Obstetric Labor Complications
Labor, Obstetric
Obstetric Labor, Premature
Labor, Induced
Labor Onset
Labor Pain
Graphic monitoring of labour. (1/538)
The parturograph is a composite record designed for the monitoring of fetal and maternal well-being and the progress of labour. It permits the early recognition of abnormalities and pinpoints the patients who would benefit most from intervention. Observations are made from the time of admission of the mother to the caseroom and recorded graphically. Factors assessed include fetal heart rate, maternal vital signs and urine, cervical dilatation, descent of the presenting fetal part, and frequency, duration and intensity of uterine contractions. (+info)Maternal intrapartum temperature elevation as a risk factor for cesarean delivery and assisted vaginal delivery. (2/538)
OBJECTIVES: This study investigated the association of intrapartum temperature elevation with cesarean delivery and assisted vaginal delivery. METHODS: Participants were 1233 nulliparous women with singleton, term pregnancies in vertex presentations who had spontaneous labors and were afebrile (temperature: 99.5 degrees F [37.5 degrees C]) at admission for delivery. Rates of cesarean and assisted vaginal deliveries according to highest intrapartum temperature were examined by epidural status. RESULTS: Women with maximum intrapartum temperatures higher than 99.5 degrees F were 3 times as likely to experience cesarean (25.2% vs 7.2%) or assisted vaginal delivery (25.2% vs 8.5%). The association was present in epidural users and nonusers and persisted after birthweight, epidural use, and labor length had been controlled. In adjusted analyses, temperature elevation was associated with a doubling in the risk of cesarean delivery (odds ratio [OR] = 2.3, 95% confidence interval [CI] = 1.5, 3.4) and assisted vaginal delivery (OR = 2.1, 95% CI = 1.4, 3.1). CONCLUSIONS: Modest temperature elevation developing during labor was associated with higher rates of cesarean and assisted vaginal deliveries. More frequent temperature elevation among women with epidural analgesia may explain in part the higher rates of cesarean and assisted vaginal deliveries observed with epidural use. (+info)Influence of parity on the obstetric performance of mothers aged 40 years and above. (3/538)
We reviewed the delivery records of 205 mothers aged 40 years and above who delivered from 1st January 1994 to 31st December 1996 to examine the influence of parity on their obstetric performance. There were 51 (24.9%) primiparous mothers. The incidences of antenatal complications (antepartum haemorrhage, hypertensive disorder, glucose intolerance, prematurity), labour performance (type of labour, mode of delivery) and neonatal outcome (birth weight, Apgar scores, neonatal intensive care unit admission, perinatal mortality) were compared between the 51 (24.9%) primiparous and the 154 (75.1%) multiparous mothers. Higher incidences of antepartum haemorrhage (17.6 versus 5.8%, P = 0.0188), hypertensive disorder (17.6 versus 5.2%, P = 0.015), labour induction (33.3 versus 14.3%, P = 0.004) and Caesarean section delivery (58.8 versus 20.8%, P < 0.0001) were found among the primiparous mothers than the multiparous group. Neonatal outcome, however, was similar in both groups. We conclude that the primiparous mothers aged 40 years and above had more complicated antenatal and labour courses than multiparous mothers. On the other hand, the neonatal outcomes of two groups were comparable. (+info)Intravenous insulin infusion in diabetic emergencies. (4/538)
Continuous intravenous insulin and dextrose infusions were used in managing various diabetic emergencies. Standard and constant rates of insulin and dextrose infusion resulted in satisfactory control of blood glucose concentrations during labour, after major surgery, and in patients recovering from ketoacidosis (average insulin infusion rates 1, 2, and 3 U/h respectively). Higher infusion rates were used to correct or prevent ketoacidosis in pregnant diabetic women who had received steroids and sympathomimetic agents. The infusion method is simple, reliable, and flexible, and may help to simplify management of diverse types of diabetic emergencies. (+info)Pregnancy among women with congenitally corrected transposition of great arteries. (5/538)
OBJECTIVES: The outcome of pregnancy in congenitally corrected transposition of the great vessels was studied in 22 women. BACKGROUND: Women with congenitally corrected transposition of the great vessels often reach childbearing age. Although reports on the outcome of pregnancy in these women are available, the number of patients is small. METHODS: The medical and surgical databases at the Mayo Clinic were reviewed, and 36 women >16 years old with congenitally corrected transposition of the great vessels were identified. All of them were contacted, and 22 who had pregnancies were identified and the outcome of pregnancy was evaluated. RESULTS: Twenty-two women had 60 pregnancies resulting in 50 live births (83%). Forty-four deliveries (88%) were vaginal and 6 (12%) were by cesarean section. One delivery was premature at 29 weeks. There was one successful twin pregnancy. There were 11 unsuccessful pregnancies. One patient developed congestive heart failure late in pregnancy because of systemic atrioventricular valve regurgitation and required valve replacement in the early postpartum period. One patient had a total of 12 pregnancies, including 1 twin pregnancy and 2 unsuccessful pregnancies. She had multiple pregnancy-related complications, including toxemia, congestive heart failure, endocarditis and myocardial infarction (single coronary artery). No other serious pregnancy-related maternal complications and no pregnancy-related deaths occurred. The mean birth weight of the infants (n = 32) was 3.2 +/- 0.4 kg. None of the 50 live offspring have been diagnosed with congenital heart disease. CONCLUSIONS: Successful pregnancy can be achieved in most women with congenitally corrected transposition of the great arteries. The rate of fetal loss and maternal cardiovascular morbidity is increased. Because of the small number of births, the risk of congenital heart disease in offspring of women with congenitally corrected transposition of the great arteries is uncertain. (+info)Perinatal mortality and morbidity among babies delivered in water: surveillance study and postal survey. (6/538)
