Publications by authors named "D Korb"
Background: The optimal duration of second stage of labor has been largely discussed in literature, but there are no uniformly accepted contemporary criteria for defining normal or abnormal length. Available evidence suggests that longer duration of second stage of labor is associated with a lower rate of spontaneous vaginal delivery and increased maternal morbidity. On the neonatal side, it seems that longer second stage doesn't affect new-born morbidity, in a context of very rare neonatal complications.
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- This study investigated the incidence and risk factors for complete uterine rupture among women attempting vaginal birth after cesarean delivery (VBAC) over a 16-year period in France.
- Out of 48,124 patients with a prior cesarean section, 65.8% attempted a VBAC, with a uterine rupture rate of 0.63%.
- Key findings indicated that prior vaginal delivery decreased the risk of uterine rupture, while labor induction increased it; additionally, specific factors during spontaneous labor, like a low Bishop score and an arrest of cervical dilation, also heightened the risk.
Article Synopsis
- Twin pregnancies and prior cesarean delivery can lead to risks in vaginal delivery, particularly postpartum hemorrhage (PPH).
- A study analyzed the delivery methods and PPH rates in women with twin pregnancies and one previous cesarean, finding no significant difference in PPH risk between those opting for vaginal versus cesarean delivery.
- Ultimately, the research concluded that the chosen mode of delivery does not significantly impact the likelihood of postpartum hemorrhage in this patient group.
Article Synopsis
- Eclampsia, a rare and serious complication of hypertensive disorders in pregnancy, shows an incidence of 2.8 per 10,000 births, highlighting its potential for being preventable with better care.
- A study analyzed the care quality provided to women with eclampsia compared to those with severe maternal morbidity from non-eclamptic high blood pressure and found significant inadequacies in antenatal (39% inadequate), pre-eclampsia (76% inadequate), and eclampsia care (50% inadequate).
- The findings indicate a critical need for improved, evidence-based standards for managing hypertensive disorders during pregnancy to prevent adverse outcomes for mothers and their babies.