4,151 results match your criteria: "Forceps Delivery"
Effects of Warm Compresses on the Perineal Area During the Active Phase of Labor: A Quasi-Experimental Study.
Cureus
August 2024
College of Nursing, King Abdulaziz University, Jeddah, SAU.
Article Synopsis
- A perineal tear is an injury to the female genitalia during childbirth, which can happen naturally or due to surgical procedures like episiotomies, and ineffective pain management can lead to adverse effects.
- This study analyzed the impact of using warm compresses on perineal pain during labor by dividing 80 mothers into intervention and control groups, with measurements gathered on pain levels and perineal outcomes.
- Results showed that mothers who used warm compresses reported lower pain scores during various labor stages and had a higher percentage of intact perineums compared to those who did not use this method.*
RidStress 2 randomised controlled trial protocol: an Australian phase III clinical trial of intrapartum sildenafil citrate or placebo to reduce emergency caesarean birth for fetal distress in women with small or suboptimally grown infants at term (≥37 weeks).
BMJ Open
September 2024
Mater Research Institute The University of Queensland, South Brisbane, Queensland, Australia
Article Synopsis
- - The RidStress 2 trial is a phase III study investigating whether maternal oral sildenafil citrate during labor can reduce the need for emergency caesarean sections due to fetal distress in women with small for gestational age infants.
- - The trial involves 660 women and aims to determine the effect of sildenafil citrate on cesarean rates, along with assessing cost-effectiveness and long-term child neurodevelopment.
- - Ethics approval has been secured, and results will be shared through scientific presentations and publications, with the trial registered with relevant clinical trial authorities.
Understanding health-related quality of life after hypospadias repair: A qualitative study with pre-adolescent males and parents.
J Pediatr Urol
December 2024
Department of Pediatrics, Division of Psychology, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
Article Synopsis
- Hypospadias is a birth defect affecting 1 in 200 males in the U.S., leading to significant long-term complication rates and impacting psychological, social, and sexual health.
- A qualitative study was conducted involving interviews with 8-12-year-old boys with hypospadias and their parents to explore health-related quality of life and care priorities.
- Key findings revealed three main themes: concerns about physical aspects (Penile Factors), psychological and social pressures (Psychosocial Concerns), and expectations regarding medical care, highlighting differences in perspectives between children and parents, especially among those from disadvantaged backgrounds.
Transformative applications of additive manufacturing in biomedical engineering: bioprinting to surgical innovations.
J Med Eng Technol
May 2024
Department of Mechanical Engineering, Sri Krishna College of Technology, Coimbatore, India.
Article Synopsis
- - This paper explores the various applications of additive manufacturing (AM) in biomedical engineering, focusing on its transformative effects in areas like organ transplantation and regenerative medicine through bioprinting technologies.
- - It highlights the customization of implants and prosthetics, showing how these tailored medical devices improve patient comfort and surgical precision while discussing the role of 3D-printed models in enhancing surgical outcomes.
- - The review also covers AM's contributions to drug delivery systems and personalized medical products, addressing issues like regulatory frameworks and biocompatibility, while considering the future impact of AM on global health and sustainability.
Risk of Instrumental Delivery in Maternal Obesity: Estimates With Measures of Effect Size.
Ochsner J
January 2024
The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA.
Article Synopsis
- Obesity, defined as a body mass index ≥30 kg/m², is widespread in the U.S. and linked to various health risks; the study focuses on its effect on the need for instrumental vaginal delivery during childbirth.
- This retrospective study analyzed data from women in active labor to evaluate the association of maternal obesity with the incidence of instrumental deliveries, using effect size measures for better accuracy compared to frequentist tests.
- The findings indicated that while maternal obesity was more common in women with certain health issues, it did not have a significant clinical impact on the need for instrumental delivery.
Risk of cervical laceration in forceps vs vacuum delivery: A systematic review and meta-analysis.