AIM: To compare perinatal morbidity and mortality for babies delivered in water with rates for babies delivered conventionally (not in water). DESIGN: Surveillance study (of all consultant paediatricians) and postal survey (of all NHS maternity units). SETTING: British Isles (surveillance study); England and Wales (postal survey). SUBJECTS: Babies born in the British Isles between April 1994 and March 1996 who died perinatally or were admitted for special care within 48 hours of birth after delivery in water or after labour in water followed by conventional delivery (surveillance study); babies delivered in water in England and Wales in the same period (postal survey). MAIN OUTCOME MEASURESE Number of deliveries in water in the British Isles that resulted in perinatal death or in admission to special care within 48 hours of birth; and proportions (of such deliveries) of all water births in England and Wales. RESULTS: 4032 deliveries (0.6% of all deliveries) in England and Wales occurred in water. Perinatal mortality was 1.2/1000 (95% confidence interval 0.4 to 2.9) live births; 8.4/1000 (5.8 to 11.8) live births were admitted for special care. No deaths were directly attributable to delivery in water, but 2 admissions were for water aspiration. UK reports of mortality and special care admission rates for babies of women considered to be at low risk of complications during delivery who delivered conventionally ranged from 0.8/1000 (0. 2 to 4.2) to 4.6/1000 (0.1 to 25) live births and from 9.2 (1.1 to 33) to 64/1000 (58 to 70) live births respectively. Compared with regional data for low risk, spontaneous, normal vaginal deliveries at term, the relative risk for perinatal mortality associated with delivery in water was 0.9 (99% confidence interval 0.2 to 3.6). CONCLUSIONS: Perinatal mortality is not substantially higher among babies delivered in water than among those born to low risk women who delivered conventionally. The data are compatible with a small increase or decrease in perinatal mortality for babies delivered in water. (+info)Does preexisting abnormality cause labor-delivery complications in fetuses who will develop schizophrenia? (7/538)
Many authors have suggested that theoretically the labor-delivery complications (LDCs) that frequently appear in the histories of individuals with schizophrenia represent the secondary consequence of preexistent abnormality in the fetus. The question of whether LDCs are systematically associated with prenatal complications and fetal abnormality was studied in 70 singleton schizophrenia patients, in 23 monozygotic twin pairs discordant and 10 pairs concordant for schizophrenia, and in 33 individuals with inferred genetic risk for schizophrenia. Schizophrenia cases with signs of prenatal abnormality (reduced head size, increased minor physical anomalies, greater within-twin-pair birthweight differences) did not have more LDCs than other schizophrenia cases. LDCs were not more frequent in genetic-risk cases with congenital malformations than in genetic-risk cases without malformations. Instead, individuals with schizophrenia who had a history of abnormal length of labor had significantly fewer pregnancy complications and minor physical anomalies than did other individuals with schizophrenia. No support was found for suggestions that LDCs among individuals who have not yet developed schizophrenia are the result of identifiable preexistent fetal abnormality. (+info)Male and female isoenzymes of steroid 5alpha-reductase. (8/538)
There are two steroid 5alpha-reductase isoenzymes, designated type 1 and type 2, in mammals and recent experiments show that each plays a unique physiological role. In this article, the hypothesis is developed that the type 1 gene specifies a female isoenzyme, whereas the type 2 gene specifies a male isoenzyme. This idea results from the following observations. First, mutation of the 5alpha-reductase type 1 gene in mice affects reproduction in females by decreasing fecundity and blocking parturition, but has no effect on reproduction in males. Second, mutation of the 5alpha-reductase type 2 gene in mice and men prevents proper virilization but does not affect development or reproductive function in females. Analyses of these diverse phenotypes indicate that the isoenzymes catalyse both anabolic and catabolic reactions in steroid hormone metabolism. (+info)Obstetric labor complications refer to any physical or physiological difficulties that arise during the process of childbirth (labor) and can pose risks to the health of the mother, baby, or both. These complications may result from various factors such as pre-existing medical conditions, fetal distress, prolonged labor, abnormal positioning of the fetus, or issues related to the size or weight of the baby.
