However, we find that differences between older and younger physicians in the use of Cesarean delivery, induction, and operative delivery
Macrosomia and LGA indicated a greater likelihood of operative delivery
. Our data presented a similar distribution between cesarean delivery and macrosomia and LGA.
Another study by Magann and colleagues between June 1998 to June 20007 showed the estimated blood loss at operative delivery
to be greater in the sharp group compared with the blunt group i.e., significant differences.
"A specific absolute maximum length of time spent in the 2nd stage beyond which all women should be offered an operative delivery
has not been identified." (8) Diagnosis of arrest of labor in the 2nd stage may be considered after at least 2 hours of pushing in multiparous women and 3 hours of pushing in nulliparous women, especially if no fetal descent is occurring.
It's important to be comfortable with forceps deliveries and vacuum extractions in order to minimize both maternal and fetal trauma; thus, physicians should "excel" at operative delivery
, according to the protocol.
To study the effect of oligohydramnios on maternal morbidity in the form of operative delivery
Maternal causes are: Nulliparity, short mother, small genital hiatus and short perineal body.4 In ad-dition to these, larger infants an infant in occipito-posterior position, or having had an episiotomy or operative delivery
may be the cause.5
He advised: "It is particularly important for them to ensure they lead healthy lifestyles and maintain a normal body weight, as a high BMI during pregnancy is itself associated with poor uterine contractions and an increased need for operative delivery
-- Epidural analgesia given in early labor has been shown to have no significant effect on the risk of operative delivery
in patients with spontaneous labor, and the same appears to hold true for patients with induced labor, according to data presented at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
Recommendations for clinical practice This trial refutes claims that walking during the first stage of labor leads to shorter labor, less analgesia use, lower rates of operative delivery
, or improved neonatal outcomes.
He should have performed an operative delivery
at 8:20 pm when the baby's head crowned.