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At least 1,081 records · Page 60Linked to original sources
PubMed1991

Epidural anesthesia shortens duration of labor in singleton vertex presentation spontaneous delivery.

Influence of epidural anesthesia on the duration of labor was studied in 1,206 parturients having spontaneous singleton vaginal delivery. In primiparous women, the mean first stage was 3.52 hr in the epidural group, and 7.68 hr in the control group (p less than 0.001), the mean second stage was 25.78 min in the epidural group, and 43.58 min in the control group (p less than 0.001). In the multiparous women, the mean first stage was 2.06 hr in the epidural group, and 3.85 hr in the control group (p less than 0.001), the mean second stage was 17.06 min in the epidural group, and 25.42 min in the control group (p less than 0.0001). The conclusion is that epidural anesthesia shortens the duration of first and second stages of labor in singleton vaginal delivery.

Anesthesia, Epidural↗
PubMed1994

Persistent occiput posterior presentation--a clinical problem.

In order to find out how often labor is complicated by persistent occiput posterior position, (OPP), and how it affects the course and outcome of labor, the records of 3648 deliveries were reviewed, a frequency of 4.7% was found. Also, the amount of operative deliveries was surprisingly high, less than half of these cases were delivered without operative intervention. Total duration of labor, stage II of labor were both significantly longer in the OPP group. The children in the OPP group also were significantly heavier (79 g) than the average birthweight in the whole material.

Birth Weight↗
PubMed1989

Intrapartum management of twin gestation.

The intrapartum management of the patient with a multiple gestation should begin in the antenatal period. With the present widespread use of ultrasound, the number of multiple gestations diagnosed early in pregnancy has now increased, permitting determination of placentation and monitoring of fetal growth. When a patient with a twin gestation presents in labor, ultrasound should be used to establish fetal presentation and size. The fetal well-being should be evaluated with fetal heart monitoring, and assessment of potential maternal complications, such as anemia, hypertension, and polyhydramnios, should be accomplished. With more than two fetuses, cesarean delivery is recommended. The principal controversy in intrapartum management of twin gestation relates to the planned route of delivery, particularly because this consideration is influenced by malpresentation and prematurity. There is general agreement favoring vaginal delivery for vertex-vertex twin pairs. With dual fetal heart rate monitoring and appropriate delivery room preparation for emergency cesarean section, recent evidence supports planned vaginal delivery of the mature nonvertex second twin. Elective cesarean section for the nonvertex second twin estimated as weighing less than 1800 gm is advised.

Delivery, Obstetric↗
PubMed1980

Etiology and management of transverse lie.

Sixty-two cases of transverse lie were studied, with an average incidence of 1:250. The different etiologic factors predisposing to transverse lie are discussed, and the medical literature is reviewed. Antenatal management and management at term are also discussed.

Adult↗