Systems for the delivery of drugs to target sites of pharmacological actions. Technologies employed include those concerning drug preparation, route of administration, site targeting, metabolism, and toxicity.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
Forms to which substances are incorporated to improve the delivery and the effectiveness of drugs. Drug carriers are used in drug-delivery systems such as the controlled-release technology to prolong in vivo drug actions, decrease drug metabolism, and reduce drug toxicity. Carriers are also used in designs to increase the effectiveness of drug delivery to the target sites of pharmacological actions. Liposomes, albumin microspheres, soluble synthetic polymers, DNA complexes, protein-drug conjugates, and carrier erythrocytes among others have been employed as biodegradable drug carriers.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
The concept concerned with all aspects of providing and distributing health services to a patient population.
The introduction of functional (usually cloned) GENES into cells. A variety of techniques and naturally occurring processes are used for the gene transfer such as cell hybridization, LIPOSOMES or microcell-mediated gene transfer, ELECTROPORATION, chromosome-mediated gene transfer, TRANSFECTION, and GENETIC TRANSDUCTION. Gene transfer may result in genetically transformed cells and individual organisms.
Nanometer-sized particles that are nanoscale in three dimensions. They include nanocrystaline materials; NANOCAPSULES; METAL NANOPARTICLES; DENDRIMERS, and QUANTUM DOTS. The uses of nanoparticles include DRUG DELIVERY SYSTEMS and cancer targeting and imaging.
Techniques and strategies which include the use of coding sequences and other conventional or radical means to transform or modify cells for the purpose of treating or reversing disease conditions.
DNA molecules capable of autonomous replication within a host cell and into which other DNA sequences can be inserted and thus amplified. Many are derived from PLASMIDS; BACTERIOPHAGES; or VIRUSES. They are used for transporting foreign genes into recipient cells. Genetic vectors possess a functional replicator site and contain GENETIC MARKERS to facilitate their selective recognition.
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
An infant during the first month after birth.
Relating to the size of solids.
Strongly cationic polymer that binds to certain proteins; used as a marker in immunology, to precipitate and purify enzymes and lipids. Synonyms: aziridine polymer; Epamine; Epomine; ethylenimine polymer; Montrek; PEI; Polymin(e).
Compounds formed by the joining of smaller, usually repeating, units linked by covalent bonds. These compounds often form large macromolecules (e.g., BIOPOLYMERS; PLASTICS).
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
Onset of OBSTETRIC LABOR before term (TERM BIRTH) but usually after the FETUS has become viable. In humans, it occurs sometime during the 29th through 38th week of PREGNANCY. TOCOLYSIS inhibits premature labor and can prevent the BIRTH of premature infants (INFANT, PREMATURE).
Artificial, single or multilaminar vesicles (made from lecithins or other lipids) that are used for the delivery of a variety of biological molecules or molecular complexes to cells, for example, drug delivery and gene transfer. They are also used to study membranes and membrane proteins.
Dosage forms of a drug that act over a period of time by controlled-release processes or technology.
A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)
Nanometer-sized, hollow, spherically-shaped objects that can be utilized to encapsulate small amounts of pharmaceuticals, enzymes, or other catalysts (Glossary of Biotechnology and Nanobiotechnology, 4th ed).
Chemistry dealing with the composition and preparation of agents having PHARMACOLOGIC ACTIONS or diagnostic use.
The branch of medicine concerned with the application of NANOTECHNOLOGY to the prevention and treatment of disease. It involves the monitoring, repair, construction, and control of human biological systems at the molecular level, using engineered nanodevices and NANOSTRUCTURES. (From Freitas Jr., Nanomedicine, vol 1, 1999).
CHILDBIRTH before 37 weeks of PREGNANCY (259 days from the first day of the mother's last menstrual period, or 245 days after FERTILIZATION).
A biocompatible polymer used as a surgical suture material.
The preparation, mixing, and assembling of a drug. (From Remington, The Science and Practice of Pharmacy, 19th ed, p1814)
The application of suitable drug dosage forms to the skin for either local or systemic effects.
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
Deacetylated CHITIN, a linear polysaccharide of deacetylated beta-1,4-D-glucosamine. It is used in HYDROGEL and to treat WOUNDS.
Transmission of energy or mass by a medium involving movement of the medium itself. The circulatory movement that occurs in a fluid at a nonuniform temperature owing to the variation of its density and the action of gravity. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed; Webster, 10th ed)
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
A family of non-enveloped viruses infecting mammals (MASTADENOVIRUS) and birds (AVIADENOVIRUS) or both (ATADENOVIRUS). Infections may be asymptomatic or result in a variety of diseases.
Uptake of substances through the SKIN.
Extraction of the fetus by means of obstetrical instruments.
Polymers of ETHYLENE OXIDE and water, and their ethers. They vary in consistency from liquid to solid depending on the molecular weight indicated by a number following the name. They are used as SURFACTANTS, dispersing agents, solvents, ointment and suppository bases, vehicles, and tablet excipients. Some specific groups are NONOXYNOLS, OCTOXYNOLS, and POLOXAMERS.
Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.
A genus of the family PARVOVIRIDAE, subfamily PARVOVIRINAE, which are dependent on a coinfection with helper adenoviruses or herpesviruses for their efficient replication. The type species is Adeno-associated virus 2.
Small uniformly-sized spherical particles, of micrometer dimensions, frequently labeled with radioisotopes or various reagents acting as tags or markers.
Elements of limited time intervals, contributing to particular results or situations.
Colloids formed by the combination of two immiscible liquids such as oil and water. Lipid-in-water emulsions are usually liquid, like milk or lotion. Water-in-lipid emulsions tend to be creams. The formation of emulsions may be aided by amphiphatic molecules that surround one component of the system to form MICELLES.
The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome.
A carrier or inert medium used as a solvent (or diluent) in which the medicinally active agent is formulated and or administered. (Dictionary of Pharmacy, 1986)
The development and use of techniques to study physical phenomena and construct structures in the nanoscale size range or smaller.
In females, the period that is shortly after giving birth (PARTURITION).
Materials which have structured components with at least one dimension in the range of 1 to 100 nanometers. These include NANOCOMPOSITES; NANOPARTICLES; NANOTUBES; and NANOWIRES.
Organized services to provide health care to expectant and nursing mothers.
Tree-like, highly branched, polymeric compounds. They grow three-dimensionally by the addition of shells of branched molecules to a central core. The overall globular shape and presence of cavities gives potential as drug carriers and CONTRAST AGENTS.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
The application of scientific knowledge or technology to pharmacy and the pharmaceutical industry. It includes methods, techniques, and instrumentation in the manufacture, preparation, compounding, dispensing, packaging, and storing of drugs and other preparations used in diagnostic and determinative procedures, and in the treatment of patients.
Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.
The transfer of bacterial DNA by phages from an infected bacterium to another bacterium. This also refers to the transfer of genes into eukaryotic cells by viruses. This naturally occurring process is routinely employed as a GENE TRANSFER TECHNIQUE.
A malpresentation of the FETUS at near term or during OBSTETRIC LABOR with the fetal cephalic pole in the fundus of the UTERUS. There are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips partially or fully extended; the frank breech with flexed hips and extended knees.
Synthetic or natural materials, other than DRUGS, that are used to replace or repair any body TISSUES or bodily function.
The uptake of naked or purified DNA by CELLS, usually meaning the process as it occurs in eukaryotic cells. It is analogous to bacterial transformation (TRANSFORMATION, BACTERIAL) and both are routinely employed in GENE TRANSFER TECHNIQUES.
Colloids with a gaseous dispersing phase and either liquid (fog) or solid (smoke) dispersed phase; used in fumigation or in inhalation therapy; may contain propellant agents.
Peptides that have the ability to enter cells by crossing the plasma membrane directly, or through uptake by the endocytotic pathway.
A technique in which electric pulses of intensity in kilovolts per centimeter and of microsecond-to-millisecond duration cause a temporary loss of the semipermeability of CELL MEMBRANES, thus leading to ion leakage, escape of metabolites, and increased uptake by cells of drugs, molecular probes, and DNA.
The practice of assisting women in childbirth.
Small encapsulated gas bubbles (diameters of micrometers) that can be used as CONTRAST MEDIA, and in other diagnostic and therapeutic applications. Upon exposure to sufficiently intense ultrasound, microbubbles will cavitate, rupture, disappear, release gas content. Such characteristics of the microbubbles can be used to enhance diagnostic tests, dissolve blood clots, and deliver drugs or genes for therapy.
The position or orientation of the FETUS at near term or during OBSTETRIC LABOR, determined by its relation to the SPINE of the mother and the birth canal. The normal position is a vertical, cephalic presentation with the fetal vertex flexed on the NECK.
A cell line derived from cultured tumor cells.
Usually inert substances added to a prescription in order to provide suitable consistency to the dosage form. These include binders, matrix, base or diluent in pills, tablets, creams, salves, etc.
Removal of the fetus from the uterus or vagina at or near the end of pregnancy with a metal traction cup that is attached to the fetus' head. Negative pressure is applied and traction is made on a chain passed through the suction tube. (From Stedman, 26th ed & Dorland, 28th ed)
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
Water swollen, rigid, 3-dimensional network of cross-linked, hydrophilic macromolecules, 20-95% water. They are used in paints, printing inks, foodstuffs, pharmaceuticals, and cosmetics. (Grant & Hackh's Chemical Dictionary, 5th ed)
A subfield of acoustics dealing in the radio frequency range higher than acoustic SOUND waves (approximately above 20 kilohertz). Ultrasonic radiation is used therapeutically (DIATHERMY and ULTRASONIC THERAPY) to generate HEAT and to selectively destroy tissues. It is also used in diagnostics, for example, ULTRASONOGRAPHY; ECHOENCEPHALOGRAPHY; and ECHOCARDIOGRAPHY, to visually display echoes received from irradiated tissues.
Protein analogs and derivatives of the Aequorea victoria green fluorescent protein that emit light (FLUORESCENCE) when excited with ULTRAVIOLET RAYS. They are used in REPORTER GENES in doing GENETIC TECHNIQUES. Numerous mutants have been made to emit other colors or be sensitive to pH.
Disorders or diseases associated with PUERPERIUM, the six-to-eight-week period immediately after PARTURITION in humans.
Devices that cause a liquid or solid to be converted into an aerosol (spray) or a vapor. It is used in drug administration by inhalation, humidification of ambient air, and in certain analytical instruments.
A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons.
Genes that are introduced into an organism using GENE TRANSFER TECHNIQUES.
Application of pharmaceutically active agents on the tissues of the EYE.
Sharp instruments used for puncturing or suturing.
Small double-stranded, non-protein coding RNAs (21-31 nucleotides) involved in GENE SILENCING functions, especially RNA INTERFERENCE (RNAi). Endogenously, siRNAs are generated from dsRNAs (RNA, DOUBLE-STRANDED) by the same ribonuclease, Dicer, that generates miRNAs (MICRORNAS). The perfect match of the siRNAs' antisense strand to their target RNAs mediates RNAi by siRNA-guided RNA cleavage. siRNAs fall into different classes including trans-acting siRNA (tasiRNA), repeat-associated RNA (rasiRNA), small-scan RNA (scnRNA), and Piwi protein-interacting RNA (piRNA) and have different specific gene silencing functions.
The co-occurrence of pregnancy and an INFECTION. The infection may precede or follow FERTILIZATION.
The various ways of administering a drug or other chemical to a site in a patient or animal from where the chemical is absorbed into the blood and delivered to the target tissue.
Delivery of an infant through the vagina in a female who has had a prior cesarean section.
The process of giving birth to one or more offspring.
The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation.
Introduction of substances into the body using a needle and syringe.
Methods of creating machines and devices.
Extrachromosomal, usually CIRCULAR DNA molecules that are self-replicating and transferable from one organism to another. They are found in a variety of bacterial, archaeal, fungal, algal, and plant species. They are used in GENETIC ENGINEERING as CLONING VECTORS.
A nonreassuring fetal status (NRFS) indicating that the FETUS is compromised (American College of Obstetricians and Gynecologists 1988). It can be identified by sub-optimal values in FETAL HEART RATE; oxygenation of FETAL BLOOD; and other parameters.
A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed)
Hard or soft soluble containers used for the oral administration of medicine.
Tailored macromolecules harboring covalently-bound biologically active modules that target specific tissues and cells. The active modules or functional groups can include drugs, prodrugs, antibodies, and oligonucleotides, which can act synergistically and be multitargeting.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
Drugs intended for human or veterinary use, presented in their finished dosage form. Included here are materials used in the preparation and/or formulation of the finished dosage form.
A peptide which is a homopolymer of lysine.
The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms.
Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).
Accumulation of a drug or chemical substance in various organs (including those not relevant to its pharmacologic or therapeutic action). This distribution depends on the blood flow or perfusion rate of the organ, the ability of the drug to penetrate organ membranes, tissue specificity, protein binding. The distribution is usually expressed as tissue to plasma ratios.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
Allowing a woman to be in LABOR, OBSTETRIC long enough to determine if vaginal birth may be anticipated.
Labor and delivery without medical intervention, usually involving RELAXATION THERAPY.
Established cell cultures that have the potential to propagate indefinitely.
The span of viability of a cell characterized by the capacity to perform certain functions such as metabolism, growth, reproduction, some form of responsiveness, and adaptability.
A change in the CERVIX UTERI with respect to its readiness to relax. The cervix normally becomes softer, more flexible, more distensible, and shorter in the final weeks of PREGNANCY. These cervical changes can also be chemically induced (LABOR, INDUCED).
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
The age of the mother in PREGNANCY.
The ability of a substance to be dissolved, i.e. to form a solution with another substance. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Specialized non-fenestrated tightly-joined ENDOTHELIAL CELLS with TIGHT JUNCTIONS that form a transport barrier for certain substances between the cerebral capillaries and the BRAIN tissue.
An incision of the posterior vaginal wall and a portion of the pudenda which enlarges the vaginal introitus to facilitate delivery and prevent lacerations.
Maternal deaths resulting from complications of pregnancy and childbirth in a given population.
Polymers of organic acids and alcohols, with ester linkages--usually polyethylene terephthalate; can be cured into hard plastic, films or tapes, or fibers which can be woven into fabrics, meshes or velours.
Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.
The chemical and physical integrity of a pharmaceutical product.
The period of OBSTETRIC LABOR that is from the complete dilatation of the CERVIX UTERI to the expulsion of the FETUS.
Delivery of medications through the nasal mucosa.
Extraction of the fetus by abdominal hysterotomy anytime following a previous cesarean.
The administration of drugs by the respiratory route. It includes insufflation into the respiratory tract.
A genus of the family RETROVIRIDAE consisting of non-oncogenic retroviruses that produce multi-organ diseases characterized by long incubation periods and persistent infection. Lentiviruses are unique in that they contain open reading frames (ORFs) between the pol and env genes and in the 3' env region. Five serogroups are recognized, reflecting the mammalian hosts with which they are associated. HIV-1 is the type species.
Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.
The movement of materials (including biochemical substances and drugs) through a biological system at the cellular level. The transport can be across cell membranes and epithelial layers. It also can occur within intracellular compartments and extracellular compartments.
The middle third of a human PREGNANCY, from the beginning of the 15th through the 28th completed week (99 to 196 days) of gestation.
New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.
Cellular uptake of extracellular materials within membrane-limited vacuoles or microvesicles. ENDOSOMES play a central role in endocytosis.
The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.
An infant having a birth weight of 2500 gm. (5.5 lb.) or less but INFANT, VERY LOW BIRTH WEIGHT is available for infants having a birth weight of 1500 grams (3.3 lb.) or less.
Injections made into a vein for therapeutic or experimental purposes.
Death of the developing young in utero. BIRTH of a dead FETUS is STILLBIRTH.
Cells propagated in vitro in special media conducive to their growth. Cultured cells are used to study developmental, morphologic, metabolic, physiologic, and genetic processes, among others.
Particles consisting of aggregates of molecules held loosely together by secondary bonds. The surface of micelles are usually comprised of amphiphatic compounds that are oriented in a way that minimizes the energy of interaction between the micelle and its environment. Liquids that contain large numbers of suspended micelles are referred to as EMULSIONS.
A human infant born before 37 weeks of GESTATION.
The extent to which the active ingredient of a drug dosage form becomes available at the site of drug action or in a biological medium believed to reflect accessibility to a site of action.
Colloids with a solid continuous phase and liquid as the dispersed phase; gels may be unstable when, due to temperature or other cause, the solid phase liquefies; the resulting colloid is called a sol.
A compound that, on administration, must undergo chemical conversion by metabolic processes before becoming the pharmacologically active drug for which it is a prodrug.
Positively charged atoms, radicals or groups of atoms which travel to the cathode or negative pole during electrolysis.
Period from the onset of true OBSTETRIC LABOR to the complete dilatation of the CERVIX UTERI.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Mechanical or anoxic trauma incurred by the infant during labor or delivery.
The co-occurrence of pregnancy and a cardiovascular disease. The disease may precede or follow FERTILIZATION and it may or may not have a deleterious effect on the pregnant woman or FETUS.
A nonionic polyoxyethylene-polyoxypropylene block co-polymer with the general formula HO(C2H4O)a(-C3H6O)b(C2H4O)aH. It is available in different grades which vary from liquids to solids. It is used as an emulsifying agent, solubilizing agent, surfactant, and wetting agent for antibiotics. Poloxamer is also used in ointment and suppository bases and as a tablet binder or coater. (Martindale The Extra Pharmacopoeia, 31st ed)
Drugs that stimulate contraction of the myometrium. They are used to induce LABOR, OBSTETRIC at term, to prevent or control postpartum or postabortion hemorrhage, and to assess fetal status in high risk pregnancies. They may also be used alone or with other drugs to induce abortions (ABORTIFACIENTS). Oxytocics used clinically include the neurohypophyseal hormone OXYTOCIN and certain prostaglandins and ergot alkaloids. (From AMA Drug Evaluations, 1994, p1157)
An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
The phenotypic manifestation of a gene or genes by the processes of GENETIC TRANSCRIPTION and GENETIC TRANSLATION.
The application of drug preparations to the surfaces of the body, especially the skin (ADMINISTRATION, CUTANEOUS) or mucous membranes. This method of treatment is used to avoid systemic side effects when high doses are required at a localized area or as an alternative systemic administration route, to avoid hepatic processing for example.
INFLAMMATION of the placental membranes (CHORION; AMNION) and connected tissues such as fetal BLOOD VESSELS and UMBILICAL CORD. It is often associated with intrauterine ascending infections during PREGNANCY.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The beginning of true OBSTETRIC LABOR which is characterized by the cyclic uterine contractions of increasing frequency, duration, and strength causing CERVICAL DILATATION to begin (LABOR STAGE, FIRST ).
Mutant mice homozygous for the recessive gene "nude" which fail to develop a thymus. They are useful in tumor studies and studies on immune responses.
An infection occurring in PUERPERIUM, the period of 6-8 weeks after giving birth.
Cytoplasmic vesicles formed when COATED VESICLES shed their CLATHRIN coat. Endosomes internalize macromolecules bound by receptors on the cell surface.
The condition of carrying TWINS simultaneously.
A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine).
Microscopy of specimens stained with fluorescent dye (usually fluorescein isothiocyanate) or of naturally fluorescent materials, which emit light when exposed to ultraviolet or blue light. Immunofluorescence microscopy utilizes antibodies that are labeled with fluorescent dye.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The transmission of infectious disease or pathogens from one generation to another. It includes transmission in utero or intrapartum by exposure to blood and secretions, and postpartum exposure via breastfeeding.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
A complication of PREGNANCY, characterized by a complex of symptoms including maternal HYPERTENSION and PROTEINURIA with or without pathological EDEMA. Symptoms may range between mild and severe. Pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
Implanted fluid propulsion systems with self-contained power source for providing long-term controlled-rate delivery of drugs such as chemotherapeutic agents or analgesics. Delivery rate may be externally controlled or osmotically or peristatically controlled with the aid of transcutaneous monitoring.
A light microscopic technique in which only a small spot is illuminated and observed at a time. An image is constructed through point-by-point scanning of the field in this manner. Light sources may be conventional or laser, and fluorescence or transmitted observations are possible.
Substances that inhibit or prevent the proliferation of NEOPLASMS.
Term used to designate tetrahydroxy aldehydic acids obtained by oxidation of hexose sugars, i.e. glucuronic acid, galacturonic acid, etc. Historically, the name hexuronic acid was originally given to ascorbic acid.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
The giving of drugs, chemicals, or other substances by mouth.
Forceful administration into a muscle of liquid medication, nutrient, or other fluid through a hollow needle piercing the muscle and any tissue covering it.
A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.
A sugar acid formed by the oxidation of the C-6 carbon of GLUCOSE. In addition to being a key intermediate metabolite of the uronic acid pathway, glucuronic acid also plays a role in the detoxification of certain drugs and toxins by conjugating with them to form GLUCURONIDES.
Small containers or pellets of a solid drug implanted in the body to achieve sustained release of the drug.
A network of cross-linked hydrophilic macromolecules used in biomedical applications.
Characteristics or attributes of the outer boundaries of objects, including molecules.
Use of ultrasound to increase the percutaneous adsorption of drugs.
The condition of carrying two or more FETUSES simultaneously.
Recombinant proteins produced by the GENETIC TRANSLATION of fused genes formed by the combination of NUCLEIC ACID REGULATORY SEQUENCES of one or more genes with the protein coding sequences of one or more genes.
Members of the class of compounds composed of AMINO ACIDS joined together by peptide bonds between adjacent amino acids into linear, branched or cyclical structures. OLIGOPEPTIDES are composed of approximately 2-12 amino acids. Polypeptides are composed of approximately 13 or more amino acids. PROTEINS are linear polypeptides that are normally synthesized on RIBOSOMES.
Electron microscopy in which the ELECTRONS or their reaction products that pass down through the specimen are imaged below the plane of the specimen.
Spherical particles of nanometer dimensions.
Spontaneous tearing of the membranes surrounding the FETUS any time before the onset of OBSTETRIC LABOR. Preterm PROM is membrane rupture before 37 weeks of GESTATION.
Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY.
Salts of alginic acid that are extracted from marine kelp and used to make dental impressions and as absorbent material for surgical dressings.
The body region lying between the genital area and the ANUS on the surface of the trunk, and to the shallow compartment lying deep to this area that is inferior to the PELVIC DIAPHRAGM. The surface area is between the VULVA and the anus in the female, and between the SCROTUM and the anus in the male.
CHILDBIRTH at the end of a normal duration of PREGNANCY, between 37 to 40 weeks of gestation or about 280 days from the first day of the mother's last menstrual period.
The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility.
A generic term for fats and lipoids, the alcohol-ether-soluble constituents of protoplasm, which are insoluble in water. They comprise the fats, fatty oils, essential oils, waxes, phospholipids, glycolipids, sulfolipids, aminolipids, chromolipids (lipochromes), and fatty acids. (Grant & Hackh's Chemical Dictionary, 5th ed)
Completed forms of the pharmaceutical preparation in which prescribed doses of medication are included. They are designed to resist action by gastric fluids, prevent vomiting and nausea, reduce or alleviate the undesirable taste and smells associated with oral administration, achieve a high concentration of drug at target site, or produce a delayed or long-acting drug effect.
The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.
Condition of having pores or open spaces. This often refers to bones, bone implants, or bone cements, but can refer to the porous state of any solid substance.
Special hospitals which provide care to women during pregnancy and parturition.
Property of membranes and other structures to permit passage of light, heat, gases, liquids, metabolites, and mineral ions.
A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES).
Techniques where DNA is delivered directly into organelles at high speed using projectiles coated with nucleic acid, shot from a helium-powered gun (gene gun). One of these techniques involves immunization by DNA VACCINES, which delivers DNA-coated gold beads to the epidermis.
A yellow metallic element with the atomic symbol Au, atomic number 79, and atomic weight 197. It is used in jewelry, goldplating of other metals, as currency, and in dental restoration. Many of its clinical applications, such as ANTIRHEUMATIC AGENTS, are in the form of its salts.
The process of moving proteins from one cellular compartment (including extracellular) to another by various sorting and transport mechanisms such as gated transport, protein translocation, and vesicular transport.
Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery.
The failure of a FETUS to attain its expected FETAL GROWTH at any GESTATIONAL AGE.
Pregnancy in which the mother and/or FETUS are at greater than normal risk of MORBIDITY or MORTALITY. Causes include inadequate PRENATAL CARE, previous obstetrical history (ABORTION, SPONTANEOUS), pre-existing maternal disease, pregnancy-induced disease (GESTATIONAL HYPERTENSION), and MULTIPLE PREGNANCY, as well as advanced maternal age above 35.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
The application of high intensity ultrasound to liquids.
Institutions which provide medical or health-related services.
Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery.
Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.
The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH = log 1/2[1/(H+)], where (H+) is the hydrogen ion concentration in gram equivalents per liter of solution. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
The care provided to women and their NEWBORNS for the first few months following CHILDBIRTH.
Nanoparticles produced from metals whose uses include biosensors, optics, and catalysts. In biomedical applications the particles frequently involve the noble metals, especially gold and silver.
The integration of exogenous DNA into the genome of an organism at sites where its expression can be suitably controlled. This integration occurs as a result of homologous recombination.
Therapeutic introduction of ions of soluble salts into tissues by means of electric current. In medical literature it is commonly used to indicate the process of increasing the penetration of drugs into surface tissues by the application of electric current. It has nothing to do with ION EXCHANGE; AIR IONIZATION nor PHONOPHORESIS, none of which requires current.

