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Journal articles on the topic 'Operative vaginal delivery(OVD)'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Willy, Annika S., Alyssa R. Hersh, Bharti Garg, and Aaron B. Caughey. "Obstetric Outcomes by Hospital Volume of Operative Vaginal Delivery." JAMA Network Open 8, no. 1 (2025): e2453292. https://doi.org/10.1001/jamanetworkopen.2024.53292.

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ImportanceCharacterizing hospital-level factors associated with adverse outcomes following operative vaginal delivery (OVD) is crucial for optimizing obstetric care.ObjectiveTo assess the association between hospital OVD volume and adverse outcomes.Design, Setting, and ParticipantsThis was a retrospective cohort study of OVDs in California between 2008 and 2020. OVD was determined using birth certificate and International Classification of Diseases, Ninth Revision, Clinical Modification or International Statistical Classification of Diseases, Tenth Revision, Clinical Modification codes. This s

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Nedamo, Selamu Abose, Amanuel Nuramo Sakelo, Lire Lemma Tirore, and Ageze Abose Abate. "Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia." Obstetrics and Gynecology International 2023 (June 16, 2023): 1–8. http://dx.doi.org/10.1155/2023/4214252.

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Background. Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study area. Increased difficulties have been attributed to a lack of understanding on how to anticipate the procedure’s complications. Identifying typical OVD complications can assist health providers in detecting and intervening early. The goal of this study was to find out which characteristics contribu

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Miller, Emily S., Yinglei Lai, Jennifer Bailit, et al. "Duration of Operative Vaginal Delivery and Adverse Obstetric Outcomes." American Journal of Perinatology 37, no. 05 (2019): 503–10. http://dx.doi.org/10.1055/s-0039-1683439.

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Abstract Objective This study aimed to evaluate whether the number of vacuum pop-offs, the number of forceps pulls, or the duration of operative vaginal delivery (OVD) is associated with adverse maternal and perinatal outcomes. Study Design This is a secondary analysis of a multicenter observational cohort of women who underwent an attempted OVD. Women were stratified by the duration of OVD and the number of pop-offs (vacuum) or pulls (forceps) attempted. Severe perineal lacerations, failed OVD, and a composite adverse neonatal outcome were compared by the duration of OVD and number of pop-off

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Brock, Clifton, Shravya Govindappagari, and Cynthia Gyamfi-Bannerman. "Outcomes of Operative Vaginal Delivery during Trial of Labor after Cesarean Delivery." American Journal of Perinatology 34, no. 08 (2017): 765–73. http://dx.doi.org/10.1055/s-0037-1598080.

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Objective The objective of this study is to determine the maternal and neonatal morbidity associated with attempting operative vaginal delivery (OVD) compared with the alternative of a laboring repeat cesarean delivery (LRCD) in women attempting a trial of labor after cesarean delivery (TOLAC). Methods This is a secondary analysis of a multicenter prospective study designed to assess perinatal outcomes of OVD in women with a prior uterine scar. The study includes women who attempted TOLAC and reached +2 station with a fully dilated cervix. Composites on neonatal and maternal morbidity were com

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Tsakiridis, Ioannis, Sonia Giouleka, Apostolos Mamopoulos, Apostolos Athanasiadis, Angelos Daniilidis, and Themistoklis Dagklis. "Operative vaginal delivery: a review of four national guidelines." Journal of Perinatal Medicine 48, no. 3 (2020): 189–98. http://dx.doi.org/10.1515/jpm-2019-0433.

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AbstractThere is a broad range in the rates of operative vaginal deliveries (OVD) worldwide, which reflects the variety of local practice patterns, the number of trained clinicians and the lack of international evidence-based guidelines. The aim of this study was to review and compare the recommendations from published guidelines on OVD. Thus, a descriptive review of guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG), the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), the Society of Obstetricians and Gynaecologists of Canada (S

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Becker, David A., Christina T. Blanchard, Jeff M. Szychowski, Sharee L. Rogers, Cynthia G. Brumfield, and Akila Subramaniam. "Resident Operative Vaginal Delivery Volume after Educational Curriculum Implementation." American Journal of Perinatology 37, no. 13 (2020): 1296–300. http://dx.doi.org/10.1055/s-0040-1710543.

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Objective The percentage of operative vaginal deliveries (OVDs) in the United States has sharply declined. In May 2016, our institution's obstetrics and gynecology (OB/GYN) residency program implemented a twice-yearly OVD curriculum consisting of didactics and simulation. We sought to evaluate the impact of this curriculum. Study Design We performed a retrospective cohort study of all deliveries at our institution from July 2011 to May 2018. Deliveries were evaluated quarterly for the pre- (July 2011–April 2016) and postcurriculum (July 2016–May 2018) periods. Forceps-assisted vaginal delivery

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Hubena, Zenebe, Ahadu Workneh, and Yibeltal Siraneh. "Prevalence and Outcome of Operative Vaginal Delivery among Mothers Who Gave Birth at Jimma University Medical Center, Southwest Ethiopia." Journal of Pregnancy 2018 (July 9, 2018): 1–12. http://dx.doi.org/10.1155/2018/7423475.