Some examples of obstetric labor complications include:
1. Fetal distress: This occurs when the fetus is not receiving adequate oxygen supply or is in danger during labor. It can be caused by various factors such as umbilical cord compression, placental abruption, or maternal anemia.
2. Prolonged labor: When labor lasts for more than 20 hours in first-time mothers or more than 14 hours in subsequent pregnancies, it is considered prolonged labor. This can lead to fatigue, infection, and other complications for both the mother and baby.
3. Abnormal positioning of the fetus: Normally, the fetus should be positioned head-down (vertex) before delivery. However, if the fetus is in a breech or transverse position, it can lead to difficult labor and increased risk of complications during delivery.
4. Shoulder dystocia: This occurs when the baby's shoulders get stuck behind the mother's pubic bone during delivery, making it challenging to deliver the baby. It can cause injuries to both the mother and the baby.
5. Placental abruption: This is a serious complication where the placenta separates from the uterus before delivery, leading to bleeding and potential oxygen deprivation for the fetus.
6. Uterine rupture: A rare but life-threatening complication where the uterus tears during labor, causing severe bleeding and potentially endangering both the mother and baby's lives.
7. Preeclampsia/eclampsia: This is a pregnancy-related hypertensive disorder that can lead to complications such as seizures, organ failure, or even maternal death if left untreated.
8. Postpartum hemorrhage: Excessive bleeding after delivery can be life-threatening and requires immediate medical attention.
9. Infections: Maternal infections during pregnancy or childbirth can lead to complications for both the mother and baby, including preterm labor, low birth weight, and even fetal death.
10. Anesthesia complications: Adverse reactions to anesthesia during delivery can cause respiratory depression, allergic reactions, or other complications that may endanger the mother's life.
'Labor, Obstetric' refers to the physiological process that occurs during childbirth, leading to the expulsion of the fetus from the uterus. It is divided into three stages:
1. The first stage begins with the onset of regular contractions and cervical dilation and effacement (thinning and shortening) until full dilation is reached (approximately 10 cm). This stage can last from hours to days, particularly in nulliparous women (those who have not given birth before).
2. The second stage starts with complete cervical dilation and ends with the delivery of the baby. During this stage, the mother experiences strong contractions that help push the fetus down the birth canal. This stage typically lasts from 20 minutes to two hours but can take longer in some cases.
3. The third stage involves the delivery of the placenta (afterbirth) and membranes, which usually occurs within 15-30 minutes after the baby's birth. However, it can sometimes take up to an hour for the placenta to be expelled completely.
Obstetric labor is a complex process that requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby.
Premature obstetric labor, also known as preterm labor, is defined as regular contractions leading to cervical changes that begin before 37 weeks of gestation. This condition can result in premature birth and potentially complications for the newborn, depending on how early the delivery occurs. It's important to note that premature labor requires medical attention and intervention to try to stop or delay it, if possible, to allow for further fetal development.
Induced labor refers to the initiation of labor before it begins spontaneously, which is usually achieved through medical intervention. This process is initiated when there is a medically indicated reason to deliver the baby, such as maternal or fetal compromise, prolonged pregnancy, or reduced fetal movement. The most common methods used to induce labor include membrane stripping, prostaglandin administration, and oxytocin infusion. It's important to note that induced labor carries certain risks, including a higher chance of uterine hyperstimulation, infection, and the need for assisted vaginal delivery or cesarean section. Therefore, it should only be performed under the close supervision of a healthcare provider in a clinical setting.
Labor onset, also known as the start of labor, refers to the beginning of regular and coordinated uterine contractions that ultimately result in the delivery of a baby. This is usually marked by the presence of regular contractions that increase in intensity and frequency over time, along with cervical dilation and effacement (thinning and shortening of the cervix).
