Partograph versus no partograph: effect on labour progress and delivery outcome: a comparative study

2017 ◽  
Vol 6 (11) ◽  
pp. 4928 ◽  
Author(s):  
Benazir Ahmed ◽  
Meena Jain ◽  
Hema Bharwani
Keyword(s):  
Comparative Study ◽  
Total Duration ◽  
Birth Asphyxia ◽  
Active Phase ◽  
Delivery Outcome ◽  
Second Stage ◽  
Active Labour ◽  
Vaginal Deliveries ◽  
Significant Difference ◽  
Group 1

Background: Abnormal labour which includes prolonged labour and obstructed labour remain major causes of maternal morbidity. The major reason for neonatal mortality, birth asphyxia and subsequent morbidity is essentially the repercussion which occurs when a complicated labour is not intervened at the right time. A Partograph provides a graphic overview of the progress of labour and records information about maternal and fetal condition during labour. It is considered to be a very effective tool to monitor labour progress and prevent prolonged and obstructed labour.Methods: This prospective randomised comparative study was conducted in the Department of Obstetrics and Gynaecology, JLN Hospital and RC, Bhilai, Chattisgarh, from January 2015 to June 2016. Pregnant women were randomly assigned to two groups, of 200 each, after satisfying the inclusion and exclusion criteria. Women assigned to Group 1 had their active labour modified using modified WHO partograph whereas those assigned to Group 2 were not monitored using the partograph.Results: Use of Partograph (group 1) significantly reduced the duration of active phase of labour (p <0.0001), duration of second stage (p <0.0001) and thus the total duration of labour (active phase plus second stage) (p <0.0001). Requirement of augmentation was also significantly reduced (p <0.05). Group 1 also had significantly more spontaneous vaginal deliveries (p <0.01) with lesser requirement of operative interventions like LSCS or instrumental deliveries like forceps. Use of partograph also significantly improved neonatal outcome with significantly lesser newborns with Apgar <7 (p <0.05). However, there was no significant difference between the two groups with regard to NICU admissions (p>0.05).Conclusions: The use of Partograph, when compared to no Partograph plotting in active labour, is associated with better monitoring of labour progress as well as delivery outcome in the form of a healthy mother and a healthy child.

scholarly journals Scanning Electron Microscopy Analysis of the Anterior Capsulotomy Edge: A Comparative Study between Femtosecond Laser-Assisted Capsulotomy and Manual Capsulorhexis

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Daniele Tognetto ◽  
Chiara De Giacinto ◽  
Alberto Armando Perrotta ◽  
Tommaso Candian ◽  
Alessandro Bova ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Femtosecond Laser ◽  
Comparative Study ◽  
Surface Irregularity ◽  
Significant Difference ◽  
Group 2 ◽  
Cut Surface ◽  
Scanning Electron ◽  
Group 1

Purpose. To compare the capsule edges ultrastructure obtained by two femtosecond laser-assisted cataract surgery (FLACS) platforms and manual continuous curvilinear capsulorhexis (CCC) using scanning electron microscopy (SEM). Setting. Eye Clinic, University of Trieste, Italy. Design. Experimental comparative study. Methods. 150 anterior capsules were collected and divided into three groups as follows: Group 1 (50 capsules) obtained with manual CCC, Groups 2 and 3 (each with 50 capsules) obtained with the Catalys Laser and the LenSx Laser, respectively. All samples were imaged by means of SEM and regularity of the cut surface, and thickness of the capsule edge were evaluated and compared. Results. All femtosecond laser (FSL) capsules were perfectly circular, whereas some alteration of the circular shape was observed in the manual ones. Group 1 showed a smooth and regular capsule edge without any surface irregularity, conversely Groups 2 and 3 showed postage-stamp perforations on the capsule edge. The cut surface irregularity value in Group 2 was 1.4 ± 0.63, while it was 0.7 ± 0.49 in Group 3 (p<0.05). Group 1 had a significantly lower thickness of the capsule edge than the FSL groups (p<0.05). No statistically significant difference in the capsule edge thickness between the FSL groups was found (p=0.244). Conclusions. Despite the presence of slight cut surface irregularities, both FSL capsulotomies showed a better geometry and circularity than the manual ones. Capsulotomy specimens obtained using both FSL capsulotomies showed laser-induced alterations of the capsule edge when compared with smooth and regular edges obtained using manual CCC.

