AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Mobile epidurals: vaginal delivery success. (Pelvic Muscle Strength may be Key).
HILTON HEAD ISLAND, S.C. -- Just how mobile do patients on mobile epidurals need to be?
Apparently, it may not matter. The major benefit of mobile (walking) epidurals in terms of spontaneous vaginal birth doesn't boil down to the degree of preserved motor function at the time the patient is at full dilation, Dr. Samina Bharmal said at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
Instead, there may be other factors, such as pelvic muscle strength at the time of dilation, that are more instrumental in helping a woman on an epidural have a normal vaginal delivery. The dose of epidural may influence these factors, said Dr. Bharmal of the Leicester (England) Royal Infirmary.
A secondary analysis was performed on data from the Comparative Obstetric Mobile Epidural Trial in which 1,054 nulliparous women were randomized to receive traditional epidural analgesia or one of two "mobile" regimens: combined spinal epidural (CSE) or low-dose infusion (LDI).
The secondary ...
- Mobile epidural's effect on vaginal delivery may lie with pelvic muscles....
- Magazine article from: Family Practice News December 15, 2002 700+ words
...of spontaneous vaginal delivery. Using a modified...greater degree of motor block, with those...low degrees of motor block. The classification...into low or high motor block groups and the...of spontaneous vaginal delivery.
- Limit operative vaginal delivery to three attempts: forceps or vacuum, not...
- Magazine article from: Family Practice News Boschert, Sherry February 1, 2004 700+ words
...consider the safety of an operative vaginal delivery, three seems to be the number to...significantly with attempted operative vaginal delivery if the mother has been pushing in...maternal trauma above that of a normal vaginal delivery or cesarean section. The first study...
- Three pulls, three hours of pushing the limit in operative vaginal delivery:...
- Magazine article from: OB GYN News Boschert, Sherry February 1, 2004 700+ words
...considering the safety of an operative vaginal delivery, the magic number seems to be three...significantly with attempted operative vaginal delivery if the mother has been pushing in...maternal trauma above that of a normal vaginal delivery or cesarean section. The first study...
- Vaginal delivery linked to high incontinence risk: odds of pelvic floor...
- Magazine article from: Family Practice News Johnson, Kate November 1, 2005 700+ words
MONTREAL -- Vaginal delivery is associated with a near twofold...shows an association between vaginal delivery and pelvic floor disorders...to link the trauma caused by vaginal delivery to many of these disorders...
- Pelvic floor disorders up with vaginal delivery: risk increased twofold in...
- Magazine article from: OB GYN News Johnson, Kate October 1, 2005 700+ words
MONTREAL -- Vaginal delivery is associated with a nearly twofold...shows an association between vaginal delivery and pelvic floor disorders...to link the trauma caused by vaginal delivery to many of these disorders...
- Chart documentation of informed consent for operative vaginal delivery: is it...
- Magazine article from: Southern Medical Journal Nichols, Catherine Matthews Pendlebury, Laura C. Jennell, Jamie December 1, 2006 700+ words
...a general consent for instrumented vaginal delivery. Documentation of any maternal or...informed consent for instrumented vaginal delivery is inconsistent and should be improved...with the choice of an instrumented vaginal delivery or cesarean section at full dilation...
- VAGINAL DELIVERY ON DEMAND!
- Magazine article from: Midwifery Today McLean, Marion Toepke March 22, 2001 700+ words
...Should a woman be offered the choice of vaginal delivery? The pregnant woman who reaches term...1. The risk to breech babies from vaginal delivery is not evenly distributed. Ninety...the study who were randomized to the vaginal delivery group, of whom 56.7 percent ultimately...
- Elective C-sections continue to rise: safety vs. vaginal delivery still debated.
- Newspaper article from: Medical Ethics Advisor February 1, 2005 700+ words
...mothers is comparable to birth via vaginal delivery, others say the risks of surgery...that women who choose a cesarean over vaginal delivery have reduced overall in-hospital...best served by a trial of labor and vaginal delivery." The authors of the HealthGrades...
- In Breech Birth, C-Section Is Better For Fetus Than Vaginal Delivery.(Brief...
- Magazine article from: Family Practice News MOON, MARY ANN March 1, 2001 700+ words
...better with cesarean delivery than with vaginal delivery that the latter should no longer be...vaginal birth in 59 cases, requested vaginal delivery in 29, conversion of the fetus to...women randomly assigned to a planned vaginal delivery, 591 (56.7%) were delivered...
- Vaginal delivery after anal sphincter tear tied to more flatal incontinence at...
- Magazine article from: OB GYN News Johnson, Kate October 15, 2005 700+ words
...Most women who choose a subsequent vaginal delivery after experiencing an anal sphincter...reasonable to offer the option [of another vaginal delivery] because there is no evidence that...of the women underwent an operative vaginal delivery, 29% had an episiotomy (mostly...
Source: HighBeam Research, Mobile epidurals: vaginal delivery success. (Pelvic Muscle Strength...