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Background. Operative vaginal deliveries (OVD) are vaginal deliveries accomplished with the use of a vacuum device or forceps. If it is technically feasible and can be safely accomplished, termination of second stage labor by operative vaginal delivery is indicated in any condition threatening the mother or fetus that is likely to be relieved by delivery. Hence, the objective of this study is to assess the prevalence, common indication, outcome, and associated factors of operative vaginal delivery among mothers who gave birth in Jimma University Medical Center (JUMC). Method. A facility-based

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Willy, Annika S., Alyssa R. Hersh, Bharti Garg, and Aaron B. Caughey. "Obstetric Outcomes by Hospital Volume of Operative Vaginal Delivery." Obstetrical & Gynecological Survey 80, no. 7 (2025): 397–98. https://doi.org/10.1097/ogx.0000000000001423.

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(Abstracted from JAMA Network Open 2025;8(1):e2453292 Mode of delivery plays a significant role in maternal and neonatal outcomes. Compared with cesarean delivery (CD), which is associated with adverse outcomes such as longer hospital stays, more difficult recovery, and greater risk of complications, operative vaginal delivery (OVD) may be the safer mode of delivery when intervention is required.

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Ducarme, Guillaume, Victoria Fosse, Valérie Rouger, Norbert Winer, Cyril Flamant, and Marion Olivier. "Neurodevelopmental Outcome at Corrected Age of 2 Years among Children Born Preterm with Operative Vaginal Delivery: A Population-Based Study (LIFT Cohort)." Journal of Clinical Medicine 12, no. 15 (2023): 4970. http://dx.doi.org/10.3390/jcm12154970.

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The aim of the study was to determine whether operative vaginal delivery (OVD) was associated with non-optimal neurocognitive development at the corrected age of 2 years for preterm singletons using the Loire Infant Follow-up Team (LIFT) longitudinal cohort, a French regional perinatal network and prospective, population-based cohort of preterm infants. For this study, we included women with cephalic singletons and planned vaginal delivery from 24 to 34 weeks’ gestation between 2006 and 2016. The main exposure was the mode of delivery (spontaneous vaginal delivery (SVD), OVD, and cesarean deli

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Dutywa, Afikile, Gbenga Olorunfemi, and Langanani Mbodi. "Trends and Determinants of Operative Vaginal Delivery at Two Academic Hospitals in Johannesburg, South Africa 2005–2019." International Journal of Environmental Research and Public Health 19, no. 23 (2022): 16182. http://dx.doi.org/10.3390/ijerph192316182.

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Operative Vaginal delivery (OVD) can reduce perinatal and maternal morbidity and mortality especially in low resource setting such as South Africa. We evaluated the trends and determinants of OVD rates using join point regression at Charlotte Maxeke Johannesburg (CMJAH) and Chris Hani Baragwaneth (CHBAH) Academic Hospitals from 1 January 2005–31 December 2019 and conducted a comparative study of OVD (n = 179) and normal delivery (n = 179). Over the 15-year study period (2005–2019), 323,617 deliveries and 4391 OVDs were conducted at CHBAH giving an OVD rate of 1.36 per 100 births. In CMJAH, 74,

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B., Jeyamani, and Nashreen Dhasleema A. "Fetomaternal outcome in operative vaginal delivery." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 11 (2021): 4096. http://dx.doi.org/10.18203/2320-1770.ijrcog20214314.

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Background: Operative vaginal deliveries (OVD) were performed with the help of vacuum or forceps in the second stage of labor when mother and foetus condition is threatening. A successful assisted vaginal delivery avoids caesarean section and its associated morbidity and implications for future pregnancy. The aim of the study was to assess the maternal and neonatal outcome of vacuum and forceps assisted vaginal deliveries.Methods: It was a retrospective comparative cross sectional study done in VMKVMCH, Salem in obstetrics and gynecology department, from the period of April to June 2021. All t

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Krizman, Erin, Patricia Grzebielski, Kathleen M. Antony, et al. "Operative Vaginal Delivery Is a Safe Option in Women Undergoing a Trial of Labor after Cesarean." American Journal of Perinatology Reports 09, no. 02 (2019): e190-e194. http://dx.doi.org/10.1055/s-0039-1692482.

