Archives of gynecology and obstetrics
-
Arch. Gynecol. Obstet. · Apr 2005
Randomized Controlled Trial Clinical TrialEvaluation of placental drainage as a method of placental delivery in vaginal deliveries.
We describe a prospective study, done over a 2-year period in which a total of 958 women having a vaginal delivery were randomised to the drainage method (478 women) or controlled cord traction method (480 women) for placental delivery. ⋯ Placental drainage significantly reduces the duration of third stage of labour in vaginal deliveries.
-
Arch. Gynecol. Obstet. · Apr 2005
Case ReportsLabor analgesia for the morbidly obese parturient: an old problem--new solution.
Morbid obesity is perhaps the most common nutritional disorder seen in pregnancy, and morbidly obese parturients have more pregnancy complication than normal body mass index (BMI) pregnant patients. Combined spinal epidural anesthesia (CSEA) has become a well-established alternative to epidural analgesia for labor pain in many institutions. However, due to lack of an appropriately long needle design, its advantages have not been routinely available to laboring morbidly obese patients. ⋯ I herein, present a case of a morbidly obese parturient whose labor analgesia was managed with CSEA administered with the newly released, commercially available, CSEA needle set, specifically designed for morbidly obese patients.
-
Arch. Gynecol. Obstet. · Apr 2005
Influence of spinal hypotension on fetal oxidative status during elective cesarean section in uncomplicated pregnancies.
We examined the relation between spinal hypotension (systolic blood pressure: <100 mmHg or <80% of the baseline value) and fetoplacental oxygen free radicals during elective cesarean section. Plasma xanthine, serum uric acid and plasma malondialdehyde levels in umbilical venous blood and blood gases in the umbilical artery were measured in patients receiving spinal anesthesia for elective cesarean section complicated with (n=26) and without (n=26) spinal hypotension. Patients with spinal hypotension were divided to two groups on the duration of the hypotension: those with the duration of <2 min (n=19) and those with the duration of > or =2 min (n=7). ⋯ There were no measurable differences in these variables between the control and the hypotension with the duration of <2 min groups. While, the plasma xanthine, serum uric acid and plasma malondialdehyde levels in the hypotension group with the duration of > or =2 min were significantly higher than those in the control group without the significant differences in blood gases and pH-levels.
-
Arch. Gynecol. Obstet. · Apr 2005
Analysis of 59 cases of emergent peripartum hysterectomies during a 13-year period.
The objective was to investigate the incidence, indications, and risk factors of peripartum emergent hysterectomy. ⋯ Uterine atony was the most common indication for emergent peripartum hysterectomy.
-
Arch. Gynecol. Obstet. · Apr 2005
Third degree perineal tears in a university medical center where midline episiotomies are not performed.
Midline episiotomy is a known major risk factor for severe perineal lacerations. The study was aimed to define obstetric risk factors for third-degree perineal tears in a university medical center where midline episiotomies are not performed. ⋯ After adjustment for possible confounding variables, mediolateral episiotomy per se was not an independent risk factor for third-degree perineal tears. Instrumental vaginal deliveries of macrosomic fetuses should be avoided whenever possible to decrease the occurrence of third-degree perineal tears.