OBJECTIVE To assess the efficacy of obstetric maneuvers for resolving shoulder dystocia and the effect that these maneuvers have on neonatal injury when shoulder dystocia occurs. METHODS Using an electronic database encompassing 206,969 deliveries, we identified all women with a vertex fetus beyond 34 0/7 weeks of gestation who incurred a shoulder dystocia during the process of delivery. Wome...

BACKGROUND/AIM One of the most frequent indications for cesarean section is dystocia. It is impossible to predict, difficult to identify and coincident with the rapid expiry of the expected time, so it is important to point out some mistakes in expecting vaginal delivery. The aim of this study was to examine the frequency and the length of dystocia-related cesarean delivery, as well as the vita...

Calving difficuity at first and second parturition, using data recorded on 476 purebred Charolais heifers from a ranch in Southeastern Arizona, were analyzed by analysis of variance, step-wise multiple regression and discriminant analysis. Dystocia score (1 = no assistance through 4 = extreme difficulty) was the dependent variable with dam and calf effects independent variables. In this herd, 3...

OBJECTIVE The objective of this study was to compare the neonatal outcomes and intrapartum events conducted by staff versus resident physicians in full term vaginal deliveries. METHODS We divided study population (n = 5,007) into two groups: staff versus resident physicians. These two groups were sub-divided; faculty versus fellow and senior versus junior resident, respectively. The maternal ...

OBJECTIVE To compare maternal and neonatal outcomes of fetal macrosomia in diabetic and nondiabetic women. METHODS A retrospective case-control study was conducted at Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia from January 2004 to December 2006. A total of 766 macrosomic newborns met the inclusion criteria. We compared maternal and neonatal characteristics and outcomes between ...

Every time I’ve been asked to step aside in a delivery that requires a vacuum or manoeuvres for a dystocia, I’ve questioned whether I’ll have the cour age to do this on my own in 6 months’ time. After finding the only VCR in the hospital, I watched the video, and it was helpful. Unfortunately, there were no further vacuum-assisted deliveries that shift. When I discussed this issue with my fello...

Background. To propose hypovolemic shock as a possible explanation for the failure to resuscitate some babies after shoulder dystocia and to suggest a change in clinical practice. Case Presentation. Two cases are presented in which severe shoulder dystocia was resolved within five minutes. Both babies were born without a heartbeat. Despite standard resuscitation by expert neonatologists, no hea...

Substantial improvements in therapeutic options for companion animal reproduction and gynecologic emergencies have been made over the last decade. New, alternative drug treatments, with fewer side effects and improved efficacy, are available. This has widened the spectrum of therapeutic possibilities for diseases that were previously treated only by surgical intervention. New drugs are availabl...

OBJECTIVE To evaluate the therapeutic effect and applying value of Hegu (LI 4) for inertia of uterus. METHODS In three centers, 276 cases enrolled were randomly assigned to a western medicine group and an acupuncture and western medicine group. The western medicine group were treated with intravenous drip of oxytocin, and the acupuncture and western medicine group were treated with electroacu...