Background & aim: Episiotomy is a common medical procedure for widening the perineum. In fact, perineal pain is the most common complaint after episiotomy. Therefore, it is important to determine factors associated with postoperative pain following episiotomy in order to provide comfort for women after delivery. This study aimed to investigate factors associated with postoperative pain followin...

Caesarean section in a severely kyphotic patient presents with unique challenges. We report a case of obstructed labor in case of a pregnant lady with severe kyphosis of spine that was managed by caesarean section. Lateral recumbent position with adequate assistance and paramedian or vertical skin incision was used and found to provide good exposure. Baby was delivered by lower segment uterine ...

OBJECTIVE To study the incidence and indications for labour induction and study the predictors of failed induction. MATERIAL AND METHOD A hospital based prospective study done over a 12 month period between 1st November 2007 to 30th October 2008. SELECTION CRITERIA Singleton pregnancies beyond 37 weeks with vertex presentation and unscarred uterus requiring induction of labour. RESULTS Th...

BACKGROUND Induction of labour is the process of initiating the labour by artificial means from 24 weeks of gestation. The main aim of this study is to find out the maternal and foetal outcomes after induction of labour with misoprostol and oxytocin beyond 37 weeks of gestation. METHODS This was a hospital-based observational study carried out at Paropakar Maternity and Women's Hospital, Nepa...

BACKGROUND Pregnancy is one of the most critical periods in women's lives. Sexual relationships change in this period. Monitoring of uterine contractions has been shown increase in uterine activity after sexual intercourse in pregnant women. OBJECTIVES This study aimed to determine the association of sexual intercourse during pregnancy with labor onset. PATIENTS AND METHODS This cross-secti...

BACKGROUND Post-term pregnancy is an important factor in perinatal mortality and morbidity. Generally, to reduce perinatal mortality in pregnancy, the delivery is done before adverse perinatal morbidity occurs. To prevent prolonged pregnancy, labor is induced with chemical drugs and complementary therapies. Due to the side effects and contraindications of chemical medicine, the use of herbs has...

INTRODUCTION We undertook a prospective cohort study to compare the effectiveness and safety of 50 µg misoprostol versus 3 mg dinoprostone in two vaginal doses 6 hours apart, followed if necessary by oxytocin for labor induction in low-risk post-term (> 40 weeks) pregnancies with unfavorable cervix (Bishop score ≤ 6). METHODS Labor induction and subsequent management were conducted using a st...

CONTEXT Misoprostol, a synthetic E1 methyl analog prostaglandin, is at present receiving attention as a cervical modifier and labor induction agent. However, there is still a need for better determination of its safety and effectiveness. OBJECTIVE To compare intravaginal misoprostol versus intravenous oxytocin for cervical ripening and labor induction in pregnant women with unripe cervices. ...

BACKGROUND/AIM Although the safety of acupuncture per se in pregnancy is reasonably well accepted, there remains debate regarding needling at points historically considered to be 'forbidden' during pregnancy. This article reviews the scientific literature on this topic. MAIN FINDINGS There is no objective evidence of harm following needling at forbidden points, summarised by the following fou...

BACKGROUND Recent literature on the effect of induction of labour (compared with expectant management) has provided conflicting results. Reviews of observational studies generally report an increase in the rate of caesarean section, whereas reviews of post-dates and term prelabour rupture of membrane (PROM trials suggest either no difference or a reduction in risk. OBJECTIVE To evaluate with ...