BACKGROUND There are two approaches to care during the third stage of labour: Active management includes three components: administration of a prophylactic uterotonic drug, cord clamping and controlled cord traction. For physiological care, intervention occurs only if there is clinical need. Evidence to guide care during the third stage is limited and there is variation in recommendations which...

background although there are studies that suggest a vast expansion of medicalization of pregnancy and birth in iran, data about the rate of intervention applications caused by the medicalization in low-risk pregnancies and birth is limited. moreover, there is limited information on the effectiveness of these interventions for different modes of childbirth. objectives this study aimed to determ...

The efficacy of a new vacuum extraction device, the Kiwi OmniCup, and its effects on mothers and infants were tested in a study of 18 non-rotational and 32 rotational vacuum assisted deliveries. Forty-nine (98%) of the extractions resulted in successful vaginal births. Autorotation of the fetal head when the occiput was transverse or posterior was achieved in 31 (97%) of the 32 vacuum procedure...

OBJECTIVE The study aims to determine the differences in maternal and perinatal outcomes between caesarean and vaginal deliveries and the factors affecting vaginal delivery in twin pregnancy. MATERIALS AND METHODS An observational study to audit twin pregnancies delivered at the University of Nigeria Teaching Hospital between 2002 and 2008. Clinical observations were entered into a questionna...

BACKGROUND Preterm prelabour rupture of the fetal membranes (PPROM) precedes 30% of preterm births and is a risk factor for early onset neonatal sepsis. As PPROM is strongly associated with ascending vaginal infection, prophylactic antibiotics are widely used. The evolution of vaginal microbiota compositions associated with PPROM and the impact of antibiotics on bacterial compositions are unkno...

INTRODUCTION Views on the conduct of labor have changed over time, and a significant difference exists in relation to obstetric centers. OBJECTIVE To assess cost, clinical outcomes and cost-effectiveness of different types of labor in singleton pregnancies. METHODS A decision model was used to compare vaginal labor, induced labor and planned cesarean section. All data were taken from the Bo...

Objective: To evaluate the applicability of the technique of vaginal hysterectomy in non-prolapsed uterus. Methods: A retrospective cohort study with 220 patients submitted to vaginal hysterectomy from January 2004 to July 2010 by the Vaginal Surgery and Pelvic Floor Team. Patients mean age was 44.4 years and they had on average three births (0-10 deliveries). The surgery was performed even in ...