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The effect on anal pressure of percutaneous posterior tibial nerve stimulation for faecal incontinence
ConclusionPercutaneous PTNS was effective in over 70% of patients in the present study with improvements in urgency, anal pressures and Wexner score.This article is protected by copyright. All rights reserved. (Source: Colorectal Disease)
Source: Colorectal Disease - March 28, 2014 Category: Gastroenterology Authors: A. López‐Delgado, A. Arroyo, J. Ruiz‐Tovar, M.J. Alcaide, M. Diez, P. Moya, J. Santos, R. Calpena Tags: Original Article Source Type: research

Low and high-frequency TENS in post-episiotomy pain relief: a randomized, double-blind clinical trial
Conclusions: LFT and HFT are an effective resource that may be included in the routine of maternity wards. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - March 26, 2014 Category: Physiotherapy Source Type: research

Outcome of deliveries among adolescent girls at the Yaounde central hospital
Conclusions: Adolescent pregnancies in Cameroon compared to those in adults are associated with poorer outcomes. There is need for adolescent-specific services to prevent teenage pregnancies as well as interventions to prevent and manage the above mentioned predictors of in-facility maternal and perinatal mortality. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - March 17, 2014 Category: OBGYN Authors: Florent FouelifackTheodore TamehEta MbongPhilip NanaJeanne FouedjioJovanny FouogueRobinson Mbu Source Type: research

Attitude of Maternity Staff Regarding Episiotomies in an African Rural Hospital with High HIV Prevalence: A Descriptive Qualitative Study.
Abstract In a typical sub-Saharan African rural hospital, maternity staff seems to avoid episiotomies. The aim of this research is to develop a deeper understanding in the attitude of maternity staff regarding episiotomies. We used a descriptive qualitative approach: interviews, written questionnaires, and a group discussion. All methods showed strong reservations toward episiotomies among staff members. Most staff members have been trained to be very restrictive concerning episiotomies to prevent the transmission of human immunodeficiency virus (HIV). As a result of training and hence changing attitudes, the use o...
Source: The American Journal of Tropical Medicine and Hygiene - March 17, 2014 Category: Tropical Medicine Authors: Héman LM, van der Linden PJ, Stigter RH Tags: Am J Trop Med Hyg Source Type: research

Outcome of deliveries among adolescent girls at the Yaoundé central hospital
Conclusions: Adolescent pregnancies in Cameroon compared to those in adults are associated with poorer outcomes. There is need for adolescent-specific services to prevent teenage pregnancies as well as interventions to prevent and manage the above mentioned predictors of in-facility maternal and perinatal mortality. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - March 17, 2014 Category: OBGYN Authors: Florent FouelifackTheodore TamehEta MbongPhilip NanaJeanne FouedjioJovanny FouogueRobinson Mbu Source Type: research

Purse-string morphology of external anal sphincter revealed by novel imaging techniques
The external anal sphincter (EAS) may be injured in 25–35% of women during the first and subsequent vaginal childbirths and is likely the most common cause of anal incontinence. Since its first description almost 300 years ago, the EAS was believed to be a circular or a "donut-shaped" structure. Using three-dimensional transperineal ultrasound imaging, MRI, diffusion tensor imaging, and muscle fiber tracking, we delineated various components of the EAS and their muscle fiber directions. These novel imaging techniques suggest "purse-string" morphology, with "EAS muscles" crossing contralaterally in the perineal body t...
Source: AJP: Gastrointestinal and Liver Physiology - March 15, 2014 Category: Gastroenterology Authors: Mittal, R. K., Bhargava, V., Sheean, G., Ledgerwood, M., Sinha, S. Tags: NEUROREGULATION AND MOTILITY Source Type: research

Born in another country: Women's experience of labour and birth in Queensland, Australia.
CONCLUSION: In comparing the labour and birth experiences of women born outside the country who spoke another language with native-born English speaking women, the present study presents a largely positive picture. However, there were some marked differences in both clinical and interpersonal aspects of care. PMID: 24613218 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - March 5, 2014 Category: Midwifery Authors: Hennegan J, Redshaw M, Miller Y Tags: Women Birth Source Type: research

