scholarly journals Robson Classification System Applied to Induction of Labor

2018 ◽  
Vol 40 (09) ◽  
pp. 513-517 ◽  
Author(s):  
Sara Vargas ◽  
Susana Rego ◽  
Nuno Clode
Keyword(s):  
Retrospective Study ◽  
Classification System ◽  
Foley Catheter ◽  
Tertiary Hospital ◽  
Induction Of Labor ◽  
The Other ◽  
Robson Classification ◽  
Group 5 ◽  
Group 2 ◽  
The Impact

Objective Induction of labor (IL) is a common obstetric procedure, but it is questionable whether or not it results in higher cesarean section (CS) rates. The present study aims to evaluate the impact of IL in the overall CS rates and to analyze these rates according to the method of IL employed and to the Robson group in which it was applied. Methods We have conducted a retrospective study including pregnant women whose labor was induced at a tertiary hospital in 2015 and 2016. All women were classified according to the Robson Classification System (RCS). The CS rates were analyzed and compared regarding the method of IL employed. Results A total of 1,166 cases were included. The CS rate after IL was 20.9%, which represented 23.1% of the total of CSs performed in 2015 and 2016. The highest CS rates were recorded in RCS groups 5 (65.2%) and 8 (32.3%). Group 2 was the highest contributor to the overall CS rate, since it represented 56.7% of the population. The intravaginal prostaglandins method was the most used (77%). Transcervical Foley catheter was the preferred method in group 5 and intravaginal prostaglandins in all the other groups. The CS rate was higher when transcervical Foley catheter was used (34.1%). Conclusion Transcervical Foley catheter induction was associated with a higher rate of CS, probably because it was the preferred method used in group 5.

scholarly journals Analysis of caesarean delivery using Robson ten group classification system at a tertiary care teaching institute in Kerala, India

2019 ◽  
Vol 8 (5) ◽  
pp. 1990
Author(s):  
Heera Shenoy T. ◽  
Sheela T. Shenoy ◽  
Anaswara T. ◽  
Remash K.
Keyword(s):  
Caesarean Section ◽  
Classification System ◽  
Caesarean Delivery ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Group Classification ◽  
College Hospital ◽  
Robson Classification ◽  
Group 5 ◽  
Group 2

Background: Globally, the caesarean delivery rate is rising continuously, making caesarean one of the most common surgical procedures. The Robson classification, appreciated by WHO in 2014 and FIGO in 2016 is widely accepted, risk-based, ten-group classification system (TGCS) developed specifically to assess caesarean section rates. The aim of this study was to know the rate of Caesarean section in present hospital, to analyse the Caesarean sections based on Robson’s classification and to determine the contribution and significance of each group on the overall number of Caesarean sections.Methods: All women, who gave birth by Caesarean deliveries done over a period of 1 year (January 2018-December 2018) in Travancore Medical College Hospital in South Kerala India.Results: Group 5 (previous LSCS, single, cephalic >37 weeks) made the greatest contribution to the Caesarean section rate (27.24%). The second highest contributor was Group 2 (Nulliparous, singleton, cephalic, >37 weeks induced labour or caesarean section before labour followed by Group 10 (all single cephalic <36 weeks including previous CS) 18.78%.Conclusions: Limiting the CS rate in low-risk pregnancies is key to lowering the trend of increased CS. If TGCS is used uniformly, CS rates can be compared over time and between units, both nationally and internationally.

scholarly journals Association between serum oestradiol level on the hCG administration day and neonatal birthweight after IVF-ET among 3659 singleton live births

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yu Liu ◽  
Jing Li ◽  
Wanyu Zhang ◽  
Yihong Guo
Keyword(s):  
Birth Weight ◽  
Ovarian Stimulation ◽  
Group 4 ◽  
Group 6 ◽  
Group 3 ◽  
Group 5 ◽  
Group 2 ◽  
The Impact ◽  
Ivf Et ◽  
Group 1

