Analysis of the effect of free position delivery on the success rate and safety of vaginal trial delivery in patients with scar uterine vaginal delivery

2021 ◽  
Author(s):  
Li GUO ◽  
Liru CHEN ◽  
Yue JIAO ◽  
Hongwen SUN ◽  
Yan ZHANG ◽  
...  
Keyword(s):  
Success Rate ◽  
Vaginal Delivery ◽  
Free Position

scholarly journals Trial of labor after previous cesarean delivery (TOLAC) and association of BMI and previous vaginal delivery with frequency of VBAC

2016 ◽  
Vol 15 (4) ◽  
pp. 546-550 ◽  
Author(s):  
Huma Tasleem ◽  
Haider Ghazanfar
Keyword(s):  
Cesarean Section ◽  
Success Rate ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Health Centre ◽  
Tertiary Care ◽  
Vaginal Birth ◽  
Trial Of Labor ◽  
Emergency Cesarean ◽  
Previous Cesarean

Objectives: To determine the frequency of successful Vaginal Birth after One Cesarean Section in our tertiary care institution and to determine the causes of its failure.Material and Methods: This study was conducted in department of Obstetrics and Gynecology of Shifa International Hospital and Shifa Foundation Community Health Centre Islamabad Pakistan from Feb 2011 to Dec 2014. This study included 592 patients who presented in labor room emergency reception of Obs/Gynae department at term with previous one scar having fulfilled the laid down inclusion criteria for VBAC during ante-natal care. The patients were admitted in hospital and were allowed to proceed for spontaneous labor under vigilant monitoring on complications of trial of scar. Immediate emergency cesarean sections were performed, where indicated.Results: Out of 592 patients 70.7% were delivered vaginally after previous one cesarean section and 29.3% had emergency cesarean section. Leading indications for repeat cesarean section was fetal distress, failure to progress and scar tenderness. No maternal and fetal complication occurred in our study. The success rate of Trial of labor after one previous cesarean delivery was lower in obese (64.38%) as compared to non-obese women (82.06%) (p<0.001). Women with previous successful vaginal delivery had a success rate of 88.2% compared with 62.25% in women without such a history (OR 4.4; 95% CI 2.7-7.2 p <0.001).Conclusion: Vaginal birth after one lower segment cesarean section should be encouraged with vigilant monitoring provided no obstetric contra-indication to vaginal birth exists.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.546-550

scholarly journals Predictors of Cephalic Vaginal Delivery Following External Cephalic Version: An Eight-Year Single-Centre Study of 447 Cases

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Natalie Kew ◽  
Jacobus DuPlessis ◽  
Domenic La Paglia ◽  
Katherine Williams
Keyword(s):  
Success Rate ◽  
Vaginal Delivery ◽  
Birth Outcome ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
International Standards ◽  
External Cephalic Version ◽  
Normal Vaginal Delivery ◽  
Success Rates ◽  
Hospital Data

Introduction. Our study aims to investigate and evaluate (1) rates of success of ECV for breech presentation at term at the Royal Women’s Hospital in comparison to international standards; (2) mode of delivery following ECV; (3) factors influencing success rates of ECV at the Royal Women’s Hospital. Methods. An audit of all women who underwent ECV between the years 2007 and 2014 at the Royal Women’s Hospital as public patients was completed. Data parameters were collected from paper and electronic patient files at the Women’s Hospital. Data was collected to analyse the effect of the following parameters on ECV success and birth outcome: age, parity, gestational age, BMI, AFI, and tocolytic use. These parameters were analysed to determine their effect on ECV outcome and birth outcome. Results. The Women’s Hospital, Melbourne, has an ECV success rate of approximately 37%. Of the patients undergoing ECV, 29% proceeded to normal vaginal delivery. Predictors of successful ECV included low BMI, multiparity, and AFI more than 16 (P<0.05). The only predictor of cephalic vaginal delivery following ECV was multiparity. Negative predictors of cephalic delivery were low AFI and nulliparity. Conclusions. The success rate of ECV at the Women’s Hospital, Melbourne, is in line with global standards.

