The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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J. Matern. Fetal. Neonatal. Med. · Jun 2017
Simplified and standardized intrapartum management can yield high rates of successful VBAC in spontaneous labor.
To examine the outcomes of vaginal birth after cesarean (VBAC) in women, in spontaneous labor, delivering after 37 weeks' gestation at an institution where trial of labor after a previous cesarean delivery (TOLAC) is encouraged and management of labor is standardized. ⋯ This study shows that serious complications associated with TOLAC are rare providing intrapartum care and decision-making is made simple for the benefit of staff and patients alike. This is achieved through a standardized labor management protocol.
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J. Matern. Fetal. Neonatal. Med. · May 2017
Comparative StudyComparison of the landmark and ultrasound methods in cesarean sections performed under spinal anesthesia on obese pregnants.
Difficulties in the palpation of anatomical landmarks in pregnancy due to obesity may create problems in the regional anaesthesia. Objective of this study was to compare ultrasound examination carried out before the procedure with conventional spinal anaesthesia method with papation of bony landmarks in caesarean sections performed under spinal anaesthesia in obese pregnants. Ninety-seven obese pregnants having pre- and post-pregnancy body mass index > 30 kg/m2 were prospectively examined. ⋯ Whereas SBOT values were similar (p = 0.063). The numbers of skin punctures and needle passes were significantly fewer in the ultrasound than in the landmark group (p < 0.001). We believe that, accurate determination of the needle introducing site before the procedure by viewing the vertebral structures through ultrasound examination in obese pregnants could increase the success rate.
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J. Matern. Fetal. Neonatal. Med. · Apr 2017
Randomized Controlled TrialCarbetocin versus syntometrine for prevention of postpartum hemorrhage after cesarean section.
To compare effectiveness and tolerability of carbetocin versus syntometrine in prevention of postpartum hemorrhage (PPH) after cesarean section (CS). ⋯ Carbetocin is a reasonable effective alternative to syntometrine in prevention of PPH after cesarean delivery.
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J. Matern. Fetal. Neonatal. Med. · Mar 2017
Observational StudyTransvaginal cervical length measurement at 22- to 26-week pregnancy in prediction of preterm births in twin pregnancies.
To investigate the predictive role of transvaginal ultrasonographic measurement of cervical length (CL) at 22-26 weeks of gestation in determining preterm deliveries in twin pregnancies. ⋯ In women with twin pregnancy, the risk of preterm birth can be evaluated using the ultrasonographic measurement of CL at 22-26 weeks of gestation.
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J. Matern. Fetal. Neonatal. Med. · Mar 2017
Antibiotic prophylaxis for premature rupture of membranes and perinatal outcome.
To evaluate the perinatal outcomes of newborns after premature rupture of membranes (PROM) at the term according to the timing of initial antibiotic administration. ⋯ Timely usage of antibiotic prophylaxis and shorter time between PROM and delivery improve perinatal outcomes.