Elective cesarean section at patient request is becoming common place. Women are requesting the intervention for preservation of the pelvic floor, but there is conflicting evidence to suggest that this mode of delivery has such benefits. The risks vs. benefits of both vaginal delivery and cesarean section need to be well understood before deciding on a surgical delivery. This review outlines th...

BACKGROUND The present study aimed to investigate risk factors for expulsion in immediate postplacental IUD insertion. We specifically sought to determine whether cesarean delivery before or during labor have an impact on IUD expulsion. METHODS The study included 160 pregnant women for immediate IUD insertion following vaginal or cesarean delivery. Three groups of patients were recruited: Pat...

Objective: The procedure of labor induction becomes increasingly important as the number of pregnancies requiring induction rises in the Western countries due to multiple reasons. In addition, a growing number of patients is aiming to achieve vaginal birth after cesarean section (VBAC). No pharmacological agent is licensed in this group of patients. A newly developed hydrophilic agent (Dilapan-...

of midwifery. The text has been L 'n! revised and much new matter added "no/ particularly on the auto-in toxical ion of ure^ nancy, pubiotomy and vaginal cesarean sectim^" Many of the old illustrations have been replaced ? thus we have new sets of drawings illncLr ' the chapters on Obstetrical Anatomy a c pletely new set illustrating the mechanisin?of labour in the different presentations and d...

To the Editor: I enjoyed reading the editorial titled “Teaching Infrequently Used Skills: Vaginal Breech Delivery.” Despite the present emphasis on delivering breech babies by cesarean, vaginal delivery skills should be taught effectively to all residents who plan to deliver babies. Perhaps you remember that I taught myself to perform external cephalic version for breech babies during the last ...

Purpose: Placenta increta in early pregnancy is rare and has been documented in only few cases and is a complication of pregnancy that can be life threatening for both mother and fetus. Thus early diagnosis of this problem is very important. This problem is a result of inadequate development of the decidua. Case Presentation: A 26 years old woman (gravid 3, para 2) with history of cesarean sect...

BACKGROUND The optimal mode of delivery in twin pregnancies remains controversial. A recent randomized trial did not find any benefit of planned cesarean vs. vaginal delivery at 32-38 weeks gestation, but the trial was not powered to detect a moderate effect. We aimed to evaluate the impact of cesarean delivery on perinatal mortality and severe neonatal morbidity in twin pregnancies at ≥32 week...

OBJECTIVE The aim of the present study was to investigate cognitive competence, as indicated by school performance, at 16 years of age, in children delivered by vacuum extraction. STUDY DESIGN This was a register study of a national cohort of 126,032 16 year olds born as singletons, with a vertex presentation, at a gestational age of 34 weeks or older, with Swedish-born parents, delivered bet...

Two hundred twenty women with prior cesarean section were delivered at our institution between January 1987 and February 1990. Vaginal delivery was achieved in 111 (66%) of 169 patients given a trial of labor (TOL). Success of TOL correlated positively with the number of prior vaginal deliveries (P less than 0.05) and inversely with the number of prior cesarean sections (P less than 0.005). Mat...

OBJECTIVES To determine the net health consequences, costs, and cost-effectiveness of alternative delivery strategies for HIV-infected pregnant women with detectable HIV RNA in the USA. DESIGN Cost-effectiveness analysis using a probabilistic decision model. METHODS The model compared two strategies: elective Cesarean section and vaginal delivery. Data for HIV transmission rate, maternal de...