There are two types of labor onset: spontaneous and induced. Spontaneous labor onset occurs naturally, without any medical intervention, while induced labor onset is initiated by medical professionals using various methods such as medication or mechanical dilation of the cervix.
It's important to note that the onset of labor can be a challenging concept to define precisely, and different healthcare providers may use slightly different criteria to diagnose the start of labor.
Labor pain is the physiological discomfort and pain experienced by women during childbirth, typically beginning in the lower back and radiating to the abdomen as contractions become more intense and frequent. It's primarily caused by the contraction of uterine muscles, pressure on the cervix, and stretching of the vaginal tissues during labor and delivery.
The pain can vary greatly among individuals, ranging from mild to severe, and it may be influenced by factors such as fear, anxiety, cultural expectations, and previous childbirth experiences. Various methods, including pharmacological interventions (such as epidural anesthesia), non-pharmacological techniques (such as breathing exercises, relaxation techniques, and water immersion), and alternative therapies (such as acupuncture and massage) can be used to manage labor pain.
Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:
1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.
Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.
Obstetric labor complication
Obstetric fistula
Preterm birth
Obstructed labour
Maternal death
Birthing center
Complications of pregnancy
Psychiatric disorders of childbirth
Prolapse
Maternal health
Shoulder dystocia
Home birth
Fecal incontinence
Circumvallate placenta
Midwifery
Emergency childbirth
Postpartum disorder
Joseph DeLee
International Day of Zero Tolerance for Female Genital Mutilation
Teenage pregnancy
Child marriage
Sarah Jane Brown
Midwives in South Africa
Past medical history
Women's health
Postpartum blues
Sierra Leone
Outline of obstetrics
Fetal-maternal haemorrhage
Post-maturity syndrome
Obstetric labor complication - Wikipedia
Results of search for 'su:{Obstetric labor complications.}' › WHO HQ Library catalog
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What do we mean by maternal mortality and morbidity?
Emergency obstetric care3
- Through timely access to appropriate emergency obstetric care (EOC), 75% of these maternal deaths could be averted. (who.int)
- 11. In spite of the global and regional initiatives, access to emergency obstetric care remains geographically, financially and culturally elusive to the majority of women in African countries, specifically the poorest of the poor. (who.int)
- Thousands of lives could be saved if women were attended by a skilled attendant during childbirth and able to access emergency obstetric care for complications. (who.int)
Premature5
- Premature labour is labour that spontaneously occurs earlier than 37 weeks gestational age. (wikipedia.org)
- Subjects were included preterm labor, premature rupture of membranes (PROM), and cervical insufficiency. (hindawi.com)
- Cervical insufficiency was defined as premature effacement or dilatation of the cervix in the absence of labor or ultrasonographic evidence of cervical shortening less than 25 mm or funneling. (hindawi.com)
- and among spontaneous idiopathic preterm births, in whether there was preterm labour or premature rupture of the membranes. (frc.org)
- Those born from preterm parts, of low birth weight or born from dystocia/instrumental birth or other obstetric complications such as fever in labor or prolonged premature rupture of the membranes are particularly at risk. (minervamedica.it)
Maternal10
- Prolonged labour may result in maternal exhaustion, fetal distress, and other complications including obstetric fistula. (wikipedia.org)
- To estimate the contribution of changes in maternal characteristics (namely, age, parity, prepregnancy weight, weight gain in pregnancy, smoking status) and obstetric practice (namely, labor induction, epidural anesthesia, delivery by an obstetrician, midpelvic forceps delivery) to recent increases in primary cesarean delivery rates. (nih.gov)
- Logistic regression was used to study the effect of changes in maternal characteristics and obstetric practice on primary cesarean delivery rates. (nih.gov)
- Obstetric practice, which has altered due to changes in maternal characteristics and concerns related to fetal and maternal safety, has also contributed to increases in primary cesarean delivery. (nih.gov)
- Dr. Margaret F. Carter, as a physician for Huntsville Hospital Maternal Fetal Medicine, provides medical evaluation and treatment for women whose pregnancies may have an increased risk of complications. (huntsvillehospital.org)
- For every maternal death, at least twenty women are left incapacitated by the sequelae, inter alia , obstetric fistulae, chronic pelvic pain syndrome and infertility. (who.int)
- Maternal request is a sufficient medical indication for pain relief during labor. (medscape.com)
- This study examined the relationships between such factors and performance during labor, delivery and immediate postpartum maternal and newborn care. (qaproject.org)
