Both low birth weight and excessive fetal weight at delivery are associated with an increased risk of newborn complications during labor and the puerperium. The perinatal complications associated with low birth weight are attributable to preterm delivery, intrauterine growth restriction (IUGR), or both. For excessively large fetuses, the potential complications associated with delivery include ...

BACKGROUND Posterior arm delivery resolves almost all cases of severe shoulder dystocia. However, if the posterior arm is extended or lies under the fetus's body, the usually described technique for its delivery may not be practicable. CASE A young, multiparous woman with type II diabetes had a low-midcavity vacuum delivery. Severe shoulder dystocia was encountered. The usual maneuvers, inclu...

INTRODUCTION The present study seeks to evaluate the prevalence and outcomes of gestational diabetes mellitus (GDM) from Jammu region. METHODS During the period of study, women at 24th to 28th week of gestation were investigated for the presence of GDM according to Diabetes In Pregnancy Study Group India (DIPSI) guidelines. The maternal and fetal outcomes were recorded and compared with (a) n...

OBJECTIVE This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. METHODS A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have d...

OBJECTIVES Construct an ethnic-specific chart and compare the prediction of adverse outcomes using this chart with the clinically recommended UK-WHO and customised birth weight charts using cut-offs for small-for-gestational age (SGA: birth weight <10th centile) and large-for-gestational age (LGA: birth weight >90th centile). DESIGN Prospective cohort study. SETTING Born in Bradford (BiB) s...

OBJECTIVE The study was aimed to define obstetric factors associated with shoulder dystocia. METHODS A population-based study comparing all singleton, vertex, term deliveries with shoulder dystocia with deliveries without shoulder dystocia was performed. Statistical analysis was done using multiple logistic regression analysis. RESULTS Shoulder dystocia complicated 0.2% (n = 245) of all del...

CONTEXT Epidural labor analgesia, if selected by the patient, is associated with high cesarean delivery rates. Results of randomized trials comparing rates of cesarean delivery using epidural anesthesia vs parenteral opioids are inconsistent. OBJECTIVE To review the effects of epidural vs parenteral opioid analgesia on cesarean delivery rates. DATA SOURCES Studies were identified by searchi...

OBJECTIVE This study was conducted to determine the Jordanian cesarean rate and to examine the related indications for cesarean section (CS) in comparison with international rates. METHODS Between 1990 to 2001, there were 243271 deliveries at 7 major military hospitals, (King Hussein Medical Center; Queen Alia Hospital, Amman; Prince Hashem Ben Al-Hussein Hospital, Al-Zarqa; Prince Ali Ben Al...

Pyometra, transmissible venereal tumor and dystocia had maximum prevalence out of various reproductive disorders in canines. Survival rate 62% of dystocia affected female canines following the treatment of dystocia is usually not satisfactory.