No Need to Determine Hematocrit Routinly after Vaginal Delivery

Factors that predict low hematocrit levels in the postpartum patient after vaginal delivery.

OBJECTIVE The purpose of this study was to provide a viable alternative to routine postpartum hematocrit measurement, by a determination of the clinical risk factors that identify patients with anemia and an examination of the resulting cost savings. STUDY DESIGN In this retrospective review, cases (postpartum hematocrit level, <26%; subgroup hematocrit level, <23%) and control subjects were ...

Commentary on the need to obtain consent for vaginal delivery.

Levator trauma after vaginal delivery.

OBJECTIVE To date, the evidence on pelvic floor injury in labor remains sketchy due to a lack of prospective studies comparing pelvic floor imaging before and after childbirth. We intended to define the incidence of major trauma to the pubovisceral muscle. METHODS A total of 61 nulliparous women were seen at 36-40 weeks of gestation in a prospective observational study. The assessment include...

Vaginal birth after cesarean delivery.

MANAGEMENT of labor after previous cesarean delivery continues to be a controversial area of obstetric practice. Neither repeat cesarean delivery nor a trial of labor are without risk. Currently, cesarean delivery is the most commonly performed operation, and repeat cesarean delivery is the most common indication. Although the prevalence of vaginal birth after cesarean delivery (VBAC) increased...

Vaginal delivery after caesarean section.

The trend to deliver with caesarean section has increased in the recent years. The factors affecting this trend need re-consideration. Most of the women would deliver normally after a trial of labour alter previous caesarean section. The obstetricians should abide by ethics in clinical practice, carefully evaluate the indication before every caesarean section, and take an unbiased decision befo...

Pregnancy and Vaginal Delivery after Sacrohysteropexy

Pregnancy and birth after a Pelvic Organ Prolapse (POP) surgery is a rare condition and less is known about the method for delivery. A 31-year-old women with gravida 3 para 3 underwent abdominal sacrohysteropexy and transobturatuar tape (TOT) procedures for stage III prolapse who delivered via vaginal birth and showed no relapse. Sacrohysteropexy is a good option for women with POP who desire f...