BACKGROUND Progress during early labour may impact subsequent labour trajectories. Women admitted to hospital in latent phase (<3 cm cervical dilation) labour have been shown to be at higher risk of obstetrical interventions. METHODS We conducted a secondary analysis of data from a randomized controlled trial of 1247 healthy nulliparous women in spontaneous labour at term with a singleton fet...

OBJECTIVE To estimate the prevalence of cesarean sections in a birth center of a hospital and identify factors associated. METHODS Cross-sectional study including medical records of 2,441 births assisted in a birth center in the city of São Paulo, southeastern Brazil, between March and April 2005. The dependent variable (type of delivery) included vaginal delivery and cesarean section. The in...

OBJECTIVE To describe the pattern of labor progression and risk of cesarean delivery in women whose labor was electively induced. METHODS We analyzed data on all low-risk, nulliparous women with an elective induction or spontaneous onset of labor between 37 + 0 and 40 + 6 weeks from January 2002 to March 2004 at a single institution. The median duration of labor by each centimeter of cervical...

68 INTRODUCTION A 69-year-old male presented to the otolaryngology clinic complaining of dysphagia. He had been diagnosed with T3N2bM0 squamous cell carcinoma of the hypopharynx one year prior. Direct laryngoscopy at that time demonstrated an extensive mass involving the right hypopharynx. Treatment consisted of induction chemotherapy followed by combined chemoradiation therapy. His course was ...

It has been suggested in isolated porcine cerebral arteries that stimulation by nicotine of alpha7-nicotinic acetylcholine receptors (alpha7-nAChRs) on sympathetic nerves, but not direct stimulation of parasympathetic nitrergic nerves, caused nitrergic neurogenic dilation. Direct evidence supporting this hypothesis has not been presented. The present study, which used in vitro tissue bath and c...

bilateral vocal cord paralysis is a rare and preventable complication of anterior cervical discectomy and fusion. herein, we report a fatal case of bilateral vocal cord paralysis after anterior cervical discectomy and fusion (acd/f). a 65-year-old man with cervical spine trauma and anterior cord syndrome, following car overturn presented to our emergency department. the patient had c6-t10 prola...

Case A 22-year-old (gravida 3, para 1, aborta 1) woman was admitted to hospital at 39 weeks and 5 days of gestation with contractions and light blood show (ie, minor bleeding with mucus that is associated with cervical dilation). Shortly after arrival, her membranes ruptured spontaneously for a moderate amount of clear amniotic fluid. Vaginal examination revealed cervical dilation of 5 to 6 cm,...