Breastfeeding Success Rate After Vaginal Delivery Can Be High Despite the Use of Epidural Fentanyl

2011 ◽  
Vol 31 (3) ◽  
pp. 185
Author(s):  
P.M. Wieczorek ◽  
S. Guest ◽  
M. Balki ◽  
V. Shah ◽  
J.C. Carvalho
Keyword(s):  
Success Rate ◽  
Vaginal Delivery ◽  
Epidural Fentanyl

scholarly journals Studies on the Therapeutic Approaches for Uterine Torsion in Surti Buffaloes (Bubalus bubalis)

2018 ◽  
Vol 14 (3) ◽  
Author(s):  
Mitesh Gaur ◽  
Satish .
Keyword(s):  
Survival Rate ◽  
Caesarean Section ◽  
Success Rate ◽  
Vaginal Delivery ◽  
Bubalus Bubalis ◽  
Therapeutic Approaches ◽  
Male Fetus ◽  
Male And Female ◽  
Uterine Torsion ◽  
Predisposing Causes

The present study was conducted on 55 pregnant torsion affected Surti buffaloes presented to VCC of the College, Navania (Udaipur). Three types of therapeutic approaches were used, viz., ‘simple rolling of the dam’ (n=14), Sharma’s modified Schaffer’s technique (n=41) and Caesarean Section (n=20/41) with the success rate of 100 %, 51.22 % and 36.36 %, respectively. On an average 1-4 rolling were tried and then CS was performed. The survival rate of dam following vaginal delivery and CS was 94.28 (33/35) and 80.00 (16/20) %, respectively. The overall rate of survival for dam and fetus was 89.09 (49/55) and 9.09 (5/55), respectively. The success rate was better for cases with less degree of torsion (up to 180°). The birth ratio among the affected cases for male and female was 58:42, suggesting male fetus as one of the predisposing causes of torsion in buffalo.

scholarly journals The effectiveness of delivery ball use versus conventional nursing care during delivery of primiparae

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Jianfang Wang ◽  
Xuemei Lu ◽  
Chunhong Wang ◽  
Xuemei Li
Keyword(s):  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Nursing Care ◽  
Statistical Significance ◽  
Control Group ◽  
Delivery Mode ◽  
Observation Group ◽  
Gynecology And Obstetrics ◽  
Significant Difference ◽  
Free Position

Objective: To analyze the clinical effect of delivery ball and free position delivery nursing in primipara delivery. Methods: Total 110 primipara who were admitted to the department of gynecology and obstetrics of our hospital from August 2017 to August 2018 were included in the study. They were randomly divided into an observation group and a control group, 55 each group. The control group adopted conventional nursing measures, while the observation group adopted delivery ball combined with free position midwifery nursing on the basis of conventional nursing. The pain degree, comfort degree, pregnancy outcome and sense of delivery control were compared between the two groups. Results: The number of puerperae with grade 0 and 3 labor pain in the two groups had no statistically significant difference (P>0.05). The number of puerperae with grade 1 and 2 had significant difference (P<0.05). As to the comparison of the delivery mode between the two groups, there were 9 cases of cesarean delivery and 46 cases of vaginal delivery in the observation group; there were 19 cases of cesarean delivery and 36 cases of vaginal delivery in the control group; the differences had statistical significance (P<0.05). In the comparison of the birth process time of the vaginal delivery puerperae, the time of the first and second stages of labor in the observation group was shorter than that in the control group, and the differences were statistically significant (P<0.05); there was no difference in the time of the third stage of labor between the two groups (P>0.05). The amount of hemorrhage of the observation group 2 hours after labor was 172.50±40.60 mL and that of the control group was 224.45±32.80 mL; the difference between the two groups was statistically significant (P<0.05). The sense of delivery control of the puerperae who suffered vaginal delivery was compared between the two groups using Labor Agentry Scale (LAS); the sense of delivery control of the observation group was stronger than that of the control group, and the differences had statistical significance (P<0.05). Conclusion: In the delivery of primipara, delivery ball combined with free position delivery can help the primipara relieve pain, improve comfort degree, reduce the amount of postpartum hemorrhage, shorten the duration of various stages of labor, and improve the delivery outcome. It has a high clinical promotion value.  doi: https://doi.org/10.12669/pjms.36.3.1440 How to cite this:Wang J, Lu X, Wang C, Li X. The effectiveness of delivery ball use versus conventional nursing care during delivery of primiparae. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1440 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study

2021 ◽  
Vol 2 (4) ◽  
pp. 210-215
Author(s):  
Boureima Ouedraogo ◽  
Brahima Kirakoya ◽  
Moussa Kabore ◽  
Adama Millogo ◽  
Adama Ouattara ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Burkina Faso ◽  
Success Rate ◽  
Vaginal Delivery ◽  
Medical Records ◽  
Vesicovaginal Fistula ◽  
Obstetric Fistula ◽  
Emergency Caesarean Section ◽  
Obstructed Labor ◽  
Multicentric Study

Objective: To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso. Patients and Methods: We performed a retrospective, descriptive, and multicentric study based on the medical records of women treated for VUF from January 2010 to December 2016. Results: VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The median age of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64 years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula. Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) after prolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. The main circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with a vesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%. Conclusion: VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrence remains Caesarean section. The best treatment remains prevention.

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