Study evaluated criteria-based clinical audit in measuring and improving quality of obstetric care for five life-threatening obstetric complications: obstetric haemorrhage, eclampsia, genital tract infections, obstructed labor and uterine rupture. Clinical management of 65 patients was audited using a 'before (Phase I) and after (Phase II)' audit cycle design using standard criteria. Following ...

Hole and Tressler • Management of preterm labor P birth occurs in approximately 10% of pregnancies in the United States. Therefore, it is not only one of the most common obstetric complications, but also one of the most serious. After fetal anomalies, it is the leading cause of perinatal mortality, resulting in 70% of perinatal/neonatal losses. It is also one of the leading contributors to long...

Hole and Tressler • Management of preterm labor P birth occurs in approximately 10% of pregnancies in the United States. Therefore, it is not only one of the most common obstetric complications, but also one of the most serious. After fetal anomalies, it is the leading cause of perinatal mortality, resulting in 70% of perinatal/neonatal losses. It is also one of the leading contributors to long...

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...

The goal of this study is to compare the efficacy of natural vaginal progesterone with that of oral nifedipine in treatment of threatened preterm labor.150 women, with singleton pregnancy and threatened preterm labor between 28 to 36 weeks of gestation, were randomly grouped into two, 75 in each group. Group 1: pregnant females who used natural progesterone 200mg twice daily inserted vaginally ...

METHOD(S) : In this prospective cohort study conducted over a 8 months period (January to August 2005) 416 antenatal women admitted with threatened preterm labor and in preterm labor, with or without rupture of membranes, were recruited. They were followed up from admission till delivery and discharge. Gestational age at onset of preterm labor, associated risk factors, response to tocolytics if...

BACKGROUND There is no apparent consensus on obstetric management, i.e., induction of labor or expectant management of women with suspected large-for-gestational-age (LGA)-fetuses. METHODS AND FINDINGS To further examine the subject, a nationwide population-based cohort study from the Swedish Medical Birth Register in nulliparous non-diabetic women with singleton, vertex LGA (>90th centile) b...

Labor and Delivery is a complex clinical service requiring the support of highly trained healthcare professionals from Obstetrics, Anesthesiology, and Neonatology and the access to a finite set of valuable resources. In the United States, the rate of cesarean sections on labor floors is approximately twice as high as considered appropriate for patient care. We analyze one month of data from a B...

BACKGROUND Globally, prolonged and obstructed labor contributed to 8% of maternal deaths which can be reduced by proper utilization of partograph during labor. METHODS An Institution based cross-sectional study was conducted in June, 2013 on 403 obstetric care providers. A pre-tested and structured questionnaire was used to collect data. Data was entered to EpiInfo version 3.5.1 statistical p...

BACKGROUND Threatened preterm labor is a leading cause of hospital admission during pregnancy. Patients with an episode of threatened preterm labor who deliver at term are considered to have false preterm labor. However, threatened preterm labor has been proposed as a pathologic insult that is not always sufficient to induce irreversible spontaneous preterm birth but that could alter the normal...