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"It's a breech, and what now?": A decision-aid tool to help clinicians counsel women with breech presentation near term.
Eur J Obstet Gynecol Reprod Biol
December 2024
Faculdade de Medicina, Universidade de Lisboa, Portugal; CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Portugal.
Article Synopsis
- Management options for breech presentation include vaginal delivery, cesarean delivery, and external cephalic version, which require detailed discussions about risks and recovery.
- A decision aid tool for clinicians was created through literature review and expert input, followed by evaluation with obstetricians.
- This tool received unanimous agreement from participants, demonstrating strong consensus and effectiveness in aiding shared decision-making for pregnant women with breech presentations.
Lessons learned from a case of placenta previa totalis complicated by placenta accreta spectrum: Importance of timely decision-making.
Int J Surg Case Rep
December 2024
Department of Obstetrics and Gynecology, Tishreen University, Lattakia, Syria.
Introduction And Clinical Importance: Placenta previa (PP) is characterized by abnormal placental placement in the lower uterine segment, obstructing the cervical opening. Placenta previa totalis (PPT) occurs when the placenta completely covers the internal cervical os. This condition can lead to placenta accreta spectrum (PAS), where the placenta adheres abnormally to the uterine wall, complicating separation.
View Article and Find Full Text PDFIntegration and acceptability of cervical cancer screening as part of postnatal care among women attending postnatal clinics in the Accra Metropolis, Greater Accra Region, Ghana.
PLOS Glob Public Health
December 2024
Department of Medical Laboratory Sciences, University of Health and Allied Sciences, Ho, Ghana.
Cervical cancer is a recognized preventable disease yet the fourth most common cancer among women globally. This study assessed the integration and acceptability of cervical cancer screening as part of routine sixth-week postnatal care among women attending a postnatal clinic. This was a cross-sectional descriptive study among 347 postpartum women who were attending their 6th-week postnatal visit.
View Article and Find Full Text PDFUse of intrauterine dextrose as an alternative to systemic antibiotics for treatment of clinical metritis in dairy cattle: a microbiome perspective.
Front Vet Sci
December 2024
Intergraduate Degree Program in Integrative and Biomedical Physiology, Huck Institutes of the Life Sciences, The Pennsylvania State University, University Park, PA, United States.
Introduction: Clinical metritis (CM) has significant costs to dairy producers. Current treatment strategy involves systemic antibiotics; however, there is increasing concern about judicious antibiotic use. The study objective was to evaluate the effects of a non-antibiotic treatment vs.
View Article and Find Full Text PDFShock index reference ranges in the first 48 h postpartum following elective cesarean delivery: A prospective cohort study.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Purpose: To determine the reference values for the shock index (SI) in postpartum patients undergoing elective cesarean delivery with regional anesthesia.
Methods: This prospective study was conducted at our tertiary center between August 1, 2023, and March 1, 2024. We calculated the reference values for the SI within the first 48 h postpartum for patients who underwent elective cesarean delivery after the 34th week of gestation.
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