American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Mar 2005
Randomized Controlled Trial Clinical TrialFactors predicting severe perineal trauma during childbirth: role of forceps delivery routinely combined with mediolateral episiotomy.
Anal sphincter injury and its sequelae are a recognized complication of vaginal childbirth. The aim of the present study was to identify risk factors for third- and fourth-degree perineal tears in patients undergoing either spontaneous or vaginal-assisted delivery by forceps routinely combined with mediolateral episiotomy. ⋯ In consistence with previous reports, women who are vaginally delivered of a large infant are at a high risk for sphincter damage. Although the rate of these complications was surprisingly low in vaginally assisted childbirth, the use of forceps, even if routinely combined with mediolateral episiotomy, should be minimized whenever possible.
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Am. J. Obstet. Gynecol. · Mar 2005
Comparative StudyFetal RhD genotyping by maternal serum analysis: a two-year experience.
The purpose of this study was to determine the accuracy of the none-invasive prenatal determination of polymerase chain reaction (PCR)-based fetal RhD genotyping. ⋯ The present report demonstrates that a reliable fetal RHD genotype determination can be achieved with 100% accuracy. It is therefore possible to consider that such an assay could be systematically proposed to all RhD-negative pregnant women in order to more effectively utilize RhD prophylaxis.
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Am. J. Obstet. Gynecol. · Mar 2005
Catastrophizing labor pain compromises later maternity adjustments.
The purpose of this study was to evaluate the impact of labor pain intensity and labor pain catastrophizing on maternity blues and postpartum social functioning. ⋯ Labor pain catastrophizing rather than labor pain intensity predicts postpartum maternal adjustments.