objective : the study evaluated the efficacy and safety of vaginal rogesterone on prevention of recurrent preterm labor. materials and methods: total number of 70 patients with preterm labor treated with intravenous magnesium sulfate in perinatology department of valiasr hospital entered to a randomized clinical trial. treatment group after inhibition of preterm labor with magnesium sulfate rec...

To compare the birth weight (BW) of largest prior vaginal delivery versus the index pregnancy with shoulder dystocia (SD). From three centers, births with SD were identified and compared to the largest birth weight of prior delivery at term. Among 304 patients, the mean difference in the BW of those with SD in the index pregnancy and largest prior vaginal delivery was 394 ± 510g (p<.0001). The ...

OBJECTIVE To evaluate the extent to which stillbirths affect international comparisons of preterm birth rates in low- and middle-income countries. DESIGN Secondary analysis of a multi-country cross-sectional study. SETTING 29 countries participating in the World Health Organization Multicountry Survey on Maternal and Newborn Health. POPULATION 258 215 singleton deliveries in 286 hospitals...

BACKGROUND Although the connection between ascending infection and preterm birth is undisputed, research focused on finding effective treatments has been disappointing. However evidence that eradication of Candida in pregnancy may reduce the risk of preterm birth is emerging. We conducted a pilot study to assess the feasibility of conducting a large randomized controlled trial to determine whet...

BACKGROUND The Term Breech Trial compared the safety of planned cesarean and planned vaginal birth for breech presentations at term. The combined outcome of perinatal or neonatal death and serious neonatal morbidity was found to be significantly lower among babies delivered by planned cesarean section. In this study we conducted a cost analysis of the 2 approaches to breech presentations at del...

OBJECTIVES The opinions of Brazilian women regarding vaginal delivery and cesarean sections was studied. METHODS Six hundred and fifty-six women who had given birth in seven hospitals in São Paulo and Pernambuco, using the Public Health Service, were interviewed. The opinions of women who had delivered only by cesarean section was compared with those of women who had had at least one vaginal ...

BACKGROUND Acute gastroenteritis (AGE) is a leading cause of infectious morbidity in childhood. Clinical studies have implicated caesarean section, early birth and formula feeding in modifying normal gut microbiota development and immune system homeostasis in early life. Rates of early birth and cesarean delivery are also increasing worldwide. This study aimed to investigate the independent and...

Introduction: During a student nurse-midwives portfolio review in 2013, it was noted that a high proportion of women had a caesarean section and that all vaginal births were performed in a lithotomy position. The lithotomy birthing position is associated with increased risk of an episiotomy. This instigated the undertaking of a retrospective review of maternity case notes of 569 women, who gave...

Current belief in obstetric practice is that the scar of a classical Caesarean section is more prone to rupture than that of a lower segment Caesarean section and that for this reason elective repeat Caesarean should always be undertaken in subsequent pregnancies. This review of the history of management of women after a previous classical Caesarean section was prompted by the presentation of a...

OBJECTIVES to describe the outcomes related to birth after a caesarean section (CS) in one Australian state, New South Wales (NSW), over a nine-year period. The objectives were to determine whether changes had occurred in the rates of attempted and successful vaginal birth after caesarean section (VBAC), induction of labour, place of birth, admission to special care or neonatal intensive care n...