premature rupture of membrane (prom) is one of the complications of pregnancy which is blamed for increasing the rate of cesarean. therefore, we studied pregnant women who were admitted in shariati hospital during march 1996 and march 2000, to determine the rate of cesarean delivery in cases with prom after 36th week of pregnancy (term prom). in a retrospective study, we included pregnant women...

BACKGROUND High Cesarean section rate is a major health problem in developing countries. This study was established to evaluate the effectiveness of Iranian Ministry of Health and Medical Education protocols on Cesarean section rate trend. METHODS Through a non-concurrent controlled quasi-experimental study, Cesarean section rate in Shohada-e-Tajrish and Taleghani hospitals in Tehran was comp...

The objective of the present study was to investigate factors associated with cesarean sections in two cities located in different regions of Brazil and to determine factors that explain the higher cesarean section rate in the more developed city, Ribeirão Preto, compared to the less developed one, São Luís. Data from two cohort studies comprising 2846 women in Ribeirão Preto in 1994, and 2443 ...

Background The AAFP convened a panel to systematically review the available evidence on trial of labor after cesarean delivery (TOLAC) using the Agency for Healt Report on Vaginal Birth after Cesarean (VBAC) along with additional literature review. The panel developed a comprehensive, evidence-based guideline for Trial of Labor after Cesarean (TOLAC), formerly Trial of Labor Versus Elective Rep...

BACKGROUND Induction of labor is common in obstetric practice. According to the most current studies, the rate varies from 9.5 to 33.7 percent of all pregnancies annually. In the absence of a ripe or favorable cervix, a successful vaginal birth is less likely. Therefore, cervical ripening or preparedness for induction should be assessed before a regimen is selected. To objective is to study the...

Objectives. To evaluate the effect of a clinical practice guideline for cesarean section due to dystocia on physician compliance, pregnancy outcome, and cesarean delivery rates, and to identify factors associated with physician non-compliance. Design. A cross-sectional study. Setting. A university hospital, Southern Thailand. Study participants. All 719 medical records of women undergoing a ces...

introduction: post dural puncture headache is still a common complication among young women undergone cesarean section, although use of small size spinal needles reduced its prevalence. several methods have been suggested for prevention and treatment of this side effect; such as complete bed rest, hydration, non-opioid analgesics, caffeine, codeine, which none of them proved to be totally effec...

caesarean section is considered as a major surgery which is accompanied by several complications. the present study aimed to determine the effect of behavioral intention model-based educational intervention on reducing the caesarean section among pregnant women. the present interventional study was conducted on 100 primiparous women in the third trimester of pregnancy who were covered by the he...

most fetal heart rate patterns can be interpreted accurately so that management decisions can be made correctly. how-ever, few fetal heart rate patterns are so ambiguous that the obstetricians cannot interpret them precisely. a 27-year-old woman at 38 weeks' gestation in her first pregnancy was admitted with heavy vaginal bleeding and decrease in fetal movements. fetal status was indeterminate ...