Female genital mutilation and efforts to achieve Millennium Development Goals 3, 4, and 5 in southeast Nigeria
Conclusion: FGM is still a common practice in southeast Nigeria, where its association with adverse reproductive outcomes militates against efforts to achieve MDGs 3, 4, and 5. (Source: International Journal of Gynaecology and Obstetrics)
Source: International Journal of Gynaecology and Obstetrics - March 5, 2014 Category: OBGYN Authors: Lucky O. Lawani, Azubuike K. Onyebuchi, Chukwuemeka A. Iyoke, Nwabunike E. Okeke Tags: Clinical Articles Source Type: research

Risk factors for severe perineal lacerations during childbirth
Conclusions: Various factors contribute to the occurrence of perineal lacerations. Future studies should consistently evaluate all examined parameters to determine their possible interrelation. (Source: International Journal of Gynaecology and Obstetrics)
Source: International Journal of Gynaecology and Obstetrics - February 18, 2014 Category: OBGYN Authors: Vasileios Pergialiotis, Dimitrios Vlachos, Athanasios Protopapas, Kaliopi Pappa, Georgios Vlachos Tags: Review Articles Source Type: research

Birth control: to what extent do women report being informed and involved in decisions about pregnancy and birth procedures?
Conclusions: There is an urgent need for interventions that facilitate information provision and consumer involvement in decision-making about several perinatal procedures, especially those performed within the time-limited intrapartum care episode. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - February 7, 2014 Category: OBGYN Authors: Rachel ThompsonYvette Miller Source Type: research

Hyaluronidase for reducing perineal trauma.
CONCLUSIONS: Perineal HAase injection during second stage of labour had a lower incidence of perineal trauma compared with control or no intervention, but there was no clear evidence of benefit compared with placebo injection. The difference in incidence of perineal trauma may probably be due to bias and confounding in the non-placebo controlled comparison, this result should be interpreted cautiously. The potential use of perineal HAase injection as a method to reduce perineal trauma were yet to be determined as there was no appropriate established dose for HAase, no evidence of follow up, and the number of high-quality t...
Source: Cochrane Database of Systematic Reviews - February 5, 2014 Category: Journals (General) Authors: Zhou F, Wang XD, Li J, Huang GQ, Gao BX Tags: Cochrane Database Syst Rev Source Type: research

Levator hematoma at the attachment zone as an early marker for levator ani muscle avulsion
ConclusionHematomas at the site of LAM attachment to the pubic bone always result in avulsion diagnosed 3 months postpartum. However, one third of avulsions are not preceded by a hematoma at the site of LAM attachment to the pubic bone. Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd. (Source: Ultrasound in Obstetrics and Gynecology)
Source: Ultrasound in Obstetrics and Gynecology - February 4, 2014 Category: Radiology Authors: K. van Delft, R. Thakar, S. Abbas Shobeiri, A. H. Sultan Tags: Original Paper Source Type: research

Birth Volume and the Quality of Obstetric Care in Rural Hospitals
ConclusionsObstetric quality and safety outcomes vary significantly across rural hospitals by birth volume. Better performance is not consistently associated with either lower or higher volume facilities. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - February 1, 2014 Category: Rural Health Authors: Katy B. Kozhimannil, Peiyin Hung, Shailendra Prasad, Michelle Casey, Maeve McClellan, Ira S. Moscovice Tags: ORIGINAL ARTICLE Source Type: research

The Purse String Morphology of External Anal Sphincter Revealed by Novel Imaging Techniques.
Abstract External anal sphincter may be injured in 25 - 35 % of women during the first and subsequent vaginal child births and is likely the most common cause of anal incontinence. Since its first description, almost 300 years ago, EAS is believed to be a circular or a "donut-shaped" structure. We performed 3D-transperineal ultrasound imaging, magnetic resonance imaging, diffusion tensor imaging and muscle fiber tracking to delineate various components of EAS and their muscle fiber directions. These novel imaging techniques suggest "purse-string" morphology, with "external anal sphincter" muscles crossing contra-la...
Source: Am J Physiol Gastroi... - January 23, 2014 Category: Gastroenterology Authors: Mittal RK, Bhargava V, Sheean G, Ledgerwood M, Sinha S Tags: Am J Physiol Gastrointest Liver Physiol Source Type: research

