Management of Labor Abnormalities

2008 ◽  
pp. 435-453
Keyword(s):  
Labor Abnormalities

Labor abnormalities as a risk factor for shoulder dystocia

1999 ◽  
Vol 78 (8) ◽  
pp. 735-736 ◽  
Author(s):  
Ofer Gemer ◽  
Marina Bergman ◽  
Shmuel Segal
Keyword(s):  
Risk Factor ◽  
Shoulder Dystocia ◽  
Labor Abnormalities

scholarly journals Features of the second half of pregnancy in women with labor abnormalities

2021 ◽  
Vol 14 (6) ◽  
pp. 659-665
Author(s):  
U. G. Shokirova ◽  
S. P. Pakhomov ◽  
A. S. Ustyuzhina ◽  
A. V. Matrosova
Keyword(s):  
Laboratory Data ◽  
International Normalized Ratio ◽  
Study Data ◽  
Main Group ◽  
Individual Risk ◽  
Control Group ◽  
Systematic Analysis ◽  
Laboratory Parameters ◽  
Blood Biochemical ◽  
Labor Abnormalities

Aim: conduct a systematic analysis of pregnancy development, investigate clinical and laboratory data affecting development of labor abnormalities in women residing in the Belgorod region. Materials and Methods. From 2014 to 2018, 484 women were examined and divided into 2 groups: main group consisted of those who had childbirth complicated with labor abnormalities (n = 344), whereas control group consisted of women lacking complications during delivery (n = 140). The following methods were used in the study: questionnaires, general clinical methods, biochemical blood tests in pregnant and postpartum women, populational statistics as well as methods of standard and multivariate statistics. Results. In the second half of pregnancy in women with labor abnormalities revealed higher rate of moderate preeclampsia (34.30 ± 2.56 % vs. 10.71 ± 2.61%; p < 0.05), polyhydramnios (11.34 ± 1.71 % vs. 5.71 ± 1.96 %; p < 0.05), chronic intrauterine hypoxia (29.6 ± 2.46 % vs. 12.86 ± 2.83 %; p < 0.05), chronic utero-placental insufficiency (60.47 ± 2.64 % vs. 20.00 ± 3.38 %; p < 0.05), sexually transmitted infections (3.78 ± 1.03 % vs. 0.71 ± 0.71 %; p < 0.05), acute respiratory viral infection (8.72 ± 1.52 % vs. 3.57 ± 1.57 %; p < 0.05) as well as a combination of several types of pathology (8.72 ± 1.52 % vs. 13.57 ± 2.89 %; p < 0.05). Laboratory parameters in women with labor abnormalities compared with control antepartum group were noted to have significantly decreased count of red blood cells (3.89 ± 0.38×1012/L vs. 3.99 ± 0.40×1012/L; p = 0.006), eosinophils (0.95 ± 0.69×109/L vs. 1.20 ± 0.67×109/L; p = 0.026) and platelets (226.29 ± 62.71×109/L vs. 245.44 ± 60.32×109/L; p = 0.0003). Blood biochemical parameters in women with labor abnormalities vs. control group were featured with significantly decreased level of bilirubin (6.76 ± 3.16 μmol/L vs. 9.88 ± 3.60 μmol/L; p < 0.05) and alanine aminotransferase (13.94 ± 10.08 U/L vs. 19.41 ± 14.40 U/L; p = 0.004). Analyzing coagulation parameters in the main group showed significantly reduced fibrinogen level (4.30 ± 1.00 g/L) compared with control group (4.71 ± 1.14 g/L; p < 0.05) as well as elevated international normalized ratio (1.07 ± 0.11 vs. 1.03 ± 0.10; p = 0.001). Conclusion. Our study data found that pregnant women with labor abnormalities had altered clinical and laboratory parameters observed as early as in the second half of gestation, which may be used to calculate an individual risk of such labor complication.

Pregnancy Complications, Labor Abnormalities and Zinc Status

1988 ◽  
pp. 605-607 ◽  
Author(s):  
N. Lazebnik ◽  
B. R. Kuhnert ◽  
P. M. Kuhnert ◽  
K. Thompson
Keyword(s):  
Pregnancy Complications ◽  
Zinc Status ◽  
Labor Abnormalities

Possibilities for predicting abnormal labor at the present stage

2020 ◽  
Vol 69 (5) ◽  
pp. 13-26
Author(s):  
Viktor A. Mudrov
Keyword(s):  
Study Design ◽  
Contractile Activity ◽  
Comprehensive Approach ◽  
Present Stage ◽  
Labor Management ◽  
Systematic Analysis ◽  
Uterine Contractile ◽  
Analysis And Synthesis ◽  
Labor Abnormalities

Hypothesis/aims of study. Labor abnormalities can lead to dangerous complications for both the mother and the fetus. There are currently no effective ways to prevent abnormal uterine contractile activity. Therefore, the timeliness of diagnosis, which largely determines labor outcome, depends on the effectiveness of assessing the likelihood of the development of abnormal labor. The aim of this study was to examine the possibilities for predicting abnormal labor progression at the present stage of the development of science. Study design, materials and methods. A systematic analysis and synthesis of the literature data presented by domestic and foreign authors in the period from 1985 to 2020. Conclusion. A comprehensive approach to assessing the likelihood of the development of abnormal labor will optimize the tactics of labor management, which in the long-term will reduce the frequency of surgical delivery.