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Objective To compare outcomes of operative intervention in the second stage of labor during trial of labor after cesarean (TOLAC). Study Design A secondary analysis of the Maternal-Fetal Medicine Units Network cesarean section registry was conducted. Analysis was by first attempted mode of delivery. Results A total of 1,837 met inclusion criteria. Subjects in the operative vaginal groups (OVDs) were more likely to have a prior vaginal delivery (vacuum 34.2%; forceps 34.3%) than the repeat cesarean delivery (RCD) group (22.6%; p < 0.0001). Most OVD attempts were successful (forceps 90.4%; va

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Ayala-Yáñez, Rodrigo, Paulette Bayona-Soriano, Arturo Hernández-Jimenez, Alejandra Contreras-Rendón, Paulina Chabat-Manzanera, and Roberto Nevarez-Bernal. "Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population." Journal of Pregnancy 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/489267.

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Objective. Assessment of the frequency of complications observed with various forceps and operative vaginal delivery (OVD) techniques performed at the ABC Medical Center (Mexico City) to evaluate their safety, bearing in mind the importance of decreasing our country’s high cesarean section incidence.Methods. We reviewed 5,375 deliveries performed between the years 2007 and 2012, only 146 were delivered by OVD. Results. Only 1.0% of the cases had a serious, life-threatening situation (uterine rupture). The Simpson forceps was the most favored instrument (46%) due to its simplicity of use, effec

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Berhan, Yifru, Sisay Kirba, and Achamyelesh Gebre. "Still No Substantial Evidence to Use Prophylactic Antibiotic at Operative Vaginal Delivery: Systematic Review and Meta-Analysis." Obstetrics and Gynecology International 2020 (May 19, 2020): 1–10. http://dx.doi.org/10.1155/2020/1582653.

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Background. Postpartum maternal infection is still a common problem worldwide, mainly due to obstetric risk factors. The use of prophylactic antibiotic at operative vaginal delivery (OVD), taking it as a standalone risk factor, has been controversial. The purpose of this review was to rigorously evaluate the association of OVD with postpartum infection and shed light on such highly controversial issue. Methods. A computer-based literature search was done mainly in the databases of PUBMED, HINARI health research, and the Cochrane library. Systematic review and meta-analysis were done by includi

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Perone, Nicola. "Advanced technology in obstetric education: a high-fidelity simulator for operative vaginal delivery." Journal of Perinatal Medicine 47, no. 9 (2019): 932–40. http://dx.doi.org/10.1515/jpm-2019-0183.

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Abstract A high-fidelity simulator is described here, specifically designed for vacuum extraction and forceps delivery training. The main purpose behind its development is to remedy the current limited opportunity for training in operative vaginal delivery (OVD), making it easier for young obstetricians to become proficient in this important area of obstetrics. Its introduction into teaching hospitals and academic departments may also help older obstetricians maintain their own competence during periods of inactivity, ensuring patient safety.

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Butler, Katherine, Meenakshi Ramphul, Clare Dunney, et al. "A prospective cohort study of the morbidity associated with operative vaginal deliveries performed by day and at night." BMJ Open 4, no. 10 (2014): e006291. http://dx.doi.org/10.1136/bmjopen-2014-006291.

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ObjectiveTo evaluate maternal and neonatal outcomes associated with operative vaginal deliveries (OVDs) performed by day and at night.DesignProspective cohort study.SettingUrban maternity unit in Ireland with off-site consultant staff at night.PopulationAll nulliparous women requiring an OVD with a term singleton fetus in a cephalic presentation from February to November 2013.MethodsDelivery outcomes were compared for women who delivered by day (08:00–19:59) or at night (20:00–07:59).Main outcome measuresThe main outcomes included postpartum haemorrhage (PPH), anal sphincter tear and neonatal

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S., Sahana Shankari, Nirmala Jaget, Sindhujha Sekar, and Hiremath P. B. "A study on feto-maternal outcome in instrument assisted vaginal deliveries." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 14, no. 5 (2025): 1520–23. https://doi.org/10.18203/2320-1770.ijrcog20251235.

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Background: Operative Vaginal delivery (OVD) is performed with either forceps or vacuum used in second stage labour when there is maternal or fetal distress. A successful instrument assisted vaginal delivery can reduce the incidence the incidence of caesarean rates and its associated morbidity and mortality. It can be effective and safe when applied according to the individual patients indications. Methods: A retrospective study was carried out in patients who has undergone instruments assisted vaginal delivery in SVMCH&RC during the year 2021-2023 and their data was obtained from medical

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Carter, Ebony B., Cheryl S. Chu, Zach Thompson, Methodius G. Tuuli, George A. Macones, and Alison G. Cahill. "Electronic Fetal Monitoring and Neonatal Outcomes when a Nuchal Cord Is Present at Delivery." American Journal of Perinatology 37, no. 04 (2019): 378–83. http://dx.doi.org/10.1055/s-0039-1679866.