Labouring women who used a birthing pool in obsteric units in Italy: prospective observational study
Conclusions: Birthing pool use was associated with spontaneous vaginal birth. The increase in second degree tears was balanced by fewer episiotomies. Undue umbilical cord traction should be avoided during waterbirth. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - January 14, 2014 Category: OBGYN Authors: Jane HendersonEthel BurnsAnna RegaliaGiovanna CasaricoMary BoultonLesley Smith Source Type: research

Private health care coverage and increased risk of obstetric intervention
Obstetric interventions in Ireland are more frequent in patients in private obstetric care, irrespective of risk factors, largely due to more elective caesarian sections and episiotomies. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - January 13, 2014 Category: OBGYN Authors: Jennifer LutomskiMichael MurphyDeclan DevaneSarah MeaneyRichard Greene Source Type: research

The Use of Episiotomy in a Low‐Risk Population in The Netherlands: A Secondary Analysis
ConclusionsThe incidence of episiotomy is high compared with some low‐risk settings in other Western countries. Episiotomy was associated with higher rates of adverse maternal outcomes. Restricted use of episiotomy is likely to be beneficial for women. (Source: Birth)
Source: Birth - December 17, 2013 Category: OBGYN Authors: A. E. Seijmonsbergen‐Schermers, C. C. Geerts, M Prins, M. T. Diem, T. Klomp, A. L. M. Lagro‐Janssen, A. Jonge Tags: Original Article Source Type: research

Risk of Episiotomy and Perineal Lacerations Recurring After First Delivery
ConclusionThe risk of undergoing a spontaneous perineal tear or an episiotomy in the second delivery is increased by the practice of episiotomy in the first one. (Source: Birth)
Source: Birth - December 17, 2013 Category: OBGYN Authors: Sebastian Manzanares, Davinia Cobo, Maria Dolores Moreno‐Martínez, Mar Sánchez‐Gila, Alicia Pineda Tags: Original Article Source Type: research

Care in a birth center according to the recommendations of the World Health Organization
Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, São Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.3%), side-lying (16.0%), other positions (1.7%), oral intake (95.6%); companionship (93.3%); exposure to up to three vaginal e...
Source: Revista da Escola de Enfermagem da USP - December 13, 2013 Category: Nursing Source Type: research

Pregnancy and vaginal delivery in epidural analgesia in woman with cerebrospinal fluid shunt.
We present a case of labor in the 32-year old woman, with congenital hydrocephalus and a preexisting ventriculoperitoneal (VP) shunt. After thorough review of current literature, we came to conclusion that without absolute neurosurgical indication or acute development of listed symptoms (headaches, irritability, light sensitivity, hyperesthesia nausea, vomiting, vertigo, migraines, seizures, weakness in the arms or legs, strabismus and double vision) the best way to finish the pregnancy of woman with VP shunt is spontaneous vaginal delivery with the use of epidural analgesia, mediolateral episiotomy and vacuum extraction. ...
Source: Collegium Antropologicum - December 1, 2013 Category: Epidemiology Authors: Bursac D, Kulas T, Persec J, Persec Z, Duić Z, Partl JZ, Glavić Z, Hrgović Z, Bojanić K Tags: Coll Antropol Source Type: research

Intrapartum ultrasound, a predictive method for complicated operative forceps delivery in non‐occiput posterior deliveries
ConclusionsIn non‐occiput posterior forceps deliveries, the sonographic parameters of AOP and head direction can be used to predict complicated deliveries. (Source: Ultrasound in Obstetrics and Gynecology)
Source: Ultrasound in Obstetrics and Gynecology - November 21, 2013 Category: Radiology Authors: Marcos J. Cuerva, Christian Bamberg, Pablo Tobias, Maria del Mar Gil, María De La Calle, Jose Luis Bartha Tags: Original Article Source Type: research

Intrapartum ultrasound, a predictive method for complicated operative forceps delivery in non-occiput posterior deliveries.
CONCLUSIONS: In non-occiput posterior forceps deliveries, the sonographic parameters of AOP and head direction can be used to predict complicated deliveries. PMID: 24265172 [PubMed - as supplied by publisher] (Source: The Ultrasound Review of Obstetrics and Gynecology)
Source: The Ultrasound Review of Obstetrics and Gynecology - November 21, 2013 Category: Radiology Authors: Cuerva MJ, Bamberg C, Tobias P, Gil MD, De La Calle M, Bartha JL Tags: Ultrasound Obstet Gynecol Source Type: research

