Although less than 2% of abortions in the United States occur after 20 weeks, procedures performed at more advanced gestations ar associated with increased morbidity and mortality. Adequate cervical preparation before dilation and evacuation (D&E) at 20 or more weeks gestation reduces procedural risk. However, few clinical trials have included sufficient information on best practices for cervic...

Although less than 2% of abortions in the United States occur after 20 weeks, procedures performed at more advanced gestations are associated with increased morbidity and mortality. Adequate cervical preparation before dilation and evacuation (D&E) at 20 or more weeks' gestation reduces procedural risk. However, few clinical trials have included sufficient information on best practices for cerv...

Although less than 2% of abortions in the United States occur after 20 weeks, procedures performed at more advanced gestations are associated with increased morbidity and mortality. Adequate cervical preparation before dilation and evacuation (D&E) at 20 or more weeks' gestation reduces procedural risk. However, few clinical trials have included sufficient information on best practices for cerv...

(Abstracted from Eur J Obstet Gynecol Reprod Biol 2022;272:77–81) The rate of cesarean delivery (CD) at full cervical dilation in the second stage labor is rising. During this stage, risk maternal and neonatal complications greater because baby's head may be engaged deeply pelvis, a condition known as impacted fetal head.

INTRODUCTION Massage is a time-honored method by which women have received comfort throughout the millennia, yet it has not been rigorously evaluated in the modern day delivery suite. No study to date that we are aware of has evaluated the effect of massage therapy by a regulated massage therapist on labor pain. The purpose of this study was to evaluate the effectiveness of massage therapy prov...

OBJECTIVE Our purpose was to compare the clinical experience in using Dilapan osmotic dilator and Laminaria japonicum as overnight osmotic cervical dilators in second-trimester dilation and evacuation abortion with respect to measurable outcome variables, including complication rates. STUDY DESIGN A cohort comparison was performed of 1001 patients receiving alternate preoperative treatment wi...

Roughly 11% of induced abortions in the United States are performed after 14 weeks of gestation, most commonly by dilation and evacuation (D&E). For a D&E procedure, the cervix must be dilated sufficiently to allow passage of operative instruments and products of conception without injuring the uterus or cervical canal. Preoperative preparation of the cervix reduces the risk of cervical lacerat...

You are a busy family physician with a practice that includes obstetrics and teaching medical students. Cervical examinations are a routine part of your on-call duties. You have medical trainees with you, and they have often struggled with the cervical examination. One night on call, your trainee admits a patient in active labour and reports the cervical dilation to be 7 cm. However, she is unc...

1. A partially occluded artery may dilate distal to the site of constriction. 2. The dilation is circumscribed. 3. When the constriction has been either slight in amount or complete, dilation has not been observed. 4. The dilation was greatest when the lumen of the artery (the aorta) was reduced to one-third or perhaps one-fourth of its original size (Figs. 8 and 11). 5. Dilation or aneurysm of...