OBJECTIVE To study the effects of early versus delayed oxytocin augmentation on the obstetrical and neonatal outcome in nulliparous women with spontaneous but prolonged labour. DESIGN Randomised controlled study. SETTING Two delivery units in Sweden. POPULATION Healthy nulliparous women with normal pregnancies, spontaneous onset of active labour, a cervical dilatation of 4-9 cm and no pro...

OBJECTIVE To compare the efficacy and safety of a 200-microgram misoprostol vaginal insert with a 10-mg dinoprostone vaginal insert for reducing the time to vaginal delivery. METHODS In a phase III, double-blind, multicenter study, women being induced with a modified Bishop score of 4 or less were randomly assigned to receive either a 200-microgram misoprostol vaginal insert or a 10-mg dinopr...

BACKGROUND Vaginal delivery is one of the challenging issues in medical ethics. It is important to use an appropriate instrument to assess medical ethics attitudes in normal delivery, but the lack of tool for this purpose is clear. OBJECTIVES The aim of this study was to develop and validate a questionnaire for the assessment of women's attitude on medical ethics application in normal vaginal...

OBJECTIVE To determine the effect of caesarean section on breast milk transfer (BMT) to the normal term infant over the first week of life. METHOD A sample of 88 healthy nursing mothers who had a normal vaginal delivery, and 97 mothers who had a caesarean section were recruited from a teaching hospital. Mothers and midwives were instructed to weigh the infants before and after each feed throu...

Background Breastfeeding is an only reliable nutritional source for infants. Many factors could affect breastfeeding such as delivery type. The aim of this study was to evaluate the relationship of delivery type and breastfeeding successful. Materials and Methods This was a descriptive-analytical study. Subjects of this study were 298 (148 subjects [49.7%] with cesarean and 150 subject [50.3%]...

BACKGROUND Cesarean delivery is one of the most common surgical procedures performed by obstetricians. Infectious morbidity after cesarean delivery can have a tremendous impact on the postpartum woman's return to normal function and her ability to care for her baby. Despite the widespread use of prophylactic antibiotics, postoperative infectious morbidity still complicates cesarean deliveries. ...

Injury to the perineum, whether from episiotomy or spontaneous laceration, may result in loss of vaginal or rectal tone and/or anal incontinence. External anal sphincter defects can be identifi ed by endoanal ultrasound in 20% to 53% of women after normal vaginal delivery, a possible risk factor for anal incontinence that will be subsequently reported in 4% to 50% of cases. Flatal incontinence ...

Background: Dystocia is the most common indication of primary cesarean section. The most common cause of dystocia is uterine dysfunction. In prolonged labor, more attention is usually paid to the fetus and pelvis rather than to the role of uterine contractions in a delivery. Therefore, we decided to determine the relationship between the labor progress and uterine contractions shapes.Methods: I...