scholarly journals Impact factors on fetal descent rates in the active phase of labor: a retrospective cohort study

2018 ◽  
Vol 46 (6) ◽  
pp. 579-585 ◽  
Author(s):  
Nina Kimmich ◽  
Jana Juhasova ◽  
Christian Haslinger ◽  
Nicole Ochsenbein-Kölble ◽  
Roland Zimmermann
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Total Duration ◽  
Active Phase ◽  
University Hospital ◽  
Impact Factors ◽  
Nulliparous Women ◽  
Vaginal Deliveries ◽  
Multiparous Women

Abstract Aim: To assess fetal descent rates of nulliparous and multiparous women in the active phase of labor and to evaluate significant impact factors. Methods: In a retrospective cohort study at the University Hospital of Zurich, Switzerland, we evaluated 6045 spontaneous vaginal deliveries with a singleton in vertex presentation between January 2007 and July 2014 at 34 0/7 to 42 0/7 gestational weeks. Median fetal descent rates and their 10th and 90th percentiles were assessed in the active phase of labor and different impact factors were evaluated. Results: Fetal descent rates are exponentially increasing. Nulliparous women have slower fetal descent than multiparous women (P<0.001), ranging from 0 to 5.81 cm/h and from 0 to 15 cm/h, respectively. The total duration of fetal descent in labor is 5.42 h for nulliparous and 2.71 h for multiparous women. Accelerating impact factors are a lower fetal station, multiparity, increasing maternal weight and fetal occipitoanterior position, whereas epidural anesthesia decelerates fetal descent (P<0.001). Conclusions: Fetal descent is a hyperbolic increasing process with faster descent in multiparous women compared to nulliparous women, is highly inter individual and is associated with different impact factors. The diagnosis of labor arrest or prolonged labor should therefore be based on such rates as well as on individual evaluation of every parturient.

scholarly journals Comparative study of pharmacological and combined pharmaco-mechanical method of induction of labour: a randomised study

2021 ◽  
Vol 10 (5) ◽  
pp. 1977
Author(s):  
Anshu Kumari ◽  
Mahantappa A. Chiniwar ◽  
Sharada B. Menasinkai
Keyword(s):  
Comparative Study ◽  
Active Phase ◽  
Induction Of Labour ◽  
Research Centre ◽  
Cervical Canal ◽  
Mechanical Method ◽  
Randomised Study ◽  
Group 2 ◽  
Foley’S Catheter ◽  
Group 1

Background: Comparative study of Pharmacological and Pharmaco- Mechanical method of induction of labour- A Randomised study. The objective of the study was to compare efficacy of pharmacological and combined pharmaco-mechanical method of induction of labour.Methods: A study was conducted in the department of Obstetrics and gynaecology, Adichunchanagiri Institute of Medical Sciences and Research Centre for a period of 18 months. 200 pregnant women requiring induction of labour were included in the study.  In group 1 Dinoprostone 0.5 mg gel was inserted into cervical canal. In group 2 Foley’s catheter No 18 F was inserted within the cervix. The balloon of the catheter was filled with 30 ml normal saline and at the same time Dinoprostone 0.5 mg gel was inserted into posterior vaginal fornix. The Excel and SPSS (SPSS Inc, Chicago V 18.5) software packages were used for data entry and analysis. The results were averaged (mean ± Std Deviation) for each parameter for continuous data in tables.Results: Mean induction to active phase interval in group 1 was 8.43±4.11 hrs, in group 26.82±3.01 hrs (p =0.001). The rate of vaginal delivery in group 1 and group 2 was 55% and 66% respectively, difference was statistically significant (p=0.026).Conclusions: Synchronous use of intracervical Foley’s catheter and Dinoprostone 0.5 mg resulted in a shorter time for progress to active phase and also shortened induction to delivery interval as compared to Dinoprostone 0.5 mg alone. Higher risk of caesarean delivery was associated with single method as compared to combined methods. 

