Gas within the endometrial cavity at postpartum US: a normal finding after spontaneous vaginal delivery.

Background: Postpartum depression is one of the most common postpartum diseases, which has an important impact on the interaction between mother, infant, partner and family, as well as the long-term emotional and cognitive development of infants. However, there are still great disagreements on whether the delivery mode will affect the risk of postpartum depression. The purpose of this study is to explore whether the mode of delivery will affect the risk of postpartum depression through the comprehensive network meta-analysis of elective cesarean section, emergency cesarean section, instrumental vaginal delivery and spontaneous vaginal delivery. Methods: We searched in three electronic databases: PubMed, EMBASE and Cochrane Library. Results: This paper included 43 studies with a total sample size of 1,827,456 participants. Direct meta-analysis showed that the odds ratio of postpartum depression risk was 1.33 (95% confidence interval = [1.21, 1.46]) between cesarean section and vaginal delivery. The odds ratios of high Edinburgh Postpartum Depression Scale score between cesarean section and vaginal delivery in the three postpartum periods (within 2 weeks, within half a year and over half a year) were basically the same. There was no difference between cesarean section and vaginal delivery in the risk of severe postpartum depression at the Edinburgh Postpartum Depression Scale cut-off point ⩾13 (odds ratio = 1.07; 95% confidence interval = [0.99, 1.16]). Network meta-analysis showed that the risk of postpartum depression in the pairwise comparisons emergency cesarean section vs spontaneous vaginal delivery and elective cesarean section vs spontaneous vaginal delivery was odds ratio = 1.53 (95% confidence interval = [1.22, 1.91]) and 1.47 (95% confidence interval = [1.16, 1.86]). Conclusion: The mode of delivery has a significant effect on the occurrence of mild postpartum depression. Women who give birth by cesarean section, especially who give birth by emergency cesarean section, are at a higher risk of mild postpartum depression. We should carefully monitor the progress of postpartum mental disorders in women who delivered by cesarean section and make it possible for women to have a quick access to mental healthcare.

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There is a return to non-pregnant coagulation parameters after four not six weeks postpartum following spontaneous vaginal delivery

Obstetric Medicine ◽

10.1258/om.2008.080025 ◽

2008 ◽

Vol 1 (2) ◽

pp. 92-94 ◽

Cited By ~ 15

Author(s):

H J Maybury ◽

J J S Waugh ◽

A Gornall ◽

S Pavord

Keyword(s):

Vaginal Delivery ◽

Spontaneous Vaginal Delivery ◽

Coagulation Parameters

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Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study

BMJ Open ◽

10.1136/bmjopen-2017-020578 ◽

2018 ◽

Vol 8 (3) ◽

pp. e020578 ◽

Cited By ~ 7

Author(s):

Qi Wen ◽

Giulia M Muraca ◽

Joseph Ting ◽

Sarah Coad ◽

Kenneth I Lim ◽

...

Keyword(s):

Observational Study ◽

Vaginal Delivery ◽

Caesarean Delivery ◽

Temporal Trends ◽

Birth Trauma ◽

Forceps Delivery ◽

Fourth Degree ◽

Spontaneous Vaginal Delivery ◽

Live Births ◽

Obstetric Trauma

ObjectiveInstrumental vaginal delivery is associated with birth trauma to infant and obstetric trauma to mother. As caesarean delivery rates increased during the past decades, the rate of instrumental vaginal delivery declined. We examined concomitant temporal changes in the rates of severe birth trauma and maternal obstetric trauma.DesignA retrospective observational study.Settings and participantsAll hospital singleton live births in Washington State, USA, 2004–2013, excluding breech delivery. Severe birth trauma (brain, nerve injury, fractures and other severe birth trauma) and obstetric trauma (third/fourth degree perineal lacerations, cervical/high vaginal lacerations) were identified from hospitalisation data. Pregnancy and delivery characteristics were obtained from birth certificates. Temporal trends were assessed by the Cochran-Armitage test. Logistic regression was used to obtain adjusted ORs (AORs) and 95% CI.ResultsOverall, 732 818 live births were included. The rate of severe birth trauma declined from 5.3 in 2004 to 4.5 per 1000 live births in 2013 (P<0.001). The decline was observed only in spontaneous vaginal delivery, the rates of fractures and other severe birth trauma declined by 5% and 4% per year, respectively (AOR: 0.95, 95% CI 0.94 to 0.97 and AOR: 0.96, 95% CI 0.93 to 0.99; respectively). The rate of third/fourth degree lacerations declined in spontaneous vaginal delivery from 3.5% to 2.3% (AOR: 0.95; 95% CI 0.94 to 0.95) and in vacuum delivery from 17.3% to 14.5% (AOR: 0.97, 95% CI 0.96 to 0.98). Among women with forceps delivery, these rates declined from 29.8% to 23.4% (AOR: 0.98, 95% CI 0.96 to 1.00).ConclusionWhile the rates of fractures and other birth trauma declined among infants delivered by spontaneous vaginal delivery, the rate of birth trauma remained unchanged in instrumental vaginal delivery and caesarean delivery. Among mothers, the rates of severe perineal lacerations declined, except for women with forceps delivery.

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Intrapartum ultrasound at the initiation of the active second stage of labor predicts spontaneous vaginal delivery

American Journal of Obstetrics & Gynecology MFM ◽

10.1016/j.ajogmf.2020.100249 ◽

2020 ◽

pp. 100249

Author(s):

Shira Hadad ◽

Maya Oberman ◽

Alon Ben-Arie ◽

Miri Sacagiu ◽

Edi Vaisbuch ◽

...

Keyword(s):

Vaginal Delivery ◽

Spontaneous Vaginal Delivery ◽

Second Stage Of Labor ◽

Second Stage

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Study of cases of post-partum hemorrhage after spontaneous vaginal delivery in labour room of obstetrics and gynecology department of tertiary care center, Ranchi, Jharkhand, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201219 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1540

Author(s):

Bratati Moitra ◽

Bulllu Priya Oraon

Keyword(s):

Blood Loss ◽

Vaginal Delivery ◽

Maternal Death ◽

Post Partum ◽

Care Center ◽

Tertiary Care ◽

Spontaneous Vaginal Delivery ◽

Lower Middle Class ◽

Threatening Condition ◽

Labour Room

Background: Postpartum haemorrhage is one of the common causes of maternal death worldwide. Whenever the amount of blood loss from or into genital tract is 500 ml or more after delivery of baby or any amount of bleeding that makes patients haemodynamically unstable is post-partum haemorrhage.Methods: In this study amount of blood loss after spontaneous vaginal delivery was measured in 100 cases by calibrated blood drape. Patients having high risk criteria for PPH were excluded.Results: In this study 55% patients were from 20-30 years age group. 82% cases were nontribal. 94% belonged to lower middle class. 67% patients were primigravida. 89% patients had atonic PPH and 11% had traumatic PPH. 85% patients had mild PPH. 60% of atonic PPH was managed by oxytocin only. 10% required oxytocin + Methergin, 6% required oxytocin + Methergin + Misoprostol. 6% required Oxytocin + Methergin + Misoprostol + Carboprost. In this study surgical intervention was required in 18% cases. Blood transfusion was required in 74% cases. 75% cases were from non-tribal ethnicity.Conclusions: PPH is a life-threatening condition. If it can be diagnosed early and managed properly then many maternal lives can be saved. In this study there was no maternal death.

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