Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Extraction, Obstetrical”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,189 records · Page 66Linked to original sources
PubMedDate not supplied

Ankylosis of the temporomandibular joint as a complication of forceps delivery: report of a case.

A two and half years old girl presented with severe limitation of mouth opening, facial asymmetry, inability to masticate, and proclination of the anterior maxillary and mandibular teeth. There was no history of facial trauma, infection or neonatal fevers. A diagnosis of bony ankylosis of the TMJ was made following a confirmation of delivery by means of obstetrics forceps during a difficult labour. The causes of TMJ ankylosis and the sequaele are highlighted.

Ankylosis↗
PubMed1975

[Deliveries in foreign women (author's transl)].

Within four and a half years (between January 1, 1969 and June 30, 1973) there were 6329 deliveries, among them 1217 confinements occurred in foreign women, i.e. proportional 19, 2%. The chi square method was used for the statistical analysis. The incidence of Caesarean Section in foreign women (5, 3%) is significantly higher than in German women (3, 4%). Just so, the incidence of Caesarean Section in wives of foreign workers from Spain and Portugal was significantly higher than in German women; it looks like as if the indication "Pelvic contraction" appears significantly more frequent in parturients of the western part of the mediterranean area than in German women. On the contrary, the indication "fetal distress" is significantly higher in the deliveries of the wives from Greece and Turkey (the eastern part of the mediterranean area). There was no statistical difference in the rate of forceps deliveries and deliveries by vacuum between the German collective (6, 1%) and the foreign collective (7, 5%). Statistically proved, the incidence of the incidence of the indication "fetal distress" in vaginal-operative deliveries of women from Turkey was higher compared to the German collective. Vice versa it turned out that the incidence of the indication "standstill on floor of the pelvis" occurred more often in German parturients than of the collective of Turkey. There was a second statistical method (randomization) to check up if the collectives are comparable; there exists a significant difference between German parturients and women from Turkey: in the German collective are more young and old I.-Parae, in the collective from Turkey you find more Multiparae and more wives in the optimal obstetrical age between 18 and 30 years. The subsequent obstetrical aspects and consequences are discussed. There was no significant difference between foreign and German parturients in further perinatal examinations and parameters.

Adolescent↗
PubMed2005

Anal function during pregnancy and postpartum after ileal pouch anal anastomosis for ulcerative colitis.

PURPOSE: Total proctocolectomy and ileal pouch anal anastomosis (IPAA) is now a common procedure for ulcerative colitis (UC). Moreover, it has been reported that fertility is preserved in women who undergo this procedure, many of whom can experience normal delivery. METHODS: We assessed the perinatal outcomes and changes in anal function in four women, aged from 27 to 35 years, who gave birth after undergoing IPAA for UC. Pregnancies were confirmed 15-111 months after IPAA, three women had full-term pregnancies, and one gave birth after 31 weeks' gestation. RESULTS: Cephalic delivery with a vacuum extractor was used for one patient, and another underwent cesarean section. The other two patients experienced normal delivery. None of the patients needed artificial insemination and none had any symptoms of intestinal obstruction during their pregnancy. After delivery, two patients suffered a transient increase in bowel frequency and soiling, which gradually resolved. CONCLUSIONS: Although transient anal dysfunction occurred in the puerperal period, there were no changes in anal function during pregnancy. Therefore, there are no factors directly prohibiting pregnancy and vaginal delivery in women who undergo IPAA for UC.

Adult↗
PubMed2004

[Obstetrical brachial plexus palsy--etiopathogenesis, risk factors, prevention, prognosis].

Obstetrical brachial plexus palsy (OBP) complicates a small proportion of births. The incidence is believed to be 0.35 to 5 cases per 1000 live births. Risk factors of OBP included: 1/ large birth weight, 2/ shoulder dystocia and prolonged second stage of labour , 3/ instrumental vaginal delivery (forceps delivery, vacuum extraction), 4/ diabetes mellitus and mother's obesity, 5/ breech presentation, 6/ delivery an infant with OBP in an antecedent delivery. Historically, the cause of OBP was excessive lateral traction applied to the fetal head at delivery, in association with anterior shoulder dystocia. Not all cases of brachial plexus palsy are attributable to traction. Brachial plexus injury may be occurring in the absence of shoulder dystocia, in the posterior arm of infants with anterior shoulder dystocia and can be associated with cesarean delivery. Intrauterine factors may play some role in the etiology of the OBP. Many strategies have been proposed to prevent the occurrence of OBP--control of the birth weight, induction of labour, cesarean delivery, intensified management of gestational diabetes. About 10-20% of patients with injuries of the brachial plexus require surgical intervention for optimal results.

Birth Injuries↗
PubMed2004

Anal sphincter injury after forceps delivery: myth or reality? A prospective ultrasound study of 93 females.