Induction of thioredoxin and thioredoxin reductase gene expression in lungs of newborn primates by oxygen. (1/1464)

Thioredoxin (TRX) is a potent protein disulfide oxidoreductase important in antioxidant defense and regulation of cell growth and signal transduction processes, among them the production of nitric oxide. We report that lung TRX and its reductase, TR, are specifically upregulated at birth by O2. Throughout the third trimester, mRNAs for TRX and TR were expressed constitutively at low levels in fetal baboon lungs. However, after premature birth (125 or 140 of 185 days gestation), lung TRX and TR mRNAs increased rapidly with the onset of O2 or air breathing. Lung TRX mRNA also increased in lungs of term newborns with air breathing. Premature animals (140 days) breathing 100% O2 develop chronic lung disease within 7-14 days. These animals had greater TRX and TR mRNAs after 1, 6, or 10 days of life than fetal control animals. In 140-day animals given lesser O2 concentrations (as needed) who do not develop chronic lung disease, lung TRX and TR mRNAs were also increased on days 1 and 6 but not significantly on day 10. In fetal distal lung explant culture, mRNAs for TRX and TR were elevated within 4 h in 95% O2 relative to 1% O2, and the response was similar at various gestations. In contrast, TRX protein did not increase in lung explants from premature animals (125 or 140 days) but did in those from near-term (175-day) fetal baboons after exposure to hyperoxia. However, lung TRX protein and activity, as well as TR activity, eventually did increase in vivo in response to hyperoxia (6 days). Increases in TRX and TR mRNAs in response to 95% O2 also were observed in adult baboon lung explants. When TRX redox status was determined, increased O2 tension shifted TRX to its oxidized form. Treatment of lung explants with actinomycin D inhibited TRX and TR mRNA increases in 95% O2, indicating transcriptional regulation by O2. The acute increase in gene expression for both TRX and TR in response to O2 suggests an important role for these proteins during the transition from relatively anaerobic fetal life to O2 breathing at birth.  (+info)

Mediators of ethnic-associated differences in infant birth weight. (2/1464)

PURPOSE: To examine whether ethnic differences in low birth weight babies of low-income women may be explained in part by group differences in prenatal health behaviors and psychosocial factors. METHODS: A prospective, survey of 1,071 low-income, primiparous African-American and Mexican-origin women was conducted in Los Angeles County, California. In face-to-face interviews, data were obtained on substance use, prenatal stress, social support, attitudes toward pregnancy, initiation of prenatal care, and medical risk. Medical chart data were abstracted regarding medical risk factors and labor, delivery, and neonatal data. Interview data were linked with birth outcome data retrieved from maternal medical records. Structural equation modeling was used to test a hypothesized model in which differences in birth weight were expected to be mediated by ethnic differences in substance use, psychosocial factors, and medical risk. RESULTS: As expected, African-American women delivered babies of earlier gestational age and lower birth weight than did women of Mexican origin. Direct predictors of low birth weight were use of drugs and cigarettes, prenatal stress, and positive attitudes toward pregnancy; together, these factors accounted for the observed ethnic differences in birth weight. CONCLUSION: These data contribute to our understanding of the factors that may account for ethnic-associated differences in low birth weight.  (+info)

