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Dystocia
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1. Shoulder dystocia at noninstrumental vaginal delivery.
Match Strength: 10.745

This study examines the relationship between episiotomy and the occurrence of shoulder dystocia among noninstrumental vaginal deliveries. Analysis of data from a retrospective database was used to study noninstrumental vaginal deliveries in New Jersey during the years 1996 to 2001. The episiotomy group and nonepisiotomy group were analyzed separately using univariate and multivariate analysis. Among 358,664 deliveries, rate of shoulder dystocia was 1.0% (n = 3596). Thirty-five percent of deliveries were assisted by episiotomy. Rate of dystocia was 1.42% with the use of episiotomy, and 0.81% ... Read More »
» Published in Am J Perinatol. 2006 Oct;23(7):439-44. Epub 2006 Sep 25.

2. The MFMU Cesarean Registry: impact of fetal size on trial of labor success for patients with previous cesarean for dystocia.
Match Strength: 8.582

OBJECTIVE: The purpose of this study was to determine the influence of change in infant birth weight between pregnancies on the outcome of a trial of labor for women whose first cesarean delivery was performed for dystocia. STUDY DESIGN: Secondary analysis of 7081 patients with 1 previous cesarean delivery and no other deliveries after 20 weeks' gestation, undergoing a trial of labor with a singleton gestation. Cases were classified as dystocia if the listed indication for the cesarean delivery in the first pregnancy was failed induction, cephalo-pelvic disproportion, failure to progress, or ... Read More »
» Published in Am J Obstet Gynecol. 2006 Oct;195(4):1127-31.

3. Glyburide for the management of gestational diabetes: risk factors predictive of failure and associated pregnancy outcomes.
Match Strength: 3.483

OBJECTIVE: The purpose of this study was to identify characteristics that may predict failure of glyburide therapy for the management of A2 gestational diabetes, and to evaluate whether those that fail are at increased risk for adverse pregnancy outcomes. STUDY DESIGN: This was a retrospective cohort of gestational diabetics requiring medical therapy (A2DM) treated between January 2002 and July 2005. RESULTS: Of the 235 gestational diabetics identified, 79% of the 101 A2DMs were successfully treated with glyburide as first-line therapy. Those that failed had a higher mean glucose value on ... Read More »
» Published in Am J Obstet Gynecol. 2006 Oct;195(4):1090-4.

4. Influence of induction of parturition on the neonatal acute phase response in foals.
Match Strength: 2.950

The objectives of the present study were to determine whether induction of parturition in mares at term with low doses of oxytocin (2.5 i.u. i.v. every 20min) affected the incidence of peri-partum complications or inflammatory responses in the neonatal foal. Parturition was induced in 11 of 26 mares and the remainder foaled spontaneously. Serum concentrations of amyloid A (AA; an acute phase protein) were measured (with a commercial ELISA) from 0 to 72h postpartum in 18 of the neonatal foals. The incidence of dystocia and premature placental separation was higher in induced mares (2 of 11 and ... Read More »
» Published in Theriogenology. 2007 Jan 15;67(2):372-81. Epub 2006 Sep 18.

5. Linear association between maternal pre-pregnancy body mass index and risk of caesarean section in term deliveries.
Match Strength: 2.940

OBJECTIVE: Maternal obesity is a well-known risk factor for caesarean delivery. The aim of this study is to determine whether all the spectrum of pre-pregnancy maternal corpulence (body mass index [BMI]) is associated with the risk of caesarean delivery. DESIGN: Observational study over 4.5 years (2001-05). SETTING: Groupe Hospitalier Sud-Reunion's maternity (island of La Reunion, French overseas department, Indian Ocean). POPULATION: All consecutive singleton live births having delivered at the maternity. METHODS: Data have been analysed according to different risk factors. Maternal ... Read More »
» Published in BJOG. 2006 Oct;113(10):1173-7.

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