Predictive Factors Associated With Unplanned Cesarean Delivery Following Combined Foley Catheter-Misoprostol Labor Induction At Term

Objective To evaluate the results of induced labor and to determine the main factors associated with intrapartum cesarean section after patients being submitted to this procedure at the Hospital Universitário of the Universidade Federal de Santa Catarina (HU/UFSC, in the Portuguese acronym), Florianópolis, state of Santa Catarina, Brazil. Methods A retrospective cross-sectional study that included all the pregnancies that resulted in single-fetus births, whose gestational-age was > 22 weeks and that had been submitted to labor induction at the HU/UFSC in the period from 2013 to 2016. Results During the proposed period, 1,491 pregnant women were submitted to the labor induction protocol. In 1,264 cases (84.8%), induction resulted in labor, with 830 (65.7%) progressing to vaginal delivery. Gestational age ≥ 41 + 0 weeks was the most common indication for induced labor (55.2%), and vaginal administration of misoprostol was the most commonly used method (72.0%). Among these pregnant women, the cesarean section rate was of 34.3%. Considering the cases of induction failure, the cesarean section rate rose to 44.3%. The factors associated with cesarean section were: previous history of cesarean delivery (PR [prevalence ratio] = 1.48; 95%CI [confidence interval]: 1.51–1.88), fetuses with intrauterine growth restriction (IUGR) (PR = 1.82; 95%CI: 1.32–2.19), Bishop score ≤ 6 (PR = 1.33; 95%CI: 1.01–1.82), and induction time either < 12 hours (PR = 1.44; 95%CI: 1.17–1.66) or > 36 hours (PR = 1.51; 95%CI 1.22–1.92) between the beginning of the induction and the birth. Conclusion Labor induction was successful in most patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction.

Download Full-text

Predictive factors associated with axillary lymph node metastasis(ALNIM) in T1, T2 and T3 breast carcinomas

European Journal of Cancer ◽

10.1016/s0959-8049(02)80375-6 ◽

2002 ◽

Vol 38 (11) ◽

pp. S115

Author(s):

G Atalay

Keyword(s):

Lymph Node ◽

Lymph Node Metastasis ◽

Predictive Factors ◽

Axillary Lymph Node ◽

Axillary Lymph Node Metastasis ◽

Axillary Lymph ◽

Breast Carcinomas ◽

Factors Associated ◽

Node Metastasis

Download Full-text

Faculty Opinions recommendation of Foley catheter with simultaneous oxytocin on labor induction: a meta-analysis of randomized controlled trials.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.733090147.793566552 ◽

2019 ◽

Author(s):

Anna Maria Marconi

Keyword(s):

Randomized Controlled Trials ◽

Meta Analysis ◽

Foley Catheter ◽

Labor Induction ◽

Controlled Trials ◽

Randomized Controlled

Download Full-text

Application of a second opinion ultrasound in Breast Imaging Reporting and Data System 4A cases: can immediate biopsy be avoided?

Journal of International Medical Research ◽

10.1177/03000605211024452 ◽

2021 ◽

Vol 49 (6) ◽

pp. 030006052110244

Author(s):

Yantao Cai ◽

Chenfang Zhu ◽

Qianqian Chen ◽

Feng Zhao ◽

Shanyu Guo

Keyword(s):

Minimally Invasive ◽

Predictive Factors ◽

Breast Imaging ◽

Protective Factor ◽

Multivariate Analyses ◽

Data System ◽

Second Opinion ◽

Factors Associated ◽

Peripheral Location ◽

Biopsy Rate

Objective The probability of malignancy in women who are diagnosed with a Breast Imaging Reporting and Data System (BI-RADS) 4A score is low. Application of a second opinion ultrasound (SOUS), which is low in cost and minimally invasive, may lower the biopsy rate for patients who fall into this category. This study aimed to apply SOUS to patients with a BI-RADS score of 4A and predict the pathological results of a biopsy. Methods One hundred seventy-eight patients were analyzed. Univariate and multivariate analyses were performed to screen for predictive factors that are associated with malignancy. Categorical alteration of downgraded, unchanged, or upgraded was made after SOUS results. Changes in category were compared with biopsies to determine their predictive value of benignancy or malignancy. Results Independent factors associated with malignancy were age (>50 years), tumor size (≥20 mm), margin (not circumscribed), orientation (not parallel), and peripheral location, and an upgraded categorical alteration from SOUS. Downgraded categorical alterations were associated with benignancy. Conclusions In BI-RADS 4A cases, a biopsy is recommended when independent factors are associated with malignancy. A downgraded result from an SOUS examination is a protective factor, supporting the likelihood of benignancy in these patients.

Download Full-text

Factors Associated with Cesarean Delivery in Myelomeningocele Pregnancies [35E]

Obstetrics and Gynecology ◽

10.1097/01.aog.0000533054.28976.d0 ◽

2018 ◽

Vol 131 ◽

pp. 61S-62S

Author(s):

Robert Rossi ◽

Emily DeFranco

Keyword(s):

Cesarean Delivery ◽

Factors Associated

Download Full-text

Modifiable and Nonmodifiable Predictive Factors Associated with the Outcomes of Total Knee Arthroplasty

Joints ◽

10.1055/s-0039-1678563 ◽

2019 ◽

Vol 07 (01) ◽

pp. 013-018

Author(s):

Davide E. Bonasia ◽

Anna Palazzolo ◽

Umberto Cottino ◽

Francesco Saccia ◽

Claudio Mazzola ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Prognostic Factors ◽

Treatment Option ◽

Predictive Factors ◽

Knee Arthroplasty ◽

Factors Associated ◽

Modifiable Factors ◽

Valuable Treatment ◽

Total Knee ◽

The Right

AbstractTotal knee arthroplasty (TKA) is a valuable treatment option for advanced osteoarthritis in patients unresponsive to conservative treatments. Despite overall satisfactory results, the rate of unsatisfied patients after TKA remains high, ranging from 5 to 40%. Different modifiable and nonmodifiable prognostic factors associated with TKA outcomes have been described. The correction, whenever possible, of modifiable factors is fundamental in preoperative patients' optimization protocols. Nonmodifiable factors can help in predicting the outcomes and creating the right expectations in the patients undergoing TKA. The goal of this review is to summarize the modifiable and nonmodifiable prognostic factors associated with TKA outcomes.

Download Full-text