International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Mar 1997
Effect of epidural analgesia on duration and outcome of induced labor.
To evaluate the effect of epidural block on the duration of labor and maternal and fetal outcome in induced-labor patients. ⋯ Epidural anesthesia, significantly prolongs labor time in induced patients. While instrumental delivery was more prevalent in these parturients, c-section rate was not increased and intra-partum complications were significantly reduced in these patients.
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Int J Gynaecol Obstet · Dec 1996
Influence of compression of the inferior vena cava in the late second trimester on uterine and umbilical artery blood flow.
To evaluate the inferior vena cava compression and its influence on the uterine and umbilical artery blood flow in the late second trimester when the mother is supine. ⋯ The inferior vena cava is compressed in the majority of pregnant women in the second trimester, and the compression may affect the uterine artery blood flow but not the fetal circulation.
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Int J Gynaecol Obstet · Dec 1996
Perinatal outcome and the type and number of maneuvers in shoulder dystocia.
To ascertain the type and order of maneuvers that should be used for the treatment of shoulder dystocia, and to determine its correlation with perinatal outcome. ⋯ The McRoberts maneuver and suprapubic pressure should be first-line treatment for shoulder dystocia. More difficult and damaging maneuvers such as Woods screw and delivery of the posterior arm may be reserved for refractory cases. Additional maneuvers are rarely necessary for delivery. The number of maneuvers may serve as a measure of the severity of the shoulder dystocia.