scholarly journals A Comparative study of Different Impression Materials and Techniques of Dental Implant at The Second Stage of Procedure

2019 ◽  
Vol 4 (2) ◽  
pp. 90-93
Author(s):  
Hussameldien Hussien ◽  
◽  
Natashekara Mallesh ◽  
Keyword(s):  
Comparative Study ◽  
Dental Implants ◽  
Dental Implant ◽  
Dimensional Accuracy ◽  
Conclusive Evidence ◽  
Impression Material ◽  
Second Stage ◽  
Impression Materials ◽  
Significant Difference

Background of the study: Dental implants are one of the most sought-after choice of treatment for restoration and rehabilitation of missing teeth. However, the accuracy of the removable or fixed superstructures over the dental implants is influenced for a major proportion by the impression techniques and materials. This paper discusses the comparison of the accuracy of different impression materials and techniques used in the second stage of the dental implant treatment in vivo. Objective: The objective of the paper is to study the comparison of the accuracy of different impression materials and techniques used in the second stage of the dental implant’s treatment in vivo. Search methodology: Electronically key searched in scientific literature databases. Selection criteria: Based on the set inclusion and exclusion criteria such as studies conducted in partial edentulous arches, in the age group of 30 to 55 years. Data collection and analysis: A total of 248 literatures were found to be relevant to the framed topic and were scrutinised based on the dejected criteria and 18 kinds of literature obtained were taken into consideration. Main Result: Among the different impression materials taken into the comparative study, it was observed that polyvinyl siloxane exhibited a dimensional accuracy slightly greater than polyether. However, light body putty exhibited greater accuracy than medium body putty. Various impression techniques were compared to evaluate the dimensional accuracy of the impression. It was observed that the open tray technique and splinted impression technique produced a more dimensionally stable impression than the other techniques. Authors Conclusion: this study to assess the accuracy of various impression material and methods has concluded that while impression techniques influence the accuracy of the impression, the impression materials namely the Polyvinyl siloxane and polyether exhibit no significant difference with a slight preference to the polyvinyl siloxane. Hence the choice of impression material is at the discretion of the dentist performing the treatment and also this area requires further studies to establish conclusive evidence.

scholarly journals Comparative study between open and laparoscopic lymphadenectomy (pelvic and para-aortic) in gynecological malignancies

2018 ◽  
Vol 5 (5) ◽  
pp. 1657
Author(s):  
Hytham R. Yassin ◽  
Soliman ALShakhs ◽  
Mohammed Hamed ◽  
Adel Karam ◽  
Mohammed Mouneer
Keyword(s):  
Comparative Study ◽  
Radical Surgery ◽  
Safe Procedure ◽  
Gynecological Malignancies ◽  
Number Of Patients ◽  
Significant Difference ◽  
Operative Complications ◽  
Group 2 ◽  
Group 1

Background: Objective of present study was to compare the results of lymphaenectomy (pelvic and para-aortic) between laparoscopy and laparotomy in gynecological malignancies.Methods: Authors analyze the results of 30 patients suffering from gynecological malignancies (Enometrial, Ovarian and cervical) submitted to surgery as apart of treatment. Patients were classified in Two Groups Group (1) included15 patients were submitted to open radical surgery and group (2) included 15 patients Were submitted to laparoscopic radical surgery between May 2016 and October 2017.Results: In present comparative study, there was significant difference regarding intra operative blood loss, operative time and post operative hospital stay (P<0.001) and there was no significant difference regarding intra-operative complications, post-operative complications, total number of lymph node harvested, number of positive lymphnodes (P>0.05).Conclusions: Laparoscopic lymphadenectomy is a technically feasible and safe procedure. Authors recommend further study in large number of patients with longer duration and follow up period for assessment of oncological out-come.

