Prophylactic manual rotation for fetal malposition to reduce operative delivery
The morbidity associated with vaginal delivery, especially instrumental vaginal delivery, has received considerable attention over the last decade and the incidence of operative delivery
continues to decrease in the United States.
In a series of 796 consecutive women with induced labor who requested early pain relief, the operative delivery
rates were similar in those who did and did not receive early labor epidural analgesia (28% and 27%, respectively), Dr.
These individuals often demonstrate strong group cohesion and may be skeptical of the benefits of hospital birthing practices including intravenous access, oxytocin administration, epidural anesthesia, and operative delivery
because many have high-risk sexual behaviors, and when they become pregnant, they are at high risk for operative delivery
due to inadequate viral suppression.
Minaglia, of the division of female pelvic medicine and reconstructive surgery, encouraged a further minimization of modifiable risk factors such as episiotomy and operative delivery
to minimize long-term harm associated with sphincter laceration.
Although there are no controlled studies validating the best course of management in such cases, there seems to be agreement that vaginal delivery can be attempted in the absence of other obstetrical indications for operative delivery
CHICAGO--Monitoring and labor induction produce comparable neonatal outcome and operative delivery
rates in women with suspected intrauterine growth restriction at term, based on the multicenter randomized DIGITAT study.
The FDA will not, however, require the manufacturer to submit data on operative delivery
rates, which is something its advisory panel recommended in June.
I believe that declining experience in operative delivery
is behind many lasting problems.
The primary outcome was the rate of operative delivery
The panel called for education, certification of clinicians, and postmarketing surveillance of rates of operative delivery
, fetal acidemia, and neonatal encephalopathy.