BACKGROUND Epidural analgesia is considered one of the most effective methods for pain relief during labor. However, it is not clear whether similar effects of epidural analgesia on the progression of labor, modes of delivery, and perinatal outcomes exist between nulliparous and multiparous women. METHODOLOGY/PRINCIPAL FINDINGS A retrospective cohort study was conducted to analyze all deliver...

[Purpose] Proper pelvic floor function is important to avoid serious dysfunctions including incontinence, prolapse, and sexual problems. The current study evaluated the knowledge of young nulliparous women about their pelvic floor and identified what additional information they wanted. [Subjects and Methods] In this cross-sectional survey, a validated, 36 item questionnaire was distributed to 2...

OBJECTIVES Unsafe abortion is a public health concern because of its impact on maternal morbidity and mortality. The objective of this study was to document on induced abortion in Yaounde, Cameroon. DESIGN Cross-sectional study. SETTING Six antenatal clinics in Yaounde, Cameroon. METHODS Women attending antenatal clinics between October and December 1998 were included in the study and int...

OBJECTIVE To compare maternal and neonatal outcomes based on length of the latent phase during induction with rupture of membranes before 6 cm dilation. METHODS This is a retrospective cohort study using data from the Consortium of Safe Labor study, including 9,763 nulliparous and 8,379 multiparous women with singleton, term pregnancies undergoing induction at 2 cm dilation or less with ruptu...

AIM To assess whether the introduction of episiotomy scissors specially designed to achieve a cutting angle of 60°, EPISCISSORS-60(®), in two hospitals in the UK would result in a reduction in obstetric anal sphincter injuries (OASIS) in nulliparous women. METHODS A structured training program for all doctors and midwives provided a theoretical framework around OASIS including risk factors an...

This paper deals with study of the characteristics of clinical course of benign ovarian tumor formations in women of reproductive age, depending on the fertility and the choice of treatment strategy. Functional ovarian cysts in 60,45 % of cases were diagnosed in parous patients, in 39,55 % in nulliparous women, in 5,22 % in women with infertility. Corpus luteum cysts in 36,96 % of cases occured...

BACKGROUND The use of interventions in childbirth has increased the past decades. There is concern that some women might receive more interventions than they really need. For low-risk women, midwife-led birth settings may be of importance as a counterbalance towards the increasing rate of interventions. The effect of planned place of birth on interventions in the Netherlands is not yet clear. T...

conclusions the administration of dextrose saline was associated with a shortened active phase and second stage of labor in vaginally delivered nulliparous women. results of 174 objects enrolled, 150 women delivered vaginally and completed the study. there was a significant difference in the duration of active phase between the groups (ns: 270.20 ± 13.37 minutes; d5ns: 206.67 ± 11.72 minutes) (...

We have postulated that the lifetime protective effect of an early pregnancy against breast cancer is due to the complete differentiation of the mammary gland characterized by a specific genomic signature imprinted by the physiological process of pregnancy. For demonstrating this hypothesis we compared the genomic profile of the epithelium and the stroma of normal breast tissues from reduction ...