Acta Obstet Gynecol Scand
September 2024
Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.
Article Synopsis
- Cervical laceration during delivery can lead to serious complications like severe postpartum hemorrhage and preterm birth; the study aims to assess the risk of such injuries between forceps and vacuum-assisted deliveries.
- The systematic review included 13 studies, revealing a higher rate of cervical laceration with forceps deliveries (1.04%) compared to vacuum deliveries (0.22%), suggesting a risk increase of 2-5 times for forceps.
- Overall, the quality of evidence was low to moderate, with a notable lack of attention to confounding factors in observational studies, leading to a very low certainty of evidence for those and moderate for randomized controlled trials (RCTs).*
Dispelling Confusion About the Effect of Episiotomy With Operative Vaginal Delivery: A Reply to "Large Databases Cannot Illuminate Practice Variation in the Use of Episiotomy".
J Obstet Gynaecol Can
August 2024
Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC; School of Population and Public Health, University of British Columbia, Vancouver, BC.
Letter to the Editor: Large Databases Cannot Illuminate Practice Variation in the Use of Episiotomy.
J Obstet Gynaecol Can
August 2024
Department of Family Practice, University of British Columbia, BC; Department of Pediatrics, University of British Columbia, BC. Electronic address:
Defining mode of delivery as 'instrumental vaginal delivery': are results generalizable to both forceps and vacuum?
Am J Obstet Gynecol
August 2024
Department of Obstetrics and Gynecology, McMaster University, Faculty of Health Sciences, Hamilton, ON, Canada; Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; Clinical Epidemiology Unit, Department of Medicine, Solna, Karolinska Institute, Stockholm, Sweden. Electronic address:
Rotational Forceps: Which technique is superior for blade insertion? A simulation study comparing direct, first posterior, and wandering maneuvers.
Eur J Obstet Gynecol Reprod Biol
October 2024
Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain; School of medicine. Universidad Autónoma de Madrid, Spain.
Article Synopsis
- The study aimed to compare three maneuvers (direct, first posterior, and wandering) for inserting Kielland's forceps during simulated rotational operative births.
- A total of 144 births were simulated, with experienced obstetricians and trainees performing the maneuvers, focusing on factors like blade placement and difficulty.
- Results showed that while the direct maneuver provided the best blade placement, there were no significant differences in operator difficulty or need for reinsertions among the three methods.
Laparoscopic Management of a Trapped Placenta Following Normal Delivery in a Woman With a Mullerian Anomaly.
Cureus
July 2024
Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, TUR.
Article Synopsis
- A 28-year-old woman who got pregnant through IVF had her baby early at 33 weeks, but the placenta stayed inside her unusual-shaped uterus.
- Doctors tried to remove it manually but couldn’t due to complications, so they used medicine and antibiotics to help.
- Eventually, they decided to remove the placenta with a small surgery instead of a bigger one, and everything went well; the woman recovered and went home without any problems.
Transplantation of miR-145a-5p modified M2 type microglia promotes the tissue repair of spinal cord injury in mice.
J Transl Med
August 2024
State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Department of Medical Genetics and Developmental Biology, Fourth Military Medical University, Xi'an, 710032, China.
Background: The traumatic spinal cord injury (SCI) can cause immediate multi-faceted function loss or paralysis. Microglia, as one of tissue resident macrophages, has been reported to play a critical role in regulating inflammation response during SCI processes. And transplantation with M2 microglia into SCI mice promotes recovery of motor function.
View Article and Find Full Text PDFThe efficacy and safety of cervical polypectomy with vaginoscopy in pregnant women.
Arch Gynecol Obstet
October 2024
Department of Obstetrics and Gynecology, Beijing Tiantan Hospital, Capital Medical University, No. 119, South Fourth Ring West Road, Fengtai District, Beijing, 100070, China.
Article Synopsis
- This study evaluates the safety and effectiveness of cervical polypectomy using vaginoscopy in pregnant women diagnosed with cervical polyps.
