There exist very few studies comparing different postures or postural changes during labor in parturients with epidural analgesia. AIM To disclose whether the intervention of a multidisciplinary nursing team including a physiotherapist during the second stage of labor improves the obstetric outcome in parturients with epidural analgesia. DESIGN Prospective randomized trial. SETTING Univer...

AANA Journal February 2009 Vol. 77, No. 1 29 There is little data currently available for the obstetric anesthetist to use as a reference for the anesthetic management of laboring women with automatic implantable cardioverter-defibrillators (AICDs). This case report involves a parturient with an AICD and a history of serious cardiac events.The information contained in this case report may be us...

Background: Cesarean section rates have risen markedly worldwide. Considering the potential harm caused by this mode of delivery, and the general concern in reducing its incidence, it would be useful to individualize the risk of non-planned cesareans, and if there is any possibility, reduce that risk, and anesthesiologists should take part of this risk evaluation. In recent studies, many factor...

UNLABELLED BACKGROUND Obstetric anesthesia workload demand in Israel has increased due to both an increase in the requests for labor analgesia and a marked increase in the cesarean delivery rate. We propose a new workload-driven performance indicator, the Obstetric Anesthesia Activity Index (OAAI), to serve as a single denominator of obstetric anesthesia activity to enable direct comparison ...

Teenage pregnancy is recognized in many countries as a health risk associated with a higher rate of maternal and fetal complications, particularly in developing countries with limited obstetric facilities. This study compares the obstetric outcomes of teenagers (age -20 years) with those of 20–29year-old mothers. The data were collected from the records of pregnant women admitted for delivery a...

BACKGROUND The effect of epidural analgesia on nulliparous labor and delivery remains controversial. In addition, pregnancy and delivery have long been considered risk factors in the genesis of stress urinary incontinence (SUI). We sought to determine the effect of epidural analgesia and timing of administration on labor course and postpartum SUI. METHODS Five hundred and eighty three nullipa...

results there were significant differences between the groups in subjective labor pain scores (except vas 4) (p < 0.001). the duration of the phase one (3 cm dilatation to full dilatation) and phase two (full dilatation to birth) in the acupressure group was shorter than the control group (phase one, 225 min and 320 min, respectively; phase two, 15 min and 20 min, respectively; both p < 0.001)....

The canonical model of labor supply is extended to account for subsistence needs and a frequently rigid division of labor within families (gender). Various theories that have been put forward are thus reconciled, in particular with respect to the distinct work choices of the poor. The model predicts negative labor supply elasticities for secondary workers at low wage rates and positive ones at ...

We use recent farm household survey data from 5 Central European countries to explore the extent to which ill-functioning land and credit markets may present an obstacle to rural development. The first finding is that improved access to credit can, indeed, make a contribution to a more dynamic rural sector. A considerable share of rural households express their desire to expand agricultural cul...