OBJECTIVE To investigate the effect of maternal obesity on mode of delivery following induction of labour (IOL) for prolonged pregnancy and subsequent intrapartum and neonatal complications. DESIGN Retrospective (historical) cohort study. SETTING Liverpool Women's Hospital NHS Foundation Trust, UK. POPULATION A total of 29, 224 women with singleton pregnancies between 2004 and 2008 of who...

introduction: the aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  methods: this randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to imam reza hospital in 10 may 2010- 10 may 2011.  they were randomly divided into two groups 42 women inhaled entonox in active phase at the beginni...

background: early diagnosis of abnormal progressive labor and prevention of prolonged labor will cause decreased complications of mothers and fetuses. this was conduced to evaluate the alert line in who recommended program for diagnosis of abnormal labor. methods: subjects were 140 pregnant women. when their cervices were dilated about 3cm, the progress of delivery and condition of mothers and ...

background: third stage of labor has been defined as the most dangerous stage. due to the importance of the third stage, this study was performed in order to determine its length and related factors. materials and methods: this research is a cross sectional study which was carried out on 1000 deliveries in shabihkhani hospital (kashan-iran). inclusion criteria consist of gestational age of high...

abstract physiologists have shown that increased fluids improve skeletal muscle performance in prolonged exercise. typical orders provide for 125 ml of intravenous fluids per hour in patients taking limited oral fluids during labor. our purpose in this study was to determine whether increased intravenous fluids affect the progress oflabor. in a prospective randomized institutional clinical tria...

The continuous presence of a supportive companion (doula) during labor and delivery in two studies in Guatemala shortened labor and reduced the need for cesarean section and other interventions. In a US hospital with modern obstetric practices, 412 healthy nulliparous women in labor were randomly assigned to a supported group (n = 212) that received the continuous support of a doula or an obser...

BACKGROUND Combined uterine and urinary bladder rupture following prolonged obstructed labor is indeed a momentous uro-obstetric emergency. The urinary bladder involvement is distinctly rare in the absence of factors that predispose the bladder to be adherent to the lower uterine segment and is quite unusual in a primigravida. OBJECTIVE To report a rare case of uterine rupture involving urina...

OBJECTIVE To examine the relationship between prolonged second stage and postpartum hemorrhage (PPH). METHODS We conducted a retrospective case-control study of all cases of PPH which occurred at four Southern California hospitals in 2003. Cases were identified by ICD-9 codes and confirmed by chart reviews, and non-cases were randomly selected as controls. The relationship between PPH and pro...