The mode of delivery and the risk of vertical transmission of human immunodeficiency virus type 1--a meta-analysis of 15 prospective cohort studies. The International Perinatal HIV Group. (3/1464)

BACKGROUND: To evaluate the relation between elective cesarean section and vertical transmission of human immunodeficiency virus type 1 (HIV-1), we performed a meta-analysis using data on individual patients from 15 prospective cohort studies. METHODS: North American and European studies of at least 100 mother-child pairs were included in the meta-analysis. Uniform definitions of modes of delivery were used. Elective cesarean sections were defined as those performed before onset of labor and rupture of membranes. Multivariate logistic-regression analysis was used to adjust for other factors known to be associated with vertical transmission. RESULTS: The primary analysis included data on 8533 mother-child pairs. After adjustment for receipt of antiretroviral therapy, maternal stage of disease, and infant birth weight, the likelihood of vertical transmission of HIV-1 was decreased by approximately 50 percent with elective cesarean section, as compared with other modes of delivery (adjusted odds ratio, 0.43; 95 percent confidence interval, 0.33 to 0.56). The results were similar when the study population was limited to those with rupture of membranes shortly before delivery. The likelihood of transmission was reduced by approximately 87 percent with both elective cesarean section and receipt of antiretroviral therapy during the prenatal, intrapartum, and neonatal periods, as compared with other modes of delivery and the absence of therapy (adjusted odds ratio, 0.13; 95 percent confidence interval, 0.09 to 0.19). Among mother-child pairs receiving antiretroviral therapy during the prenatal, intrapartum, and neonatal periods, rates of vertical transmission were 2.0 percent among the 196 mothers who underwent elective cesarean section and 7.3 percent among the 1255 mothers with other modes of delivery. CONCLUSIONS: The results of this meta-analysis suggest that elective cesarean section reduces the risk of transmission of HIV-1 from mother to child independently of the effects of treatment with zidovudine.  (+info)

Birth of a healthy neonate following the intracytoplasmic injection of testicular spermatozoa from a patient with Klinefelter's syndrome. (4/1464)

Klinefelter's syndrome is one of the known causes of azoospermia or cryptoazoospermia, and it may present in non-mosaic (47,XXY) or mosaic (47,XXY/46,XY) form. The likelihood of finding spermatozoa in the ejaculate or testicular tissue of patients with mosaic Klinefelter's syndrome is low, and with the non-mosaic form, even lower. We describe a patient with non-mosaic Klinefelter in whom initially non-motile spermatozoa were derived from searching the ejaculate. Ten mature oocytes were injected, but none was fertilized. Subsequently, testicular biopsy was undertaken in order to collect spermatozoa for oocyte injection. Fifteen motile sperm cells were found and injected. Nine oocytes were fertilized and cleaved; three embryos were transferred into the uterine cavity. The woman conceived and following a normal pregnancy delivered a healthy child. Genetic analysis of the neonate disclosed a normal 46,XY karyotype. Non-motile spermatozoa in the ejaculate did not prove their fertilization potential, but their presence did not exclude finding motile, fertile spermatozoa in the testicular tissue in a non-mosaic Klinefelter patient. This report is further evidence that normal spermatozoa with fertilization potential are produced in the testes of patients with Klinefelter's syndrome.  (+info)

Programming for safe motherhood: a guide to action. (5/1464)

The Safe Motherhood Initiative has successfully stimulated much interest in reducing maternal mortality. To accelerate programme implementation, this paper reviews lessons learned from the experience of industrial countries and from demonstration projects in developing countries, and proposes intervention strategies of policy dialogue, improved services and behavioural change. A typological approach with three hypothetical settings from resource poor to resource rich environments is used to address the variability in health behaviours and infrastructure encountered when programming for safe motherhood.  (+info)

The development and implementation of normal vaginal delivery clinical pathways in a large multihospital health system. (6/1464)

The entire country has become more concerned with healthcare costs due to managed care, capitation risk-based contracts, and the near elimination of the cost-plus reimbursement system. Clinical pathways have become one way to reduce unnecessary resource consumption by reducing provider variance, improving clinical outcomes, and reducing cost. We present here our rationale and process for developing a common clinical pathway for normal vaginal delivery in a large and varied multihospital system. We also discuss how this new pathway is expected to improve quality of care and reduce costs.  (+info)

Method of linking Medicaid records to birth certificates may affect infant outcome statistics. (7/1464)

OBJECTIVES: This study assessed how different methods of matching Medicaid records to birth certificates affect Medicaid infant outcome statistics. METHODS: Claims paid by Medicaid for hospitalization of the newborn and for the mother's delivery were matched separately to 1995 North Carolina live birth certificates. RESULTS: Infant mortality and low-birthweight rates were consistently lower when Medicaid was defined by a matching newborn hospitalization record than when results were based on a matching Medicaid delivery record. CONCLUSIONS: Studies of birth outcomes in the Medicaid population may have variable results depending on the method of matching that is used to identify Medicaid births.  (+info)

Neonatal outcome and mode of delivery after epidural analgesia for labour with ropivacaine and bupivacaine: a prospective meta-analysis. (8/1464)

In this prospective meta-analysis, we have evaluated the effect of epidural analgesia with ropivacaine for pain in labour on neonatal outcome and mode of delivery compared with bupivacaine. In six randomized, double-blind studies, 403 labouring women, primigravidae and multiparae, received epidural analgesia with ropivacaine or bupivacaine 2.5 mg ml-1. The drugs were administered as intermittent boluses in four studies and by continuous infusion in two. Apgar scores, neurological and adaptive capacity scores (NACS), degree of motor block and mode of delivery were recorded. The studies were designed prospectively to fit meta-analysis of the pooled results. Results showed similar pain relief and consumption of the two drugs. In the vaginally delivered neonates, NACS scores were approximately equal for both groups at 2 h, but at 24 h there were fewer infants with NACS less than 35 in the ropivacaine compared with the bupivacaine group (2.8% vs 7.6%; P < 0.05). Spontaneous vaginal deliveries occurred more frequently overall with ropivacaine than with bupivacaine (58% vs 49%; P < 0.05) and instrumental deliveries (forceps and vacuum extraction) less frequently (27% vs 40%; P < 0.01), while the frequency of Caesarean section was similar between groups. The intensity of motor block was lower with ropivacaine. There were no significant differences in adverse events.  (+info)