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Objective This study aimed to determine the association between nuchal cord, electronic fetal monitoring parameters, and adverse neonatal outcomes. Study Design This was a prospective cohort study of 8,580 singleton pregnancies. Electronic fetal monitoring was interpreted, and patients with a nuchal cord at delivery were compared with those without. The primary outcome was a composite neonatal morbidity index. Logistic regression was used to adjust for confounders. Result Of 8,580 patients, 2,071 (24.14%) had a nuchal cord. There was no difference in the risk of neonatal composite morbidity in

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Role of intrapartum ultrasonography to predict mode of delivery/success rate of vaginal delivery." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 2 (2024): 23–28. https://doi.org/10.5281/zenodo.15371928.

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<strong>Abstract</strong> <strong>Objective:</strong> The study was conducted to find out the role of intrapartum trans-perineal ultrasound to predict vaginal delivery by measuring head-perineum distance and angle of progression along with other foetal parameters <strong>Materials and Methods:</strong> A prospective study was performed in 80 pregnant women at S.N Medical College, Agra over a period of one year. The study population included primigravid with singleton pregnancy with cephalic presentation with normal BMI in the first stage of labor at term pregnancy (≥ 37 weeks). Trans perine

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Al Riyami, Nihal, Manar Al Salmiyah, Durdana Khan, and Intisar Al Riyami. "Maternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center." Oman Medical Journal 36, no. 3 (2021): e263-e263. http://dx.doi.org/10.5001/omj.2021.61.

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Objectives: Our study sought to assess the maternal and neonatal outcomes of operative vaginal deliveries (OVDs) at Sultan Qaboos University Hospital (SQUH). We assessed the proportion of OVDs along with the proportion of maternal and neonatal outcomes of kiwi OmniCup vacuum, metal cup vacuum, and forceps deliveries. Methods: We conducted a retrospective cohort study in the Obstetrics and Gynecology Department at SQUH from June 2015 to March 2018. The hospital information system was utilized to obtain records of all women who delivered at SQUH by vacuum or forceps during the study period. We c

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Naeem, Amber, Nisa Mohsin, Anila Mujadid Qureshi, Aamna Salman, and Sarwat Memon. "Frequency of Urinary Stress Incontinence in Women after Vaginal Delivery." Pakistan Journal of Medical and Health Sciences 16, no. 6 (2022): 776–78. http://dx.doi.org/10.53350/pjmhs22166776.

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Introduction: Stress urinary incontinence is defined as involuntary loss of urine on physical exertion like coughing, sneezing, laughing or jumping. This condition in women is very distressing and it is usually kept disguised, so women remain untreated. This condition also causes feeling of inferiority and depression. There are different risk factors identified in causing urinary stress incontinence like constipation, traumatic and operative vaginal births, pelvic organ prolapse, abdominal mass, smoking, obesity, old age and menopause. The present study is design to know the actual magnitude o

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Kumar, Mahendra, and Preeti Pawar. "Delivering a female with missing cervix: a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 9 (2020): 3876. http://dx.doi.org/10.18203/2320-1770.ijrcog20203873.

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Authors received a case in our casualty, 26 years old, G2P1L1, with full term pregnancy, spontaneous conception, previous normal vaginal delivery, with labour pain. On evaluation, she was having uterine contraction, fetal heart rate normal, vitally stable, with no cervix on per speculum and per vaginal examination, with solid globular mass per rectum. She was shifted to emergency operation theatre with provisional diagnosis of uterine rupture or rectal perforation or pelvic mass. After delivering a live baby, uterus was intact, but there was an impacted mass in pouch of Douglas, it was a twist

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Hu, Lucile, Jose L. Diz Ferre, Chase Jackson, Jibran Ikram, and Sabry Ayad. "Management of complete heart block detected during labor: A case report." Saudi Journal of Anaesthesia 18, no. 4 (2024): 583–86. http://dx.doi.org/10.4103/sja.sja_253_24.

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Complete heart block in women of childbearing age is rare, and incidental diagnosis during pregnancy is more uncommon. Hence, there remain no well-established guidelines on the management of patients with complete heart block presenting in labor. Here, we present a 26-year-old full-term primigravida, with no known previous cardiac history, in active labor with asymptomatic bradycardia in the 30–40s unresponsive to atropine augmentation. After multidisciplinary consultation, the decision was to proceed with delivery as planned without indication for a temporary pacemaker. The patient successful

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Gräf, C., R. M. Sellei, S. Schrading, and D. O. Bauerschlag. "Treatment of Parturition-Induced Rupture of Pubic Symphysis after Spontaneous Vaginal Delivery." Case Reports in Obstetrics and Gynecology 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/485916.

