Induction of labor (IOL) in nulliparas with premature rupture of membranes (PROM) and an unfavorable cervix at term poses challenges. Our study sought to investigate the impact of prostaglandin E2 (PGE2) compared to oxytocin on the duration of IOL in this specific group of parturients. : This was retrospective matched-case study.
View Article and Find Full Text PDF: Polyhydramnios is associated with an increased risk of various adverse pregnancy outcomes, yet complications during labor have not been sufficiently studied. We assessed the labor and perinatal outcomes of idiopathic polyhydramnios during term labor. : Retrospective cohort study at a tertiary medical center between 2010 and 2014.
View Article and Find Full Text PDFPurpose: Parturients with a history of a cesarean delivery (CD) in the first delivery (P1), undergoing induction of labor (IOL) in the subsequent delivery (P2) are at increased risk for obstetric complications. The primary aim was to study if "the stage of labor" at previous cesarean (elective/latent/first/second) is associated with a successful IOL. The secondary aim was to search for other obstetric characteristics associated with a successful IOL.
View Article and Find Full Text PDFEur J Obstet Gynecol Reprod Biol
May 2019
Objectives: To identify risk factors and complications associated with 3 stage of labor removal of placental fragments (3 SRPF) by manual uterine revision under a strict protocol.
Study Design: Ten years retrospective register-based cohort study of vaginal deliveries. Women with 3 SRPF n = 3297 (exposed) and those without n = 97,888 (non exposed) were compared.
Objective: To estimate the rate of delivery of the nonpresenting twin first and to identify risk factors for such an event by using a cohort of opposite-sex twins for whom the intrauterine order was well documented with ultrasonography before delivery.
Methods: We conducted a retrospective cohort study of all opposite-sex dichorionic twins in a single tertiary center between 2002 and 2016. Reports of ultrasonograms performed less than 2 weeks before birth were reviewed for information on twins' presenting order in relation to fetal sex.
Background: Preterm birth at very low birth weight (VLBW, <1500g) has a multitude of consequences that extend to various aspects of adult life. Little is known about the long-term reproductive outcome of VLBW that survive to adulthood.
Aims: To evaluate the reproductive outcome of VLBW infants who survive to adulthood (next-generation).
Introduction: Epidural analgesia has been considered a risk factor for labor dystocia at trial of labor after cesarean (TOLAC) and uterine rupture. We evaluated the association between exposure to epidural during TOLAC and mode of delivery and maternal-neonatal outcomes.
Materials And Methods: A single center retrospective study of women that consented to TOLAC within a strict protocol between 2006 and 2013.
Use of hormone contraceptives (HC) is very popular in the reproductive age and, therefore, evaluation of ovarian reserve would be a useful tool to accurately evaluate the reproductive potential in HC users. We conducted a retrospective cohort study of 41 HC users compared to 57 non-HC users undergoing IVF-preimplantation genetic diagnosis (PGD) aiming to evaluate the effect of HC on the levels of anti-Mullerian hormone (AMH), small (2-5 mm), large (6-10 mm) and total antral follicle count (AFC) and the ability of these markers to predict IVF outcome. Significant differences in large AFC (p = 0.
View Article and Find Full Text PDFAim: To evaluate the effect of elective induction at term for women with gestational diabetes mellitus (GDM) on the risk for cesarean delivery.
Study Design: This is a retrospective case-control matched study, based on a single-center computerized database, 2005-2011. The medical records were reviewed for GDM management and glycemic control.
Objective: Varix of the fetal intra-abdominal umbilical vein (VFIUV) has been reported to be associated with an increased risk of adverse perinatal outcome and especially with intra-uterine fetal demise (IUFD). Induction of preterm birth, as early as 32-34 weeks gestation has been suggested to minimize this risk. We aimed to evaluate our center experience with the antenatal diagnosis of VFIUV and review the relevant literature.
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