OBJECTIVE This study was undertaken to assess the safety of trial of labor after previous cesarean delivery. STUDY DESIGN Retrospective cohort study of 308,755 Canadian women with previous cesarean delivery between 1988 and 2000. Occurrences of in-hospital maternal death, uterine rupture, and other severe maternal morbidity were compared between women with a trial of labor and those with an e...

Roberto Caldeyro-Barcia studied fetal health in Uruguay during the second half of the twentieth century. Caldeyro-Barcia developed Montevideo units, which are used to quantify intrauterine pressure, or the force of contractions during labor. Intrauterine pressure is a useful measure of the progression of labor and the health of a fetus [3]. Caldeyro-Barcia?s research on fetal health often contr...

Pain in labor is a nearly universal experience for childbearing women. A recent evidence-based symposium on the nature and management of labor pain brought together family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators to discuss a series of commissioned systematic reviews. Although management of labor pain plays a relatively minor role in a woman's s...

The Martius flap procedure is a surgical procedure used to treat obstetric fistulas in women. Heinrich Martius developed the procedure in twentieth century Germany to treat women with urinary incontinence caused by stress, and later doctors used it to repair obstetric fistulas. Fistulas occur in pregnant women when a hole is torn between the vagina [3] and the urinary tract (called vesicovagina...

abstract background: despite the scientific and medical advances for management of complicated health issues, the current maternity care setting has increased risks for healthy women and their babies. the aim of this study was to conduct an overview of published systematic reviews on the interventions used most commonly for management of normal labor and delivery in the first stage of labor. ma...

D D he word obstetrics is derived from the Latin “ob” and “stare,” which ean “to stand by.” Standing by, or in ront of, the laboring woman is intended o be the assistance to the pregnant oman during labor and delivery. Mangement of labor and delivery is at the eart of the obstetric profession, is the ost important aspect of the support to he pregnancy, and often is the aspect hat made us go int...

OBJECTIVES To assess the effects of nonpharmacologic approaches to pain relief during labor, according to their endogenous mechanism of action, on obstetric interventions, maternal, and neonatal outcomes. DATA SOURCE Cochrane library, Medline, Embase, CINAHL and the MRCT databases were used to screen studies from January 1990 to December 2012. STUDY SELECTION According to Cochrane criteria,...

Identification of the onset of true labor has been one of the most difficult and critical challenge facing obstetric in maternity care. Predicting when true labor will start and recognizing when labor actually starts is important for both normal and complex pregnancies. For normal pregnancy, onset of true labor is important for reducing hospital costs as it will avoid admission when mother is n...

BACKGROUND Because of the lack of large obstetric anesthesia databases, the incidences of serious complications related to obstetric anesthesia remain unknown. The Society for Obstetric Anesthesia and Perinatology developed the Serious Complication Repository Project to establish the incidence of serious complications related to obstetric anesthesia and to identify risk factors associated with ...