OBJECTIVE To evaluate the association of intrapartum magnesium sulfate for fetal neuroprotection (MgSO4-FN) with the delivery room resuscitation and neonatal outcomes of preterm infants in an era of minimisation of invasive mechanical ventilation. DESIGN Retrospective cohort study. SETTING Neonatal intensive care units in the Canadian Neonatal Network. PATIENTS AND INTERVENTION Preterm in...

OBJECTIVES (1) To compare perinatal outcomes and costs of care among women giving birth in a single room maternity care (SRMC) setting versus a traditional delivery suite or postpartum setting; and (2) to report on physicians' responses to the SRMC environment. METHODS Among women who were determined to be at "low risk" for intrapartum complications through the use of a triage tool, the outco...

OBJECTIVES In resource-poor settings, the standard of care to inform labour management is the partograph plus Pinard stethoscope for intermittent fetal heart rate (FHR) monitoring. We compared FHR monitoring in labour using a novel, robust wind-up handheld Doppler with the Pinard as a primary screening tool for abnormal FHR on perinatal outcomes. DESIGN Prospective equally randomised clinical...

OBJECTIVES To understand hospital- and county-level factors for rural obstetric unit closures, using mixed methods. DATA SOURCES Hospital discharge data from Healthcare Cost and Utilization Project's Statewide Inpatient Databases, American Hospital Association Annual Survey, and Area Resource File for 2010, as well as 2013-2014 telephone interviews of all 306 rural hospitals in nine states wi...

BACKGROUND Our objective was to estimate the effect of various childbirth care packages on neonatal mortality due to intrapartum-related events ("birth asphyxia") in term babies for use in the Lives Saved Tool (LiST). METHODS We conducted a systematic literature review to identify studies or reviews of childbirth care packages as defined by United Nations norms (basic and comprehensive emerge...

OBJECTIVE To compare characteristics of family physicians planning to discontinue or stay in intrapartum care. DESIGN Self-administered questionnaire. SETTING Department of Family Practice at Children's and Women's Health Centre of British Columbia. PARTICIPANTS Ninety-five family physicians who attended at least one birth at the Health Centre between April 1997 and August 1998. MAIN OU...

OBJECTIVE The objective of our study was to test the hypothesis that the availability and selective use of STAN in conjunction with cardiotocography for intrapartum monitoring, lowers the incidence of operative deliveries for fetal distress. DESIGN Observational study. SETTING Delivery suite of the National University Hospital, Singapore. METHODS The data regarding intrapartum cesarean se...

Emergency department (ED) births are rare. In most cases, patients in labor are triaged directly to the obstetric suite for urgent management, maintaining a continuum of care with their primary providers. Because some births are precipitous and obstetric resources may not be immediately available, the emergency physician must possess the basic skills for intrapartum management of both normal an...

OBJECTIVE Despite dramatic reductions in perinatal human immunodeficiency virus (HIV) transmission in the United States, obstacles to perinatal HIV prevention that include lack of prenatal care; failure to test pregnant women for HIV before delivery; and lack of prenatal, intrapartum, or neonatal antiretroviral (ARV) use remain. The objective of this study was to describe trends in perinatal HI...