- Two groups were compared: one group underwent the polypectomy procedure with vaginoscopy while the other received conservative management.
- Results showed that the vaginoscopy group experienced fewer instances of preterm birth and premature rupture of membranes, suggesting it may be a safer option for managing cervical polyps during pregnancy.
Postpartum haemorrhage management: A randomized controlled trial comparing transvaginal uterine artery clamp, vacuum-assisted uterine contraction and condom tamponade.
Eur J Obstet Gynecol Reprod Biol
September 2024
Department of Obstetrics and Gynaecology, Rajagiri Hospital, Kochi, Kerala, India.
Article Synopsis
- The study aimed to evaluate the effectiveness of three interventions—transvaginal uterine artery clamp (TVUAC), suction cannula (SC), and condom tamponade (CT)—for managing postpartum hemorrhage (PPH), a serious condition that can lead to maternal mortality.
- Conducted as a randomized controlled trial, the researchers looked at women who experienced atonic PPH after vaginal delivery, measuring outcomes like blood loss and the time needed for each intervention to work.
- Results indicated that both TVUAC and SC were similarly effective in managing blood loss, while CT performed worse, highlighting the need for further research in effective PPH management strategies.
PRKAG2 syndrome, a rare hypertrophic cardiomyopathy: a Brazilian long-term follow-up with extracardiac disorders.
Einstein (Sao Paulo)
July 2024
Medical Science Department, School of Medicine, University of Girona, Girona, Spain.
Article Synopsis
- The study focused on long-term outcomes of PRKAG2 syndrome, a rare genetic disorder that can cause serious heart problems and arrhythmias.
- A cohort of 66 individuals was analyzed, revealing that those with the p.K290I gene mutation faced a high rate of severe health issues, including cardiac events and complications during childbirth.
- Findings emphasize the importance of early diagnosis and intervention to improve patient outcomes, while also suggesting a need for further research into related neurological and pregnancy complications.
Temporal trends and regional variations in operative vaginal deliveries in Japan: A national representative cohort study.
J Obstet Gynaecol Res
September 2024
General Center for Perinatal, Maternal and Neonatal Medicine, Niigata University Medical and Dental Hospital, Niigata, Japan.
Article Synopsis
- The study aimed to analyze trends and regional differences in operative vaginal delivery (OVD) practices in Japan from 2014 to 2021 using national health data.
- During this period, OVDs constituted 8.4% of total births, with increasing trends in both vacuum (from 7.0% to 8.7%) and forceps (from 0.6% to 1.0%) deliveries, as well as variations in forceps use across different regions.
- The results suggest that while the use of vacuum deliveries is likely to continue rising, forceps deliveries may stabilize, pointing to significant disparities in delivery methods based on geographical areas.
Urinary incontinence, faecal incontinence and pelvic organ prolapse symptoms 20-26 years after childbirth: A longitudinal cohort study.
BJOG
December 2024
Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Objective: To investigate pelvic floor dysfunction (PFD; urinary incontinence (UI), faecal incontinence (FI) and prolapse) ≥20 years after childbirth and their association with delivery mode history and demographic characteristics.
Design: Cohort study with long-term follow-up.
Setting: Maternity units in Aberdeen and Birmingham (UK) and Dunedin (NZ).
Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population.
Int J Gynaecol Obstet
January 2025
Department of Urogynecology, National Institute of Perinatology, Mexico City, Mexico.
Objective: This study describes the frequency of obstetric anal sphincter injuries (OASIS) in patients after instrumental delivery according to the type of forceps used.
Methods: A retrospective comparative cohort study was conducted on patients who underwent instrumental delivery from January 2017 to April 2022. The primary outcome was the presence of OASIS following delivery.
Emerging Biomedical and Clinical Applications of 3D-Printed Poly(Lactic Acid)-Based Devices and Delivery Systems.
