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uterine rupture/seizures

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OBJECTIVE To determine (1) if there are any common features to fetal heart rates (FHR) and uterine activity patterns before uterine rupture, (2) if neonatal outcomes as reflected by cord blood gases are associated with the length of fetal bradycardia, and (3) if there is an increase in maternal
Background: Previous cesarean delivery is the major risk factor for uterine rupture in subsequent trial of labor. It has been suggested that a previous preterm cesarean delivery is associated with an increased risk of uterine rupture
OBJECTIVE Uterine rupture is a rare but feared perinatal event. Despite abundant research and changes to guidelines implemented to reduce this complication, evaluation of whether uterine rupture still engenders significant maternal/neonatal morbidity has not been conducted. We analyzed recent cases
To describe the risk of adverse outcomes associated with uterine rupture in the setting of maternal obesity. This was a retrospective cohort analysis of singleton nonanomalous neonates born after uterine rupture between 34 and 42 weeks of gestation. We derived data from the U.S. Natality Database
OBJECTIVE We sought to report obstetric and neonatal characteristics and outcomes following primary uterine rupture in a large contemporary obstetric cohort and to compare outcomes between those with primary uterine rupture vs those with uterine rupture of a scarred uterus. METHODS This was a

Does oxytocin augmentation increase perinatal risk in primigravid labor?

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To assess the influence of high-dose oxytocin augmentation of spontaneous labor, a consecutive series of 30,874 primigravid term deliveries were analyzed for adverse perinatal outcome. In spite of a longer mean duration of labor, the frequencies of asphyxial perinatal death, neonatal seizures, and
OBJECTIVE To determine whether a term neonate who has had sufficient intrapartum asphyxia to produce persistent brain injury will manifest the following four criteria: profound acidemia (arterial pH <7.00), an APGAR score < or =3 for 5 min or longer, seizures within 24 h of birth, and multiorgan

Intrapartum emergencies.

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Intrapartum emergencies are challenging to all perinatal nurses because of the increased risk of adverse outcomes for the mother and fetus. Perinatal emergencies, such as seizures, amniotic fluid embolus, hemorrhage, and uterine rupture, create physiological challenges and trigger intrinsic survival
To assess whether racial and ethnic disparities in adverse infant and maternal outcomes exist among low-risk term pregnancies.This population-based retrospective cohort study used U.S. vital statistics data from 2014 to 2017. Women with low-risk,
This study aimed to assess the risk of adverse outcomes among low-risk pregnancies at 39 to 41 weeks, stratified by birth weight percentile. This retrospective cohort study utilized the U.S. vital statistics datasets (2013-2017) and evaluated low-risk
Objective: Among low-risk pregnancies, we aimed to ascertain the association between 5-minute Apgar score and adverse outcomes of newborn-maternal dyad.Study design: We conducted a retrospective cohort study using the U.S. vital statistics datasets (2012-2016), including live births

Fetal pulse oximetry for fetal assessment in labour.

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BACKGROUND Fetal pulse oximetry (FPO) may contribute to the evaluation of fetal well-being during labour. OBJECTIVE To compare the effectiveness and safety of FPO with conventional surveillance techniques, using the results of randomised controlled trials. METHODS We searched the Cochrane Pregnancy
To use a large national database to compare composite maternal or neonatal morbidity among low-risk, full-term women.This cohort study, using the U.S. vital statistics datasets (2011-2015), evaluated low-risk nulliparous women with nonanomalous singleton
OBJECTIVE To evaluate the neonatal effects of trial of labor after Caesarean (TOLAC) births. METHODS We conducted a retrospective population-based cohort study using the CDC's Period Linked Birth/Infant Death Public Use File (2011-2013) on women with a live singleton pregnancy and prior Caesarean
Imprecise diagnosis of birth asphyxia coupled with uncertainties about causal factors for neurologic abnormalities in the newborn have greatly fueled the current litigation crisis in obstetrics. Our goal was to more precisely define birth asphyxia based on fetal condition as measured by umbilical
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