PURPOSE: This study was designed to estimate the prevalence of anal sphincter injury after forceps delivery in a large population of females managed by trained obstetricians in a French hospital and to identify factors predictive for anal sphincter injury. METHODS: We performed a prospective study of healthy females older than 18 years with no history of anal incontinence, anorectal abnormalities, or anorectal surgery after their first vaginal delivery. All females were interviewed using a standardized questionnaire concerning intestinal transit and continence status. Physical examination and endoanal ultrasonography were performed after delivery. RESULTS: Between November 1999 and November 2000, 93 females were included in the study after their first forceps delivery. Eleven patients (11.8 percent) had a partial defect involving the external sphincter, visible on ultrasonography. One patient (1.1 percent) had a partial defect of external sphincter with complete defect of internal sphincter (sequelae of primary repair of a third-degree perineal tear). Seventeen patients (18.2 percent) had flatus incontinence, and four patients (4.3 percent) had liquid stool incontinence. A high daily number of stools was significantly associated with sphincter defect visible on ultrasonography (P=0.02). The development of anal incontinence was not related to sphincter defect on ultrasonography. There was a strong association between perineal tear and sphincter defect visible on ultrasonography (odds ratio, 4.5 (range, 1.2-16.7)). CONCLUSIONS: Anal sphincter injury after forceps delivery was identified in <13 percent of our large population of healthy females. Our study does not confirm previous observations that anal sphincter injury is common after forceps delivery; previously published studies may have overestimated the prevalence of this condition. The only factor with significant predictive value for anal sphincter injury was perineal tear. Anal endosonography should be recommended after obstetric perineal tear.

Adult↗
PubMed1992

[The value of prepartal ultrasound estimation of birth weight in breech presentation].

Biometric data, i.e. the biparietal (BPD) and fronto-occipital diameter (FOD) of the skull as well as the transverse (TTD) and the longitudinal trunk diameter (LTD) were obtained in 127 cases of breech and 95 cases of vertex presentations within one week before birth. These data were compared with the birth weight measured postpartally. From these data, an optimized equation was derived for both breech and vertex presentations and compared to the equation known from the literature. The optimized equation for breech presentations requires only the biometric data of the trunk (TTD and LTD). In spite of this optimization, the quality of the foetal weight estimation of breech presentations seems to be more inaccurate in comparison to the estimation of vertex presentations. Concerning the obstetrical management the foetal weight estimation by ultrasound has to be evaluated more critically for breech presentations than for vertex presentations.

Birth Weight↗
PubMed1982

[The problem of domiciliary obstetric practice (author's transl)].

UNLABELLED: From a group of 8,020 well-documented and electronically recorded deliveries at the Tübingen University Gynaecological Clinic during 1976-1979 we selected 1147 (14.3%) according to strict criteria and subjected them to further analysis. These 1147 pregnant women had one feature in common, namely, that there were absolutely no signs of any risk factor prior to delivery (Table 1). RESULT: 83% only of these children were delivered spontaneously; in 0.8% of the cases it was necessary to effect Caesarean section, and in another 15% vaginal-surgical delivery proved necessary. In 10% threatening and in 0.9% acute foetal asphyxia was the guiding sign for appropriate obstetric measures. In 31.4% of the cases we found a twisted cord, whereas the frequency rate of acidosis (pHNA less than 7100) was 7%. Apgar counts below 7 were seen in 2.3% and indices below 3 in 0.1% of the cases. Perinatal mortality was approximately 1:1000. Complications requiring follow-ups were seen in the first week post partum in every 20th child. It is concluded that domiciliary obstetric practice cannot be medically recommended since it involves a risk rate for both mother and child which is considered too high.

Adult↗
PubMed2007

Risk factors for anal sphincter tear during vaginal delivery.

OBJECTIVE: To identify risk factors associated with anal sphincter tear during vaginal delivery and to identify opportunities for preventing this cause of fecal incontinence in young women. METHODS: We used baseline data from two groups of women who participated in the Childbirth and Pelvic Symptoms (CAPS) study: those women who delivered vaginally, either those with or those without a recognized anal sphincter tear. Univariable analyses of demographic and obstetric information identified factors associated with anal sphincter tear. We calculated odds ratios (ORs) for these factors alone and in combination, adjusted for maternal age, race, and gestational age. RESULTS: We included data from 797 primaparous women: 407 with a recognized anal sphincter tear and 390 without. Based on univariable analysis, a woman with a sphincter tear was more likely to be older, to be white, to have longer gestation or prolonged second stage of labor, to have a larger infant (birth weight/head circumference), or an infant who was in occiput posterior position, or to have an episiotomy or operative delivery. Logistic regression found forceps delivery (OR 13.6, 95% confidence interval [CI] 7.9-23.2) and episiotomy (OR 5.3, 95% CI 3.8-7.6) were strongly associated with a sphincter tear. The combination of forceps and episiotomy was markedly associated with sphincter tear (OR 25.3, 95% CI 10.2-62.6). The addition of epidural anesthesia to forceps and episiotomy increased the OR to 41.0 (95% CI 13.5-124.4). CONCLUSION: Our results highlight the existence of modifiable obstetric interventions that increase the risk of anal sphincter tear during vaginal delivery. Our results may be used by clinicians and women to help inform their decisions regarding obstetric interventions. LEVEL OF EVIDENCE: II.