[Delivery of the IUGR fetus.]
CONCLUSION: Compared with appropriate for gestational age fetus, IUGR fetus is at increased risk of metabolic acidosis or perinatal asphyxia during delivery. PMID: 24210719 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - November 7, 2013 Category: OBGYN Authors: Perrotin F, Simon EG, Potin J, Laffon M Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Quality of care provided by mid-level health workers: systematic review and meta-analysis.
CONCLUSION: No difference between the effectiveness of care provided by mid-level health workers and that provided by higher level health workers was found. However, the quality of the evidence was low. There is a need for studies with a high methodological quality, particularly in Africa - the region with the greatest shortage of health workers. PMID: 24347706 [PubMed - as supplied by publisher] (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - November 1, 2013 Category: Global & Universal Authors: Lassi ZS, Cometto G, Huicho L, Bhutta ZA Tags: Bull World Health Organ Source Type: research

Evidence supports midwife-led care models.
Abstract Fewer premature births, epidurals, and episiotomies; greater patient satisfaction. PMID: 24149253 [PubMed - in process] (Source: The American Journal of Nursing)
Source: The American Journal of Nursing - October 24, 2013 Category: Nursing Authors: Potera C Tags: Am J Nurs Source Type: research

Resolving shoulder dystocia: is episiotomy best practice?
PMID: 24133806 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)
Source: Midwifery Today with Internationalm Midwife - October 22, 2013 Category: Midwifery Authors: Likens E Tags: Midwifery Today Int Midwife Source Type: research

The episiotomy redemption.
PMID: 24133802 [PubMed - in process] (Source: Midwifery Today with Internationalm Midwife)
Source: Midwifery Today with Internationalm Midwife - October 22, 2013 Category: Midwifery Authors: Grube P Tags: Midwifery Today Int Midwife Source Type: research

Clinical evaluation of peripartum outcomes of mediolateral versus lateral episiotomy
Abstract: Objective: To evaluate the incidence and extent of vaginal and perineal trauma among primiparous women after mediolateral and lateral episiotomy.Methods: In a prospective randomized study at University Hospital Pilsen, Czech Republic, 790 consecutive primiparous women were enrolled between April 2010 and April 2012. Mediolateral episiotomy (MLE) followed an angle of at least 60° from the midline. Lateral episiotomy (LE) started 1–2cm laterally from the midline and was directed toward the ischial tuberosity. A rectal examination was performed before episiotomy repair.Results: MLE was performed for 390 women, an...
Source: International Journal of Gynaecology and Obstetrics - October 9, 2013 Category: OBGYN Authors: Jaroslava Karbanova, Zdenek Rusavy, Lucie Betincova, Magdalena Jansova, Antonin Parizek, Vladimir Kalis Tags: Clinical Articles Source Type: research

The Sexual Function Questionnaire's Medical Impact Scale (SFQ‐MIS): Validation Among a Sample of First‐time Mothers
ConclusionThe SFQ‐MIS appears to be a useful and valid indicator of changes in sexual function following childbirth, such as those related to arousal, desire, and orgasm. Jawed‐Wessel S, Schick V, and Herbenick D. The Sexual Function Questionnaire's Medical Impact Scale (SFQ‐MIS): Validation among a sample of first‐time mothers. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)
Source: The Journal of Sexual Medicine - September 12, 2013 Category: Sexual Medicine Authors: Sofia Jawed‐Wessel, Vanessa Schick, Debby Herbenick Tags: Original Research Source Type: research

Does episiotomy protect against injury of the levator ani muscle in normal vaginal delivery?
ConclusionsEpisiotomy does not appear to be associated with injury to the levator ani muscle in its pubic insertion in normal vaginal delivery. Neurourol. Urodynam. © 2013 Wiley Periodicals, Inc. (Source: Neurourology and Urodynamics)
Source: Neurourology and Urodynamics - September 5, 2013 Category: Urology & Nephrology Authors: Jordi Cassadó, Antoni Pessarrodona, Monica Rodriguez‐Carballeira, Lourdes Hinojosa, Gemma Manrique, Adriana Márquez, Marina Macias Tags: Original Clinical Article Source Type: research

