Factors that Influence Treatment Delay for Patients with Breast Cancer.

Introduction: The diagnosis or treatment of breast cancer is sometimes delayed. A lengthy delay may have a negative psychological impact on patients. The aim of our study was to evaluate the sociodemographic, clinical and pathological factors associated with delay in the provision of surgical treatment for localised breast cancer, in a prospective cohort of patients.

Patient opinion of analgesia during external cephalic version at term in singleton pregnancy.

To assess the opinion and the level of satisfaction of patients concerning analgesia during external cephalic version (ECV), we present the results of a survey of 120 women undergoing ECV at term during a randomised controlled trial (July 2012 to February 2013) comparing remifentanil and nitrous oxide. Overall, 110 (91.7%) women said they would repeat the procedure and 111 (92.

Induction of labor in breech presentation at term: a retrospective cohort study.

Objective: To compare the outcome of two methods of labor induction and spontaneous onset of labor in breech presentation at term.

Material: A retrospective study between 2003 and 2012. We compare obstetric (indication of induction, Bishop score, cesarean rate) and perinatal outcomes (Apgar score, umbilical artery pH, base excess ≤-12 mmol/L, admission to neonatal unit) between prostaglandins and oxytocin.

Increased pain relief with remifentanil does not improve the success rate of external cephalic version: a randomized controlled trial.

Introduction: Our objective was to compare the effect of two pain relief methods (remifentanil vs. nitrous oxide) on the success rate of external cephalic version.

Material And Methods: We conducted a randomized open label parallel-group controlled single-center clinical trial with sequential design, at Cruces University Hospital, Spain.

Effect of maternal intravenous fluid therapy on external cephalic version at term: a prospective cohort study.

Objective: We sought to analyze whether maternal intravenous fluid therapy prior to external cephalic version (ECV) increases the amount of amniotic fluid and the success rate of the procedure.

Study Design: This was a prospective single-center cohort study of 200 women with a consecutive cohort of 100 pregnant women with a breech presentation at term who were administered intravenous fluid therapy with 2 L of hypotonic saline before the version attempt, compared to a control cohort of 100 pregnant women not given hydration treatment.

Results: The mean increase in the amniotic fluid index (AFI) after intravenous maternal hydration was 3.

Nitrous oxide for analgesia in external cephalic version at term: prospective comparative study.

Objective: The objective of this study was to analyze the effect of using inhaled nitrous oxide (N2O) for analgesia in external cephalic version (ECV) at term on the success rate of the procedure, on pain, and on obstetric and perinatal outcomes.

Methods: A prospective comparative cohort study among 300 women with singleton pregnancy in breech presentation at term undergoing an ECV with inhaled N2O in a 50:50 mix with oxygen for analgesia and 150 ECVs with no analgesia.

Results: The success rate was 52.

Induction at 41 weeks increases the risk of caesarean section in a hospital with a low rate of caesarean sections.

Objective: To analyse the impact of a change in the management of prolonged pregnancies from inducing labour at 42(+0) to induction at 41(0-6).

Design: Retrospective cohort study.

Methods: Analysis of 3563 single pregnancies with cephalic presentation of ≥ 41 weeks of gestation delivered in Cruces University Hospital (Spain).

Clinical score for the outcome of external cephalic version: a two-phase prospective study.

Aim: To design a score based on clinical parameters to predict the outcome of external cephalic versions (ECVs) at term.

Materials And Methods: A two-phase study was conducted (analysis/design and prospective validation) regarding 1000 versions performed between March 2002 and November 2010. The variables considered in the score were selected based on the results of multiple logistic regression models and multiple correspondence analyses published by our group.

Oxytocin versus dinoprostone vaginal insert for induction of labor after previous cesarean section: a retrospective comparative study.

Objective: To compare the efficacy and safety of two methods for induction of labor after previous cesarean section.

Methods: To compare 247 women with a previous cesarean section who were induced with a dinoprostone vaginal insert and 279 women with a previous cesarean section induced with oxytocin, between 2001 and 2008. We evaluated vaginal delivery rate, maternal morbidity and newborn morbidity and mortality.

A prospective study of the factors associated with the success rate of external cephalic version for breech presentation at term.

Objective: To determine the factors associated with the success rate of external cephalic version (ECV) for breech presentation at term.

Methods: A prospective analysis of 500 ECV maneuvers. The variables maternal age, maternal weight, body mass index, previous cesarean delivery, gestational age, parity, amount of amniotic fluid, placental location, and type of breech were studied using logistic regression analysis.

Atosiban vs. ritodrine as a tocolytic in external cephalic version at term: a prospective cohort study.

Objective: To compare the success rate of external cephalic version (ECV) at term using ritodrine or atosiban as a tocolytic agent.

Study Design: Prospective cohort study with a sample of 236 pregnant women with a breech presentation at term, from November 2006 to March 2008. Data have been analyzed from the moment the cephalic version is performed until the time of delivery.

Does fetal weight estimated by ultrasound really affect the success rate of external cephalic version?

OBJECTIVE. To determine whether fetal weight estimated by ultrasound on the day the external cephalic version (ECV) is related to the procedure's success rate. DESIGN.

Ovarian hyperstimulation secondary to ectopic secretion of follicle-stimulating hormone. Literature review prompted by a case.

Objective: To present an exceptional clinical case of functional follicle-stimulating gonadotropin secretion by a thorax neuroendocrine carcinoid tumor.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, Cruces University Hospital, Vizcaya, Spain.