Articles Tagged With: cesarean
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Opportunistic Salpingectomy at the Time of Cesarean Delivery for Postpartum Permanent Contraception
In this retrospective cohort study, almost 20% of women who desired bilateral complete salpingectomy for permanent contraception at the time of cesarean delivery could not undergo the procedure because of adhesions or engorged vasculature.
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Why Are Cesarean Delivery Rates Higher With IVF Pregnancies?
SYNOPSIS: The major factors leading to increased odds of cesarean delivery in all infertile women, but particularly in those who conceive following in vitro fertilization, are advanced maternal age and previous uterine surgery.
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All About Cesarean Delivery
A collection of articles and letters to the editors suggests that postpartum ultrasound evaluation of uterine wall thickness is of little value in predicting uterine wall complications in subsequent pregnancies, that two-layer closure of the uterus during cesarean delivery probably is better than single-layer closure, and that staple closure of the skin in patients with three or more previous cesarean deliveries is associated with more wound complications than suture closure.
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Oxytocin Discontinuation
A recent meta-analysis of randomized, clinical trials has shown that discontinuing oxytocin infusion once active labor has been attained in inductions and augmentations of labor will result in a reduction of cesarean delivery and tachysystole, but an increase in the length of labor.
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Opioid Prescriptions After Cesarean Delivery: How Much Should We Prescribe?
This cross-sectional survey of 720 women found that 85% filled an opioid prescription after cesarean delivery, and the median number of tablets dispensed was 40. The median number of tablets consumed was only 20 tablets and the number dispensed did not correlate with patient satisfaction, pain control, or the need for a refill.
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Adding Azithromycin to Standard Prophylaxis in Non-Elective Cesarean Sections?
Adding intravenous azithromycin to “routine” cephalosporin prophylaxis prior to non-elective cesarean section delivery significantly reduces the risk of postpartum endometritis and wound infection.
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Prolonged Second Stage of Labor
A recent randomized clinical trial has shown that using a more liberal threshold for second stage labors in nulliparous patients with and without epidural can result in a major decrease in the need for cesarean sections.
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How Fetal Head Circumference Affects the Need for Cesarean Section
A recent study shows that infant head circumference has a greater effect on rates of cesarean section and instrumental delivery than birth weight.
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Induction of Labor in Patients with Previous Cesarean Sections
ABSTRACT & COMMENTARY: Great improvements have been made while the fear of litigation ebbs.