Modifiable risk factors of obstetric anal sphincter injury in primiparous women: a population–based cohort study
Conclusion: Epidural analgesia in itself was protective against OASIS. Vacuum extraction increased the risk of OASIS, although mediolateral episiotomy was protective when applied in deliveries assisted by vacuum extraction. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 3, 2013 Category: OBGYN Authors: Hanna Jangö, Jens Langhoff-Roos, Susanne Rosthøj, Abelone Sakse Tags: Obstetrics Source Type: research

Comparison of outcomes of perinatal care in Slovakia and the UK
Conclusion: Perinatal care outcomes and intervention rates differ between Slovakia and UK. This may be explained by differences in outcome definitions, perinatal care, and official encouragement of medical complaints. (Source: International Journal of Gynaecology and Obstetrics)
Source: International Journal of Gynaecology and Obstetrics - August 26, 2013 Category: OBGYN Authors: Alexandra Kristufkova, Miroslav Korbel, Miroslav Borovsky, Marian Knight Tags: Clinical Articles Source Type: research

Midwife-led continuity models versus other models of care for childbearing women.
CONCLUSIONS: Most women should be offered midwife-led continuity models of care and women should be encouraged to ask for this option although caution should be exercised in applying this advice to women with substantial medical or obstetric complications. PMID: 23963739 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)
Source: Cochrane Database of Systematic Reviews - August 21, 2013 Category: Journals (General) Authors: Sandall J, Soltani H, Gates S, Shennan A, Devane D Tags: Cochrane Database Syst Rev Source Type: research

[Impact of a major decrease in the use of episiotomy on perineal tears in a level III maternity ward.]
DISCUSSION: Comparing 2003 to 2010, the majority of cases with no episiotomy (over 2/3) resulted in first degree perineum lesions which are today recognized as benign lesions without any systematic need for suturing. A restrictive use of episiotomy increases the rate of intact perineum and of "non-severe" perineal lesions. PMID: 23906972 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - July 29, 2013 Category: OBGYN Authors: Chehab M, Courjon M, Eckman-Lacroix A, Ramanah R, Maillet R, Riethmuller D Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Levator haematoma at the attachment zone as an early marker for levator ani muscle avulsion
ConclusionHaematomas at the site of LAM attachment to the pubic bone always result in avulsion diagnosed three months postpartum. However, one third of avulsions are not preceded by a haematoma. (Source: Ultrasound in Obstetrics and Gynecology)
Source: Ultrasound in Obstetrics and Gynecology - July 25, 2013 Category: Radiology Authors: Kim Delft, Ranee Thakar, S. Abbas Shobeiri, Abdul H. Sultan Tags: Original Article Source Type: research

Effectiveness of nitrous oxide for postpartum perineal repair: a randomised controlled trial
Conclusion: Nitrous oxide self-administration during genital tract suturing after vaginal childbirth is a satisfactory and effective alternative to infiltrative anaesthesia. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 9, 2013 Category: OBGYN Authors: Sebastian Berlit, Benjamin Tuschy, Joachim Brade, Jade Mayer, Sven Kehl, Marc Sütterlin Tags: Obstetrics and Maternal-Fetal Medicine Source Type: research

Third- and fourth-degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors.
CONCLUSIONS: Changes in major risk factors are unlikely explanations for the observed increase in the rate of third- or fourth-degree tears. The improved recognition of tears following the implementation of a standardised classification of perineal tears is the most likely explanation. PMID: 23834484 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - July 3, 2013 Category: OBGYN Authors: Gurol-Urganci I, Cromwell D, Edozien L, Mahmood T, Adams E, Richmond D, Templeton A, van der Meulen J Tags: BJOG Source Type: research

Third‐ and fourth‐degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors
ConclusionsChanges in major risk factors are unlikely explanations for the observed increase in the rate of third‐ or fourth‐degree tears. The improved recognition of tears following the implementation of a standardised classification of perineal tears is the most likely explanation. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - July 3, 2013 Category: OBGYN Authors: I Gurol‐Urganci, DA Cromwell, LC Edozien, TA Mahmood, EJ Adams, DH Richmond, A Templeton, JH Meulen Tags: Original Article Source Type: research