Adult↗
PubMed1993

[Current status of occiput posterior labor presentation].

Nowadays reports about mechanical problems in obstetrics are rare. Report about the occipito-posterior position. It may be possible that these increasing anomalies. The reason for this fetal acceleration are and changes in pelvic anatomy.

Extraction, Obstetrical↗
PubMed1988

[Treatment of obstetric shoulder dystocia].

The shoulder dystocia represents a case of obstetrical emergency with possible traumatisation of the neonates during delivery. The use of different developing-methods on the child or the mother reduces the risk of children's damage.

Birth Injuries↗
PubMed1984

Umbilical cord prolapse.

Umbilical cord prolapse complicated one of 385 pregnancies occurring at the University of Colorado Health Science Center between 1969 and 1982. Whereas malpresentation of the fetus is frequently associated with prolapse of the funis, nearly 50% of all cases occurred in vertex presentations. Obstetric intervention is associated with nearly one in five cases of cord prolapse and represents a readily preventable cause of maternal and perinatal morbidity.

Breech Presentation↗
PubMed1990

[Obstetrical data of 11,874 deliveries at a university clinic of a developing country].

A report a given shout data of 11,874 deliveries and 12,338 childs which was born in 1987 in Central Hospital of Maputo PR of Mozambique. The perinatal mortality smouted to 65% and the maternal mortality 253%. Totally registrated a frequency of 15.2% of cesarean sections and observed in 30 cases a rupture of the uterus. Deliveries have been terminated in 2.8% by vaccum extraction and only in 0.1% by forceps. We observed a twin delivery in 458 cases or in 3.8% and a triplet delivery in 6 time. These data have been discussed in detail.

Adult↗
PubMed2001

Operative intervention in delivery is associated with compromised early mother-infant interaction.

OBJECTIVE: To investigate the effects of mode and place of delivery on first mother-infant contact and maternal emotional wellbeing. DESIGN: A prospective, longitudinal study. PARTICIPANTS: A sociodemographically representative sample of 203 consecutive primiparous women was recruited, of whom 81% (n = 164) were followed up. SETTING: Four metropolitan hospitals, including one accredited baby friendly hospital, in Melbourne, Australia, 1997. METHODS: During the postnatal hospital stay women were interviewed and medical records were inspected. PARTICIPANTS: completed two self-report psychometric measures: the Edinburgh Postnatal Depression Scale (EPDS) and the Profile of Moods States (POMS). Follow up at eight months postpartum comprised completion of a postal questionnaire and repeat administration of the standardised self-report psychometric mood questionnaires. RESULTS: The First Contact Index provides a measure of the first contact between a mother and her baby after the birth. Two-way analysis of variance revealed significant differences in First Contact Index between three modes of delivery groups: spontaneous, instrumentally-assisted, and caesarean section (P < 0.001) and four hospital of delivery groups (P < 0.001), but there was no significant interaction effect (P = 0.55). Significant negative correlations existed between the First Contact Index and both the POMS and EPDS scores at two days postpartum (POMS, r = -0.339, 95% Cl -0.46 to -0.22; EPDS, r = -0.279, 95% CI -0.41 to -0.16), even within delivery groups, and these were still present at eight months postpartum (POMS, r = -0.298, 95% CI -0.44 to -0.14, EPDS, r = -0.206, 95% CI -0.36 to -0.03). CONCLUSION: Instrumental and surgical delivery exert a negative impact on first postnatal contact between a mother and her baby which has persistent adverse maternal emotional correlates. Hospital practices associated with obstetric intervention in delivery also varied and are amenable to change, enabling optimal first mother-baby interaction regardless of mode of delivery.

Affect↗
PubMed1998

[Breech presentation: management (304 cases)].

UNLABELLED: BUT: Try to precise the optimal management in 1997 face a breech presentation. METHOD: Between January 1991 and December 1995, 304 cases of breech presentations were listed at the maternity of Pavillon Victor Olivier (Lille). From these 304 breech presentations, all parities blended, the authors have analysed the mode of delivery of these patients, distinguishing the para one from the multiparous women and the preterm babies from the other babies. From this study and a review of the literature, were discussed the criterions which can help the practitioner to determine the mode of delivery of these fetus. RESULTS: The results show a cesarean section (cs) rate of 51% (41% of first intention cs and 10% of second intention cs were realized only for primiparity + breech presentation and 67% of the para one women benefited from a first intention cs 8.72% of vaginal deliveries were complicated, and 5 fetal injuries were noted without sequel. On 296 live new-borns, only 2 cases of fetal death were perhaps due to the vaginal delivery. Fetal mortality is principally reliable at the prematurity and the congenital malformations, but finally, not due to mode of delivery. CONCLUSION: The difficulty is to determine rigorous criterions of selection to authorize a vaginal delivery without spoil the fetal pronostic. The major criterions are a perfect radiopelvimetry, an estimated fetal weight < 3800 g for the para one women and < 4300 g for the multiparous woman, a well flexed fetal head, favorable obstetric conditions ond the absence of maternal or fetal complications. The primiparity is not an indication of systematic cesariean section.

Breech Presentation↗