- The instruments measured competency during labor, delivery, postpartum maternal care, and postpartum newborn care. (qaproject.org)
- The initiative supported evidence-based practices and contributed to the Joint WHO/UNFPA/UNICEF/World Bank Statement on Reduction of Maternal Mortality in 1999, which summarized the consensus on necessary actions, namely, prevention and management of unwanted pregnancy and unsafe abortion, provision of skilled care in pregnancy and childbirth, and access to referral care when complications arise. (who.int)
Childbirth7
- An amniotic fluid embolism (AFE) is a rare childbirth (obstetric) emergency in which amniotic fluid, enters the blood stream of the mother to trigger a serious reaction. (wikipedia.org)
- If you have problems in childbirth, your health care provider may need to give you medicines to induce or speed up labor, use tools to help guide the baby out of the birth canal, or deliver the baby by Cesarean section . (medlineplus.gov)
- Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study. (iasp-pain.org)
- In this paper, an investigation was conducted to see if obstetric anesthesia clinic childbirth course combined with labor epidural analgesia (LEA) was associated with a decreased risk of PPD. (iasp-pain.org)
- puerpera is awake, can cooperate childbirth and do not affect uterine contraction, and do not affect labor course progress. (scirp.org)
- Research results and practical experience have demonstrated that specific health interventions can, if made widely available, reduce the incidence and severity of major complications associated with pregnancy and childbirth. (who.int)
- Whereas traditional birth attendants can provide culturally appropriate health education and emotional support to women during pregnancy and childbirth, they cannot give the essential obstetric care needed to manage complications. (who.int)
Fistula3
- Funded and directed by the charity Hamlin Fistula Ethiopia, established in 1974 by Drs Reginald and Catherine Hamlin, the hospital is a world-class centre of excellence for treating obstetric fistula patients, and training obstetricians to specialise in this surgery. (responsibletravel.com)
- The organisation also has a preventative strategy that aims to eradicate obstetric fistula from Ethiopia, by providing trained midwives in the rural regions of the country. (responsibletravel.com)
- Participants invite friends over, eat green and pink foods (we'll take the suggested cosmopolitans and mojitos), discuss the link between women's rights and the environment, and hopefully donate $300 to One by One's efforts to treat obstetric fistula in the developing world. (newsreview.com)
Outcomes5
- In women with high pre-gestational BMI and twin pregnancy, our aims were to explore the biochemical and hematological parameters and to study the rate of obstetric adverse outcomes. (mdpi.com)
- NICHD is updating the MFMU Network program to better achieve its goals of improving obstetric care, pregnancy health, and outcomes for pregnant and lactating people and their babies. (nih.gov)
- At the same time that women's birthing options were increasingly being restricted and that obstetric practices were moving more and more in the direction of highly medicalized births for ALL women - even those women without pregnancy and labor complications - our national statistics regarding birth outcomes were far from impressive, especially as compared with other industrialized countries. (ourbodiesourselves.org)
- Although there have been relatively few studies, a systematic review of sun exposure and pregnancy outcomes found associations with fetal growth restriction, blood pressure, and preterm birth rates ( 7 , 8 ), with higher first trimester sunlight correlating with higher fetal birth weights and less hypertensive complications in the third trimester ( 8 ). (frontiersin.org)
- Adverse pregnancy outcomes that have been reported in HIV-positive women include increased rates of spontaneous early abortion, low birth weight babies, and stillbirths, preterm labor, preterm rupture of membranes, other sexually transmitted diseases, bacterial pneumonia, urinary tract infections, and other infectious complications [1]. (healthynewbornnetwork.org)
Gestational age4
- We suggest that the declines were likely due to shifts in gestational age resulting from changes in obstetric practices. (dukeupress.edu)
- Using restricted National Vital Statistics System data linked birth/infant death data for 1990-2013, we analyze trends in obstetric practices, gestational age distributions, and birth weights among first-birth singletons born to U.S. non-Hispanic White, non-Hispanic Black, and Latina women. (dukeupress.edu)
- We use life table techniques to analyze the joint probabilities of gestational age-specific birth and gestational age-specific obstetric intervention (i.e., induced cesarean delivery, induced vaginal delivery, not-induced cesarean delivery, and not-induced vaginal delivery) to fully document trends in obstetric practices by gestational age. (dukeupress.edu)
- Results show that between 1990 and 2013, the likelihood of induced labors and cesarean deliveries increased at all gestational ages, and the gestational age distribution of U.S. births significantly shifted. (dukeupress.edu)