Normal spontaneous vaginal delivery after transcervical radiofrequency ablation of uterine fibroids: a case report Ralf Bends,1 David B Toub,2,3 Thomas Römer1 1Department of Obstetrics and Gynecology, Evangelisches Klinikum Köln-Weyertal, Köln, Germany; 2Department of Obstetrics and Gynecology, Albert Einstein Medical Center, Philadelphia PA, USA; 3Medical Affairs, Gynesonics, Redwood City, CA, USA Abstract: Transcervical radiofrequency ablation of uterine fibroids was performed on a patient in Germany, who subsequently conceived. This is the first report of a normal spontaneous vaginal delivery after fibroid ablation with the Sonata® System. Keywords: Sonata® System, uterine fibroid
That completely did not occur to me though. vacationers have been contaminated with the virus elsewhere, Petersen says. Anyone else feeling achy round there tummy and again. (The difference is that a laparoscope is inserted via the abdomen, whereas a hysteroscope is inserted via the vagina and cervix. The contraction should go away within a few minutes and mustnt come back in any common sample. Thanks. You may experience some of these symptoms throughout this week. Pelvic floor Exercise, also post pregnancy belt after normal delivery to as Kegel Train might help right here. Endorsed by the Society of Obstetricians and Gynaecologists, were post pregnancy belt after normal delivery to protect the reminiscence and the post pregnancy belt after normal delivery of the birthing course of, whereas minimizing obstetrical interventions. Diagnosis and management of infertility. By figuring atfer your danger for infertility, you possibly can take steps earlier than remedy to protect your fertility. In ...
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Obstetrical interventions during childbirth vary widely across European and North American countries. Regional differences in intrapartum care may reflect an inpatient-based, clinician-oriented, interventional practice style. Using nationally representative hospital discharge data, a retrospective cohort study was conducted to explore regional variation in obstetric intervention across four major regions (Dublin Mid Leinster; Dublin Northeast; South; West) within the Republic of Ireland. Specific focus was given to rates of induction of labour, caesarean delivery, epidural anaesthesia, blood transfusion, hysterectomy and episiotomy. Logistic regression analyses were performed to assess the association between geographical region and interventions while adjusting for patient case-mix. 323,588 deliveries were examined. The incidence of interventions varied significantly across regions; the greatest disparities were observed for rates of induction of labour and caesarean delivery. Women in the South had
Spontaneous vaginal delivery. Male infant, cephalic presentation, ROA. Apgars 2 and 7. Weight 8 pounds and 1 ounce. Intact placenta. Three-vessel cord. Third
The study was carried out to describe the deliveries structural conditions, characteristics of assistance to the deliveries, to establish the percentage of cesarean section, and to verify the association between the presence of the pediatrician and the type of childbirth with socioeconomic variables. A cross-sectional populationbased study was carried out including 840 women from 20 to 49 years old resident in São Leopoldo, Rio Grande do Sul State. Among them, 36 (4.3%) had children within 12 months prior the research. The percentage of women who had caesarian delivery was 52.8%. Regarding the obstetric delivery, 97.2% had been assisted by a doctor and 72.2% of the women had reported the presence of pediatrician at the time of the labor. In 68.6% of the cases the delivery process was financed by the SUS, 20% were by private health care plans and 11.4% were privately paid. The caesarean delivery was less frequent among the women belonging to lower socioeconomic levels (prevalence rate 0.42; ...
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For me its normal delivery , after delivery my stomach is very black , how can i get rid of this ? It may be because of itching problem which i had on my 7th month of pregnancy
Question - should I opt for ceserean or normal delivery. Ask a Doctor about Caesarean section, Ask an OBGYN, Maternal and Fetal Medicine
A vaginal examination is done to determine position and station of the fetal head; the head is usually the presenting part. When effacement is complete and the cervix is fully dilated, the woman is told to bear down and strain with each contraction to move the head through the pelvis and progressively dilate the vaginal introitus so that more and more of the head appears. When about 3 or 4 cm of the head is visible during a contraction in nulliparas (somewhat less in multiparas), the following
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Have we made a difference? In the past six years, maternal and child health outcomes have changed for the better. So far the results are encouraging- we have already made a positive difference in the lives of mothers and children in Fakir Bagan. On the surface, positive change is apparent in the health seeking behaviors of families in Fakir Bagan who are utilizing responsibly the medical services available to them. It can also be seen in the growing community involvement, with large numbers of women now actively participating in Calcutta Kids activities despite the time constraints on their demanding lives. But most important accomplishments can be seen in the changing health statistics. In the past five years, the number of women accessing institutional delivery has increased dramatically. From 67% institutional deliveries at baseline in 2005, we now have a 90% facility delivery rate. Seventy percent of women initiated breastfeeding within 2 hours (compared to 8% in 2005); 90% women fed ...
Childbirth - vaginal delivery. Vaginal birth is the natural way for your baby to be born. The process of giving birth to your baby is known as labour.
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Babies born to women who get pregnant very quickly after having a child or wait many years between children are at greater risk for potentially serious delivery-related complications, including premature birth and low birth weight.
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At this point in time it is as important as ever that these critical services continue to supply essential items where they are needed, and we will support them as much as possible and do so within the governments guidance and following all recommendations.. Paterson said that Exporta operations and delivery service were still operating as normal; it still had excellent stock levels of all product handling items and workwear and that all open orders would be fulfilled without delay.. Our supply chain and deliver services are still intact and functioning well, he said. This means we are still able to support all businesses with our normal range and our normal delivery service which is the next working day for all stocked lines if the order is placed before 4pm.. ...
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A five-day-old boy born full term, via normal spontaneous vaginal delivery, without complications is brought in by his parents for shaking earlier today. His parents are very upset and cannot describe the duration or character of the episode. The boy was well and was eating, sleeping, and eliminating normally before and after the episode today. The parents are struggling to recall any possible change in tone, color, or breathing ...
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Zantac - Notwithstanding this adverse current they reached their destination in the cavity of the uterus, and conception, gestation, and safe delivery followed.
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The present study aimed to examine levels and trends of proportion of births attended by skilled health personnel, and assess economic and education related inequalities using data from a nationally representative survey. It demonstrated how skilled delivery service and socio-economic related inequalities has arisen between 2000 and 16 and revealed which women subgroups are the most underserved.. Findings of the study revealed that proportion of births attended by skilled health personnel was found to be very low in Ethiopia. Other similar studies from Ethiopia [24, 25] also reported that skilled delivery coverage was low, even as compared to Tanzania and other sub-Saharan African countries [26-28]; 5.62% in 2000, 6.3% in 2005, 10.8% in 2011, and 28% in 2016. The demonstrated increament might be attributed by the Health Extension Program (HEP) [29]. The program delivers healthcare services both at the health post and in the community, with strong fous on sustained preventive health actions and ...
Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. In the first stage of labor, normal birth outcomes can be improved by encouraging the patient to walk and stay in upright positions, waiting until at least 6 cm dilation to diagnose active stage arrest, providing continuous labor support, using intermittent auscultation in low-risk deliveries, and following the Centers for Disease Control and Prevention guidelines for group B streptococcus prophylaxis. Most women with a low transverse uterine incision are candidates for a trial of labor after cesarean delivery and should be counseled accordingly. Pain management during labor includes complementary modalities and systemic opioids, epidural anesthesia, and pudendal block. Outcomes in the second stage of labor can be improved by using warm perineal compresses, allowing women more time to push before intervening, and offering labor support. Delayed pushing increases the length of the second stage of
TY - CHAP. T1 - Improving access to safe delivery for poor pregnant women. T2 - a case study of vouchers plus health equity funds in three health districts in Cambodia. AU - Ir, Por. AU - Horeman, D. AU - Narin, S. AU - Van Damme, W. N1 - ITG-H1B; ITG-HLA; HEALTH; U-HPF; PDF; DSPACE; IS2. PY - 2008. Y1 - 2008. KW - B780-tropical-medicine. KW - Health services-needs and demand. KW - Maternal health services. KW - Obstetric services. KW - Emergency obstetric care. KW - Accessibility. KW - Affordability. KW - Charge exemptions. KW - Vouchers. KW - Health equity funds (HEF). KW - Impact assessment. KW - Home births. KW - Health facility births. KW - Utilization. KW - Barriers. KW - Quality of care. KW - Public health services. KW - Private health care. KW - Transportation of patients. KW - Health personnel. KW - Attitudes. KW - Cambodia. KW - Asia-Southeast. M3 - Chapter. SN - 1370-6462. SN - 978-9076070001. T3 - Studies in Health Services Organisation & Policy; 24. SP - 225. EP - 255. BT - ...
A vaginal delivery is the birth of offspring (babies in humans) in mammals through the vagina. It is the natural method of birth for all mammals except monotremes, which lay eggs into the external environment. The average length of a hospital stay for a normal vaginal delivery is 36-48 hours or with an episiotomy (a surgical cut to widen the vaginal canal) 48-60 hours, whereas a C-section is 72-108 hours.[citation needed] Different types of vaginal deliveries have different terms: ...
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We chat to Lisa, of, about her Emergency C-section experience: Thanks Lisa for sharing your C-section journey. To start perhaps you would include how many children you have and how many were born by C-section: Ive got one child, a son named Eliott, and he was born by Emergency C Section in March 2014. Can you tell me how long ago it is since your C-section occurred and a…. ...
Question - Pregnant. Scan showed fluid Index - 7.09cm. Should I go for c-section or wait for normal delivery?. Ask a Doctor about when and why Amniotic fluid index is advised, Ask an OBGYN, Maternal and Fetal Medicine
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A reader asked me when I was going to post Everleighs birth story. Being that she is 3.5 months old now, its about time I got that written - its on my to do list with the other eleventy billion other things Id like to get done. The truth of the matter is that I am finally (finally) beginning to feel like my old self again. Talk about a shock to the system. After successfully (successfully? Does that mean a c-section is a #fail?) giving birth to my first two children the good old fashioned way, our surprise c-section left me in stitches, and not the funny kind.. I suppose I had it coming.. In the days leading up to Everleighs birth, when I was overdue and searching the Internet and pregnancy forums for tips to bring on labor and birth stories (searching for any sign of labor I could relate to…only to realize nothing at all was happening in my uterus) I actually turned up my nose of c-section birth stories. After all, I didnt need to read any of that because it certainly didnt relate to ...
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Find out everything you need to know about having a c-section, including what it is, c-section risks and what happens during the c-section procedure.
Abstract Objective: Delivery is an inflammatory process and Apelin, has a vital role in pro-inflammatory process and uterine contractility. Therefore, this article studie..
Nothing is worse than unmedicated natural birth right? Natural labor and unmedicated birth is actually quite fantastic. Yes it hurts (some amazing people dont feel it!!) but your body is well equipped with magical chemicals that make natural, normal delivery totally doable for you! Heres our tips for a natural birth
October 5th kicks off National Midwifery Week (see end of message), a time for celebrating the contributions midwives make to the health and wellbeing of women and families. Here in Lane County its especially fitting to observe this week through sharing news and photos from Friends of the Birth Centers recent tour of the site of the future PeaceHealth Nurse-Midwifery Birth Center. Knowing midwives, lactation consultants and support staff will soon be offering birth center-based services for women, babies and families is cause for celebration!. Since the June 30th groundbreaking, much has been done to put and keep construction on track for on-time completion in May 2010. This is great news as women and families are eagerly anticipating renewed access to this well-loved community resource!. Many thanks to PeaceHealth and especially to Phil Farrington, Director, Land Use Planning & Development, for offering last Fridays site tour - we greatly appreciated the opportunity.. Here are a few photos ...
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C-Section - Elective - I would do it again I decided my first blog would be about my C-Section experience from 7 weeks ago, because Ive had 3 articles pushed
I completely regret my tubal, even though I dont want to be pregnant again. I had my first c-section, baby number 5, and decided on the tubal when I needed the emergency c-section. I just feel like my body is all messed up. I have a cyst on my ovary and still havent gotten my period. Anyone else?
Anyone ever heard of this or dealt with this? I have an appt at the end of the month. But its been officially 1 year since my c-section, and everything...
When to start exercising after the C-section? What are the safest and the best exercises for your abs during the C-section recovery period?
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165: Prevention and Management of Obstetric Lacerations at Vaginal Delivery". Obstetrics and Gynecology. 128 (1): e1-e15. doi: ... "Gynecologic and Obstetric Investigation. 66 (1): 1-7. doi:10.1159/000113464. PMID 18204265. Retrieved 16 January 2012.. ... Illustration of infant crowning and midline and medio-lateral incision sites for possible episiotomy during delivery. ... Slow delivery of the head in between contractions will result in the least perineal damage.[7] Studies in 2010 based on ...
Delivery (Chapter 10)". In Alan H. DeCherney. Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed ... shoulder in obstetrics refers to that shoulder of the fetus that faces the pubic symphysis of the mother during delivery. ...
"Forceps delivery in modern obstetric practice". BMJ. 328 (7451): 1302-5. doi:10.1136/bmj.328.7451.1302. PMC 420176. PMID ... a b c d e f g h Healthline , Types of Forceps Used in Delivery February 2006. Reviewer: Douglas Levine, Gynecology Service/ ... High forceps delivery is not performed in modern obstetrics practice. It would be a forceps-assisted vaginal delivery performed ... a b c d Types of Forceps Deliveries: Outlet, Low, Mid, and High Archived 20 January 2010 at the Wayback Machine Reviewer: ...
Dalton]'s delivery was slated as a routine Caesarean birth at Ogden Regional Medical Center in Utah. When Dr. Naisbitt ... Gynecologic and Obstetric Investigation. 65 (2): 139-41. doi:10.1159/000110015. PMID 17957101. S2CID 35923100. Nama V, Manyonda ... "Rates of Cesarean Delivery -- United States, 1993". Retrieved 2020-08-11. Betrán AP, Ye J, Moller AB, Zhang J, ... The father, John Dalton took home video inside the delivery room. Saige came out doing extremely well because even though she ...
doi:10.1007/978-981-13-1226-7_8. ISBN 978-981-13-1225-0. Henzl MR, Loomba PK (July 2003). "Transdermal delivery of sex steroids ... Obstetric and Gynecologic Survey. 56 (6): 361-376. doi:10.1097/00006254-200106000-00022. ISSN 0029-7828. PMID 11466487. S2CID ... Needham S, Needham S (2018). "Case Study: Absorption of Testosterone Cream via Scrotal Delivery". Int J Pharm Compd. 22 (6): ... Touitou E, Barry BW (27 November 2006). Enhancement in Drug Delivery. CRC Press. pp. 122-. ISBN 978-1-4200-0481-6. Lobo, ...
Delivery (Chapter 10)". In Alan H. DeCherney (ed.). Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ... Thus, the posterior shoulder faces the rectum of the mother during delivery. Whether left or the right shoulder becomes the ...
This is likely a combination of more home deliveries and deliveries at birth centers, with 66% occurring at home and 29% in ... A background obstetric history should be obtained: how many prior births has the patient had (if this is not her first birth, ... The same principles of term emergency delivery apply to emergency delivery for a preterm fetus, though the baby will be at ... In a study of home deliveries in the US and Canada, about 12% of attempted home deliveries required urgent transport to ...