scholarly journals Pregnancies past the estimated date of confinement: labour and delivery outcome

2003 ◽  
Vol 9 (5-6) ◽  
pp. 955-960
Author(s):  
M. Al Taani
Keyword(s):  
Caesarean Section Rate ◽  
Adverse Outcomes ◽  
Mortality And Morbidity ◽  
Delivery Outcome ◽  
Vaginal Deliveries ◽  
Significant Difference ◽  
The Difference ◽  
A Prospective Study ◽  
Onset Group ◽  
Spontaneous Onset

To compare labour and delivery outcomes in women undergoing induction and those having spontaneous onset for pregnancies past the estimated date of delivery, a prospective study of 395 singleton, uncomplicated pregnancies was performed. Labour was induced in 175 women. Overall caesarean section rate was 9.4%, with no significant difference between the 2 groups. Overall rate of assisted vaginal deliveries was 7%, higher in the induction group than the spontaneous onset group but the difference was not significant. There was no significant difference in occurrence of intrapartum meconium, nor for maternal morbidity. No neonate needed intubation. No perinatal deaths occurred. Perinatal mortality and morbidity are preventable, and induction of labour before 42 weeks is justifiable to prevent adverse outcomes

scholarly journals The effect of corticision on root resorption with heavy and light forces

2015 ◽  
Vol 86 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Christopher Murphy ◽  
Zana Kalajzic ◽  
Taranpreet Chandhoke ◽  
Achint Utreja ◽  
Ravindra Nanda ◽  
...  
Keyword(s):  
Root Resorption ◽  
Three Dimensional ◽  
Total Duration ◽  
Experimental Period ◽  
X Ray ◽  
Significant Difference ◽  
Male Wistar Rats ◽  
X Ray Computed ◽  
Microct Analysis ◽  
Group 1

ABSTRACT Objective:  To investigate the association between corticision and different force magnitudes with the amount of root resorption. Methods:  Forty-four male Wistar rats (7 week old) were evaluated after an orthodontic spring delivering either 10 or 100 g was placed on the left maxillary first molars to move molars mesially. Experimental rats were divided into four groups, with 11 animals in each group: (1) LF, no corticision and 10 g of orthodontic force; (2) LFC, corticision and 10 g of force; (3) HF, no corticision and 100 g of force; and (4) HFC, corticision and 100 g of force. Contralateral sides were used as unloaded controls. The total duration of the experimental period was 14 days. Two-dimensional (histomorphometric) and three-dimensional (volumetric, micro-focus X-ray computed tomography [microCT]) analysis of root craters were performed on maxillary first molars. Results:  Histomorphometric and microCT analysis revealed a significant amount of resorptive areas in the experimental groups when compared to unloaded controls. However, no significant difference was detected in the amount of resorption among the four experimental groups. Conclusions:  At day 14, neither the amount of force nor the cortical incision caused significant effect on root resorption that was registered by histomorphometric or microCT analysis.

scholarly journals Comparative study of Mirs’(Mushtaq and Shabir) technique of prepuce preserving minimally invasive urethroplasty with Snodgrass urethroplasty for repair of distal hypospadias without chordee…A prospective study

2015 ◽  
Vol 48 (01) ◽  
pp. 048-053
Author(s):  
Mushtaq Mir ◽  
Shabir Ahmad Mir ◽  
Muddassir Shahdhar ◽  
Mumtazdin Wani ◽  
Hakim Adil Moheen ◽  
...  
Keyword(s):  
Comparative Study ◽  
Tertiary Care ◽  
Care Hospital ◽  
Analgesic Requirement ◽  
Time Saving ◽  
Northern India ◽  
Significant Difference ◽  
Distal Hypospadias ◽  
Group 2 ◽  
Group 1

