OBJECTIVES To estimate the risk of preterm delivery of twin pregnancies based upon sonographic cervical length measurement and gestational age at measurement. METHODS Twin pregnancies that delivered between 1999 and 2005 and that underwent sonographic measurement of cervical length between 13 and 34 + 6 weeks' gestation were identified and a retrospective review performed. Women with anomalou...

Aman in Mexico is fired after he develops tuberculosis and fellow workers fear that he may be HIV-positive. A pregnant woman in Ukraine learns of her HIV status during delivery and healthcare workers coerce her into being sterilized after giving birth. In Cambodia, community members avoid the local temple when the monks there begin providing support to AIDS orphans. In-laws steal a woman’s prop...

Background: Cesarean delivery has become the most common major surgical procedure in many parts of the world. Induction of labor in women with prior cesarean delivery is an alternative to mitigate the rising cesarean rates. Objectives: To compare the VBAC success rate between two vaginal forms of dinoprostone for labor induction in women with prior cesarean section. Material and Methods: A pilo...

We examine the impact that medical research published in peer-reviewed journals has on the practice of medicine. We exploit the release of a recent New England Journal of Medicine article which demonstrated that the risks of attempting a vaginal birth after having a previous C-section birth (VBAC) were higher than previously thought. We find that immediately following this article, the national...

OBJECTIVE To describe adherence with infant feeding and complementary feeding guidelines. DESIGN Prospective study of infant feeding and complementary feeding practices were collected as part of the Cork BASELINE Birth Cohort Study. SETTING Cork, Ireland. SUBJECTS Data are described for the 823 infants for whom a diary was completed. RESULTS Breast-feeding was initiated in 81 % of infan...

INTRODUCTION Cesarean section (Sectio Caesarea) is a surgical method for the completion of delivery. After various historical modifications of operative techniques, modern approach consists in the transverse dissection of the anterior wall of the uterus. The rate of vaginal birth after cesarean section was significantly reduced from year to year, and the rate of repeated cesarean section is inc...

BACKGROUND Research examining long-term health outcomes for women after childbirth has been limited. The objective of this study was to investigate the natural history of common morbidities in the 18 months after the birth of a first child, and to explore the hypothesis that women who have a cesarean section for a first birth experience less overall morbidity in the postnatal period. METHODS ...

Pregnancy can be associated with significant risks for the mother and baby regardless of the presence of medical or obstetrical complications. In the presence of complications such as hypertension, multiple gestation, or prior cesarean delivery, the risks to the health of the mother and baby increase. Numerous studies, including two published in PLoS Medicine recently [1,2], have shown that ris...

OBJECTIVE The purpose of this study was to examine if neonatal mortality rates (NMR) based on birth weight discordance (BWD) differ based on mode of delivery. STUDY DESIGN The population-based US "matched multiple birth" database (1995 to 1998) was used to examine the effect of vaginal/vaginal (VV) and cesarean/cesarean (CC) modes of delivery (MOD) on neonatal mortality (<28 days after birth)...

OBJECTIVE The purpose of this study was to estimate the association of uterine rupture and previous incision type, either unknown or low transverse, among women who attempt a trial of labor after 1 previous cesarean delivery. STUDY DESIGN We conducted a secondary analysis of a prospective multicenter observational study of 15,519 women with term singletons who attempted a trial of labor after...