Several years after the delivery, the chimeric male cells can be detected in the maternal peripheral blood, thyroid, lung, skin ... Gynecologic and Obstetric Investigation. 74 (4): 265-273. doi:10.1159/000343759. PMID 23147711. Gaberšček, Simona; Zaletel, ... and preterm delivery. The embryo transplantion rate and successful pregnancy outcomes are improved when Hashimoto's is treated ... Katja (September 2011). "Thyroid physiology and autoimmunity in pregnancy and after delivery". Expert Review of Clinical ...
Caesarean delivery is absolutely necessary, because vaginal birth with the baby's head in this position confers a high risk of ... Datta, Sanjay (2004-01-09). Anesthetic and Obstetric Management of High-Risk Pregnancy. Springer Science & Business Media. ISBN ... Women who have an ECV when they are 36-40 weeks pregnant are more likely to have a vaginal delivery and less likely to have a ... If there is a delay in delivery, the brain can be damaged. Among full-term, head-down babies, cord prolapse is quite rare, ...
There are many things to consider when deciding to use opioids during a delivery and these options, as well as the risks and ... 177: Obstetric Analgesia and Anesthesia". Obstetrics & Gynecology. 100 (1): 177-191. April 2017. doi:10.1097/00006250-200207000 ... Virtually all women worry about how they will cope with the pain of labor and delivery. Childbirth is different for each woman ... For this reason, opioids are not given close to delivery. They can be beneficial in early labor, however, since they can help ...
There is a higher risk of neonatal injury in Rubin maneuver than with the delivery of posterior shoulder. Benrubi, Guy (2010). ... Handbook of obstetric and gynaecologic emergencies (4 ed.). Philadelphia, PA: Lippincott Williams & Wilkins. pp. 168-69. ...
ISBN 0-07-118207-1. Normal Labor and Delivery from Management of Labor and Delivery provided by Google books. ... Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed.). Lange/McGraw-Hill. p. 369. ...
"Association between day of delivery and obstetric outcomes: observational study". BMJ. 351: h5774. doi:10.1136/bmj.h5774. PMC ... The cardiology, nephrology, paediatric and obstetric studies are against this argument; as these are all specialties where ...
"Labor and delivery - Low Birth Weight". 2008-10-22. Archived from the original on 2011-08-20. Retrieved 2011-01-05. ... "Celiac disease and obstetric complications: a systematic review and metaanalysis". Am J Obstet Gynecol. 214 (2): 225-34. doi: ... A prominent risk factor for preterm birth is prior history of preterm delivery. However, there is no reliable protocol for ... Plastic wraps, heated pads, and skin-to-skin contact decrease risk of hypothermia immediately after delivery. One or more of ...
It consists of the prenatal clinics, the delivery wards, surgical theaters, recovery rooms and postnatal wards. The hospital ... The hospital has a unit specializing on obstetric fistula prevention, repair and rehabilitation. It also houses the first ... caters to obstetric and gynecologic patients. It has an oncology wing reserved for patients with gynecologic cancers, including ...
Delivery of the infant takes place shortly after this stage is reached (although the mother does not always push right away.) ... American College of Obstetricians and Gynecologists Committee on Obstetric Practice (August 2006). "ACOG Committee Opinion No. ... 342: induction of labor for vaginal birth after cesarean delivery" (- Scholar search). Obstet Gynecol. 108 (2): 465-8. doi: ...
Committee on Obstetric Practice; American College of Obstetricians and Gynecologists (February 2017). "Committee Opinion No. ... Hwang S (2004-01-19). "As 'Doulas' Enter Delivery Rooms, Conflicts Arise: Hired to Help in Childbirth, They Sometimes Clash ... Hwang S (2004-01-19). "As 'Doulas' Enter Delivery Rooms, Conflicts Arise: Hired to Help in Childbirth, They Sometimes Clash ... 1: safe prevention of the primary cesarean delivery". Obstetrics and Gynecology. 123 (3): 693-711. doi:10.1097/01.AOG. ...
These treatments are used during obstetric delivery of women with autonomic dysreflexia. The cause of autonomic dysreflexia ...
The main differences lie in the state of the mother and fetus and the mechanism of delivery: in the event of natural, live ... Wells, C. (1975). "Ancient Obstetric Hazards and Female Mortality". Bulletin of the New York Academy of Medicine. 51 (11): 1235 ... While this is not postmortem fetal extrusion, it may be referred to as a case of postmortem delivery, a term which is applied ... This is unusual for the short amount of time elapsed between death and the postmortem delivery. As no information is given ...
In those at risk of an early delivery, magnesium sulphate appears to decrease the risk of cerebral palsy.[85] It is unclear if ... Because of the false perception that cerebral palsy is mostly caused by trauma during birth, as of 2005, 60% of obstetric ... He later identified a difficult delivery, a preterm birth and perinatal asphyxia in particular as risk factors. The spastic ... Osler made further observations tying problems around the time of delivery with CP, and concluded that problems causing ...
Some common reasons for this surgical access are obstetric delivery and hernia repair. It is often used in preference to other ...
Obstetric perineal trauma contributes to postpartum morbidity and frustration of women after delivery. In many women the ... Perineal tears and episiotomy often occur in childbirth with first-time deliveries, but the risk of these injuries can be ... Approximately 85% of women have some perineal tear during a vaginal delivery and in about 69% suturing is required. ... internal pudendal artery and the pudendal nerve Extensive deformation of the pelvic floor occur during a vaginal delivery. ...
165: Prevention and Management of Obstetric Lacerations at Vaginal Delivery". Obstetrics and Gynecology. 128 (1): e1-e15. doi: ... The vagina is the birth canal for the delivery of a baby. When labor (a physiological process preceding delivery) nears, ... The opening to the vagina is normally obscured by the labia minora (vaginal lips), but may be exposed after vaginal delivery. ... Ranade VV, Cannon JB (2011). Drug Delivery Systems (3rd ed.). CRC Press. p. 337. ISBN 978-1-4398-0618-0. Lehne RA, Rosenthal L ...
ISBN 978-0-8261-1803-5. Murray, Michelle; Huelsmann, Gayle (2008-12-15). Labor and Delivery Nursing. Labor and Delivery Nursing ... Shoulder dystocia is an obstetric emergency. Initial efforts to release a shoulder typically include: with a woman on her back ... It is diagnosed when the body fails to deliver within one minute of delivery of the baby's head. It is a type of obstructed ... Shoulder dystocia is when, after vaginal delivery of the head, the baby's anterior shoulder gets caught above the mother's ...
Jureidini J (1993) Obstetric factitious Disorder and Munchausen syndrome by proxy. Journal of Nervous and Mental Disease 181: ... During delivery, or immediately afterwards, dramatic complications are occasionally seen - delirium, stupor, rage, acts of ... In nations with state-of-the-art obstetric services, childbirth is always supervised by a midwife or obstetrician. Pain can be ... With the great improvement in obstetric care, most of them have become rare. There is, however, a great contrast between Europe ...
Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair". BMJ. 308 (6933): 887-91. doi:10.1136/ ... Sultan A, Kamm MA, Hudson CN, Thomas JM, Bartram CI (1993). "Anal sphincter disruption during vaginal delivery". N Engl J Med. ... It is the most common form of obstetric injury. Tears vary widely in severity. The majority are superficial and may require no ... A retrospective study of 8,603 vaginal deliveries in 1994 found a third degree tear had been clinically diagnosed in only 50 ...
Primary sphincter repair is inadequate in most women with obstetric ruptures following vaginal delivery. Residual sphincter ... usually caused by obstetric damage). Where the sphincter has separated from a tear, this procedure brings these ends back ...
In 1991, obstetric and infertility clinics were also added for attending to high risk deliveries. The neurosurgical centre, ...
... or if this is not possible expedite delivery. In acute situations immediate delivery should be accomplished Baseline 30 min, or ... This nomenclature has been adopted by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), the American ... NICE Guideline Intrapartum care: management and delivery of care to women in labour Archived July 27, 2011, at the Wayback ... Moderate baseline fetal heart rate variability reflects the delivery of oxygen to the fetal central nervous system. Its ...
"Journal of Obstetric, Gynecologic, and Neonatal Nursing. 41 (2): 166-70. doi:10.1111/j.1552-6909.2012.01342.x. PMC 3665292. ... "the conscientious use of current best evidence in making decisions about the care of individual patients or the delivery of ...
Tavis's labor and delivery." *^ Mayor, Archer. "A Brief Biography of "Joe Gunther"". Archived from the original on September 22 ... killed in a freak accident playing competitive darts in a Brattleboro tavern just as they were trying to adjust the obstetric ...
... preterm delivery, and severe preeclampsia. The diagnostic criteria require one clinical event (i.e. thrombosis or pregnancy ... either a vascular thrombosis and/or adverse obstetric event) and the confirmed presence of a repeated aPL. The Sapporo APS ...
Coordinated delivery of services within and across sectors, delegation matched with accountability, fostering a spirit of ... this high mortality are that few women have access to skilled birth attendants and fewer still to quality emergency obstetric ... The public and private sectors also need to coordinate for the delivery of a continuum of care. A strong regulatory system ... A study conducted in 2009 found that 43.9% of mothers reported they experienced postpartum illnesses six weeks after delivery. ...
Childbirth education: Get ready for labor and delivery, Mayo Clinic, July 25, 2009, accessed July 10, 2011. ...
The condition can also be caused by excessive pulling on the shoulders during a cephalic presentation (head first delivery), or ... In 1861, Guillaume Benjamin Amand Duchenne coined the term "obstetric palsy of the brachial plexus" after analyzing four ... The renowned British obstetrician William Smellie is credited with the first medical description of an obstetric brachial ... by pressure on the raised arms during a breech (feet first) delivery.[4][7] Erb's palsy can also affect neonates affected by a ...
Legal and Ethical Issues in Obstetric Practice". Dalam Gabbe, Steven G.; Niebyl, Jennifer R.; Simpson, Joe Leigh. Obstetrics: ... An alternative definition is delivery of a fetus with a weight of less than 500 g. If abortion occurs before 12 weeks' ...
Nowadays obstetric suitability of the female pelvis is assessed by ultrasound. The dimensions of the head of the fetus and of ... Check date values in: ,access-date= (help) "Part 2 - Labor and Delivery". Ask Dr Amy. Retrieved June 2009. Check date values in ... a practice today limited to cases where a specific problem is suspected or following a caesarean delivery. William Edgar ...
While 95% of deliveries occurred at homes in the 1950s, 95% of births occurred in medical institutions such as hospitals and ... The Japan Council for Quality Health Care administers the Japan Obstetric Compensation System for Cerebral Palsy, a no-fault ... Consequently, mode of delivery is thought to be best decided by obstetricians, not by laboring women (Matsuoka & Hinokuma 2009 ... The original word sanba (san meaning birth and ba meaning old women) was changed to josan-pu (josan meaning help delivery, and ...
... killed in a freak accident playing competitive darts in a Brattleboro tavern just as they were trying to adjust the obstetric ... Tavis's labor and delivery.". *^ Mayor, Archer. "A Brief Biography of "Joe Gunther"". Retrieved December 12, 2011.. ...
Abortion in Early First Trimester on Issues Related to Regimens and Service Delivery (2006). Frequently asked clinical ... as detected by obstetric ultrasonography) is an indication for surgical intervention (that is, vacuum aspiration or dilation ...
... an tae stap bleedin follaein delivery.[3] For this purpose, it is gien either bi injection intae a muscle or intae a vein.[3] ...
Obstetric Anesthesia Digest (página oficial). *Obstetrical and Gynecological Survey (página oficial). *Obstetrics and ... Expert Opinion on Drug Delivery. *Expert Opinion on Drug Discovery. *Expert Opinion on Drug Metabolism & Toxicology ...
"Female genital mutilation and obstetric outcome: WHO collaborative prospective study in six African countries" Archived 2012-03 ... The umbilical cord can be untwisted at delivery. The average cord has 3 twists. ... "Celiac disease and obstetric complications: a systematic review and metaanalysis". Am J Obstet Gynecol. 214: 225-34. doi: ... placenta and umbilical cord during ultrasound examination to ensure that there is no compromise of oxygen and nutrient delivery ...
In women who have not had a vaginal delivery, the external opening is small and circular, and in women who have had a vaginal ... "Obstetric Data Definitions Issues and Rationale for Change" (PDF). Revitalize. Archived from the original (PDF) on 6 November ... The number of past vaginal deliveries is a strong factor in influencing how rapidly the cervix is able to dilate in labour.[28] ... used to recommend whether interventions such as a forceps delivery, induction, or Caesarean section should be used in ...
Caesarean sectio, C-section එසේත් නැතිනම් caesarean delivery දරුවන් බිහිකිරීම සඳහා සිදුකරන සැත්කමකි. ... obstetric ultrasonography:. *Nuchal scan. antenatal testing:. *Fetal movement counting. *Contraction stress test ...
Health services that involved first-level health workers were more common in hospital deliveries compared with home deliveries ... different regions in Nepal continue to practice obstetric and newborn care according to traditional beliefs, attitudes, and ... This allows family members to dig up and throw out any blood-contaminated soil or mud after the delivery procedure. As for the ... If placental delivery is not occurring, some methods used to remove the placenta include procedures that require internal ...
Looking at the Unborn: Historical aspects of obstetric ultrasound. History of Modern Biomedicine Research Group. 2000. ISBN 978 ... Klibanov, A (1999). "Targeted delivery of gas-filled microspheres, contrast agents for ultrasound imaging". Advanced Drug ... 2000), Looking at the Unborn: Historical aspects of obstetric ultrasound, Wellcome Witnesses to Contemporary Medicine, History ... The practice of examining pregnant women using ultrasound is called obstetric ultrasound, and was an early development and ...
"A provincial surgeon and his obstetric practice: Thomas W. Jones of Henley-in-Arden, 1764-1846". Medical History. 31 (3): 333- ... Vaginal delivery. Induction. *Artificial rupture of membranes. *Episiotomy. *Symphysiotomy. *Forceps in childbirth ...
en:Obstetric fistula (8). *en:Obstetric ultrasonography (10). *en:Onchocerciasis (58) → 강변 실명증 ... en:Vaginal delivery (10). *en:Valvular heart disease (24). *en:Varicella zoster virus (28) ...
This silences the fetal brain for the period of delivery and reduces its vulnerability to hypoxic damage.[53] ... Anderson-Hunt M, Dennerstein L (1995). "Oxytocin and female sexuality". Gynecologic and Obstetric Investigation. 40 (4): 217-21 ... Preparing fetal neurons for delivery: crossing the placenta, maternal oxytocin reaches the fetal brain and induces a switch in ... "Maternal oxytocin triggers a transient inhibitory switch in GABA signaling in the fetal brain during delivery". Science. 314 ( ...
Early Delivery - Delivery can occur anytime after the age of viability.[20] Emergency delivery due to failed IUT is possible, ... Van Wamelen, D J.; Klumper, F J.; De Haas, M; Meerman, R H.; Van Kamp, I L.; Oepkes, D (2007). "Obstetric History and Antibody ... After delivery bilirubin is no longer cleared (via the placenta) from the neonate's blood and the symptoms of jaundice ( ... Steroids - Steroids are sometimes given to the mother before IUTs and early delivery to mature the fetal lungs.[21][22] ...
The Aberdeen Women's Centre is one of the few locations on the African continent offering obstetric fistula repair for women ... In addition, Mercy Ships increased health care delivery systems by renovating in-country hospital facilities. ... These courses included SAFE Obstetric Anesthesia, SAFE Pediatric Anesthesia, Essential Surgical Skills, Primary Trauma Care and ... health care delivery system. A special outreach was made to ensure that many patients from remote areas of the country were ...
... giving Vitamin K may help avoid the risk of hemorrhage at delivery. Delivery by 35-37 completed weeks may be important to fetal ... Intrahepatic cholestasis of pregnancy (ICP), also known as obstetric cholestasis, cholestasis of pregnancy, jaundice of ... ICP resolves quickly after delivery, when placental hormone production ceases. Older high-dose estrogen oral contraceptive ... Fetal distress Meconium ingestion Meconium aspiration syndrome Stillbirth Delivery has been recommended in the 38th week when ...
59000-59899) maternity care and delivery. *(60000-60699) endocrine system. *(61000-64999) nervous system ... 01958-01969) obstetric. *(01990-01999) other procedures. *(99100-99140) qualifying circumstances for anesthesia ...
"Association between Bacterial Vaginosis and Preterm Delivery of a Low-Birth-Weight Infant". New England Journal of Medicine. ... and reproductive and obstetric disorders or negative outcomes. It is possible for sexually inactive persons to develop ... "Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery". JAMA. 323 (13): 1286-1292. doi:10.1001/jama ... It also increases the risk of early delivery among pregnant women.[3][11] ...