ABSTRACT Background: There is no single, universally applicable technique for hypospadias repair and numerous techniques have been practised from time to time. We compare the results of our new technique (Mirs’ technique also called Mush & Shab’s technique) to Snodgross urethroplasty. Mirs’ technique is a modified version of Thiersch-Duplay urethroplasty. Material and Methods: This prospective comparative study was carried out in a tertiary care hospital of Northern India over a period of 3 years from March 2010 to March 2013 and included 120 patients of anterior (distal penile, subcoronal, coronal and glanular) hypospadias without chordee. They underwent either Mirs’ technique (group 1 n = 60) or Snodgrass technique (group 2 n = 60). Follow-up was at 1-week, 1-month, 3 months and 6 months. Results: The mean operative time was 55 min (range: 43-70 min) in group 1 and 71.9 min (range: 60-81 min) in group 2 (P & 0.001). Urethrocutaneous fistula developed in two and four patients in group 1 and 2, respectively. Fistula closure was done at least 3 months postoperatively, and there was no significant difference in success rate between the two groups. Three cases of glanular dehiscence were detected (one in group 1 and two in group 2); the patient from group 1 had a successful repair using the already preserved prepuce. Conclusion: Mirs’ modification of Thiersch-Duplay technique for distal hypospadias is a time saving procedure with a lower overall complication rate. Valuable local tissue is preserved to deal with any complication that may occur. Analgesic requirement was significantly lower in this minimally traumatic technique. As it is less time consuming, simple and easy to learn with a short learning curve, this technique deserves application in cases of distal hypospadias.

scholarly journals Study of effects of combined spinal epidural analgesia on the course of labour and feto maternal outcome in comparison with the parturients receiving no analgesia

2018 ◽  
Vol 7 (10) ◽  
pp. 3990
Author(s):  
Shoba Bembalgi ◽  
Basavaraj Kallapur ◽  
Prasad S. ◽  
Shruthi M. ◽  
Amit S. Amble
Keyword(s):  
Epidural Analgesia ◽  
Perinatal Outcome ◽  
Prospective Clinical Study ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Combined Spinal Epidural ◽  
Active Labour ◽  
Vaginal Deliveries ◽  
Labour Ward ◽  
Spinal Epidural

Background: The study was aimed to evaluate the effects of combined spinal epidural analgesia on the duration and outcome of labour in nulliparous parturients in comparison with parturients not receiving any analgesia.Methods: It is a prospective clinical study. The present study was carried out in the labour ward, KIMS Hubli. Nulliparous parturients in early active labour were divided into two groups.  CSE group (n=40) and non CSE group. In present study CSE was performed with intrathecal 1.25mg of levobupivacaine with   25mcg fentanyl initially and this was followed by epidural boluses of 10ml of 0.0625% Levobupivacaine with 2mcg/ml fentanyl through the epidural catheter whenever the patients’ pain score is more than 4.Results: Mean duration of active labour was 139+/-41.2min in CSE group and 251.1+/-57.9 min in non CSE group. The rate of cervical dilatation was 2.63+/-0.66cm/hr. in CSE group as compared to 1.45+/-0.38cm/hr in non CSE group. The duration of second stage of labour was similar in both groups. The spontaneous vaginal deliveries was77.5% in CSE group as compared to 79.5% in non CSE group. Assisted vaginal deliveries were 15% in combined spinal epidural analgesia group compared to 10.3% in non CSE group which was statistically insignificant. LSCS was 7.5% in control CSE group compared to 10.3% in non CSE group. Maternal satisfaction was excellent in majority of parturients in CSE group. The perinatal outcome was not affected in CSE group. The incidence of complications were very minimal in present study.Conclusions: Authors concluded that combined spinal epidural analgesia provides safe and excellent analgesia with no significant increase in the caesarean section and instrumental delivery rates. In addition, CSE decreases the duration of first stage of labour with no effect on perinatal outcome.

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