AbstractOestradiol, an important hormone in follicular development and endometrial receptivity, is closely related to clinical outcomes of fresh in vitro fertilization-embryo transfer (IVF-ET) cycles. A supraphysiologic E2 level is inevitable during controlled ovarian hyper-stimulation (COH), and its effect on the outcome of IVF-ET is controversial. The aim of this retrospective study is to evaluate the association between elevated serum oestradiol (E2) levels on the day of human chorionic gonadotrophin (hCG) administration and neonatal birthweight after IVF-ET cycles. The data of 3659 infertile patients with fresh IVF-ET cycles were analysed retrospectively between August 2009 and February 2017 in First Hospital of Zhengzhou University. Patients were categorized by serum E2 levels on the day of hCG administration into six groups: group 1 (serum E2 levels ≤ 1000 pg/mL, n = 230), group 2 (serum E2 levels between 1001 and 2000 pg/mL, n = 524), group 3 (serum E2 levels between 2001 and 3000 pg/mL, n = 783), group 4 (serum E2 levels between 3001 and 4000 pg/mL, n = 721), group 5 (serum E2 levels between 4001 and 5000 pg/mL, n = 548 ), and group 6 (serum E2 levels > 5000 pg/mL, n = 852). Univariate linear regression was used to evaluate the independent correlation between each factor and outcome index. Multiple logistic regression was used to adjust for confounding factors. The LBW rates were as follows: 3.0% (group 1), 2.9% (group 2), 1.9% (group 3), 2.9% (group 4), 2.9% (group 5), and 2.0% (group 6) (P = 0.629), respectively. There were no statistically significant differences in the incidences of neonatal LBW among the six groups. We did not detect an association between peak serum E2 level during ovarian stimulation and neonatal birthweight after IVF-ET. The results of this retrospective cohort study showed that serum E2 peak levels during ovarian stimulation were not associated with birth weight during IVF cycles. In addition, no association was found between higher E2 levels and increased LBW risk. Our observations suggest that the hyper-oestrogenic milieu during COS does not seem to have adverse effects on the birthweight of offspring after IVF. Although this study provides some reference, the obstetric-related factors were not included due to historical reasons. The impact of the high estrogen environment during COS on the birth weight of IVF offspring still needs future research.

scholarly journals Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy

2017 ◽  
Vol 30 (4) ◽  
pp. 281 ◽  
Author(s):  
Catarina Policiano ◽  
Mariana Pimenta ◽  
Diana Martins ◽  
Nuno Clode
Keyword(s):  
Foley Catheter ◽  
Mode Of Delivery ◽  
Tertiary Hospital ◽  
Mechanical Effect ◽  
Induction Of Labor ◽  
Catheter Removal ◽  
Bishop Score ◽  
Delivery Time ◽  
Singleton Pregnancy ◽  
Previous Cesarean

Introduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery.

scholarly journals Analysis of Caesarean Section Rates Using the Robson Classification System at a University Hospital in Spain

2020 ◽  
Vol 17 (5) ◽  
pp. 1575 ◽  
Author(s):  
Rafael Vila-Candel ◽  
Anna Martín ◽  
Ramón Escuriet ◽  
Enrique Castro-Sánchez ◽  
Francisco Javier Soriano-Vidal
Keyword(s):  
Classification System ◽  
Weighted Least Squares ◽  
University Hospital ◽  
Analysis Tool ◽  
Least Squares Regression ◽  
Clinical Method ◽  
Robson Classification ◽  
Relative Contribution ◽  
Group 4 ◽  
Group 2

Background: The WHO recommends the use of the Robson ten-group classification system (RTGCS) as an effective monitoring and analysis tool to assess the use of caesarean sections (CS). The present study aimed to conduct an analysis of births using the RTGCS in La Ribera University Hospital over nine years and to assess the levels and trends of CS births. Methods: Retrospective study between January 1, 2010, and December 31, 2018. All eligible women were allocated in RTGCS to determine the absolute and relative contribution made by each group to the overall CS rate; linear regression and weighted least squares regression analysis were used to analyze trends over time. The risk of CS of women with induced versus spontaneous onset of labor was calculated with an odds ratio (OR) with a 95% CI. Results: 16,506 women gave birth during the study period, 19% of them by CS. Overall, 20.4% of women were in group 1 (nulliparous, singleton cephalic, term, spontaneous labor), 29.4% in group 2 (nulliparous, singleton cephalic, term, induced labor or caesarean before labor), and 12.8% in group 4 (multiparous, singleton cephalic, term, induced or caesarean delivery before labor) made the most significant contributions to the overall rate of CS; Conclusions: In our study, Robson Groups 1, 2, and 4, were identified as the main contributors to the hospital’s overall CS rate. The RTGCS provides an easy way of collecting information about the CS rate, is a valuable clinical method that allows standardized comparison of data, and time point, and identifies the groups driving changes in CS rates.

