OBJECTIVE Stripping of the membranes is an established and widely utilized obstetric procedure associated with higher spontaneous vaginal delivery rates, reduced need for formal induction of labor and a lower likelihood of post-term pregnancy. Due to the theoretical concern of bacterial seeding during the procedure many practitioners choose not to sweep the membranes in Group B Streptococcus (G...

BACKGROUND Few data are available to guide biological sample collection around the time of birth for large-scale birth cohorts. We are designing a large UK birth cohort to investigate the role of infection and the developing immune system in determining future health and disease. We undertook a pilot to develop methodology for the main study, gain practical experience of collecting samples, and...

OBJECTIVE To provide evidence-based guidelines for the management of pregnancy at 41+0 to 42+0 weeks. OUTCOMES Reduction of perinatal mortality associated with Caesarean section at 41+0 to 42+0 weeks of pregnancy. EVIDENCE The Medline database, the Cochrane Library, and the American College of Obstetricians and Gynecologists and the Royal College of Obstetricians and Gynecologists, were sea...

A specter is haunting America’s airline industry: It’s the ghost of Eastern Airlines. Once one of America’s largest carriers, Eastern went out of business in 1991 following a prolonged, crippling and acrimonious strike. The episode was a nadir for labor relations in the airline industry. Even if things are not quite as bad now as then, serious problems are weakening America’s major airlines—and...

Background: The modified WHO partograph is an inexpensive but valuable tool that provides a continuous pictorial overview of progress of labor. It helps to detect the abnormal progress of labor. It guides the obstetrician to decide about the need for augmentation of labor and helps to recognize prolong labour before obstruction occurs. Objectives: The objectives were to study the course of norm...

introduction:   although there no agreement about best way for relieving  pain in delivery, finding an appropriate method with the lowest pain and drug dose and side effect shoud be considered. the aim of this study is to compare the analgesic efficacy and side effects of remifentanil and meperidine as two methods of pain relieving in obstetrics during an uncomplicated labor.  materials and met...