The raw data collected by a PET scanner are a list of 'coincidence events' representing near-simultaneous detection (typically, within a window of 6 to 12 nanoseconds of each other) of annihilation photons by a pair of detectors. Each coincidence event represents a line in space connecting the two detectors along which the positron emission occurred (i.e., the line of response (LOR)).. Analytical techniques, much like the reconstruction of computed tomography (CT) and single-photon emission computed tomography (SPECT) data, are commonly used, although the data set collected in PET is much poorer than CT, so reconstruction techniques are more difficult. Coincidence events can be grouped into projection images, called sinograms. The sinograms are sorted by the angle of each view and tilt (for 3D images). The sinogram images are analogous to the projections captured by computed tomography (CT) scanners, and can be reconstructed in a similar way. However, the statistics of the data are much worse ...
obstetric ultrasonography: Nuchal scan. Cardiotocography · Fetoscopy. antenatal testing: Fetal movement counting · Contraction ... Vaginal delivery. Induction. Artificial rupture of membranes · Episiotomy · Symphysiotomy · Forceps in childbirth · Ventouse in ...
Evaluating risk-adjusted cesarean delivery rate as a measure of obstetric quality.. Srinivas SK1, Fager C, Lorch SA. ... To validate the risk-adjusted cesarean delivery rate as a measure of obstetric quality through its association with maternal ... and cesarean delivery. Approximately 60% of the 107 hospitals with lower-than-expected risk-adjusted cesarean delivery rates ... Lower-than-expected risk-adjusted cesarean delivery rates in all patients or when restricted to a more homogeneous group of ...
Obstetric outcomes included preterm delivery, cesarean delivery, and severe maternal morbidity and mortality. Preterm delivery ... Among pregnant women hospitalized for obstetric delivery, rates of preterm delivery, cesarean delivery, and severe maternal ... Preterm delivery. 4,500 (4,400-4,500). 5,500 (5,400-5,600). 7,400 (7,200-7,600). Cesarean delivery. 4,500 (4,400-4,600). 5,300 ... Our objective was to measure obstetric outcomes and delivery-related health care utilization and costs among pregnant women ...
More News: Anesthesia , Anesthesiology , Biology , Induction of Labor , OBGYN , Operative Vaginal Delivery , Study , Ultrasound ...
Skin-to-skin cesarean delivery is an innovative way to facilitate the involvement of the family during a cesarean delivery. ... The families included experienced nonemergent, elective, repeat cesarean deliveries, or cesarean deliveries performed because ... observe the delivery from the moment of uterine incision up to the birth (not for breech deliveries); (b) immediate skin-to- ... Skin-to-Skin Cesarean Delivery. Authors. *. Diane Duffy MSN, NNP, C,. *Park Ridge Health, Hendersonville, NC ...
We sought to report on the risk of adverse obstetric outcomes for US women with suicidal behavior at the time of delivery. ... Conclusion During delivery hospitalization, women with suicidal behavior are at increased risk for many adverse obstetric ... Results Of the 23,507,597 delivery hospitalizations, 2,180 were complicated by suicidal behavior. Women with suicidal behavior ... Methods We performed a cross-sectional analysis of delivery hospitalizations from 2007-2012 National (Nationwide) Inpatient ...
Obstetric Tetanus in an Unvaccinated Woman After a Home Birth Delivery - Kentucky, 2016. MMWR Morb Mortal Wkly Rep 2017;66:307- ... Notes from the Field: Obstetric Tetanus in an Unvaccinated Woman After a Home Birth Delivery - Kentucky, 2016. Weekly / March ... Obstetric tetanus, which occurs during pregnancy or within 6 weeks of the end of pregnancy, follows contamination of wounds ... CDC did not identify any cases of obstetric tetanus in the United States during 1972-2008 (1,2). State and local health ...
Effect of Dianatal Obstetric Gel (Cross-linked Polyacrylic Acid) on Outcomes in Vaginal Delivery. The safety and scientific ... Effect of Dianatal Obstetric Gel (Cross-linked Polyacrylic Acid) on Outcomes in Vaginal Delivery. ... Experimental: Dianatal Obstetric Gel Standard of care according to the established Guidelines of the Department plus use of ... see also Obstetric gel shortens second stage of labor and prevents perineal trauma in nulliparous women: a randomized ...
Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United ... Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United ... Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United ... Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United ...
Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United ... Pregnancy, Labor, and Delivery after Ebola Virus Disease and Implications for Infection Control in Obstetric Services, United ... 1 week before delivery. Negative. IgG (1:1,600); IgM not detected. NA. ...
Above 800 gm or 26 weeks the obstetrician should usually be willing to perform cesarean delivery for fetal indications. Between ... The approach to obstetric management significantly influences the outcome of extremely low-birth-weight infants. ... Obstetric determinants of neonatal survival: influence of willingness to perform cesarean delivery on survival of extremely low ... In these cases patients and physicians should be aware of the impact of the approach to obstetric management and consider the ...
... ... Facility capacity to provide emergency obstetric and newborn care was also assessed before and during implementation in both ... and delivery with a skilled birth provider were compared between intervention and comparison sites. ...
In 2000, when I was at Fort Hood, Texas, the Filshie clip, with its short applicator, was available in the labor and delivery ... It doesnt occur to them to use the Filshie clip in obstetric cases until they see the short-handle applicator, which is ... I had seen the Filshie clip-with the short applicator-used in obstetric postpartum procedures. But we primarily used the ... It has been used with cesarean delivery. The procedure is moderately difficult to perform. Both the Pomeroy and Parkland ...
ObjectiveTo investigate the association between obstetric mode of delivery and autism spectrum disorder (ASD). Design, Setting ... ExposuresObstetric mode of delivery defined as unassisted vaginal delivery (VD), assisted VD, elective CS, and emergency CS ( ... We conducted stratified Cox proportional hazards regression analysis to examine the effect of mode of delivery on ASD. We then ... it is becoming increasingly important to understand the long-term effects that mode of delivery may have on child development. ...
... ... The purpose of this study was to evaluate whether the mode of delivery for a second pregnancy, after a documented obstetric ... Although an elective cesarean delivery protects against recurrent obstetric anal sphincter injury, it is uncertain how the ... there are major concerns about mode of delivery: the risk of recurrent obstetric anal sphincter injury and the risk of long- ...
Obstetric care in Norway - the role of institution availability and place of delivery for maternal and perinatal outcomes. ... Obstetric institutions were categorised by function and annual number of births. Availability of and access to obstetric ... death during delivery or within the first 24 hours). Women with travel time exceeding one hour to any obstetric institution had ... Conclusion: Access to obstetric institutions and skilled birth attendance play an important role to reduce the risk of adverse ...
Introduction Obstetric anal sphincter injury (OASIS) occurs in 5%-7% of normal deliveries and increases with vacuum extraction ... Introduction Obstetric anal sphincter injury (OASIS) occurs in 5%-7% of normal deliveries and increases with vacuum extraction ... Lateral episiotomy versus no episiotomy to reduce obstetric anal sphincter injury in vacuum-assisted delivery in nulliparous ... Lateral episiotomy versus no episiotomy to reduce obstetric anal sphincter injury in vacuum-assisted delivery in nulliparous ...
Anesthesia-related Deaths during Obstetric Delivery in the United States. 1979-1990 Anesthesiology 10 1997, Vol.87, 1008. doi: ... Joy L. Hawkins; Anesthesia-related Deaths during Obstetric Delivery in the United States. 1979-1990 . Anesthesiology 1997;87(4 ... Anesthesia-related Deaths during Obstetric Delivery in the United States. 1979-1990 ... Anesthesia-related Deaths during Obstetric Delivery in the United States. 1979-1990 ...
The effect of epidural analgesia on obstetric lacerations and neonatal outcome during spontaneous vaginal delivery. Arch ... The effect of epidural analgesia on obstetric lacerations and neonatal outcome during spontaneous vaginal delivery. Arch ... The aim of this study was to determine if epidural analgesia is associated with increased risk of obstetric lacerations during ... This multicenter study consisted of an analysis of data from the delivery databases of the University Hospital of Vienna and ...
Comparison of delivery characteristics and early obstetric outcomes between Turkish women and Syrian refugee pregnancies ...
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve ... Obstetric" by people in this website by year, and whether "Delivery, Obstetric" was a major or minor topic of these ... "Delivery, Obstetric" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical ... Below are the most recent publications written about "Delivery, Obstetric" by people in Profiles. ...
Abstract: In 2011, one in three women who gave birth in the United States did so by cesarean delivery. Cesarean birth can be ... Abstract: In the 1970s, studies demonstrated that timely access to risk-appropriate neonatal and obstetric care could reduce ... of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is ...
Impact of Obesity on Incision-to-Delivery Interval and Neonatal Outcomes at Cesarean Delivery. Conner, S.N.; Tuuli, M.G.; ... Anesthetic and Obstetric Outcomes in Morbidly Obese Parturients: A 20-Year Follow-up Retrospective Cohort Study. Tonidandel, A ... The Relationship Between Body Mass Index and Postdural Puncture Headache in Obstetric Patients. Miu, M.; Paech, M.J.; Nathan, E ... The Impact of Body Mass Index on Maternal and Neonatal Outcomes: A Retrospective Study in a UK Obstetric Population, 2004-2011 ...
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  • To validate the risk-adjusted cesarean delivery rate as a measure of obstetric quality through its association with maternal and neonatal outcomes for all pregnancies (model 1) and in primiparous patients with singleton pregnancies (model 2). (
  • We used linked birth certificate and hospital admission records for mother and neonate to estimate the correlation between risk-adjusted cesarean delivery and a composite of adverse maternal outcomes, adverse neonatal outcomes, and four obstetric patient safety indicators from the Agency for Healthcare Research and Quality (AHRQ). (
  • In both models, risk-adjusted cesarean delivery rates were negatively correlated with both the maternal and neonatal composite outcomes and the AHRQ patient safety indicators for birth trauma, injury with instrumented vaginal delivery, and cesarean delivery. (
  • Lower-than-expected risk-adjusted cesarean delivery rates in all patients or when restricted to a more homogeneous group of primiparous patients with term singleton pregnancies are associated with higher-than-expected adverse maternal or neonatal outcomes. (
  • Higher-than-expected risk-adjusted cesarean delivery rates do not result in improved outcomes. (
  • We used 2013-2014 data from the National Inpatient Sample to measure obstetric outcomes and delivery-related health care utilization and costs among women with no chronic conditions, 1 chronic condition, and multiple chronic conditions. (
  • Our objective was to measure obstetric outcomes and delivery-related health care utilization and costs among pregnant women with MCCs. (
  • Obstetric outcomes included preterm delivery, cesarean delivery, and severe maternal morbidity and mortality. (
  • We used multivariable logistic regression models to estimate obstetric outcomes. (
  • the role of institution availability and place of delivery for maternal and perinatal outcomes. (
  • Obstetric care in Norway - the role of institution availability and place of delivery for maternal and perinatal outcomes. (
  • Knowledge of how availability of and access to different types of obstetric institutions impact maternal and perinatal clinical outcomes in a high-income context is lacking. (
  • Aims: The aim of this thesis was to assess availability of and access to obstetric institutions in Norway during recent decades and to assess perinatal and maternal clinical outcomes by travel time to institution and place of birth. (
  • To evaluate the obstetric and neonatal outcomes of pregnant women with severe mental illness (SMI) who attended a specialist multidisciplinary antenatal clinic in Perth, Western Australia. (
  • Obstetric and neonatal outcomes for 138 women and newborns from singleton live births. (
  • Proponents argue that home deliveries for women who are at low risk of complications during pregnancy and delivery have perinatal outcomes as good as or better than hospital births. (
  • Data on the sociodemographic characteristics of the parturient, induction methods, indications for induction, outcomes and reasons for failed induction were abstracted from personal case files and the hospital's maternity/delivery register. (
  • Complications and obstetric outcomes in patients with obstetric antiphospholipid syndrome in an institution in Medellín, 2010-2016. (
  • Secondary outcomes include (1) preterm delivery less than 35 weeks, (2) weight for gestational age, and (3) neonatal morbidity/mortality. (
  • Influence of the mode of delivery on maternal and neonatal outcomes: A comparison between elective cesarean section and planned vaginal delivery in a low-risk obstetric population. (
  • Obstetric hemorrhage has been identified as a contributory cause for the United States' suboptimal and inequitable outcomes among pregnant women. (
  • As such, obstetric hemorrhage has become a formal focus point in a national agenda to improve maternal outcomes. (
  • Complications from chronic conditions are a key driver of rising obstetric morbidity and mortality in the United States (1). (
  • Delivery was complicated by breech presentation, but no birth trauma, unsterile conditions, or other complications were reported. (
  • These complications occurred in all categories of obstetric institutions. (
  • Obstetric trauma, including third-degree lacerations and greater in severity, may result in longer lengths of stay for mothers and chronic complications such as fecal incontinence, dyspareunia, perineal pain and other pelvic floor disorders. (
  • It is also important to remember that in some situations, additional obstetric anesthesia may be needed suddenly during the delivery process to reduce the mother and child's risk for birthing complications. (
  • Women attending our specialist clinic had increased rates of obstetric and neonatal complications compared with the general population, and were exposed to a cluster of risk factors. (
  • Managing pregnant women with SMI will require a comprehensive approach aimed at early detection of obstetric complications and psychosocial difficulties, as well as neonatal monitoring. (
  • Pregnant women with SMI and their babies appear to be a particularly vulnerable group, due to increased risks for obstetric and neonatal complications. (
  • Prise en charge des complications de la grossesse et de l' accouchement : guide destiné à la sage-femme et au médecin. (
  • In an analysis of data on more than 100,000 deliveries and term newborns from New York City hospitals, rates for certain quality indicators and complications for mothers and newborns varied substantially between hospitals and were not correlated with performance measures designed to assess hospital-level obstetric quality of care, according to a study in the October 15 issue of JAMA . (
  • Severe maternal complications occurs in about 60,000 women (1.6 per 100 deliveries) annually in the United States, and 1 in 10 term infants experience neonatal complications . (
  • Published algorithms were used to identify severe maternal complications (delivery associated with a life-threatening complication or performance of a lifesaving procedure) and complications in term newborns without birth defects (births associated with complications such as birth trauma, hypoxia [a lower-than-normal concentration of oxygen in arterial blood], and prolonged length of stay). (
  • Severe maternal complications occurred among 2,372 of 115,742 deliveries (2.4 percent), and neonatal complications occurred among 8,057 of 103,416 term newborns without birth defects (7.8 percent). (
  • The maternal quality indicators of elective delivery before 39 weeks of gestation and cesarean delivery performed in low-risk mothers were not associated with severe maternal or neonatal complications. (
  • Expectant mothers anticipate a smooth delivery, yet 13 percent of all women in the U.S. experience obstetrical complications. (
  • Opponents, including the American College of Obstetrics and Gynecology, argue that unexpected complications may arise during any labour, making hospital delivery a safer option for all women. (
  • As maternal deaths have decreased worldwide, increasing attention has been placed on the study of severe obstetric complications, such as hemorrhage, eclampsia, and obstructed labor, to identify where improvements can be made in maternal health. (
  • We aim to describe the health care decision-making process during severe acute obstetric complications among women and their families in rural Bangladesh. (
  • Using the pregnancy surveillance infrastructure from a large community trial in northwest rural Bangladesh, we nested a qualitative study to document barriers to timely receipt of medical care for severe obstetric complications. (
  • We conducted 40 semi-structured, in-depth interviews with women reporting severe acute obstetric complications and purposively selected for conditions representing the top five most common obstetric complications. (
  • Strategies to increase timely and appropriate care seeking for severe obstetric complications may consider targeting of non-certified providers for strengthening of referral linkages between patients and certified facility-based providers. (
  • Anesthesia related complications of caesarean delivery in Thailand include fatalities in .3% of caesarian deliveries. (
  • Cesarean delivery is associated with significantly increased risk of maternal death from complications of anesthesia, puerperal infection and venous thromboembolism. (
