Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Apr 2012
Comparative StudyTwin births: cesarean section or vaginal delivery?
To assess morbidity and mortality in twin pregnancy deliveries, according to chorionicity and mode of delivery. ⋯ Dichorionic twins born after 36 weeks of gestation had a higher risk of poor outcome by intended vaginal delivery than by planned cesarean section. For MC twins, statistical differences in outcome by mode of delivery could not be seen.
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Acta Obstet Gynecol Scand · Apr 2012
Obstetric near-miss cases among women admitted to intensive care units in Italy.
Maternal near-miss defines a narrow category of morbidity encompassing potentially life-threatening episodes. The purpose of this study was to detect near-miss instances among women admitted to intensive care units or coronary units, analyze associated causes, and compute absolute and specific maternal morbidity rates in six Italian regions. ⋯ Monitoring of near-miss morbidity in conjunction with mortality surveillance could help to identify effective preventive measures for potentially life-threatening episodes.
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Acta Obstet Gynecol Scand · Apr 2012
The influence of fetal head circumference on labor outcome: a population-based register study.
To investigate the association between postnatal head circumference and the occurrence of the three main indications for instrumental delivery, namely prolonged labor, signs of fetal distress and maternal distress. We also studied the association between postnatal fetal head circumference and the use of vacuum extraction and emergency cesarean section. ⋯ Large fetal head circumference is associated with complicated labor and is etiological to a considerable proportion of assisted vaginal births and emergency cesarean sections.