The effectiveness of transcutaneous electrical stimulation at acupuncture points for increasing uterine contractions in 20 post-dates pregnant women was assessed in a controlled study. Subjects were randomly assigned to either a treatment condition, consisting of the application via surface electrodes of a 30-Hz current to the points "spleen 6" (lower leg) and "liver 3" (foot), or a placebo con...

BACKGROUND Obstetric fistula is a childbirth injury caused by prolonged obstructed labor that results in destruction of the tissue wall between the vagina and bladder. Although obstetric fistula is directly caused by prolonged obstructed labor, many other factors indirectly increase fistula risk. Some research suggests that many women in rural Malawi have limited autonomy and decision-making po...

background: dystocia is the most common indication of primary cesarean section. the most common cause of dystocia is uterine dysfunction. in prolonged labor, more attention is usually paid to the fetus and pelvis rather than to the role of uterine contractions in a delivery. therefore, we decided to determine the relationship between the labor progress and uterine contractions shapes . methods:...

BACKGROUND AND OBJECTIVES There are controversies regarding whether labor analgesia can interfere with labor and the vitality of the newborn. The objective of this study was the interaction between labor analgesia, using the continuous epidural and combined spinal-epidural techniques with a small dose of local anesthetic, and the type of delivery analyzing the newborn's weight and Apgar score. ...

OBJECTIVE To compare intrapartum and neonatal mortality in low-risk term women starting labour in midwife-led versus obstetrician-led care. STUDY DESIGN We performed a propensity score matched study using data from our national perinatal register, completed with data from medical files. We studied women without major risk factors with singleton pregnancies who gave birth at term between 2005 ...

BACKGROUND Obesity is becoming an increasing problem in obstetric practice; it has led to an increase in the risk of caesarean delivery, prolonged pregnancy and dysfunctional labour. It has been postulated that many of these problems are as a result of abnormal myometrial contractility. The RhoA/Rho kinase pathway is involved in calcium sensitisation in the myometrium during labour and contribu...

Neonatal septicemia continues to be one of the commonest causes of neonatal mortality and morbidity despite advances in healthcare. Neonatal sepsis may be categorized as early onset sepsis (EOS) or late onset (LOS) according to time of onset of the disease. Presence of risk factors such as low birth weight or preterm baby, febrile illness in the mother 2 weeks prior to delivery, foul smelling o...

Obstructed labor is a common complication of human childbirth. In parts of the world where access to emergency obstetric services is limited, obstructed labor is a major cause of maternal mortality. Women who survive the ordeal of prolonged obstructed labor often end up suffering from an obstetric vesicovaginal fistula or another serious birth injury that leaves them crippled for life. Compared...

AIM Matched-case control study was performed to assess perinatal mortality and feto-maternal morbidity related to the post-term pregnancy. METHODS 124 patients who delivered after 42 weeks of pregnancy were matched by age and parity with a control group of patients who delivered at term. Perinatal mortality and neonatal morbidity, as well as maternal morbidity were analyzed in both groups and...

BACKGROUND Preterm birth accounting approximate 10% of pregnancies in women is a tremendous social, clinical and economic burden. However, its underlying causes remain largely unknown. Emerging evidence suggests that endocannabinoid signaling via cannabinoid receptor CB1 play critical roles in multiple early pregnancy events in both animals and humans. Since our previous studies demonstrated th...