Bioengineering (Basel)
July 2024
Department of Breast Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Poly(lactic acid) (PLA) is widely used in the field of medicine due to its biocompatibility, versatility, and cost-effectiveness. Three-dimensional (3D) printing or the systematic deposition of PLA in layers has enabled the fabrication of customized scaffolds for various biomedical and clinical applications. In tissue engineering and regenerative medicine, 3D-printed PLA has been mostly used to generate bone tissue scaffolds, typically in combination with different polymers and ceramics.
View Article and Find Full Text PDFObjective: To determine the prevalence and secular trends of obstetric anal sphincter injuries (OASIS) in vacuum and forceps deliveries in Norway, both with and without episiotomy.
Design: Population-based real-world data collected during 2001-2018.
Setting: Medical Birth Registry Norway.
Subgaleal Collection: An Unusual Presentation of a Scalp Mass in a Pediatric Patient.
Cureus
June 2024
Department of Radiology, Texas Tech University Health Sciences Center, Lubbock, USA.
Subgaleal fluid collection is a rare phenomenon of scalp swelling among young infants and, in many cases, adolescents. As fluid accumulates in the subgaleal space, it presents as a soft, ill-defined, fluctuant, mobile swelling not limited to suture lines. This condition is associated with vacuum-assisted devices and forceps during delivery in infancy.
View Article and Find Full Text PDFA randomized controlled trial reducing cesarean delivery rates in China by introducing trial of labor after cesarean and electrohysterography.
J Matern Fetal Neonatal Med
December 2024
Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands.
Objective: A cesarean delivery (CD) can affect health of both mother and child and future pregnancies. Since the abandonment of the one-child policy in China, obstetricians tend to perform a repeat CD rather than a trial of labor after cesarean (TOLAC). This study aims to reduce CD rates by increasing vaginal births after cesarean (VBAC) rates and introducing electrohysterography (EHG) for accurate monitoring.
View Article and Find Full Text PDFRisk factors for postpartum hemorrhage according to the Robson classification in a low-risk maternity hospital.
Rev Bras Ginecol Obstet
June 2024
Department of Obstetrics Escola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Objective: To evaluate the risk factors for postpartum hemorrhage (PPH) according to the Robson Classification in a low-risk maternity hospital.
Methods: We conducted retrospective cohort study by analyzing the medical records of pregnant women attended in a low-risk maternity hospital, during from November 2019 to November 2021. Variables analyzed were: maternal age, type of delivery, birth weight, parity, Robson Classification, and causes of PPH.
The Risk Factors of Postpartum Urinary Retention for Women by Vaginal Birth: A Systematic Review and Meta-Analysis.
Int Urogynecol J
September 2024
School of Nursing, Fengtai District, Capital Medical University, No. 10, Xitoutiao, Youan Men, Beijing, China.
Introduction And Hypothesis: Postpartum urinary retention is one of the most common complications in women during the immediate postpartum period. The objective was to systematically assess risk factors for postpartum urinary retention after vaginal delivery.
Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses, we retrieved relevant studies from PubMed, Embase, Cochrane Library, Web of Science Core Collection, China National Knowledge Internet, Wangfang Database, and Chinese Biomedical Database for observational studies investigating the risk factors for postpartum urinary retention from inception to 11 November 2022.
Obstetric and anesthetic management in parturients with ventriculoperitoneal shunt: a case series.
J Anesth
October 2024
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 1St Street S.W, Rochester, MN, 55905, USA.
Article Synopsis
- Further research is necessary to find the safest delivery and anesthesia methods for pregnant women with ventriculoperitoneal shunts (VP).
- Recent findings suggest that both vaginal delivery and neuraxial anesthesia can be safe options for these women, contrary to the previous recommendation of cesarean delivery.
- In a case series of 15 women with VP shunts, various delivery methods were utilized, and neuraxial anesthesia was performed without complications, indicating it should be considered for appropriately functioning VP shunts.