Tag: labor

1. In women undergoing active labour, discontinuation of oxytocin was associated with a slightly higher risk of caesarean section compared to continued oxytocin use. 2. Discontinuation of oxytocin was also associated with decreased uterine hyperstimulation and fetal heart rate abnormalities. Evidence Rating Level: 1 (Excellent) Study Rundown: Labour is induced in about...
1. In a Canadian population-based birth cohort study, no association was found between epidural labor analgesia (ELA) exposure and risk of autism spectrum disorder (ASD) in offspring. 2. In the sibling cohort, adjusting for baseline covariates, ELA was not associated with an increased offspring risk of ASD. Evidence Rating Level: 2...
1. In women presenting with a malpositioned fetus (occiput posterior), women randomized to hands and knees positioning in labor were no more likely to experience fetal rotation compared to controls. 2. Women randomized to the hands and knees position for at least 10 minutes were more likely to report an...
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1. The rate of Cesarean delivery was similar between women receiving isosorbide mononitrate and those receiving placebo. 2. Women receiving isosorbide mononitrate were more likely to experience side effects. Evidence Rating Level: 1 (Excellent)       Study Rundown: In the United States, nearly a third of women deliver during or after their...
1. Women who strongly preferred vaginal delivery but underwent cesarean delivery were more likely to experience depression at 8-10 weeks but not at 6-8 months postpartum. 2. Antepartum PHQ-9 score and income were predictors of depression at 8-10 weeks and 6-8 months postpartum. Evidence Rating Level: 2 (Good) Study...
1. In women who delivered prematurely after 22 weeks’ gestation and were eligible for tocolytic drugs, only 18% received both tocolytic drugs and antenatal corticosteroids.  21% received tocolytic drugs alone, 27% were treated with bed rest and hydration, and 48% received no treatment.  2. Use of tocolytic drugs and antenatal...
1. Cervical length was inversely associated with preterm delivery across all gestational age groups.  2. With increasing gestational age, a lower cervical length cut-off value was needed to maximize negative predictive value of delivery within 14 days.  Evidence Rating Level: 2 (Good)             Study Rundown: Various methods of...
1. Women whose induction of labor was managed according to a protocol requiring amniotomy within 24 hours of starting oxytocin, intrauterine pressure catheter (IUPC) placement for titration of oxytocin to achieve adequacy (200-300 Montevideo units per 10 minutes), and at least 12 hours of oxytocin after amniotomy were less...
Image: PD  1. Compared to women with mild gestational diabetes (GDM) induced at 39 weeks, those induced at 41 weeks were three times as likely to undergo Cesarean delivery (CD).  2. At 40 weeks, women with GDM who underwent induction of labor were more likely to undergo CD than those who...
Image: PD  1. Women who underwent elective induction were more likely to have a Cesarean delivery compared to women who were expectantly managed.  2. Infants of women undergoing elective induction were more likely to require NICU admission.  Evidence Rating Level: 2 (Good)  Study Rundown: This study found that among obese women with an...