BACKGROUND The study area is the Birbhum district of the State of West Bengal in India. It is one of the backward districts in India. OBJECTIVE The paper investigates the existing pattern of obstetric health care practices and the factors associated with the utilization of such care. METHOD The present analysis includes 495 adult married women of both rural and urban areas of nine Blocks of...

Perhaps the most significant changes in airway management over the recent years have been in the management of an infant delivered through meconium- stained amniotic fluid( MSAF). MSAF occurs in approximately 10℅ to 20℅ of all deliveries and increases to over 30℅ in deliveries after 42 weeks gestation. Meconium aspiration syndrome ( MAS) occurs in about 2℅ to 5℅ of these cases with a high morta...

Anesthesia providers in low-income countries may infrequently provide regional anesthesia techniques for obstetrics due to insufficient training and supplies, limited manpower, and a lack of perceived need. In 2007, Kybele, Inc. began a 5-year collaboration in Ghana to improve obstetric anesthesia services. A program was designed to teach spinal anesthesia for cesarean delivery and spinal labor...

The admission of obstetric patients to the intensive care unit (ICU) is relatively infrequent. Critically ill patients who have sustained postpartum hemorrhage (PPH) are more likely to be sent for after care which involves continuation of resuscitation measures, repetitive and intensive monitoring, and appropriate organ support. Management of this subgroup of obstetric patients must take into a...

BACKGROUND There is no apparent consensus on obstetric management, i.e., induction of labor or expectant management of women with suspected large-for-gestational-age (LGA)-fetuses. METHODS AND FINDINGS To further examine the subject, a nationwide population-based cohort study from the Swedish Medical Birth Register in nulliparous non-diabetic women with singleton, vertex LGA (>90th centile) b...

Background: The impact of vanishing twin (VT) syndrome on obstetric outcome is currently unknown. The aim of this study was to compare obstetric and neonatal outcomes of VT with singleton and twin deliveries after assisted reproduction and to evaluate the impact of VT on pregnancy outcome. Methods: We analyzed 130 births at our hospital between January 2000 and February 2012 that resulted from ...

there is an increased prevalence of maternal substance abuse during pregnancy in younger women in all socioeconomic classes and races. our aim was to determine the prevalence and correlates of self-reported substance abuse among pregnant women and obstetric complications or neonatal outcomes in iran. this retrospective cohort study is covering a five year period on medical records of pregnant w...

Placenta previa presents a highest risk to pregnancy, and placenta accreta is the most serious. Placenta accreta requires cesarean delivery and often results in massive obstetric hemorrhage and higher maternal morbidity. Challenges associated with cesarean delivery techniques may contribute to increased maternal blood loss and morbidity rates. Several recent obstetric studies reported the usefu...

BACKGROUND Emerging evidence from a recent pilot universal newborn hearing screening (UNHS) programme suggests that the burden of obstetric complications associated with mode of delivery is not limited to maternal and perinatal mortality but may also include outcomes that undermine optimal early childhood development of the surviving newborns. However, the potential pathways for this associatio...

BACKGROUND There is evidence that traumatic birth experiences are associated with psychological impairments. This study aimed to estimate the prevalence of childbirth-related post-traumatic stress symptoms and its obstetric and perinatal risk factors among a sample of Iranian women. METHODS This was a cross-sectional study carried out in Bushehr, Iran during a 3-months period from July to Sep...