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Parturition-induced rupture of pubic symphysis is an uncommon but severe complication of delivery. Characteristic symptoms are an immediate onset of suprapubic and/or sacroiliac pain within the first 24 hours postpartum, often accompanied by an audible crack. Diagnosis can be confirmed by imaging including X-ray, Magnet Resonance Imaging (MRI), and ultrasound. However, there is no consensus on the optimal therapy. Conservative treatment is predominantly used. It has been reported that, in cases of extreme symphyseal rupture with pelvic instability or persisting pain after conservative therapy,

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Djordjevic, M., Dusan Stanojevic, and S. Perovic. "Our experience of the use of Martius method to eliminate the vesicovaginal fistula." Acta chirurgica Iugoslavica 51, no. 3 (2004): 101–3. http://dx.doi.org/10.2298/aci0403101d.

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Sometimes after delivery, gynecological or other surgeries, radiological therapy, or destructions of vesico-vaginal septum due to the tumor or trauma, the unnatural communication between the bladder and vagina occurs. Those are fistulas that occur after the delivery (tocogenic) caused by the prolonged delivery or some obstetrics operations 1,2. Some fistulas are high, coming from the fundus of the bladder, medium, if they come just behind the trigonum of the bladder, and low, if they are in the level of trigonum and the neck of the bladder3. The purpose of this paper is to show the operative t

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Mathe, Priyanka, Manisha Meena, and Rekha Bharti. "An unusual case of delivery with central rupture of perineum and intact introitus." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 6 (2019): 2556. http://dx.doi.org/10.18203/2320-1770.ijrcog20192467.

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Most women experience some degree of tear during childbirth and in some these can be extensive. Obstetrics injuries contribute 0.5-15% of vaginal deliveries. Here authors present a case of 23-year-old primigravida who presented at Safdarjung hospital New Delhi, Delhi, India with complaint of pain in perineum and excessive bleeding per vaginum. On examination, introitus was intact and there was central rupture of perineum which involved anal sphincter proximally and rectal mucosa distally. Patient was shifted to operation theatre for exploration and repair. She received 2 units of blood transfu

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Blate, Moges Eriso, and Alemneh Tesfaye. "Dystocia: Surgical Management in Cow." Journal of Innovations in Medical Research 2, no. 4 (2023): 19–22. http://dx.doi.org/10.56397/jimr/2023.04.04.

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The cow’s inability to remove the fetus from the vagina is called dystocia. Maternal causes include malformed fetal-maternal ratio due to maternal pelvic stenosis and incomplete cervical dilatation. Animal immaturity is one of these reasons. This communication is designed to document the surgical treatment of dystocia and its effects on a term-pregnant three-year-old child. Vaginal delivery was attempted but failed due to the narrow mother’s pelvis. Surgical management relies on sterilization to prevent post-operative complications. 30 ml of 2% lidocaine hydrochloride was entered from the left

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Sheela, Wills G., Chellatamizh M., and Mohanambal M. "Critical analysis of surgical difficulties and postoperative morbidities of caesarean deliveries: a rural teaching hospital experiences in silk city, South India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 6 (2017): 2565. http://dx.doi.org/10.18203/2320-1770.ijrcog20172352.

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Background: Caesarean section is the delivery of a fetus through a surgical incision on the uterine wall after 28 weeks of gestation. Objectives of present study were to determine the caesarean section rate, to analyse surgical difficulties and post-operative morbidites in caesarean deliveries and to formulate modalities to reduce morbidity and to ensure safe motherhood.Methods: Retrospective analysis of caesarean deliveries in Shri Sathya Sai Medical College and Research Institute, Ammapettai from January 2015-2017. Total number of delivery in these two year were 494.Total vaginal delivery-21

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Nikolaou, Marinos, Maria Katsafarou, Georgios Papadocostakis, and Theodoros Katasos. "Intrapartum pubic symphysis diastasis in a primigravida woman." Hellenic Journal of Obstetrics and Gynecology 21, no. 1 (2022): 47–52. http://dx.doi.org/10.33574/hjog.0405.

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Pubic symphysis diastasis in pregnancy is a rare obstetric complication. A case of a 35 year old primigravid woman with severe pubic symphysis diastasis and sacroiliac joint relaxation during non-operative vaginal delivery is reported and the literature reviewed. The patient was successfully treated by open reduction and internal fixation with plate and screws. During a 5 year follow-up, the patient presented with no pain and complete recovery to pre-injury functional level. Early diagnosis and immediate intervention by pelvic stabilization and in severe cases surgical intervention are the key

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Zafreen, Farzana, Md Abdul Wahab, Mohsen Uddin Ahmed, Md Habibur Rahman, and Md Abdur Razzak. "Awareness about Normal Vaginal Delivery among Pregnant Women Attending at an Upazilla Health Complex." Journal of Armed Forces Medical College, Bangladesh 15, no. 1 (2020): 35–38. http://dx.doi.org/10.3329/jafmc.v15i1.48638.