Major Impact of Underweight and Overweight On Factor VIII Dosing in 201 Patients with Severe Haemophilia A Treated with Advate, Kogenate or Refacto AF/Xyntha

Blood ◽  
2012 ◽  
Vol 120 (21) ◽  
pp. 626-626
Author(s):  
Henrard Severine ◽  
Speybroeck Niko ◽  
Cedric R. Hermans
Keyword(s):  
Factor Viii ◽  
Coagulation Factor ◽  
Dose Calculation ◽  
Pharmacokinetic Studies ◽  
Severe Haemophilia ◽  
Group 4 ◽  
Group 5 ◽  
Group 2 ◽  
Factor Concentrate ◽  
The Impact

Abstract Abstract 626 Introduction: The treatment of hemophilia A (HA) requires infusions of factor VIII (FVIII) concentrates. The number of FVIII units infused in order to obtain a specific circulating FVIII level is calculated with the formula: [body weight (BW) (kg) × desired FVIII increase (%)]/2, with the assumption that each unit of FVIII infused per kg of BW increases the circulating FVIII level by 2 %. The aim of the present study was to evaluate the impact of several morphometrical parameters (BW, body mass index (BMI), fat mass index (FMI), difference between BW and ideal BW, height), age and type of coagulation factor concentrate on the FVIII recovery in a large group of patients with severe haemophilia who had previously taken part in pharmacokinetic studies using Advate®, Kogenate FS® or ReFacto AF/Xyntha®. Methods: A total of 201 adults (> 18 yr) with severe HA carefully selected from 8 clinical trials using three recombinant FVIII concentrates were included in the analysis (Fig. 1). The FVIII recovery was calculated using the maximum FVIII concentration measured at 15 or 30 minutes after infusion. Regression tree (RT) was used to identify predictors of FVIII recovery. RT-based models are non-linear and non-parametric alternatives to linear models for regression problems. Continuous variables were compared using the Kruskal-Wallis test. Results: The median FVIII recovery was 2.16 for all patients and was significantly different between the 3 coagulation factor groups in univariate analysis. However, the BW, difference between BW and IBW, BMI and FMI were also significantly different between coagulation factor groups. In multivariate analysis, 5 groups were created by RT (Fig. 2 and Fig. 3): patients with a BMI < 20.3 kg/m2 (Group 2; Median FVIII recovery: 1.60), patients with a BMI between 20.3 and 29.5 kg/m2 (Group 4; Median FVIII recovery: 2.14) and patients with a BMI ≥ 29.6 kg/m2 (Group 5; Median FVIII recovery: 2.70). Group 1 and group 3 were made up of 2 outlier patients. The FVIII recovery was significantly different between group 2, group 4 and group 5 (P<0.001) (Fig. 2 and Fig. 3). The random forest associated with this RT shows that the age and the type of coagulation factor concentrate had no influence on FVIII recovery. Conclusions: The type of coagulation factor concentrate first emerged as a univariate predictor of FVIII recovery in our study. It later appeared to have no influence in the multivariate model, as opposed to the BMI which emerged as the strongest predictor of FVIII recovery. These results are consistent with previous crossover studies which have demonstrated comparable FVIII recovery of different concentrates (Haemophilia 2007;13:124–30, Haemophilia 2009;15(4):869–80). Our findings also support that dose calculation of FVIII to reach a specific FVIII target level should be adapted in underweight and overweight patients. Taking the ideal BW instead of the actual BW in the dose calculation should be implemented since only a small fraction of FVIII distributes outside the vascular system. Disclosures: No relevant conflicts of interest to declare.

scholarly journals The ten group Robson classification: a retrospective study to identify strategies to optimise caesarean section rates

2020 ◽  
Vol 9 (12) ◽  
pp. 5082
Author(s):  
Spandana S. ◽  
Amarpali K. Shivanna
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Group Classification ◽  
Care Hospital ◽  
Robson Classification ◽  
Vaginal Deliveries ◽  
Group 5 ◽  
Ongoing Surveillance

