Topic
Vaginal delivery
About: Vaginal delivery is a research topic. Over the lifetime, 8929 publications have been published within this topic receiving 184602 citations. The topic is also known as: vaginal birth & vag.
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TL;DR: The incidence of damage to the anal sphincter and the relation of injury to symptoms, anorectal physiologic function, and the mode of delivery was sought to determine.
Abstract: Background Lacerations of the anal sphincter or injury to sphincter innervation during childbirth are major causes of fecal incontinence, but the incidence and importance of occult sphincter damage during routine vaginal delivery are unknown. We sought to determine the incidence of damage to the anal sphincter and the relation of injury to symptoms, anorectal physiologic function, and the mode of delivery. Methods We studied 202 consecutive women six weeks before delivery, 150 of them six weeks after delivery, and 32 with abnormal findings six months after delivery. Symptoms of anal incontinence and fecal urgency were assessed, and anal endosonography, manometry, perineometry, and measurement of the terminal motor latency of the pudendal nerves were performed. Results Ten of the 79 primiparous women (13 percent) and 11 of the 48 multiparous women (23 percent) who delivered vaginally had anal incontinence or fecal urgency when studied six weeks after delivery. Twenty-eight of the 79 primiparous women (35 p...
1,393 citations
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Ohio State University1, University of Alabama at Birmingham2, University of Texas Southwestern Medical Center3, National Institutes of Health4, George Washington University5, University of Utah6, University of Chicago7, University of Pittsburgh8, Wake Forest University9, Thomas Jefferson University10, Wayne State University11, University of Cincinnati12, Columbia University13, Brown University14, Northwestern University15, University of Miami16, University of Tennessee Health Science Center17, University of Texas at San Antonio18, University of North Carolina at Chapel Hill19, University of Texas at Austin20, Case Western Reserve University21, Vanderbilt University22
TL;DR: The proportion of women who attempt vaginal delivery after prior cesarean delivery has decreased largely because of concern about safety, and the absolute and relative risks associated with a trial of labor in women with a history of cesAREan delivery are uncertain.
Abstract: background The proportion of women who attempt vaginal delivery after prior cesarean delivery has decreased largely because of concern about safety The absolute and relative risks associated with a trial of labor in women with a history of cesarean delivery, as compared with elective repeated cesarean delivery without labor, are uncertain
997 citations
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TL;DR: The third phase of the WHO global survey aimed to estimate the rate of different methods of delivery and to examine the relation between method of Delivery and maternal and perinatal outcomes in selected facilities in Africa and Latin America in 2004-05, and in Asia in 2007-08, found caesarean section should be done only when there is a medical indication.
868 citations
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TL;DR: No effective prevention strategy for prolapse has been identified, and considerations include weight loss, reduction of heavy lifting, treatment of constipation, modification or reduction of obstetric risk factors, and pelvic-floor physical therapy.
787 citations
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TL;DR: Prenatal diagnosis by imaging, followed by planning of peripartum management by a multidisciplinary team, may help reduce morbidity and mortality and good outcomes depend on prenatal diagnosis and cesarean delivery before the membranes rupture.
771 citations