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Introduction: Childbirth is a personal and individual journey that is different for every woman. Perception of the birth experience is thought to be influenced by many factors, the most significant of which may be the type of delivery. Normal vaginal delivery (NVD) is a natural process and cesarean section (CS) an operative process for child birth. Awareness regarding mode of delivery have a very important role for the future wellbeing of mother and child both. Objectives: To assess the awareness regarding normal vaginal delivery among pregnant women attending the out patients department

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Shrestha, Deepak, Babita Thapa, Shreyashi Aryal, Buddhi Kumar Shrestha, Balkrishna Kalakheti, and Kiran Panthee. "Successful Management of Quadruplet Pregnancy following Spontaneous Conception." Journal of Lumbini Medical College 4, no. 1 (2016): 46. http://dx.doi.org/10.22502/jlmc.v4i1.88.

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Introduction: When more than two fetuses simultaneously develop in the uterus, it is called higher order multiple pregnancy. The incidence of such pregnancies ranges from 0.01% to 0.07%.  Case report: We report a case of 26-year-old G2P1L0D2 with previous history of preterm vaginal twin delivery, diagnosed to have quadruplet pregnancy. She was admitted at 28 weeks of gestation for safe confinement. At 33 weeks of gestation, emergency cesarean section was conducted with outcome of two female and two male babies with quadriamniotic and quadrichorionic placenta, without any intra and

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Maglic, Rastko, Sladjana Mihajlovic, Bojana Ivic, et al. "Malignant postpartal gestational trophoblastic neoplasm: A rare appearance of equal ultrasonography and operative finding in uterine placental site trophoblastic tumor and choriocarcinoma." Vojnosanitetski pregled 77, no. 2 (2020): 229–32. http://dx.doi.org/10.2298/vsp170222050m.

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Introducton. Frequency of malignant gestational trophoblastic neoplasms (GTN) is estimated at 1.03 cases in 1,000 deliveries with 5 fold greater risk in patients younger than 20 and older than 40 years. Serum value of human chorionic gonadotropin is the most relevant parameter in diagnosis of GTN. In placental site trophoblastic tumor (PSTT), serum levels of chorionic gonadotropin do not have the same significance as they do in other malignant GTN. Definite diagnosis of PSTT is almost always confirmed by immunohistochemistry. Case report. In the course of just a few months (August 2016 to Janu

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Preis, Heidi, Brittain Mahaffey, Susmita Pati, Cassandra Heiselman, and Marci Lobel. "Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset." Annals of Behavioral Medicine 55, no. 3 (2021): 179–91. http://dx.doi.org/10.1093/abm/kaab005.

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Abstract Background High stress prenatally contributes to poor maternal and infant well-being. The coronavirus disease 2019 (COVID-19) pandemic has created substantial stress for pregnant women. Purpose To understand whether stress experienced by women pregnant at the beginning of the pandemic was associated with a greater prevalence of adverse perinatal outcomes. Methods Pregnant women across the USA aged ≥18 years old enrolled in a prospective cohort study during the pandemic onset (T1) in April–May 2020. This report focuses on the 1,367 participants who gave birth prior to July–August 2020

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Qamar ur nisa and Erum Samreen Siddiqui. "Ruptured ectopic pregnancy in the rudimentary horn of a Unicornuate uterus. A case report." JMMC 11, no. 1 (2021): 33–35. http://dx.doi.org/10.62118/jmmc.v11i1.123.

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Ectopic pregnancy in rudimentary horn of a Unicornuate uterus is a very rare phenomenon, and usually presents in second trimester with rupture and hemoperitoneum. Diagnosis before its rupture is very challenging. We are presenting a case report of ruptured ectopic pregnancy in rudimentary horn of a Unicornuate uterus. A 26 years old gravida 4 para 2 with one early miscarriage, having first vaginal delivery and second delivery by Caesarean section due to fetal distress, presented in emergency with 4 months amenorrhea, severe lower abdominal pain for 2 days and signs and symptoms of shock.

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Link, Gerold, I. Meinhold-Heerlein MD, PhD, JB Zimmer MD, Tatiana Pfiffer Favero MD, Thilo Schwandner MD, PhD, and Giovanni Favero MD, PhD. "Preventive strategies and surgical solutions for the treatment of prolapse disorders: new findings and old insights." Obstetrics & Gynecology International Journal 15, no. 6 (2024): 297–306. https://doi.org/10.15406/ogij.2024.15.00775.

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Background: Diseases of the female pelvic floor, ranging from genital descensus to prolapse, are benign conditions that increase with advancing age and can lead to a reduction in quality of life that requires treatment. The topic of this review concerns the historical development of preventive and therapeutic surgical options in the management of pelvic organ prolapse. Method: Selective literature research of reviews, original papers, (German / European) guidelines and current textbooks based on personal experience and perspectives. Results: The incidence of prolapse disorders will probably do

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Akhter, Shamima, Mst Mahbuba, Nusrat Ara Yusuf, Munirunnessa, and Nasrin Rosy. "Surgical Outcome of Hundred Vesico Vaginal Fistula Patients in National Fistula Centre." Bangladesh Medical Journal 48, no. 1 (2019): 39–43. http://dx.doi.org/10.3329/bmj.v48i1.50190.

