BACKGROUND Ambulatory epidural analgesia (AEA) is a popular choice for labor analgesia because ambulation reportedly increases maternal comfort, increases the intensity of uterine contractions, avoids inferior vena cava compression, facilitates fetal head descent, and relaxes the pelvic musculature, all of which can shorten labor. However, the preponderance of evidence suggests that ambulation ...

BACKGROUND Acupressure has been used frequently to improve labor, manage labor pain, and shorten delivery time. However, there has been little research-based evidence to support the positive effects of acupressure in the obstetric area and obstetric nursing. OBJECTIVES The aim of this study was to evaluate the effects of SP6 acupressure on labor pain and delivery time in primigravida women in...

Background: Cervix insufficiency is diagnosed based on a previous history of pregnancy loss in the second trimester, followed by painless cervical dilatation or premature rupture of the fetal membranes. Abnormal cervical tissue structural appears to be the cause of this complication. There are no diagnostic methods for cervical insufficiency before pregnancy, but magnetic resonance imaging (MRI...

The aim of our study is to verify whether some maternal features are related to pregnancy outcome of emergency cerclage when membranes are protruding through the dilated cervix. We present a retrospective review of 20 cases of emergency cervical cerclage performed over a 3 years period at Al Wasl hospital, a tertiary level centers in Dubai. Analysis shows presence of membrane prolapse with infe...

A 65 year gentleman had complaints of difficulty in swallowing primarily for solids along with foreign body sensation in throat for six months duration. Patient also had to do multiple attempts at swallowing the bolus. Occasionally patient also had episodes of coughing during swallowing of liquids. Patient had no loss of weight, fever and hematemesis. Barium swallow revealed narrowing at level ...

BACKGROUND AND OBJECTIVES Cervical dilation measurement is difficult to teach. This pilot study's objective was to determine if residents participating in an innovative workshop improved their cervical measurement accuracy when using soft cervical models in the classroom. METHODS Resident physicians measured cervical models before and after the workshop. We compared pre-workshop and post-work...

BACKGROUND Few studies have examined in depth the labor progression of multiparas to determine if there is any additional impact of being parous beyond the first birth. The objective of this study was to determine the effect of parity on labor progression in contemporary obstetric practice. METHODS Our sample consisted of all low-risk women who delivered a term, live-born infant from January ...