Background: There is a progressive shift away from the use of forceps in favour of the vacuum extractor as the instrument of choice for operative vaginal deliveries. The overall objective of this is to improve safe motherhood by reducing the contribution of second stage of labour complications to maternal mortality and morbidity. Objective: This study was carried out to determine the incidence,...

BACKGROUND Postpartum depression carries adverse consequences for mothers and children, so widespread screening during primary care visits is recommended. However, the rates, timing, and factors associated with significant depressive episodes are incompletely understood. METHODS AND FINDINGS We examined the Healthcare Cost and Utilization Project (HCUP) State Inpatient, Emergency Department, ...

background: since preterm delivery is an important problem in obstetrics, it is necessary to know the risk factors. periodontal disease is an infectious disease and infection is risk factor for preterm delivery. respecting to the mechanisms of preterm delivery and because involved mediators in this procedure are synthesized in periodontal disease, gum disease is investigated as risk factor for ...

OBJECTIVE To assess hospital services utilization in Brazil incorporating information about health services delivery. METHODS Data from the National Household Survey carried out by Brazilian Institute of Statistics and Geography (IBGE) in 1998 and from other sources were collected. Hierarchical models having the individual in the first level and the state of residence in the second level were...

INTRODUCTION As part of maternal mortality reducing strategies, coverage of delivery care among sub-Saharan African rural poor will improve, with a range of facilities providing services. Whether high coverage will benefit all socio-economic groups is unknown. Iringa rural District, Southern Tanzania, with high facility delivery coverage, offers a paradigm to address this question. Delivery ser...

Introduction. Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women's Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women's Hospital. Methods. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Wo...

accessory pathways (ap) are abnormal myocardial connections between atria and ventricles with electrical conductive properties. we performed radio frequency (rf) catheter ablation in 66 patients with manifest ap at dr.shariati hospital during 5 years. bipolar mapping was used in 48 patients and unipolar mapping in 18 patients of find the best site for rf energy delivery. we calculated total dur...

Daniel Kohane speaks to Francesca Lake, Managing Editor: Obtaining his MD and PhD in Physiology from Boston University (MA, USA), Dan Kohane went on to complete residencies in Pediatrics at Boston Children's Hospital (MA, USA) and Anesthesiology at Massachusetts General Hospital (USA), followed by a fellowship in Pediatric Critical Care at Boston Children's Hospital. He is currently a Professor...