  • In this quick-reference guide, clear diagrams and concise notes show treatment options and evidence for over 80 high-risk obstetric complications, presented in two-page full color spreads to promote quick decision making in time-pressed situations. (
  • Prolonged labour may result in maternal exhaustion, fetal distress, and other complications including obstetric fistula. (
  • SMART MOM, an obstetrical trainer focused on the two primary challenges in OB deliveries, Postpartum Hemorrhage (PPH) and Shoulder Dystocia, also exhibits a wide range of other birthing irregularities. (
  • Strategies to identify maternal hypovolemia and treating obstetric hemorrhage are undergoing organized scrutiny in many states including Texas. (
  • It is the intent to have a study cohort where the two treatment groups (TXA or placebo) are as comparable as possible, so the efficacy of TXA is not tested in women with highly variable volumes of obstetric hemorrhage. (
  • Is the Subject Area "Labor and delivery" applicable to this article? (
  • see also Obstetric gel shortens second stage of labor and prevents perineal trauma in nulliparous women: a randomized controlled trial on labor facilitation. (
  • Effect on labor duration stage 2 (full dilatation of the cervix until delivery of the baby). (
  • In 2000, when I was at Fort Hood, Texas, the Filshie clip, with its short applicator, was available in the labor and delivery OR. (
  • ExposuresObstetric mode of delivery defined as unassisted vaginal delivery (VD), assisted VD, elective CS, and emergency CS (defined by before or after onset of labor). (
  • Common teaching in the 1970s and 1980s (experienced by several of our authors) was to perform obstetric epidurals with single bolus doses of 10-15 ml of 0.5% bupivacaine for labor or 20-25 ml of 0.75% bupivacaine for cesarean section. (
  • One of the most important objectives during labor and delivery is recognizing the potential risks to both the mother and baby. (
  • To determine which type of obstetric anesthesia is best for you, be sure to discuss each of your options with your specialist before labor begins. (
  • For this reason, they are not often used during childbirth, though they can be beneficial for women with significant anxiety during labor and delivery. (
  • There has been a significant increase in BUMC's EBR because of nurse and patient education, nurses' hands-on assistance with breastfeeding initiation, and the labor and delivery (L&D) nurses role as bedside breastfeeding advocates. (
  • Also searched for Obstetric Labor . (
  • The goal of the AOA123 project is to further promote labor analgesia and vaginal delivery in high-risk patients and to provide additional training in the management of obstetric emergencies emphasizing team-based medicine. (
  • Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. (
  • The aim of this study was to evaluate the methods, indications, outcome of induced labor and its significance in obstetric practice in the study area. (
  • Induction of labor is a common obstetric procedure which is safe and beneficial in well-selected and properly monitored high risk pregnancies where the benefits of early delivery outweigh the risk of continuing the pregnancy. (
  • Called "failure to progress" or "arrest of active labor" in wealthy countries, obstructed labor is in large part managed with cesarean delivery. (
  • Among U.S. women pregnant for the first time, for example, obstructed labor is the most common indication for cesarean delivery, accounting for 35% of cesarean indications. (
  • The key to achieving a zero incidence of new obstetric fistula cases lies in the timely treatment of obstructed labor as part of comprehensive care before, during, and after pregnancy. (
  • The neonatal and infant mortality rates were significantly higher among deliveries with no recorded indication compared with deliveries secondary to isolated spontaneous labor but lower compared with deliveries with an obstetric indication or congenital anomaly. (
  • Your doctor may also ask that you view some important information using an online education program called Emmi® to prepare you for your labor and delivery. (
  • What is the anatomy of the pelvis relevant to labor and delivery? (
  • This study reviews the cases of syringomyelia at our institution and provides a systematic review of the literature to guide decisions regarding labor and delivery management. (
  • An obstetric labor complication is a difficulty or abnormality that arises during the process of labor or delivery. (
  • Research shows that routine obstetric ultrasound before 24 weeks' gestational age can significantly reduce the risk of failing to recognize multiple gestations and can improve pregnancy dating to reduce the risk of labor induction for post-dates pregnancy. (
  • Obstetric tetanus, which occurs during pregnancy or within 6 weeks of the end of pregnancy, follows contamination of wounds with Clostridium tetani spores during pregnancy, or the use of contaminated tools or practices during nonsterile deliveries or abortions. (
  • The purpose of this study was to evaluate whether the mode of delivery for a second pregnancy, after a documented obstetric anal sphincter injury at the time of first delivery, had a significant impact on the prevalence of anal and fecal incontinence in the long term. (
  • The corresponding numbers that reported anal incontinence before the second pregnancy was 29.4% for those with vaginal delivery compared with 56.2% of those with elective cesarean delivery (ie, there was a significantly larger change in the risk of anal incontinence in the group with a second vaginal delivery compared with the change in the group with elective cesarean in second delivery). (
  • Mode of second delivery did not significantly affect the risk of long-term anal or fecal incontinence in multivariable analyses of patients with previous obstetric anal sphincter injury in this population in which patients with anal incontinence before the second pregnancy were recommended to have an elective cesarean delivery in the subsequent delivery. (
  • There are a variety of conditions that can raise the risk of a natural birth, which may exist prior to a woman's pregnancy or may only arise during delivery. (
  • Then we make a care plan for pregnancy, delivery and lactation that supports you every step of the way. (
  • Age over 34 years, non-white ethnic group, past or current hypertension, previous postpartum haemorrhage, delivery by emergency caesarean section, antenatal admission to hospital, multiple pregnancy, social exclusion, and taking iron or anti-depressants at antenatal booking were all independently associated with morbidity after adjustment. (
  • Severe obstetric morbidity and its relation to mortality may be more sensitive measures of pregnancy outcome than mortality alone. (
  • Registering in advance for your delivery, preparing for your birth with childbirth classes and exploring planning for your care after you return home will make your pregnancy experience easier. (
  • At delivery the second dental exam will be made without the examiner knowing the pregnancy outcome. (
  • The occurrence of emergency cesarean sections is elevated in women with a diagnosis of a health issue during pregnancy or delivery, it is reduced in highly marginalized settings. (
  • The field of obstetric medicine is vast since virtually any medical condition may coincide with pregnancy, but certain diseases are encountered more frequently in women of child-bearing age and therefore more frequently complicate pregnancy. (
  • As the body of scientific knowledge grows and we understand more about conditions such as pre-eclampsia and intrahepatic cholestatis of pregnancy, the specialty of obstetric medicine continues to develop. (
  • This new edition includes sections on obesity, late-preterm and early term delivery, and pregnancy termination. (
  • Pregnancy and delivery are critical times for women with bleeding disorders, with mothers, and possibly their affected infants, being exposed to a variety of haemostatic challenges. (
  • His areas of clinical expertise include the management of high-risk pregnancy, prenatal ultrasonography and obstetric delivery. (
  • Obstetric ultrasonography, or prenatal ultrasound, is the use of medical ultrasonography in pregnancy, in which sound waves are used to create real-time visual images of the developing embryo or fetus in the uterus (womb). (
  • The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) recommends that pregnant women have routine obstetric ultrasounds between 18 weeks' and 22 weeks' gestational age (the anatomy scan) in order to confirm pregnancy dating, to measure the fetus so that growth abnormalities can be recognized quickly later in pregnancy, and to assess for congenital malformations and multiple pregnancies (twins, etc). (
  • Written by a team of international practitioners working with and caring for high risk obstetric patients, Controversies in Obstetric Anesthesia and Analgesia is an invaluable resource for trainees and practitioners in anesthesia, obstetrics and critical care medicine. (
  • Anterior shoulder in obstetrics refers to that shoulder of the fetus that faces the pubic symphysis of the mother during delivery. (
  • Written by internationally renowned experts, Clinical Obstetric Algorithms enables all obstetrics care providers to ensure delivery of a healthy mother and a healthy baby. (
  • He has published numerous manuscripts and book chapters on topics including complementary and alternative medicine in obstetrics, global access to obstetric care, and the content of prenatal care. (
  • Background: Obstetric care in midwife-led institutions may be more cost-effective and reduce the number of interventions during labour. (
  • The administration of medication or amniotomy are interventions that may be used in order to achieve the necessary progress during the delivery. (
  • Facility capacity to provide emergency obstetric and newborn care was also assessed before and during implementation in both study areas. (
  • Results: In the first study, we found a 10% increase in the proportion of women of reproductive age living outside the 1-hour travel zone to all obstetric institutions and to Emergency Obstetric and Newborn Care (EmONC) institutions from 2000 to 2010. (
  • The effect of epidural analgesia on obstetric lacerations and neonatal outcome during spontaneous vaginal delivery. (
  • The aim of this study was to determine if epidural analgesia is associated with increased risk of obstetric lacerations during spontaneous vaginal delivery. (
  • However, epidural analgesia showed no evidence of a detrimental effect on the integrity of the birth-canal and on neonatal outcome during spontaneous vaginal delivery. (
  • opinions vary widely within the obstetric anesthesia community over issues such as the effect of anesthetic drugs on the fetal brain and the choice between different epidural techniques. (
  • This case report discusses how an error with no lasting patient harm served as a catalyst for organizational efforts on process improvement, protocol review, and safeguard enhancement to ensure safe delivery of epidural analgesia. (
  • To ensure your comfort during surgical delivery, we offer regional comfort techniques (spinal and epidural) that allow you to be awake and alert to participate in the birth of your baby. (
  • There is an approximately 85 per cent epidural user rate and a 23 per cent cesarean delivery rate at LHSC. (
  • As a clinical manual, the book provides guidance to many common and less common obstetric situations in which either the mother or her fetus is at risk. (
  • Pregnant women with SMI should be designated as a health disparity population, 15 and every effort should be made to improve their access to obstetric care. (
  • Obstetric fistula is a preventable but devastating injury that can affect women living in poor, remote areas without access to skilled maternal care. (
  • Obstetric fistula is a preventable and in most cases, treatable childbirth injury that leaves women incontinent, ashamed and often isolated from their communities. (
  • Our care model pairs attending anesthesiologists with specialist training in training high risk obstetric patients alongside resident and fellow trainees to provide optimal patient care in a world-class academic research settting. (
  • Controversies in Obstetric Anesthesia and Analgesia debates these and other clinical management controversies encountered in daily practice, providing practical advice on how to manage each clinical problem. (
  • Abstract: In the 1970s, studies demonstrated that timely access to risk-appropriate neonatal and obstetric care could reduce perinatal mortality. (
  • Abstract: In 2011, one in three women who gave birth in the United States did so by cesarean delivery. (
  • To establish a team involved in care during cesarean deliveries for the purpose of the development of a protocol, which includes family input, to institute skin-to-skin care immediately after cesarean deliveries. (
  • Assuring the provision of family-centered care during a cesarean delivery that includes skin-to-skin contact may improve breastfeeding, bonding, and family satisfaction with the birth experience. (
  • On the other hand, large obstetric institutions may offer more technologically advanced and specialised care. (
  • To be global leaders in the field of obstetric anesthesia and to advance patient care through innovative research and education. (
  • Stanford University's Division of Obstetric Anesthesiology provides a diverse mix of research and clinical care that enables the care of both healthy women and those requiring complex care. (
  • Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. (
  • The obstetric trauma indicators are intended to be used as flags to identify areas for improvement and to help identify processes of care that require hospital-level evaluation. (
  • Obstetric Delivery - Delivery of the fetus and placenta and under the care of an obstetrician or a health worker. (
  • In an effort to improve the quality of care, several obstetric-specific quality measures are now monitored and publicly reported. (
  • The obstetric care provider has the responsibility to be aware of these improvements and implement evidence-based practice when the situation requires. (
  • 6 Neonatal morbidity and mortality did not differ between planned home deliveries and hospital births when care included continuous risk assessment and a qualified birth attendant. (
  • Our Essentials of Inpatient Obstetric Nursing Care program is ideal for both new and experienced nursing professionals to introduce and reinforce the essentials of inpatient obstetric care. (
  • The Essentials of Inpatient Obstetric Nursing Care program is ideal for annual staff education and is eligible for continuing education credit for certification and license maintenance and renewals. (
  • The Essentials of Inpatient Obstetric Nursing Care program is eligible for 50.0 CNE Contact Hours (17.5 Pharmacology Contact Hours. (
  • The Essentials of Inpatient Obstetric Nursing Care curriculum consists of six courses. (
  • Describe the care of the preoperative and intraoperative patient for a cesarean delivery. (
  • Though access to medical care is considered to be life-saving during obstetric emergencies, data on the factors associated with health care decision-making during obstetric emergencies are lacking. (
  • In addition, future studies may explore the use of mobile phones in decreasing delays to certified medical care during obstetric emergencies. (
  • 1 In addition to violence-related mortality, disruption in the delivery of basic services, including electricity, water and health care raises death rates among non-combatants during conflict and after it has ended. (
  • The 2007 National Health Plan outlined a basic package of health services: essential health services that would be provided without charge at clinics and hospitals throughout the country, ranging from HIV testing to emergency obstetric care. (
  • Today, MSF treats obstetric fistulas at a permanent center in Nigeria , which uses visiting surgeons to repair fistulas and provide post-operative care. (
  • With only eight public hospitals providing obstetric services in Hong Kong, handling around 42,000 deliveries per year 2 , the large influx of Mainland women poses significant pressures on the scarce health care resources in Hong Kong. (
  • As part of the transformation of obstetric care (and anesthesia) in North America and Europe, techniques were developed to treat it early, preventing bodily damage or death. (
  • In non-wealthy nations where obstetric fistula persists, women suffering other pelvic floor disorders also contribute to the unmet burden of disease, suggesting there may be an opportunity for improved use of limited resources through holistic care. (
  • As part of Fistula Care Plus , a five-year fistula repair and prevention project from the U.S. Agency for International Development (USAID), we are working alongside doctors, nurses, communities, and policymakers to both reduce incidence of obstetric fistula, and address the backlog of women living with this devastating condition. (
  • Obstetric and pediatric patients require unique specialized care not included in traditional adult health education. (
  • However, obstetric and pediatric patients have unique needs requiring specialized care. (
  • Conclusions: The existence of different socio demographic obstetric profiles among women who receive care for vaginal or cesarean delivery, are supported by the findings of the present study. (
  • The frequency of vaginal delivery is higher in indigenous women, when the care provider is public and, in women with two or more children at time of the most recent child birth. (
  • London Health Sciences Centre's (LHSC) Women's Care Program at Victoria Hospital is the first in Canada to be designated as a Centre of Excellence by the Society for Obstetric Anesthesia and Perinatology (SOAP) for providing safe, effective, and evidence-based Obstetric (OB) Anesthesia care. (
  • The Center of Excellence (COE) designation recognizes institutions and programs that demonstrate excellence in obstetric anesthesia care, set a benchmark level of expected care to improve the standards internationally, and provide a broad surrogate quality metric of institutions providing obstetric anesthesia care. (
