Obstetrics and gynecology
-
Obstetrics and gynecology · Jul 2003
Case ReportsSpiral fracture of the radius: an unusual case of shoulder dystocia-associated morbidity.
The most common neonatal complications associated with shoulder dystocia include transient brachial plexus palsy, clavicular fracture, and humeral fracture. Fracture of the fetal radius has not been previously reported. ⋯ Neonatal radial fracture can result from shoulder dystocia or the maneuvers employed for the alleviation of the shoulder dystocia.
-
Obstetrics and gynecology · Jul 2003
Comparative StudyThe influence of interpregnancy interval on the subsequent risk of stillbirth and early neonatal death.
To study whether interpregnancy interval is associated with increased risks of stillbirth and early neonatal death and whether this possible association is confounded by maternal characteristics and previous reproductive history. ⋯ Short interpregnancy intervals appear not to be causally associated with increased risk of stillbirth and early neonatal death, whereas long interpregnancy intervals were associated with increased risk of stillbirth and possibly early neonatal death.
-
Obstetrics and gynecology · Jul 2003
Comparative StudySpontaneous versus induced labor after a previous cesarean delivery.
To compare maternal and neonatal outcomes in spontaneous versus induced labor after one previous cesarean delivery. ⋯ Induced labor is associated with an increased rate of early postpartum hemorrhage, cesarean delivery, and neonatal ICU admission. The higher rate of uterine rupture in those who had labor induced was not statistically significant.
-
Obstetrics and gynecology · Jul 2003
Randomized Controlled Trial Comparative Study Clinical TrialManagement of the second stage of labor in nulliparas with continuous epidural analgesia.
To determine if waiting for a strong urge to push in nulliparas with continuous low-concentration epidural analgesia shortens the pushing duration in the second stage. ⋯ In nulliparas with continuous low-concentration epidural analgesia, delaying pushing until a strong urge is felt does not reduce the duration of pushing in the second stage of labor.