Post‐partum urinary retention in a teaching hospital in southwestern Nigeria
ConclusionPost‐partum urinary retention, particularly covert retention, is a common complication of labor and delivery in our clinical practice but is rarely reported in the published work, especially from this part of the world. No factor has been found to be independently associated with its occurrence, hence there is need for vigilance in the immediate post‐partum period as most cases of urinary retention would have been avoided if women were encouraged to void early following delivery. (Source: Journal of Obstetrics and Gynaecology Research)
Source: Journal of Obstetrics and Gynaecology Research - July 2, 2013 Category: OBGYN Authors: Kayode Olusegun Ajenifuja, IfeOluwa Ololade Oyetunji, Ernest Okechukwu Orji, Clement Akinfolarin Adepiti, Olabisi Morebise Loto, Mikhail Aramide Tijani, Francis Oriola Dare Tags: Original Article Source Type: research

Pharmacogenomics: why standard codeine doses can have serious toxicities or no therapeutic effect.
Abstract Three children died in August 2012 after receiving usual doses of codeine for postoperative pain following a tonsillectomy and/or adenoidectomy (U.S. Food and Drug Administration [FDA], 2013a). Those incidents, combined with a case report of a breast-feeding infant who died in 2005 of an apparent overdose after the mother received a standard dose of codeine for episiotomy pain (Health Sciences Authority, 2009; Koren, Cairns, Chitayat, Gaedigk, & Leeder, 2006), heighten the need to understand the pharmacogenomics of codeine metabolism. PMID: 23803265 [PubMed - in process] (Source: Oncology Nursing Forum)
Source: Oncology Nursing Forum - July 1, 2013 Category: Nursing Authors: Kelly PA Tags: Oncol Nurs Forum Source Type: research

[Accidental out-of-hospital deliveries.]
Abstract Unexpected out-of-hospital delivery accounts for 0.5% of the total number of delivery in France. The parturient is placed under constant multiparametric monitoring. Fetus heart rate is monitored thanks to fetal doppler. A high concentration mask containing a 50-to-50 percent mix of O2 and NO performs analgesia. Assistance of mobile pediatric service can be required under certain circumstances such as premature birth, gemellary pregnancy, maternal illness or fetal heart rate impairment. Maternal efforts should start only when head reaches the pelvic floor, only if the rupture of the membranes is done and ...
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - June 14, 2013 Category: OBGYN Authors: Bouet PE, Chabernaud JL, Duc F, Khouri T, Leboucher B, Riethmuller D, Descamps P, Sentilhes L Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Influence of prenatal physical activity on the course of labour and delivery according to the new Polish standard for perinatal care.
Conclusions. A review of the literature shows that regular prenatal physical activity can help reduce medical interventions during labour, without having negative consequences for either the mother or the foetus. It should be an important tool to implement the Polish standard for perinatal care. There is a need to promote regular prenatal physical activity among women, medical personnel, and physical education staff. Detailed instructions for designing prenatal exercise programmes should be included in the new guidelines for physical activity during pregnancy, both in Poland and abroad. To support or negate the hypothesis ...
Source: Annals of Agricultural and Environmental Medicine : AAEM - June 9, 2013 Category: Environmental Health Authors: Szumilewicz A, Wojtyła A, Zarębska A, Drobnik-Kozakiewicz I, Sawczyn M, Kwitniewska A Tags: Ann Agric Environ Med Source Type: research

Trends in hospital-based childbirth care: the role of health insurance.
Conclusions: US hospital-based births covered by private insurance were associated with higher rates of obstetric intervention than births paid for by Medicaid. After controlling for clinical, demographic, and hospital factors, cesarean delivery rates increased more rapidly among births covered by private insurance, compared with Medicaid. Changes in insurance coverage associated with healthcare reform may impact costs and quality of care for women giving birth in US hospitals. PMID: 23725450 [PubMed - in process] (Source: The American Journal of Managed Care)
Source: The American Journal of Managed Care - June 5, 2013 Category: Health Management Authors: Kozhimannil KB, Shippee TP, Adegoke O, Vemig BA Tags: Am J Manag Care Source Type: research

