scholarly journals A new indication for elective induction of labor COVID-19 pandemic effect

2021 ◽  
Vol 11 (1) ◽  
pp. 141
Author(s):  
Isha Nandal ◽  
S. P. S. Kochar ◽  
Rajvir Kaur
Keyword(s):  
Close Contact ◽  
Fetal Outcome ◽  
Bishop Score ◽  
Singleton Pregnancy ◽  
Pregnancy And Childbirth ◽  
Spontaneous Labour ◽  
Elective Induction ◽  
Risk Of Exposure ◽  
Symptoms And Signs ◽  
Failure Of Induction

Background: Induction of labour is performed in certain circumstances which involve greater risks of waiting for the onset of spontaneous labour than the risks due to shortening the duration of pregnancy by induction. The objective of this study was to evaluate the maternal and fetal outcome in patients undergoing elective induction during COVID-19 pandemic.Methods: This prospective observational study was conducted on 60 ANC patients with singleton pregnancy and POG >39 weeks coming to OPD with negative COVID-19 RT-PCR report. To avoid the burden of repeat testing after one week and risk of exposure to COVID-19 virus from community, patients were induced. All the data was recorded and analyzed.Results: Most of the patients were in age group of 20-25 years (50%) and only 6.7% of the patients were older than 30 years. 32 (53.3%) patients were multiparous and 50% of the patients were having Bishop score between 2-5 and only 8.3% had bishop score of more than 5. 47 patients (78.3%) underwent normal vagina delivery whereas 12 patients (20%) underwent LSCS. Failure of Induction was the indication for LSCS in 5 patients (41.7%).Conclusions: Elective induction was found to be better option in COVID-19 negative patients. All pregnant women should be monitored for development of symptoms and signs of COVID-19 particularly if they have had close contact with a confirmed case. Pregnancy and childbirth generally do not increase the risk for acquiring SARS-CoV-2 infection but may worsen the clinical course of COVID-19 compared with nonpregnant individuals of the same age. 

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 Assessment of maternal and fetal outcome in trial of labor after cesarean

2019 ◽  
Vol 8 (4) ◽  
pp. 1563
Author(s):  
Sunita Kumari Beer ◽  
Jaya Chaudhary ◽  
Kalpana Tiwari ◽  
Sonam Choudhary
Keyword(s):  
Prospective Observational Study ◽  
Fetal Outcome ◽  
Clinical Settings ◽  
Cesarean Sections ◽  
Singleton Pregnancy ◽  
Trial Of Labor ◽  
Predictor Of Success ◽  
Uterine Scar ◽  
Alternative Choice

Background: Nowadays, cesarean sections are increasing consistently. Repeat cesarean sections are performed for a large percentage and associated with a higher rate of surgical complications and Long-term morbidities. The trial of labor after cesarean offers an alternative choice. This study carried out to assess the maternal and fetal outcome and to evaluate various parameters as a predictor of success of TOLAC.Methods: This prospective observational study conducted on 150 pregnant women with one previous LSCS who delivered at Mahatma Gandhi hospital, from January 2017 to July 2018. Patient having a singleton pregnancy, cephalic presentation, adequate pelvis size with spontaneous onset of labor were included. Cases were monitored carefully during the labor. Emergency LSCS was done if any indication appeared.Results: 78% of cases delivered safely by the vaginal birth and 22% of cases had an emergency repeat cesarean section (EmRCS). Favorable Bishop Score, active stage of labor and prior vaginal delivery were associated with higher success rate. One (0.66%) case of uterine scar rupture and 2 (1.33%) cases of scar dehiscence noted. No maternal mortality observed. Perinatal mortality occurred in 2 cases (1.33%).Conclusions: Present study shows that appropriate clinical settings and the properly selected group of patients can make the TOLAC safe and effective.

scholarly journals Use of mask in COVID-19 era: absence of evidence is not evidence of absence

2020 ◽  
Vol 7 (1) ◽  
pp. 89-90
Author(s):  
Rano Mal Piryani ◽  
Suneel Piryani ◽  
Jay Narayan Shah
Keyword(s):  
United States Of America ◽  
Close Contact ◽  
Healthy Person ◽  
World Health ◽  
Source Control ◽  
Community Settings ◽  
Policy Makers ◽  
Risk Of Exposure ◽  
Health Organization ◽  
Healthy Persons

World Health Organization (WHO) in its interim guidance of 6 April 2020 advises policy makers on the use of masks for healthy people in community settings. The rationale for mask use by healthy person is prevention from COVID-19, when there is risk of exposure, like working in close contact with public, people with comorbidities, where physical distancing cannot be maintained such as travelling in buses, staying in slum areas. Furthermore, WHO says the purpose and reason for mask use should be clear– whether it is to be used for source control (used by infected persons) or prevention of COVID-19 (used by healthy persons).1 Centers for Disease Control (CDC) United States of America (USA) updated its advisory on 4 Apr 2020, and recommended everyone (except some) should wear at least a cloth face covering when they have to go out in public. It will protect other people in case you are infected.2,3 This advisory of no strict demand on use of face masks could be possibly due to unavailability of disposable masks.

