BACKGROUND Mode of delivery at first childbirth largely determines mode of delivery at subsequent births, so it is particularly important to understand risk factors for cesarean delivery at first childbirth. In this study, we investigated risk factors for cesarean delivery among nulliparous women, with focus on the association between labor induction and cesarean delivery. METHODS A prospecti...

The use of fundal pressure to assist a woman in labor is a controversial procedure. Its benefits are yet to be scientifically confirmed and it is associated with complications such as perineal lacerations, uterine rupture and uterine inversion. A case is reported of a 28year old Gravida 5 Para ?? (3 Alive) who presented to Aminu Kano Teaching Hospital, (AKTH) Kano, Nigeria with uterine prolapse...

OBJECTIVE To compare employment and income of working-age (18-64 years) people with and without diabetes. RESEARCH DESIGN AND METHODS We conducted a prospective population-based cohort study based in Manitoba, Canada, consisting of 25,554 individuals without diabetes and 608 with diabetes, of whom 242 had a complication of the disease. Adjusted odds ratios (ORs) of employment and income varia...

Anesthetic management during labor and delivery of a parturient after severe burn injury presents many unique challenges. We report the case of a 25-year-old parturient with a history of 85-90% total body surface area burn in 2002, who presented for a pre-delivery anesthesia evaluation. We outline the management plan that was devised and resulted in adequate labor analgesia. There are a few cas...

Uterine prolapsed is a rare condition occurs during pregnancy and lead to many complications. Usually conservative treatment approached to use a vaginal pessary accompanied with bed rest. This current case exhibited obvious role of a vaginal pessary in restoring the prolapsed organ till the time of labor and may expect delivery at home. When studying the style of labor, Gynecologist should bear...

INTRODUCTION We undertook a prospective cohort study to compare the effectiveness and safety of 50 µg misoprostol versus 3 mg dinoprostone in two vaginal doses 6 hours apart, followed if necessary by oxytocin for labor induction in low-risk post-term (> 40 weeks) pregnancies with unfavorable cervix (Bishop score ≤ 6). METHODS Labor induction and subsequent management were conducted using a st...

Castor oil was first noted to have oxytocic properties by ancient Egyptians. Derived from the castor plant Ricinus communis, castor oil may possess properties that are useful are in post-term pregnancies This study was performed at Khatam-Alanbia, hospital in shoushtar city in 1381.In this clinical trail 80 pregnant women, who had indication for induction of labor at term were randomly assigned...