Effect of Rotation on Perineal Lacerations in Forceps-Assisted Vaginal Deliveries.
CONCLUSION:: Forceps-assisted vaginal delivery after rotation of an occiput-posterior position to an occiput-anterior position is associated with less severe maternal perineal trauma than forceps-assisted delivery in the occiput-posterior position. LEVEL OF EVIDENCE:: II. PMID: 23743462 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - June 5, 2013 Category: OBGYN Authors: Bradley MS, Kaminski RJ, Streitman DC, Dunn SL, Krans EE Tags: Obstet Gynecol Source Type: research

Risk factors for obstetric anal sphincter injury after a successful multicentre interventional programme
ConclusionAfter the intervention the most significant decrease of OASIS was observed in low‐risk births, although the main risk factors for OASIS remained unchanged. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - May 20, 2013 Category: OBGYN Authors: M Stedenfeldt, P Øian, M Gissler, E Blix, J Pirhonen Tags: Original Article Source Type: research

Risk factors for obstetric anal sphincter injury after a successful multicentre interventional programme.
CONCLUSION: After the intervention the most significant decrease of OASIS was observed in low-risk births, although the main risk factors for OASIS remained unchanged. PMID: 23682573 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - May 20, 2013 Category: OBGYN Authors: Stedenfeldt M, Oian P, Gissler M, Blix E, Pirhonen J Tags: BJOG Source Type: research

Oxytocin and dystocia as risk factors for adverse birth outcomes: A cohort of low-risk nulliparous women.
CONCLUSION: in low-risk nulliparous without dystocia, we found an association between the use of oxytocin and an increased risk of instrumental vaginal birth and episiotomy. IMPLICATIONS FOR PRACTICE: careful attention should be paid to criteria for labour progression and guidelines for oxytocin augmentation to avoid unnecessary use. PMID: 23684697 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - May 16, 2013 Category: Midwifery Authors: Bernitz S, Oian P, Rolland R, Sandvik L, Blix E Tags: Midwifery Source Type: research

Rates of obstetric intervention during birth and selected maternal and perinatal outcomes for low risk women born in Australia compared to those born overseas
Background: There are mixed reports in the literature about obstetric intervention and maternal and neonatal outcomes for migrant women born in resource rich countries. The aim of this study was to compare the risk profile, rates of obstetric intervention and selected maternal and neonatal outcomes for low risk women born in Australia compared to those born overseas.MethodA population-based descriptive study was undertaken in NSW of all singleton births recorded in the NSW Midwives Data Collection between 2000--2008 (n=691,738). Risk profile, obstetric intervention rates and selected maternal and neonatal outcomes were exa...
Source: BMC Pregnancy and Childbirth - Latest articles - May 1, 2013 Category: OBGYN Authors: Hannah DahlenVirginia SchmiedCindy-Lee DennisCharlene Thornton Source Type: research

Episiotomy rate in Vietnamese-born women in Australia: support for a change in obstetric practice in Viet Nam.
CONCLUSION: Episiotomy was performed in far fewer Vietnamese-born women giving birth in Australia than in Viet Nam, where more than 85% undergo the procedure, and was not associated with adverse outcomes. A lower episiotomy rate should be achievable in Viet Nam. PMID: 23678198 [PubMed - in process] (Source: Bulletin of the World Health Organization)
Source: Bulletin of the World Health Organization - May 1, 2013 Category: Global & Universal Authors: Trinh AT, Khambalia A, Ampt A, Morris JM, Roberts CL Tags: Bull World Health Organ Source Type: research

Rates of obstetric intervention during birth and selected maternal and neonatal outcomes for low risk women born in Australia compared to those born overseas
Background: There are mixed reports in the literature about obstetric intervention and maternal and neonatal outcomes for migrant women born in resource rich countries. The aim of this study was to compare the risk profile, rates of obstetric intervention and selected maternal and neonatal outcomes for low risk women born in Australia compared to those born overseas.MethodA population-based descriptive study was undertaken in NSW of all singleton births recorded in the NSW Midwives Data Collection between 2000--2008 (n=691,738). Risk profile, obstetric intervention rates and selected maternal and neonatal outcomes were exa...
Source: BMC Pregnancy and Childbirth - Latest articles - May 1, 2013 Category: OBGYN Authors: Hannah DahlenVirginia SchmiedCindy-Lee DennisCharlene Thornton Source Type: research