Severe perineal laceration during operative vaginal delivery: the impact of occiput posterior position

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منابع مشابه

Pelvic floor disorders after vaginal birth: effect of episiotomy, perineal laceration, and operative birth.

OBJECTIVE To investigate whether episiotomy, perineal laceration, and operative delivery are associated with pelvic floor disorders after vaginal childbirth. METHODS This is a planned analysis of data for a cohort study of pelvic floor disorders. Participants who had experienced at least one vaginal birth were recruited 5-10 years after delivery of their first child. Obstetric exposures were ...

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Risk factors for the breakdown of perineal laceration repair after vaginal delivery.

OBJECTIVE The purpose of this study was to identify risk factors that are associated with the breakdown of perineal laceration repair in the postpartum period. STUDY DESIGN We conducted a retrospective, case-control study to review perineal laceration repair breakdown in patients who were delivered between September 1995 and February 2005 at the University of Michigan. Bivariate analysis with...

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Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study

BACKGROUND We sought to investigate the impact of the duration of second stage of labor on risk of severe perineal lacerations (third and fourth degree). METHODS This population based cohort study was conducted in the Stockholm/Gotland region, Sweden, 2008-2014. Study population included 52 211 primiparous women undergoing vaginal delivery with cephalic presentation at term. Unconditional log...

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The impact of manual rotation of the occiput posterior position on spontaneous vaginal delivery rate: study protocol for a randomized clinical trial (RMOS)

BACKGROUND The frequency of posterior presentations (occiput of the fetus towards the sacrum of the mother) in labor is approximately 20% and, of this, 5% remain posterior until the end of labor. These posterior presentations are associated with higher rates of cesarean section and instrumental delivery. Manual rotation of a posterior position in order to rotate the fetus to an anterior positio...

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Operative Vaginal Delivery

Operative vaginal delivery is used to achieve or expedite safe vaginal delivery for maternal or fetal indications. Examples include maternal exhaustion and an inability to push effectively; medical indications such as maternal cardiac disease and a need to avoid pushing in the second stage of labor; prolonged second stage of labor, arrest of descent, or rotation of the fetal head; and nonreassu...

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ژورنال

عنوان ژورنال: Journal of Perinatology

سال: 2014

ISSN: 0743-8346,1476-5543

DOI: 10.1038/jp.2014.103