Interventions4
- Interventions such as induction of labour, episiotomy (cut to enlarge the birth opening), forceps delivery or Caesarean section feature more prominently than when care is overseen by a midwife. (positivehealth.com)
- This monitoring is performed to decrease the development of complications while minimizing the need for unnecessary obstetric interventions and is especially important for women with high-risk pregnancies. (sbir.gov)
- Overall, nearly 18% of births from not-induced labor and vaginal delivery at later gestational ages were replaced with births occurring at earlier gestational ages from obstetric interventions. (dukeupress.edu)
- In 2015, the World Health Organisation (WHO) endorsed the use of BPCR interventions stating that, 'BPCR interventions are recommended to increase the use of skilled care at birth and to increase the timely use of facility care for obstetric and newborn complications' [ 7 ]. (biomedcentral.com)
Serious complication2
- Postpartum depression (PPD) is a serious complication commonly seen in postnatal women. (iasp-pain.org)
- An analysis of the UK Obstetric Surveillance System shows that uterine rupture -- a serious complication of pregnancy in which the wall of the uterus tears during pregnancy or early labor -- is rare but for women who have previously had a cesarean section, the risk of rupture increases with the number of previous cesarean deliveries, a short interval since the last cesarean section, and with induced labor. (sciencedaily.com)
Anesthesia2
- The use of epidural analgesia for labor has grown significantly over the past decades in the United States, and most women now request anesthesia services for the management of pain during labor. (medscape.com)
- Velvovski showed that obstetric psychoprophylaxis was a useful substitute for poorly administered labor anesthesia of the era. (medscape.com)
Spontaneous1
- Case 3, in January 2018, involved a 22-year-old pregnant woman (G2P1, 39 weeks) who had gestational diabetes sought care in spontaneous labor with fever and fetal compromise on cardiotocography, prompting a nonelective caesarean section. (cdc.gov)
Midwives4
- Nurse-midwives provide care during a woman's pregnancy, labor, and delivery. (kidshealth.org)
- These clinics are run by midwives and are for healthy pregnant women with normal risk for medical or obstetric conditions. (nsw.gov.au)
- The care during labour will be provided by the midwives at the Hospital. (nsw.gov.au)
- We have a dedicated home birth team run by passionate midwives who will care for you throughout your antenatal, labour and postnatal period. (royalfree.nhs.uk)
Preeclampsia2
- And they mainly include preeclampsia, eclampsia, obstetric haemorrhage, puerperal sepsis and prolonged or obstructed labour. (futurelearn.com)
- It also helps control blood pressure in women with preeclampsia by alleviating labor pain, and it blunts the hemodynamic effects of uterine contractions and the associated pain response in patients with other medical complications. (medscape.com)
Midwife2
- For hospital based models of care (ie Obstetric or midwife led) you will need to transfer your care by the 24th week of your pregnancy. (nsw.gov.au)
- They range from a midwife to a doula (specially trained birth companion who provides labor support). (justmommies.com)
Postnatal period1
- Most of these deaths could be prevented by timely access to medical support during pregnancy, labour and the postnatal period. (biomedcentral.com)
Second stage of labour2
- The second stage of labour may be delayed or lengthy due to poor or uncoordinated uterine action, an abnormal uterine position such as breech or shoulder dystocia, and cephalopelvic disproportion (a small pelvis or large infant). (wikipedia.org)
- They are more likely to occur in the case of first vaginal delivery, high baby birth weight, labour induction, occiput posterior baby position, prolonged second stage of labour and instrumental delivery. (oecd-ilibrary.org)
Perinatal3
- Perinatal asphyxia is the medical condition resulting from deprivation of oxygen to during labour. (wikipedia.org)
- Causes of perinatal asphyxia include umbilical cord prolapse, nuchal cord, and obstructed labour. (wikipedia.org)
- Complications include perinatal asphyxia, meconium aspiration, polycythemia. (msdmanuals.com)
Major complications associated1
- Given the major complications associated with multiple cesareans, to both mother and baby, women should carefully evaluate the immediate risks in the current pregnancy with the longer-term risks of multiple cesareans. (sciencedaily.com)
Neonatal2
- One mother and 2 neonates died, highlighting the role of this strain as a cause of obstetric and early neonatal death. (cdc.gov)
- In Western Australia, Australia, an outbreak of serogroup W meningococcal disease in 2017 caused obstetric and neonatal cases of invasive meningococcal disease (IMD). (cdc.gov)
Care9
- A variety of health care professionals work at birth centers, such as registered nurses , CNMs , and doulas (professionally trained providers of labor support and/or postpartum care). (kidshealth.org)