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Vesico-vaginal fistula (VVF) is still a major global health problem.This study was performed to detect the surgical outcome of 100 VVF patients in National Fistula Centre. A descriptive cross sectional study was carried out among 100 VVF patients fulfilling the inclusion criteria admitted in the National Fistula Centre under the department of Obstetrics and Gynaecology during the study period of April, 2017 to September, 2017. During the period, 100 patients presented for surgical repair at a mean age of 28.7 years (SD7.1). Majority of them (49%) had a parity of one and 57% were less than 20 y

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Gehrich, Alan Paul, Edward McClellan, and Suzanne Gillern. "Surgical repair of an obstetric cloaca with review of the literature." BMJ Case Reports 14, no. 1 (2021): e234321. http://dx.doi.org/10.1136/bcr-2020-234321.

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A complete perineal wound breakdown of a fourth degree laceration leading to a cloaca is a rare but devastating complication of vaginal childbirth. A 32-year-old primiparous woman presented with an obstetric cloaca 4 months following delivery. She underwent preoperative evaluation and, following extensive counselling, elected to proceed with operative repair. The procedure is presented in 15 well-defined steps with photos. The repair was performed in standard fashion with three supplementary steps. These included: (1) division of the rectovaginal tissue into three distinct layers; (2) attachme

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Leelapalli, Anusha, and Barsha Priyadarshinee. "Ultrasound evaluation of caesarean section uterine scar and its correlation to intraoperative scar thickness." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 13, no. 10 (2024): 2730–36. http://dx.doi.org/10.18203/2320-1770.ijrcog20242803.

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Background: The number of caesarean sections performed has skyrocketed in recent decades. The most frequent indication for a caesarean section is a previous caesarean birth. The goal of the current study was to compare the lower uterine scar thickness in pregnant with history of previous caesarean delivery as determined by sonography with the actual scar condition at the time of surgery. Methods: The study involved 100 pregnant women between gestational age of 35 completed weeks and 38 weeks with history of previous caesarean delivery and were attended to OPD for antenatal checkups in the depa

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Mekoria, Endale, Jabessa Dhaba, and Mohammedkemal M. Ame. "A Case Report on Surgical Management of Dystocia in Heifers Due to Narrow Pelvis and Immaturity." Veterinary Medicine – Open Journal 7, no. 1 (2022): 12–15. http://dx.doi.org/10.17140/vmoj-7-162.

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Narrow pelvis is characterized as an insufficient maternal bony pelvis that does not allow for fetal transit due to a variety of factors. Animal immaturity is one of these reasons. This communication was written with the goal of documenting surgical management of dystocia and its impact on a two-year-old heifer who was with a full-term pregnancy. A vaginal delivery was tried but failed due to the narrow maternal pelvis. To avoid any post-operative problems, the surgical management was carried out under strict aseptically. A volume of 30 ml 2% Lidocaine Hydrochloride was infiltrated on left fla

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S., Saeed Mahabat, Mohammed Atiya K., and Azeez Rowshan J. "Pregnancy Outcome in Ladies Aged 40 Years and Above." International Journal of Sciences Volume 5, no. 2016-06 (2016): 70–79. https://doi.org/10.5281/zenodo.3349219.

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Many women today are delaying childbearing until the fourth decade of life. The reasons for these delays are multiple and include pursuance of professional careers and delaying of marriage. To study the impact of the maternal age on pregnancy outcome in ladies ≥40 years old. This is a prospective observational case control study conducted at Sulaimania Maternity Teaching Hospital. Time of data collection was from 1st of December 2013 to the 1st of June 2014. A total of 300 women were included in the study, 150 cases aged 40 and above as a study group and 150 cases aged 20-29 as a control group

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Terro, Jad, Bilal El-Chamaa, Sary Abdallah, et al. "A Case Report Wandering Spleen in a Young Primiparous Woman Treated by Laparoscopic Splenectomy: A Case Report." International Journal of Clinical Research 1, no. 1 (2020): 29–33. http://dx.doi.org/10.38179/ijcr.v1i1.17.

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Background: Wandering spleen (WS) is an uncommon splenic disorder defined as the displacement of the spleen from its usual anatomical position. It is most prevalent in females in their reproductive age. It can be encountered incidentally or may present with symptoms. Risks of complications exist and vary with the presentation. Several imaging techniques are able to define it clearly preoperatively. Laparoscopic surgery is the definitive diagnostic and therapeutic method. Case Report: A 24-year-old pregnant female patient presented to the Emergency Department complaining of intermittent dull ab

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Dahiya, Soniya, Pushpa Dahiya, Shweta Jain, and Sunita . "One step conservative surgery: an approach to manage placenta accreta spectrum." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 7 (2021): 2884. http://dx.doi.org/10.18203/2320-1770.ijrcog20212685.

