BACKGROUND McRoberts' and suprapubic pressure are often recommended as the initial choices of manoeuvres to manage shoulder dystocia, as they are believed to be less invasive compared to other manoeuvres. However, their success rates range from 23 to 40 %. This study aims to investigate the predictive factors for the success of McRoberts' manoeuvre with or without suprapubic pressure (M+/-S). ...

To appreciate the Portuguese circumstances concerning situations of obstetric medico-legal conflicts and to evaluate the influence of the quality of files in expert conclusions, an analysis of all cases of obstetric medical responsibility from 2001-11 was carried out. File quality was evaluated by absence or insufficiency of clinical information supplied, by poor quality of document copies and ...

shoulder dystocia GJ Hofmeyr, CA Cluver a Effective Care Research Unit, Eastern Cape Department of Health, Universities of Witwatersrand and Fort Hare, South Africa b Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa Correspondence: CA Cluver, Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital,...

PURPOSE To examine the impact of gestational diabetes mellitus (GDM) on maternal-fetal outcomes in Manitoba. METHODS The rates of macrosomia, stillbirth, cesarean section (C/S) and shoulder dystocia (S/D) in 324,605 births in Manitoba during 1985-2004, and their relationships with diabetes and demographical factors were analyzed. RESULTS The incidence of macrosomia, stillbirth, C/S and S/D ...

INTRODUCTION Shoulder dystocia is one of the obstetric emergencies that are accompanied to serious risks for mother and fetus. It necessitates making the method of training of shoulder dystocia management more efficient, i.e., better management and giving services with higher quality. Thus, this study was carried out to compare the impact of training by simulation and oral technique on the skil...

OBJECTIVE To determine whether obstetric team training in a medical simulation centre improves the team performance and utilisation of appropriate medical technical skills of healthcare professionals. DESIGN Cluster randomised controlled trial. SETTING The Netherlands. SAMPLE The obstetric departments of 24 Dutch hospitals. METHODS The obstetric departments were randomly assigned to a 1...

In 2011, 1 in 3 women who gave birth in the United States did so by cesarean delivery. Cesarean birth can be lifesaving for the fetus, the mother, or both in certain cases. However, the rapid increase in cesarean birth rates from 1996 through 2011 without clear evidence of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is o...

It is well-known that multiparity and advanced age are major risk factors for pelvic organ prolapse which can rarely complicate pregnancy. We present the youngest case of uterine prolapse during pregnancy. She admitted with ruptured membranes at the 36th week of gestation and irreducible prolapse. As the edematous and thick, trapped and ulcerated cervix was not reducible, labor was obstructed d...

This article outlines an approach to improve patient safety in obstetrics and gynecology, with the goal to reduce errors in labor and delivery. Every institution should create guidelines and provide education and training to address potential safety issues such as fetal heart rate pattern interpretation, induction and stimulation of labor, vaginal birth after cesarean, magnesium sulfate, should...

Recent guidelines issued jointly by the American College of Obstetrics and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine for assessing labor differ substantially from those described initially by Friedman, who led obstetric practice for decades. The new recommendations are based on results achieved by the analysis of patterns of cervical dilation and fetal descent. They argue...