- Some women opt for obstetric care in a private maternity hospital, although it is not common, especially as most private health insurance packages do not cover maternity care. (positivehealth.com)
- Unfortunately, private medical care does not necessarily mean that the birth will be normal because doctors consider birth to be "only normal in retrospect", and pregnancy care focuses on being alert to physical complications. (positivehealth.com)
- Due to delays, women fail to access appropriate care when complications arise. (who.int)
- c) improvement of access to referral care when complications arise. (who.int)
- Your care begins with your General Practitioner (GP), by confirming your pregnancy, taking a comprehensive health and medical history, ordering your blood tests and an obstetric ultrasound. (nsw.gov.au)
- And finally ends with infection prevention and considerations related to inpatient obstetric care settings such as labor and delivery. (cdc.gov)
- Women/birthing people or babies experiencing complications during pregnancy or labour, or women/birthing people who have medical problems requiring specialist care, are advised to give birth in a consultant-led delivery suite. (royalfree.nhs.uk)
- Accessibility issues - If something goes wrong during labor at home, the outcome for the woman and baby could be worse than it would be if they were in the obstetric unit of a hospital with access to specialized care. (justmommies.com)
Delivery11
- An obstetric labor complication is a difficulty or abnormality that arises during the process of labor or delivery. (wikipedia.org)
- Treatment of placental abruption during labour is immediate delivery if the fetus is mature (36 weeks or older), or if a younger fetus or the mother is in distress. (wikipedia.org)
- It includes labor and delivery. (medlineplus.gov)
- What Are Some Common Complications during Labor and Delivery? (medlineplus.gov)
- This means the mother-to-be moves from a labor room to a delivery room and then, after the birth, to a semiprivate room. (kidshealth.org)
- Pain medicines are available during labor and delivery, if a woman wants them. (kidshealth.org)
- Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)
- Furthermore, the risk of uterine rupture was greatest among those who had had two or more previous caesarean deliveries or a caesarean delivery less than 12 months previously, or whose labor was induced. (sciencedaily.com)
- According to the latest available figures, more than half a million women are estimated to have died in 1995 from complications during pregnancy, delivery and the postpartum period. (who.int)
- Findings strongly indicate that recent declines in U.S. birth weight were due to increases in induced labor and cesarean delivery at select gestational ages. (dukeupress.edu)
- A prior cesarean delivery increases the risk of uterine rupture (0.2% risk of rupture) and other complications. (justmommies.com)
Induction1
- The authors conclude: "For women with a previous caesarean section, the risk of uterine rupture increases not only with trial of labour but also with the number of previous caesarean deliveries, a short interval since the last caesarean section, and labour induction and/or augmentation. (sciencedaily.com)
Emergencies2
- Performance was defined as compliance according to international standards and measured by direct observation of all births and retrospective record review of obstetric emergencies. (qaproject.org)
- Male partner's involvement in BPCR and responding to obstetric emergencies can be conceptualised as being centrally involved in responding to complications and having some role in preparing for birth through their position in the chain of decisions and provision of logistic support. (biomedcentral.com)
Uterine rupture1
- Causes of heavy bleeding during labour include placental abruption and uterine rupture. (wikipedia.org)
Pregnant women2
- Direct deaths are complications that only exist in pregnant women or women who are in labour. (futurelearn.com)
- Now, indirect obstetric deaths include deaths from diseases that already existed before pregnancy or which developed during pregnancy, but are not specific to pregnant women and are aggravated by pregnancy. (futurelearn.com)
Women9
- These may include private rooms with baths (called birthing suites) where women can labor, deliver, and recover in one place without having to be moved. (kidshealth.org)
- Women who deliver in a birth center usually have already given birth without any problems or have a low-risk pregnancy (meaning they are in good health and are not likely to develop complications). (kidshealth.org)
- So women are free to move around in labor, get in the positions most comfortable to them, spend time in the jacuzzi, etc. (kidshealth.org)
- Women are entitled to insist on home birth, even when there are medical complications. (positivehealth.com)
- So pregnancy-related complications are a problem everywhere, and particularly so in poorer countries, where they are among the leading causes of death and disability for women aged 15 to 49. (futurelearn.com)
- Approximately 60% of laboring women (2.4 million each year) choose regional analgesia for pain relief during labor. (medscape.com)
