Publications by authors named "E J Hotton"
Background: The first feasibility study of the OdonAssist inflatable device for use in clinically indicated assisted vaginal birth reported a success rate of 48% with no significant safety concerns. Additional studies exploring the device performance in other clinical settings are warranted before definitive conclusions can be drawn about its safety and efficacy in current practice.
Objective: This study aimed to investigate the safety and efficacy of the OdonAssist before conducting a randomized controlled trial.
Background: Decreasing rates of assisted vaginal birth have been paralleled with increasing rates of cesarean deliveries over the last 40 years. The OdonAssist is a novel device for assisted vaginal birth. Iterative changes to clinical parameters, device design, and technique have been made to improve device efficacy and usability.
View Article and Find Full Text PDFAssisted vaginal birth in 21st century: current practice and new innovations.
Am J Obstet Gynecol
March 2024
Assisted vaginal birth rates are falling globally with rising cesarean delivery rates. Cesarean delivery is not without consequence, particularly when carried out in the second stage of labor. Cesarean delivery in the second stage is not entirely protective against pelvic floor morbidity and can lead to serious complications in a subsequent pregnancy.
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- The study investigates patient preferences for the outpatient care of gynaecological cancers in the UK and compares these with healthcare professionals' views.
- Using a mixed methods approach, including surveys from 159 patients and 54 healthcare practitioners, the research found a strong preference (89%) among patients for care in dedicated gynaecological oncology settings.
- The findings highlight that many healthcare professionals may not fully appreciate the importance of separate care environments for cancer patients, as many don't prioritize distinct times or locations for them.
Background: Recruitment to intrapartum research is complex. Women are expected to understand unfamiliar terminology and assess potential harm versus benefit to their baby and themselves, often when an urgent intervention is required. Time pressures of intrapartum interventions are a major challenge for recruitment discussions taking place during labour, with research midwives expected to present, discuss and answer questions whilst maintaining equipoise.
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