  • In the Women's Care Program, OB anesthesiologists provide care and manage the pain needs of mother and baby during 6,000 deliveries a year, including treating the region's most complex patients. (
  • The key to our care delivery model is that the patient remains the centre of whole endeavour. (
  • An algorithm for each situation provides obstetric care providers with a step-by-step guide of necessary actions for any given clinical case. (
  • Tranexamic acid (TXA) treatment is receiving increased emphasis in obstetric care because TXA inhibits fibrinolysis. (
  • [2-4] With such high rates of acute transitioning to chronic pain in conjunction with poor postdelivery follow-up, a tremendous gap remains between patient suffering and health care outreach and delivery. (
  • A debilitating condition that has left-and continues to leave-hundreds of thousands of women suffering in solitude and shame, obstetric fistula is undeniably one of the most telling examples of inequitable access to maternal health care and, until recently, one of the most hidden and neglected conditions. (
  • The obstetrician's opinion of viability and willingness to perform cesarean delivery in the event of fetal distress were ascertained from the medical record or interview when documentation was unclear. (
  • Although obstetricians were willing to intervene for fetal indications in most cases by 24 weeks, willingness to perform cesarean delivery was associated with twice the risk for serious morbidity at that gestational age. (
  • Above 800 gm or 26 weeks the obstetrician should usually be willing to perform cesarean delivery for fetal indications. (
  • This is the first study to report umbilical cord androgen levels in a large unselected population of neonates using LC-MS/MS. Our findings suggest that previous studies have over-estimated cord androgen levels, and that fetal, maternal, and obstetric factors influence cord androgen levels differentially. (
  • Caesarean delivery independently reduces overall risk in breech presentations and risk of intrapartum fetal death in cephalic presentations but increases the risk of severe maternal and neonatal morbidity and mortality in cephalic presentations. (
  • With the C-Celia - Emergency C-Section Delivery Simulator, you can teach and train the complete scenario from the first incision to fetal extraction and afterbirth all the way to uterus repair and closing of the abdominal skin. (
  • The most common indications include elective repeated Cesarean delivery, failure to progress, malpresentation, or alarming fetal heart rate tracings. (
  • This time-tested set has a Fetal Model that is able to demonstrate any presentation or position using the non-flexible Pelvis Model to demonstrate delivery. (
  • Risk factors for fetal birth injury include fetal macrosomia (big baby), maternal obesity, the need for instrumental delivery, and an inexperienced attendant. (
  • because most of these patients deliver again, there are major concerns about mode of delivery: the risk of recurrent obstetric anal sphincter injury and the risk of long-term symptoms of anal incontinence. (
  • Although an elective cesarean delivery protects against recurrent obstetric anal sphincter injury, it is uncertain how the second delivery affects the risk of long-term anal incontinence. (
  • Introduction Obstetric anal sphincter injury (OASIS) occurs in 5%-7% of normal deliveries and increases with vacuum extraction (VE) to 12%-14% in nulliparous women in Sweden. (
  • By looking at how and where we have eradicated obstetric fistula in the past, we hope we can also help illuminate our path forward. (
  • Advanced Obstetric Anesthesia 1 + 2 + 3 Project (AOA123) was established as a follow-up program for hospitals that participated in one of the basic obstetric anesthesia projects, OAID, OAS, or PH. (
  • I had seen the Filshie clip-with the short applicator-used in obstetric postpartum procedures. (
  • We included 8 chronic conditions that are prevalent in the childbearing population and associated with obstetric morbidity and mortality: chronic respiratory disease, chronic hypertension, substance use disorders, pre-existing diabetes, chronic heart disease, chronic kidney disease, human immunodeficiency virus/acquired immune deficiency syndrome, and chronic liver disease (3,9). (
  • In these cases patients and physicians should be aware of the impact of the approach to obstetric management and consider the likelihood of serious morbidity and mortality when formulating plans for delivery. (
  • In a similar vein, nurse-midwives in California recently proposed that research on home birth should expand beyond morbidity and mortality to study women's subjective birth experiences, the appropriate use of technology in home deliveries, and the influence of the birth environment on labour. (
  • Elective cesarean delivery is associated wtih increased maternal morbidity and mortality. (
  • that periodontal treatment of these pregnant mothers will result in an increase in the weight for gestational age of deliveries occurring less than 37 weeks gestational age and reduce neonatal morbidity and mortality. (
  • Mode of delivery and recurrence of OASIS/episiotomy in subsequent pregnancies will be assessed at 5 and 10 years using register data. (
  • We performed a prospective cohort study of androgen concentrations in mixed arterial and venous umbilical cord serum from 803 unselected singleton pregnancies from a general obstetric population in Western Australia. (
  • Women's health manikin obstetric training gynecology simulation for medical students. (
  • Deliveries prior to 35 gestational weeks were also referred to the largest EmONC institutions. (
  • TT and FT were significantly negatively correlated with gestational age at delivery, while SHBG, Δ4-androstenedione, and dehydroepiandrosterone were positively correlated. (
  • The primary outcome is preterm delivery at less than 37 weeks gestational age, as determined by ultrasound dating. (
  • Additionally, the ISUOG recommends that pregnant patients who desire genetic testing have obstetric ultrasounds between 11 weeks' and 13 weeks 6 days' gestational age in countries with resources to perform them (the nuchal scan). (
  • Preterm delivery was measured by using ICD-9-CM code 644.21, and cesarean delivery was measured by using ICD-9-CM codes 740.x, 741.x, 742.x, 744.x, and 749.9. (
  • Preterm delivery, meconium in the amniotic fluid and foetal distress in labour are more common in babies of mothers with intrahepatic cholestasis. (
  • The study population consisted of children with any type of obstetric trauma. (
  • The evidence relating to the advances in obstetric practice and research over the past several decades have resulted in significant improvements in maternal and perinatal outcome. (
  • Our clinical research studies have resulted in many advances in obstetric anesthesia and improvements in the safety of pain relief techniques. (
  • The approach to obstetric management significantly influences the outcome of extremely low-birth-weight infants. (
  • Risk factors for poor perineal outcome after operative vaginal delivery. (
  • The study protocol allows the dental examiner to know the treatment assignment of participants but this knowledge will not affect the assessment of the primary obstetric outcome of the study. (
  • This obstetric solution enables training on both standard deliveries and life-threatening emergencies. (
  • In addition to learning the necessary haptic skills, Child Birth Simulator provide opportunity to practice an instrumental delivery in a realistic manner - over and over again with little or no set up time! (
  • Malpractice and Obstetric Practice: the Correlation of Malpractice Premiums to Rates of Vaginal and Cesarean Delivery. (
  • To estimate the incidence and predictors of severe obstetric morbidity. (
  • Development of definitions of severe obstetric morbidity by literature review. (
  • There were 588 cases of severe obstetric morbidity giving an incidence of 12.0/1000 deliveries (95% confidence interval 11.2 to 13.2). (
  • The families included experienced nonemergent, elective, repeat cesarean deliveries, or cesarean deliveries performed because of a failure to progress/dilate or breech presentation. (
  • Long-term anal incontinence was reported in 38.9% of patients (n = 573) with second vaginal compared with 53.2% (n = 269) with elective cesarean delivery. (
  • Nonetheless, we found that patients with vaginal delivery had a higher risk of deterioration of anal incontinence symptoms compared with those with an elective cesarean delivery. (
  • Rates for elective deliveries performed before 39 weeks of gestation ranged from 15.5 to 41.9 per 100 deliveries among 41 hospitals. (
  • Elective Deliveries Before 39 Weeks: Is It Worth It? (
  • The investigators prepared a novel study of tranexamic acid (TXA) designed to estimate the quantity of blood loss in women undergoing elective repeat cesarean deliveries. (
  • It has been shown for the first time that the use of the Dianatal Obstetric Gel facilitates vaginal childbirth in humans. (
  • In recent decades the findings of randomised controlled trials have rarely moderated the increasing application of obstetric technology to childbirth. (
  • Buyamag established in 1995 in Carlsbad CA 92011 we offer gynecological models obstetrical simulators & childbirth model birth delivery. (
  • An amniotic fluid embolism (AFE) is a rare childbirth (obstetric) emergency in which amniotic fluid, enters the blood stream of the mother to trigger a serious reaction. (
  • Of current obstetric laceration of cervix occurring at vaginal delivery (CCI code: 5.PC.80.JJ) c. (
  • Of current obstetric laceration of bladder and urethra (CCI code: 5.PC.80.JR) d. (
  • Of current obstetric laceration of rectum and sphincter ani (CCI code: 5.PC.80.JQ) e. (
  • Of current obstetric high vaginal laceration (CCI code: 5.PC.80.JU) f. (
  • Current Obstetric & Gynecologic Diagnosis & Treatment. (
  • Thought you might appreciate this item(s) I saw at Obstetric Anesthesia Digest. (
  • The purpose of this study is to quantify blood loss during uncomplicated repeat cesarean deliveries with and without TXA. (
  • Discuss maneuvers used for delivery during a shoulder dystocia. (
  • We constructed a population-based cohort of 845,651 patients from 401 hospitals representing all deliveries in California and Pennsylvania between 2004 and 2005. (
  • To participate in the AOA123 program, hospitals first undergo a follow-up assessment to monitor the sustained effects of basic obstetric anesthesia projects. (
  • He is involved in outreach helping to provide hospitals with up-to-date obstetric education and guidelines throughout the state of Maryland. (
  • Obstetric institutions were categorised by function and annual number of births. (
  • Natural births have become much more popular in recent years, and are certainly not a poor choice so long as mothers are able to ensure the safety of themselves and their baby throughout a natural delivery. (
  • We characterized the delivery indications for late preterm births and their potential impact on neonatal and infant mortality rates. (
  • A total of 23% of late preterm births had no recorded indication for delivery noted on birth certificates. (
  • Results: 53.1% of institutional births in the period 2006 through 2012 were vaginal deliveries, 46.9% were either a planned or emergency cesarean sections. (
  • Buxton H, Flynn E, Oluyinka O, Cumming O, Esteves Mills J, Shiras T, Sara S, Dreibelbis R. Barriers and opportunities experienced by staff when implementing infection prevention and control guidelines during labour and delivery in healthcare facilities in Nigeria. (
  • In the 1700's instruments were gradually introduced to do operative vaginal deliveries when there was an obstructed labour (baby was too big for the birth canal). (
  • With increasing attention to aseptic techniques, with increasing knowledge of the female anatomy it gradually became accepted that a Caesarean section delivery was safer than a difficult risky operative vaginal delivery when there was an obstructed labour. (
  • For all stages of labour, rehabilitation, and delivery, these beds are made using the highest quality material and advanced technology. (
  • Treatment of placental abruption during labour is immediate delivery if the fetus is mature (36 weeks or older), or if a younger fetus or the mother is in distress. (
  • If present during labour, treatment is delivery by C-section. (
  • These procedures included high forceps vaginal deliveries (where the forceps were applied to the baby's head when it was still 'high' in the pelvis) and craniotomy (decapitation of the baby's head and removing it piecemeal). (
  • In Senegal, a study carried out at the Centre hospitalier Abass Ndao in 2001 on traumatic lesions of the new-born after forceps delivery reported a mortality rate of 10.44% [ 3 ]. (
  • The monitoring software provides information on the progress of the birth and allows training in intervention both through the use of medication and the use of vacuum or forceps to complete a delivery. (
  • On July 11, 2016, state and local health departments in Kentucky were notified of a case of obstetric tetanus in an unvaccinated woman. (
  • Clinical characteristics of pregnant women with obstetric antiphospholipid syndrome in an institution in Medellín, 2010-2016. (
  • Obstetric trauma is among the most common adverse events in Canada. (
  • The causal or contributory role of adverse obstetric factors and role and competencies of health workers is clearly evident. (
  • The aim of the third study was to assess risk of eclampsia and HELLP syndrome by the mother's travel time to an obstetric institution and place of delivery. (
  • In the third study, we found that nulliparous women who had to travel more than one hour to any obstetric institutions had a 50 % higher risk of eclampsia or HELLPsyndrome. (
  • Disease specific morbidities per 1000 deliveries were 6.7 (6.0 to 7.5) for severe haemorrhage, 3.9 (3.3 to 4.5) for severe pre-eclampsia, 0.2 (0.1 to 0.4) for eclampsia, 0.5 (0.3 to 0.8) for HELLP (Haemolysis, Elevated Liver enzymes, and Low Platelets) syndrome, 0.4 (0.2 to 0.6) for severe sepsis, and 0.2 (0.1 to 0.4) for uterine rupture. (
  • Most events are related to obstetric haemorrhage and severe pre-eclampsia. (
  • Patients and method: This was a descriptive retrospective study of new-borns with obstetric trauma received at the Centre hospitalier Roi Baudouin's paediatric ward over a 12-month period. (
  • In our nursing program, clinical rotations begin the second week of the semester, when students have not yet learned the complexities of caring for obstetric (OB) and pediatric (PEDS) patients. (
  • Clinical management algorithms for common and unusual obstetric problems have been developed to help guide practitioners to the best treatment options for patients. (
  • This is the first trial to utilize a prophylactic dose of TXA prior to incision followed by a subsequent prophylactic dose at placental delivery in obstetric patients undergoing scheduled cesareans. (
  • Consensus regarding the safest mode of delivery and anesthetic management in patients with syringomyelia remains controversial and presents management dilemmas. (
  • This indicator measures the rate of obstetric trauma (third-degree lacerations or greater in severity) for vaginal deliveries without instrument assistance. (
  • OPPTB promotes basic, translational, and clinical research to improve the safety and efficacy of therapeutics (primarily pharmaceuticals) and to ensure centralization and coordination of research, clinical trials, and drug development activities for obstetric and pediatric populations. (
  • To provide students with a foundational knowledge of populations and prepare them for a more meaningful clinical experience, course faculty developed the OB/ PEDS Boot Camp, a one-day simulation seminar in which students become acquainted with assessment, terminology, medical devices, and equipment specific to obstetric and pediatric populations. (
  • The indicator is expressed as a rate of obstetric traumas per 100 unassisted vaginal deliveries. (
  • Introduction: Neonatal obstetric traumas remain an important cause of morbidity-mortality. (
  • What better way to demonstrate perineal stretching, the passage of the baby through the non-flexible pelvic model, and the delivery of the placenta than by demonstrating the whole process with this complete set! (
  • Evaluating risk-adjusted cesarean delivery rate as a measure of obstetric quality. (
  • Each simulator supports multiple difficult Cesarean deliveries with realistic incisions and amniotic fluid . (
  • Pregnant women with unknown or incomplete tetanus vaccination histories should receive a series of 3 doses of tetanus and reduced diphtheria toxoids (Td) to protect against obstetric and neonatal tetanus ( 5 ). (
  • We report the case of an EVD survivor who became pregnant and delivered her child in the United States, and we discuss implications of this case for infection control practices in obstetric services. (
  • Case-control study from a defined delivery population with four randomly selected pregnant women as controls for every case. (
  • I, Shiu Wan Yee, attest that this thesis, 'An Evaluation on 2007 Obstetric Service Policy in Hong Kong - a Solution to the Service-seeking Behaviour of Mainland Pregnant Women? (
  • Traditional obstetric sonograms are done by placing a transducer on the abdomen of the pregnant woman. (
  • Gynecologic, obstetric, and related surgery / edited by David H. Nichols, Daniel L. Clarke-Pearson. (
  • Gynecologic and obstetric surgery. (
  • The variables studied were maternal (age, parity, presentation, mode of delivery and place of delivery,) and neonatal (birth weight, type of lesion and diagnosis time). (
  • Conclusion: New-born obstetric trauma are relatively frequent at the Centre hospitalier Roi Baudouin The diagnosis is delayed due to a lack of proper examination of the new-born in the delivery room. (
  • Diagnosis involves careful examination of the new-born in the delivery room and the prognosis depends on the precocity of the treatment and the severity of the lesions. (