- In 2000, WHO proposed that medical institutions should provide various labor analgesic services for parturient women to reduce labor pain as much as possible. (scirp.org)
- These factors should be considered when counselling and managing the labour of women with a previous caesarean section. (sciencedaily.com)
- Globally, approximately 830 women die each day due to pregnancy complications, 66% of these deaths occur in Sub-Saharan Africa [ 1 ]. (biomedcentral.com)
Newborn1
- In case of GBS colonization, adequate antibiotic treatment must be carried out in labor and at least 4 hours before birth (Intrapartum Antibiotic Prophylaxis) to prevent the possibility of vertical ascending infection between mother and newborn. (minervamedica.it)
Obstetricians1
- Obstetricians measure fetal heartrate (FHR) and uterine contractions to evaluate fetal health during pregnancy and labor. (sbir.gov)
Risk7
- If labor does not start soon afterwards, this can raise the risk of infection. (medlineplus.gov)
- The OB/GYN consultants are available if she develops complications that put her into a higher risk category. (kidshealth.org)
- Of particular distress is the fact that some disabled children never reach adulthood and some are at risk of developing other associated complications which may further disrupt their social and emotional development. (who.int)
- And this is otherwise known as the obstetric risk. (futurelearn.com)
- And there's a high MMR or obstetric risk. (futurelearn.com)
- Although for those having their first baby, there is slight increase in the risk of complications for the baby when born at home - 0.9% compared to 0.5% in other settings. (royalfree.nhs.uk)
- Pre-existing indications - For those who have medical indications that could benefit from what the hospital offers, or who have had a previous complicated birth, they may be at a higher risk of developing complications during the next birth. (justmommies.com)
Arise3
- [ 1 ] beginning with a summary of key general considerations, proceeding to a review of the main neurologic complications that may arise in pregnant people who were previously free of neurologic disease, and concluding with a discussion of individual neurologic disorders in the context of pregnancy. (medscape.com)
- EOC refers to health system preparedness and response to complications as and when they arise. (who.int)
- Your baby will be born at Armidale Hospital unless certain pregnancy complications arise. (nsw.gov.au)
Cervix1
- Preterm labor was defined as demonstrated progressive dilation of the cervix with uterine contractions before 36 weeks of gestation. (hindawi.com)
Preparedness1
- Birth Preparedness and Complication Readiness (BPCR) refers to a plan organised during pregnancy in preparation for a normal birth and in case of complications. (biomedcentral.com)
Uterus1
- Although retroverted uterus is a normal variant position without symptoms, it is sometimes associated with pain, discomfort and other pregnancy complications. (bvsalud.org)
Pneumonia1
- Pneumonia is the most common complication. (cdc.gov)
Patient2
- Patient education, a supportive environment, and training with nonpharmacologic analgesic techniques all appear to positively affect labor pain, particularly during the latent (early first stage) phase. (medscape.com)
- None of the patient had any history of bacterial vaginosis, troublesome vaginal discharge, or any obstetric or gynaecological complications. (bmj.com)
Practices2
- We use simulation techniques to estimate counterfactual changes in birth weight distributions if obstetric practices did not change between 1990 and 2013. (dukeupress.edu)
- Results suggest that if rates of obstetric practices had not changed between 1990 and 2013, then the average U.S. birth weight would have increased over this time. (dukeupress.edu)
Medical2
- ICD-9 codes for pre-existing medical conditions, medical events, and obstetric complications utilized to identify cases in the NIS 2000 - 2009. (cdc.gov)
- The strength of these associations is small compared with factors in the prior reproductive history and with medical and obstetric complications of the current pregnancy. (frc.org)
Refers1
- In obstetric patients, regional analgesia refers to partial or complete loss of pain sensation below the T8 to T10 spinal level. (medscape.com)
Somatic pain2
- The somatic pain that arises during the second stage of labor occurs in addition to the ongoing visceral pain of uterine contractions. (medscape.com)
- As labor progresses, the descent of fetal head and subsequent pressure on the pelvic floor, vagina, and perineum, generates somatic pain, which is transmitted by the pudendal nerve (S2-4). (medscape.com)
Baby's Heart Rate1
- The baby's heart rate is monitored often during labor, typically with a handheld Doppler device. (kidshealth.org)
Chronic1
- PROJECT SUMMARY We propose to develop a novel non-contact, label-free multimodality imager that provides real-time intraoperative identification of nerves within the surgical field-of-view to facilitate the prevention of unintended nerve damage (termed iatrogenic nerve injury) during surgical procedures, as they are a major source of postsurgical complications, e.g., chronic pain. (sbir.gov)