OBJECTIVE The objective of this study was to compare the cost-effectiveness of 9 strategies for the management of threatened preterm labor. STUDY DESIGN We derived 6 management options from the literature. These were (1) to treat all women with tocolytics and corticosteroids ("treat all"); (2) to treat all women while awaiting results of the "traditional" fetal fibronectin test results, then ...

Background: Although pregnancy and motherhood are enjoyable experiences, they are associated with many physical and psychological changes requiring adaptation. The present study aimed to assess the effectiveness of relaxing music on the life distress and maternal-fetal attachment of pregnant women. Methods: It was a quasi-experimental study with   pre-test and post-test design and a control gr...

OBJECTIVE To investigate the relationship between the development of intrapartum fetal distress and serum pregnancy-associated plasma protein-A (PAPP-A) levels measured during first-trimester aneuploidy screening tests. MATERIAL AND METHODS This retrospective study included 283 uncomplicated pregnancies that resulted in full-term live births via spontaneous labor or with the induction by oxyt...

Sir,—I read with interest the article by Hawthorne and colleagues detailing failed intubations over 17 yr in a teaching maternity unit1. One result reported was that in only one of seven failed intubations for Caesarean section for fetal distress was neonatal outcome poor. In that instance it was thought that antepartum factors rather than the delay in delivery may have been responsible. Good n...

Background: Electronic fetal monitoring was used in many hospitals before labor and during delivery . The objective of this study was to investigate whether the use of fetal monitoring had effect on neonatal outcomes and cesarean section rate. Materials and Methods: A prospective study on monitoring neonatal Apgar and kind of delivery data, from deliveries occurring at Shahid Sadughi hospital i...

BACKGROUND Intrahepatic cholestasis of pregnancy (ICP) has important fetal implications. There is increased risk for poor fetal outcomes, including preterm delivery, meconium staining of amniotic fluid, respiratory distress, fetal distress and demise. METHODS One hundred and one women diagnosed with ICP between January 2005 and March 2009 at San Francisco General Hospital were included in thi...

especially in the case of deliveries without fetal distress, although we found a similar trend with assisted vaginal vertex deliveries for fetal distress. The anxiety for the patient generated by the decision for caesarean section may provoke increased maternal catecholamine release that initially causes reduced perfusion of the placental bed and gas exchange, with temporary fetal acidosis. Cor...

Introduction Safety is one of the main issues surrounding any imaging modality in obstetrics. The use of Doppler ultrasound to detect gross changes in fetal heart rate (FHR) is an accurate and objective method of assessing fetal distress or well-being. Magnetic Resonance Imaging (MRI) has previously been applied to the accurate estimation of fetal weight, organ size and in the measurement of pl...