Severe vaginal lacerations and hematomas can be serious, life-threatening complications of vaginal delivery. The management is usually limited to suturing and vaginal packing with gauze. After a vaginal delivery vaginal tissues can be edematous, friable and very difficult to suture. Vaginal balloon tamponade can be a solution in difficult cases of intractable vaginal hemorrhage or occult vagina...

3. In maternal morbidity and mortality, comparing the elective cesarean section with planned vaginal delivery, it can be said that: a. There is a significant increase in maternal mortality with vaginal delivery. b. There is a significant increase in maternal morbidity with cesarean delivery. c. There is a reduction of maternal morbidity and mortality with cesarean delivery. d. Results are contr...

Background: Cesarean delivery has become the most common major surgical procedure in many parts of the world. Induction of labor in women with prior cesarean delivery is an alternative to mitigate the rising cesarean rates. Objectives: To compare the VBAC success rate between two vaginal forms of dinoprostone for labor induction in women with prior cesarean section. Material and Methods: A pilo...

OBJECTIVE To determine whether planned vaginal or elective cesarean delivery is better for singleton term breech infants. DATA SOURCES Articles that included singleton term pregnancies with breech presentation published in English between 1966 and September 1992 were searched through the Index Medicus, Oxford Database of Perinatal Trials, and MEDLINE. METHODS OF STUDY SELECTION We reviewed ...

The last innovation in operative vaginal delivery happened centuries ago with the invention of the forceps and the vacuum extractor. The World Health Organization Odon Device Research Group recently published a protocol for a feasibility and safety study for a new device (Odon device) which aims to revolutionize assisted vaginal delivery. This editorial discusses the device and its pathway to g...

Aim: To compare neonatal serum bilirubin and certain haematological factors in Normal, induced and Caesarean section. Materials and Methods: 90 neonates were divided into three groups according to the mode of delivery (normal, oxytocin induced vaginal delivery & caesarean) and neonatal serum bilirubin levels were estimated and compared with each group. Result: Out of the 90 subjects, it was fou...

BACKGROUND Even if lower vaginal delivery success rates and impaired neonatal short-term outcomes have been reported for primiparous women with breech presentation, vaginal breech delivery remains an option for carefully selected patients. Because Magnetic resonance imaging (MRI) pelvimetry can provide additional information on maternal pelvic morphology, we sought to identify new MRI parameter...

A case of persistent cystitis due to a Jacque's catheter as a foreign body in the bladder after an assisted vaginal delivery is described.

OBJECTIVE To identify which cadres of healthcare providers are considered to be skilled birth attendants in South Asia, which of the signal functions of emergency obstetric care each cadre is reported to provide and whether this is included in their training and legislation. DESIGN Cross-sectional, descriptive study. SETTING Bangladesh, India, Nepal and Pakistan. SAMPLE Thirty-three key i...

OBJECTIVE To evaluate the tolerability of cervical insulin-like growth factor binding protein 1 (IGFBP-1) and its value as a predictor of successful labour induction, compared with Bishop score and transvaginal ultrasound (TVUS) cervical length. DESIGN A prospective study. SETTING A tertiary hospital in Malaysia. POPULATION A cohort of 193 term nulliparous women with intact membranes. M...