Zinc status, pregnancy complications, and labor abnormalities

1988 ◽  
Vol 158 (1) ◽  
pp. 161-166 ◽  
Author(s):  
N. Lazebnik ◽  
B.R. Kuhnert ◽  
P.M. Kuhnert ◽  
K.L. Thompson
Keyword(s):  
Pregnancy Complications ◽  
Zinc Status ◽  
Labor Abnormalities

scholarly journals Features of pregnancy and delivery in patients with pregnancy-induced hypertension

2015 ◽  
Vol 96 (4) ◽  
pp. 558-563
Author(s):  
SKh Mansur Khasan
Keyword(s):  
Conservative Management ◽  
Intensive Therapy ◽  
Clinical Manifestations ◽  
Perinatal Outcomes ◽  
Clinical Settings ◽  
Hypertensive Disorders ◽  
Positive Therapeutic Effect ◽  
Pregnancy And Delivery ◽  
Labor Abnormalities ◽  
Selection Of

Pregnant women with hypertensive disorders have a high risk for premature birth and early delivery due to the increased severity of hypertension associated with low effect of treatment. Vaginal birth in patients with hypertensive disorders are often complicated by premature rupture of membranes, labor abnormalities, abnormal blood loss. Emergency abdominal delivery is performed together with complex intensive therapy. A common approach to the management of pregnancies with mild and moderate forms of hypertension is treatment associated with prolongation of pregnancy. Therapeutic and protective regimen in childbirth is created by phased long-term epidural analgesia. Indications for induced delivery - I-II degree of nephropathy in the absence of a positive therapeutic effect for 1-2 weeks. Regarding to severe forms of hypertensive disorders, many researchers tend to think of the need for early delivery, to avoid complications. At the same time, early delivery often leads to birth with premature fetus, which contributes to worsening of perinatal outcomes in patients with hypertensive disorders. Currently the possibility of conservative management of pregnant with hypertensive disorders at the gestation term of less than 32 weeks using glucocorticoids may significantly improve perinatal outcomes. Conservative management is only possible in large clinical settings with careful selection of patients. Currently, there are different approaches to the selection of methods and timing of delivery in hypertensive disorders. The optimal strategy is based on a differentiated approach that takes into account the severity of hypertensive disorders and the probability of complications for mother and fetus. At the same time, the diversity of the pathogenesis of hypertensive disorders determines the presence of different variants of its clinical manifestations, clinical course and complications, making it difficult to properly assess its severity.

scholarly journals Analysis of the gestational period and perinatal outcomes in women after surgical treatment of the cervix

2021 ◽  
Vol 10 (4) ◽  
pp. 112-117
Author(s):  
K.V. Zarichanska ◽  
O.V. Gorbunova
Keyword(s):  
Surgical Treatment ◽  
Perinatal Outcomes ◽  
Fetal Distress ◽  
Treatment Method ◽  
Reproductive Age ◽  
Laser Vaporization ◽  
Early Neonatal Mortality ◽  
Surgical Methods ◽  
Cervical Surgery ◽  
Labor Abnormalities

Background. The purpose was to conduct a comparative analysis of the course of pregnancy and perinatal outcomes in women who underwent treatment of the cervix using various organ preserving surgical methods. Material and methods. We examined 250 women of reproductive age who underwent excision or ablative treatment of the cervix before pregnancy. The subjects were divided into five groups depending on the cervix treatment method. The study used general clinical examination protocols outlined in the regulations № 417 and № 676 issued by the Ministry of Health of Ukraine. The results. The most frequent complications of pregnancy in the patients with cervical surgery were: threatened abortion, threatened of preterm birth, anemia, low placentation, placental dysfunction, and low levels of amniotic fluid. Childbirth complications in women who underwent excision or ablation treatment of the cervix before pregnancy predominantly consisted of labor abnormalities, premature amniotic sac rupture, fetal distress, tears of the cervix and perineum. Among the complications of the postpartum period, there were isolated cases of subinvolution of the uterus, lochiometers, metroendometritis, and lactostasis. There were no cases of intrapartum and early neonatal mortality among the newborns. Conclusions. Given the high frequency of gestational and postpartum complications in women after organ-sparing surgical treatment of the cervix, it is necessary to choose the least harmful approach. The lowest incidence of complications during pregnancy, intra and postnatal periods was observed in the women who underwent laser vaporization and radio-wave ablation.

Are labor abnormalities more common in shoulder dystocia?

1995 ◽  
Vol 173 (4) ◽  
pp. 1211-1214 ◽  
Author(s):  
Melinda McFarland ◽  
Moshe Hod ◽  
Jeanna M. Piper ◽  
Elly M-J. Xenakis ◽  
Oded Langer
Keyword(s):  
Shoulder Dystocia ◽  
Labor Abnormalities
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