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The incidence of placenta accreta spectrum (PAS) has been arisen over past few decade, attributed to increasing caesarean section rate from 1:2500 to 1:500. Caesarean hysterectomy cases are increasing to prevent morbidity and mortality in PAS. The conservative approach for PAS is to prevent postpartum hemorrhage and to preserve the uterus. We present a case of placenta accreta spectrum where we had done one step conservative surgery. A 35year old woman G3P2A0 with 32 weeks of twin pregnancy with previous caesarean section with complaints of premature rupture of membrane was admitted in emergen

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Yadav, Sunita, Susheela Chaudhary, and Vani Malhotra. "Uterine rupture at the fundus during labor: A case report." Indian Journal of Obstetrics and Gynecology Research 8, no. 4 (2021): 577–79. http://dx.doi.org/10.18231/j.ijogr.2021.118.

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Uterine rupture is a rare but catastrophic complication seen in obstetrical practice. The most crucial predisposing factor is previous caesarean scar and it is generally being reported during labor in patients with scarred uterus. Although rare, rupture of an unscarred uterus is one of the most terrible obstetric complications, resulting in maternal and fetal jeopardy. Shoulder dystocia is one of the most difficult complications of labour that is unpredictable and therefore unpreventable. In neglected cases, grave maternal complications like obstructed labour and rupture of uterus can occur. V

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NGCL, Samarawickrama, Pathiraja R, Gunasekara D, and Withanathantrige MR. "Meconium - Stained Amniotic Fluid in Labour – its Significance and Correlation to Early Maternal and Neonatal Outcome – A Prospective Case Control Study in A Tertiary Care Center." International Journal of Research and Innovation in Social Science 06, no. 05 (2022): 391–97. http://dx.doi.org/10.47772/ijriss.2022.6520.

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Background: Meconium-stained amniotic fluid (MSAF) is a well-known factor which associated with significant adverse pregnancy outcomes. Meconium Aspiration Syndrome (MAS) occurs in about 5% of deliveries with MSAF and death occurs in about 12% of infants with MAS. The significance of meconium claimed to be varied from being entirely physiological, which exhibits sign of fetal maturity, to a sign of fetal distress as a response to hypoxic insult to the foetus. This study was carried out in a tertiary care centre; with the aim of detecting the significance of MSAF. Additionally, this study compa

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Orsi, Michele, Giuseppe Cappuccio, Hayato Kurihara, et al. "Three-Dimensional Transperineal Ultrasound Guiding Early Secondary Repair of Obstetric Anal Sphincter Injury in an Incontinent Patient without Suture Dehiscence." Diagnostics 14, no. 1 (2023): 68. http://dx.doi.org/10.3390/diagnostics14010068.

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We present the case of a 36-year-old primigravida who gave birth to a 3200 g baby by vacuum-assisted (Kiwi OmniCup™) operative vaginal delivery with mediolateral episiotomy. A “y”-shaped perineal tear with a grade IIIC obstetric anal sphincter injury (OASI) was diagnosed and repaired. Two days after delivery, in the absence of suture dehiscence, she started experiencing complete anal incontinence. A decision was made in association with a proctologic surgeon for an early secondary repair. Before surgery, a Three-dimensional transperineal ultrasound (TPUS) was performed. The exam revealed a maj

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Yeomans, E. R. "Operative Vaginal Delivery." Obstetric Anesthesia Digest 31, no. 2 (2011): 80–81. http://dx.doi.org/10.1097/01.aoa.0000397108.64933.c7.

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Gimovsky, Alexis C., and Nancy D. Gaba. "Operative Vaginal Delivery." Postgraduate Obstetrics & Gynecology 32, no. 4 (2012): 1–5. http://dx.doi.org/10.1097/01.pgo.0000413184.45880.c9.

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&NA;. "Operative Vaginal Delivery." Postgraduate Obstetrics & Gynecology 32, no. 4 (2012): 6. http://dx.doi.org/10.1097/01.pgo.0000413185.99244.a2.

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Horan, Maebh A., and Deirdre J. Murphy. "Operative vaginal delivery." Obstetrics, Gynaecology & Reproductive Medicine 26, no. 12 (2016): 358–63. http://dx.doi.org/10.1016/j.ogrm.2016.09.003.

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Yeomans, Edward R. "Operative Vaginal Delivery." Obstetrics & Gynecology 115, no. 3 (2010): 645–53. http://dx.doi.org/10.1097/aog.0b013e3181cfbefd.

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