BACKGROUND Rates of cesarean section increase worldwide, and the components of this increase are partially unknown. A strong role is prescribed to dystocia, and at the same time, the diagnosis of dystocia is highly subjective. Previous studies indicated that risk of cesarean is higher when women are admitted to the hospital early in the labor. METHODS We examined data on 1,202 nulliparous wom...

introduction: the aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  methods: this randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to imam reza hospital in 10 may 2010- 10 may 2011.  they were randomly divided into two groups 42 women inhaled entonox in active phase at the beginni...

background: early diagnosis of abnormal progressive labor and prevention of prolonged labor will cause decreased complications of mothers and fetuses. this was conduced to evaluate the alert line in who recommended program for diagnosis of abnormal labor. methods: subjects were 140 pregnant women. when their cervices were dilated about 3cm, the progress of delivery and condition of mothers and ...

A healthy 33-year-old primiparous woman developed sudden central, nonradiating chest pain and right-sided neck and facial swelling during a prolonged second stage of labor. The main finding was subcutaneous emphysema involving the neck and face. Spontaneous pneumomediastinum (SPM) is a rare cause of chest pain and can lead to subcutaneous emphysema during labor. It is probable that SPM occurred...

background: detection of women at risk for dystocia will allow physicians to make preparations and treatment decisions that can minimize maternal and neonatal morbidity. we aimed to determine the risk factors for dystocia in nulliparous women. methods: this case series enrolled 447 nulliparous women who presented with a single pregnancy in the vertex presentation and gestational age of 38-42 we...

BACKGROUND Currently, vaginal examination is the gold standard for assessment of labor progress. The World Health Organization emphasizes that the number of vaginal examinations should be limited where it is necessary. OBJECTIVES Therefore, this study aimed to determine the diagnostic accuracy of purple line in the prediction of labor progress. PATIENTS AND METHODS In this cross-sectional s...

Th e second stage of labor starts aft er your cervix has dilated (opened) to 10 centimeters (about 4 inches), and it continues until your baby fi nishes moving through your vagina and is born. During this time, you will push or bear down (like you do when you have a bowel movement) to help your baby come out. Th e second stage of labor can last from a few minutes to a few hours. It may last lon...

Pharmacologic methods for induction of labor have been used for many decades. Pharmacologic agents have an advantage over mechanical methods in that they can be used during both the initial cervical ripening stage of induction and throughout the second stage of labor. Pharmacologic induction agents such as prostaglandins and oxytocin are commonly used for labor and delivery floors and are well ...