Background: Caesarean section rates have been increasing worldwide. For proper assessment, the ten group Robson classification is recommended by WHO for assessing CS rates. We are analyzing the caesarean section rates by classifying the caesarean sections using modified Robson’s ten group classification. Objective of the current study was to estimate caesarean section rates in our hospital and to classify caesarean section using modified Robson’s ten group classification system.Methods: Current retrospective study was conducted in the department of obstetrics and gynaecology in a tertiary care hospital. The medical records were reviewed for a period of 12 months.Results: Total number of deliveries during the study period was 315. The total numbers of caesarean section were 159 and total vaginal deliveries were 156. The caesarean section rate was 50.47%. The main contributors to overall caesarean section rate were group 5 (18.10%), group 2 (13.96%) and group 1 (5.71%). Women with one previous LSCS contributed majorly to the caesarean section rate. Higher CS rate was also seen in both group 2A (69.40%) and group 4A (47.30%) which had underwent induction of labour. More inclination towards trial of labour following CS for women with previous one LSCS can lower CS rates.Conclusions: Modified Robson’s classification is easily implementable and an effective tool for ongoing surveillance. The results can be compared between Institutions, states and countries. Having implemented the Robson classification and identified groups which contributed the most to the overall CS rate, interventions to reduce the same has to be our prime objective.

scholarly journals PERILAKU SOSIAL KERJASAMA SISWA DI SDN 1 TAMBARANGAN

Jurnal Socius ◽  
2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Rezki Anita
Keyword(s):  
Research Method ◽  
Group Learning ◽  
The Other ◽  
Classroom Organization ◽  
Group Activities ◽  
Group Members ◽  
Group 3 ◽  
Group 5 ◽  
Group 2 ◽  
Personal Interests

Based on the observation on the students of SD Negeri Tambarangan 1 showed that there was still low cooperation in various group activities.  The method used in this study was qualitative research method.  The results showed that the students had low cooperation in various group activities at school, including cleaning shift, group learning, and classroom organization.  This is due to: (1) lack of the cooperation spirit within the group, (2) the ambiguity and misunderstanding of each role in the group, (3) the students’ inability to utilize their creativity, (4) the existence of conflicts within the group, (5) students were more concerned with their personal interests, (6) lack of trust in the other group members, (7) less involvement, and (8) the absence of good group organization.Keywords: Cooperation, Group Activities

scholarly journals Aripiprazole ameliorates scopolamine-induced amnesia in mice

2021 ◽  
Vol 18 (1) ◽  
pp. 12-24
Author(s):  
Lawrence Adedayo ◽  
Godgift Offor ◽  
Olalekan Jolayemi ◽  
Gideon Ojo ◽  
Olubayode Bamidele ◽  
...  
Keyword(s):  
Memory Impairment ◽  
First Generation ◽  
Memory Performance ◽  
Anti Psychotic ◽  
Amnesic Effect ◽  
Group 4 ◽  
Y Maze ◽  
Group 5 ◽  
Group 2 ◽  
The Impact

Aripiprazole, a known third generation anti-psychotic drug. The drug has shown to have lesser side effects on extrapyramidal system and enhance memory when compared with the first-generation anti-psychotic drugs. However, studies on the impact of aripiprazole on scopolamine-induced memory impairment in mice have been poorly reported. This study was designed to investigate the impact of aripiprazole on scopolamine-induced amnesia in mice. Thirtysix (36) mice weighing between 20-23g were randomly divided into six groups. Group 1 was given 10 ml/kg distilled water. Group 2 received 3 mg/kg scopolamine alone. Group 3 was given 1 mg/kg  donepezil. Group 4 received 0.5 mg/kg aripiprazole. Group 5 was given 0.3 mg/kg aripiprazole. Group 6 received 0.1mg/kg aripiprazole. Thirty minutes after administration of either aripiprazole or donepezil, scopolamine (3 mg/kg) was administered, intraperitoneally. The administration was for 7days, during which their memory was assessed using Morris water maze and Y-maze models. The results showed that the anti-amnesic effect of aripiprazole appeared to be dosedependent; the animals administered with 0.5 mg/kg aripiprazole showed the greatest improved memory performance against scopolamine-induced amnesia. The hippocampal and prefrontal cortex tissues displayed anti-amnesic potential of aripiprazole. Aripiprazole seems to improved memory performance against scopolamine-induced memory impairment in mice. Keywords: Aripiprazole; Anti-amnesic; Scopolamine; Memory

scholarly journals A Retrospective Study on the Impact of Bar Flipping on the Recurrence of Pectus Excavatum after the Nuss Procedure

