth outcomes, there are few population-based studies of the pregnancy outcomes among deaf and hard of hearing (DHH) women in the United States.

Objective: To compare pregnancy complications and neonatal outcomes between deliveries to DHH and non-DHH women using national hospitalization discharge record data.

Study Design: We used the 2007-2016 Healthcare Cost and Utilization Project National Inpatient Sample to compare pregnancy complications and outcomes among deliveries to DHH women with deliveries to non-DHH women using bivariate and Poisson regressions, controlling for sociodemographic, hospital, and clinical characteristics. Read More

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Induction of Labor at Term With Vaginal Misoprostol or a PGE2 Pessary: a Noninferiority RCT.

Am J Obstet Gynecol 2021 Apr 19. Epub 2021 Apr 19.

UMR1295 CERPOP (Centre for Epidemiology and Population Health Research), Team SPHERE (Study of Perinatal, paedriatric and adolescent Health : Epidemiological Research and Evaluation), Toulouse III University, Toulouse, France; Department of Obstetrics and Gynaecology, Paule de Viguier Hospital, CHU Toulouse, Toulouse, France. Electronic address:

Background: Induction of labor is among the most common procedures for pregnant women. Only a few randomized clinical trials (RCT) with relatively small samples have compared misoprostol to dinoprostone. Although their efficacy appears similar, their safety profiles have not been adequately evaluated and economic data are sparse. Read More

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Incompleteness and inaccuracies in Certificates of Live Birth in a city in Southern Brazil.

Rev Bras Epidemiol 2021 16;24(suppl 1):e210006. Epub 2021 Apr 16.

Professional Master's Program in Health and Work Management, Universidade do Vale do Itajaí - Itajaí (SC), Brazil.

Objective: To evaluate inadequacies in Certificates of Live Birth in a city in Southern Brazil between 2011 and 2015.

Methods: This is a retrospective quantitative study based on Certificates of Live Birth of mothers living in Itapema, Santa Catarina, issued from 2011 to 2015, using data from the Live Birth Information System.

Results: Among 3,537 certificates, we found no mistakes in the variables newborn's sex, birth weight, maternal age, type of pregnancy, and type of delivery. Read More

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Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: a cross-sectional study.

BMC Pregnancy Childbirth 2021 Apr 21;21(1):316. Epub 2021 Apr 21.

Health Chancellery, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Background: Fear of childbirth (FOC) may contribute to postpartum depression, impaired maternal-infant relation, and preference for cesarean in future pregnancies. We aimed to investigate predictors of FOC and normal vaginal birth among postpartum women who had planned for a normal vaginal birth.

Methods: This cross-sectional study was conducted in 2019 with postpartum women during the first 24 h after the birth. Read More

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Critical role of V1a vasopressin receptor in murine parturition.

Biol Reprod 2021 Apr 19. Epub 2021 Apr 19.

Division of Molecular Pharmacology, Department of Pharmacology, Jichi Medical University, Shimotsuke, Tochigi 329-0498, Japan.

The precise mechanisms of the reproductive physiological processes, such as labor initiation, are poorly understood. Oxytocin (OT) is one of the well-known uterotonics and is clinically adopted as a medication to facilitate childbirth. Vasopressin (VP), a posterior pituitary hormone similar to OT, has also been proposed to be involved in the reproductive physiology. Read More

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Betamethasone as a potential treatment for preterm birth associated with sterile intra-amniotic inflammation: a murine study.

J Perinat Med 2021 Apr 20. Epub 2021 Apr 20.

Perinatology Research Branch, Division of Obstetrics and Maternal-Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U. S. Department of Health and Human Services, Bethesda, MD, and Detroit, MI, USA.

Objectives: Preterm birth remains the leading cause of perinatal morbidity and mortality worldwide. Preterm birth is preceded by spontaneous preterm labor, which is commonly associated with sterile intra-amniotic inflammation; yet, no approved treatment exists for this clinical condition. Corticosteroids are the standard of care to improve neonatal outcomes in women at risk of preterm birth. Read More

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Induction of labour during the COVID-19 pandemic: a national survey of impact on practice in the UK.

BMC Pregnancy Childbirth 2021 Apr 19;21(1):310. Epub 2021 Apr 19.

Centre for Maternal and Child Health Sciences, School of Health Sciences, City, University of London, 1 Myddleton Street, London, EC1R 1UB, UK.

Background: Induction of labour (IOL) is one of the most commonly performed interventions in maternity care, with outpatient cervical ripening increasingly offered as an option for women undergoing IOL. The COVID-19 pandemic has changed the context of practice and the option of returning home for cervical ripening may now assume greater significance. This work aimed to examine whether and how the COVID-19 pandemic has changed practice around IOL in the UK. Read More

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