SPONTANEOUS LABOUR AND ELECTIVE INDUCTION-A PROSPECTIVE RANDOMIZED STUDYBehavioural Assessment and Neurological Examination in the Newborn Period

1979 ◽  
Vol 68 (5) ◽  
pp. 553-560 ◽  
Author(s):  
INGEMAR LEIJON ◽  
ORVAR FINNSTRÖM ◽  
STAFFAN HEDENSKOG ◽  
GUNNAR RYDÉN ◽  
JOHN TYLLESKÄR
Keyword(s):  
Neurological Examination ◽  
Newborn Period ◽  
Spontaneous Labour ◽  
Elective Induction

scholarly journals Elective induction versus spontaneous labour in Latin America

2011 ◽  
Vol 89 (9) ◽  
pp. 657-665 ◽  
Author(s):  
Gláucia Virgínia Guerra ◽  
José Guilherme Cecatti ◽  
João Paulo Souza ◽  
Aníbal Faúndes ◽  
Ahmet Metin Gülmezoglu ◽  
...  
Keyword(s):  
Latin America ◽  
Spontaneous Labour ◽  
Elective Induction

scholarly journals Maternal and perinatal outcomes after elective induction of labor at 39 weeks in uncomplicated singleton pregnancy: a meta‐analysis

2018 ◽  
Vol 53 (1) ◽  
pp. 26-35 ◽  
Author(s):  
A. Sotiriadis ◽  
S. Petousis ◽  
B. Thilaganathan ◽  
F. Figueras ◽  
W. P. Martins ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Perinatal Outcomes ◽  
Induction Of Labor ◽  
Singleton Pregnancy ◽  
Elective Induction

scholarly journals A review of maternal and fetal outcome of induction of labour with Foley’s catheter and extra amniotic saline infusion in women with previous caesarean delivery

2018 ◽  
Vol 7 (9) ◽  
pp. 3551
Author(s):  
Sunil Kumar ◽  
Nishtha A. Mahabalshetti ◽  
Dinu Simon Dinu Simon
Keyword(s):  
Caesarean Section ◽  
Low Cost ◽  
Foley Catheter ◽  
Fetal Outcome ◽  
Induction Of Labour ◽  
Cervical Ripening ◽  
P Value ◽  
Time Interval ◽  
Singleton Pregnancy ◽  
Foley’S Catheter

Background: Incidence of induction of labour has increased in the recent past due to increased screening facilities like ante partum fetal surveillance. Vaginal birth after caesarean section (VBAC) is one of the strategies developed to control the rising rate of caesarean sections. Intracervical Foley’s catheter reduces the risk of uterus hyper tonicity and rupture in women with one caesarean section as it’s placement induces the cervical repining without inducing any uterine contractions.Methods: A prospective study of 35 women with one previous LCSs, term gestation and singleton pregnancy, were selected for trial of labour (TOL) considering inclusion and exclusion criteria.Results: Out of 35 cases studied 21 cases (60%) went for successful induction with Foleys and the remaining 40% underwent caesarean section. The mean time interval for Foley’s expulsion was 6.74 in the success group and 10.04 in the failed group (p value <0.05). In 4 cases there were meconium stained liquor, and they underwent emergency LSCS. One case (2.8%) had scar rupture which also underwent caesarean section.Conclusions: This study shows that the Foley catheter is an effective method of cervical ripening with additional benefit of low cost, reversibility, easy availability and lack of need for special storage. This method confers significant improvement in Bishop Score and vaginal delivery was achieved in majority of patients.

scholarly journals Oligohydramnios and Fetal Outcome: A Review

Med Phoenix ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Tarannum Khatun ◽  
Akhtar Alam Ansari ◽  
Irfan Hamid ◽  
Ravi Shankar Gupta ◽  
Md. Parwez Ahmad
Keyword(s):  
Intrauterine Growth Restriction ◽  
Neonatal Intensive Care ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Singleton Pregnancy ◽  
Safe Delivery ◽  
Appropriate Treatment ◽  
Threatening Condition ◽  
Nicu Admission ◽  
Definition Of

Oligohydramnios is a threatening condition to fetal health and is associated with increased fetal morbidity. These conditions are often missed and patient may not seek appropriate treatment at appropriate time that often increases risk of numerous conditions. Early detection of oligohydramnios and its management may help in reduction of perinatal morbidity and mortality one side and decreased caesarean deliveries on the other side. A search in Google scholar, PubMed, Medline, EMBASE was performed using key words. Inclusion criteria for articles selection were singleton pregnancy, definition of olgohydramnios as AFI <5 cm, AF assessment at 37-42 gestational weeks. The searched revealed numerous research articles which is further refined. It is found that oligohydramnios is associated with Intrauterine Growth Restriction (IUGR), small for gestational age (SGA), prolonged labour, caesarian section (C/S) for fetal distress (FD), meconium stained liquor, Low Apgar score and Neonatal Intensive Care Unit (NICU) admission. Women with oligohydramnios are associated with higher fetal risk but can expect a safe delivery and good outcome for which proper fetal surveillance and regular Antenatal care (ANC) visits are required. MED Phoenix Volume (1), Issue (1) July 2016, page: 23-30

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