OBJECTIVE To determine which method of pushing-passive descent or early pushing-most benefits women with epidurals during second-stage labor. DATA SOURCES MEDLINE, CINAHL, and Cochrane Database. STUDY SELECTION Studies limited to randomized controlled trials in English, comparing passive descent to early pushing in women with effective epidural analgesia. DATA EXTRACTION A hand search was...

Caesarean section rates are inexorably rising which has led to the possibility of negative impact on maternal and neonatal health. Present study was aimed to compare the factors associated with caesarean and vaginal births among pregnant women. A retrospective study was conducted in Obstetrics and Gynaecology Department, Punjab Institute of Medical Sciences, Jalandhar (Punjab, India) during the...

BACKGROUND The 12-week, randomized, double-blind, placebo-controlled, multicenter, phase 3 REJOICE trial demonstrated that TX-004HR, an investigational, applicator-free, low-dose vaginal softgel capsule containing solubilized 17β-estradiol, effectively and rapidly treats symptoms of vulvar and vaginal atrophy (VVA) with negligible to very low systemic absorption. The aim of this analysis was to...

OBJECTIVES This report presents recent trends in the circumstances surrounding live births in the United States. Specifically, this report will examine the changes in the attendant and place of birth as well as changes in the day and month of birth. Trends in the use of four obstetric procedures (electronic fetal monitoring, ultrasound, induction of labor, and stimulation of labor) are examined...

The rate of caesarean sections in multiple births has grown sharply worldwide. The reason for this may be the results of large retrospective cohort studies from the 1990s, which displayed an increased risk of mortality and morbidity, especially for the second twin, in the case of vaginal births. Multiple monocentric analyses have not been able to confirm this. As a prospective, multi-centre ran...

 Abstract Background: Interleukin-6 (IL-6) has a major role in hematopoiesis, immune and acute phase response and its serum level seems to be associated with the mode of delivery. The purpose of this study was to compare the level of IL-6 in mothers who delivered via cesarean section and vaginally. Methods: This cross-sectional study was done on 40 mothers with vaginal delivery and 40 mothe...

OBJECTIVE To evaluate the neonatal and maternal outcomes associated with successful operative vaginal births assisted by manual rotation. DESIGN Prospective and retrospective observational study. SETTING Delivery suite in a tertiary referral teaching hospital in England. POPULATION A cohort of 2,426 consecutive operative births, in the second stage of labour, complicated with malposition ...