2021 ◽  
Author(s):  
Yu-Jiun Fan ◽  
Po-Cheng Lo ◽  
Yuan-Yu Hsu ◽  
I-Shiang Tzeng ◽  
Bo-Chun Wei ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Pectus Excavatum ◽  
Slope Angle ◽  
Chest Radiographs ◽  
The Other ◽  
Nuss Procedure ◽  
Patient Groups ◽  
Lateral Chest ◽  
The Impact ◽  
Improvement Index

Abstract BackgroundThe Nuss procedure is widely used to correct pectus excavatum. Bar displacement is a common complication associated with this procedure. How the flipping of the bar affects pectus excavatum recurrence has not been reported. In our study, we discuss this and also offer an easier method to determine bar flipping.MethodsThis retrospective study analyzed pectus excavatum patients who underwent primary Nuss repair from August 2014 to December 2018. The preoperative and postoperative Haller indices were measured on chest radiographs (cxrHI). The slope angle of bar flipping (α) was measured on lateral chest radiographs. The improvement index after surgical repair was calculated by: ([preoperative cxrHI-postoperative cxrHI]/preoperative cxrHI×100). The impact of α on the improvement index was analyzed using one-way analysis of variance and receiver operating characteristic tests.ResultsIn this study, 359 adult and adolescent patients with an average age of 23.9±7.7 years were included. We formed four subgroups based on the α value: α ≤ 10° (n=131), α = 11-20° (n=154), α = 21-30° (n=51), and α > 30° (n=23). The mean improvement indices in these groups were 27%, 28%, 26%, and 13%, respectively. Patients with α > 30° were associated with a significantly poorer improvement index than those from the other subgroups (p<0.001).ConclusionsThe α value is an alternative measurement method for presenting the radiological outcomes after the Nuss procedure. An α > 30° indicates a possible recurrence of pectus excavatum after the Nuss repair. Surgical revision may be considered in patients with an α > 30°, while monitoring should be considered in the other patient groups.

scholarly journals Microscopic Study of Surface Microtopographic Characteristics of Dental Implants

2016 ◽  
Vol 10 (1) ◽  
pp. 139-147 ◽  
Author(s):  
M. Sezin ◽  
L. Croharé ◽  
J.C. Ibañez
Keyword(s):  
Dental Implants ◽  
Surface Group ◽  
The Other ◽  
Confocal Laser ◽  
Implant Surface ◽  
Average Pore ◽  
Group 4 ◽  
Group 5 ◽  
Group 2 ◽  
Area Unit

Objective:To determine and compare the micro topographic characteristics of dental implants submitted to different surface treatments, using scanning electron microscopy (SEM).Materials and Methods:Implants were divided into 7 groups of 3 specimens each, according to the surface treatment used: group 1: Osseotite, BIOMET 3i; group 2: SLA surface, Institut Straumann AG; group 3: Oxalife surface, Tree-Oss implant; group 4: B&W implant surface; group 5: Q-implant surface; group 6: ML implant surface; group 7: RBM surface, Rosterdent implant. The surfaces were examined under SEM (Carl Zeiss FE-SEM-SIGMA). Image Proplus software was used to determine the number and mean diameter of pores per area unit (mm). The data obtained were analyzed with the Mann-Whitney test. A confocal laser microscope (LEXT-OLS4100 Olympus) was used to conduct the comparative study of surface roughness (Ra). Data were analyzed using Tukey's HSD test.Results:The largest average pore diameter calculated in microns was found in group 5 (3.45 µm+/-1.91) while the smallest in group 7 (1.47µm+/-1.29). Significant differences were observed among each one of the groups studied (p<0.05). The largest number of pores/mm2was found in group 2 (229343) and the smallest number in group 4 (10937). Group 2 showed significant differences regarding the other groups (p<0.05). The greatest roughness (Ra) was observed in group 2 (0.975µm+/-0.115) and the smallest in group 4 (0.304µm+/-0.063). Group 2 was significantly different from the other groups (p<0.05).Conclusion:The micro topography observed in the different groups presented dissimilar and specific features, depending on the chemical treatment used for the surfaces..

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