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1

Stout, Molly, Candice Woolfolk, Methodius Tuuli, George Macones, Alison Cahill, and Janine Rhoades. "Normal Cervical Effacement in Term Labor." American Journal of Perinatology 36, no. 01 (2018): 034–38. http://dx.doi.org/10.1055/s-0038-1645858.

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Objective To estimate the natural history of cervical effacement in labor. Study Design This is a retrospective cohort study of term, vertex, singletons who reached 10 cm of cervical dilation from 2010 to 2014. Interval-censored regression was used to estimate the median number of hours between changes in effacement (measured in centimeters of the residual cervix) and to estimate the median effacement at a given cervical dilation. Analysis was stratified by parity and labor type. Results In total, 7,319 patients were included. Multiparas had faster effacement from 1 cm to complete effacement t
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Galzie, Saniyah Khan, and Smitha B. Rao. "Cervical effacement, as an independent parameter versus modified bishop score, for predicting the favorability of vaginal delivery in a primigravida at 40 weeks gestation and beyond." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 5 (2020): 1831. http://dx.doi.org/10.18203/2320-1770.ijrcog20201486.

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Background: Dr. Edward Bishop developed the original bishop score. He concluded that elective induction in multiparous women was successful with a score > 8. Calder introduced the modified bishop score in which he replaced cervical effacement with cervical length in cms. Score of 6-12 is favourable. In this study, studied the cervical effacement/ length as an independent predictor of vaginal delivery in a primigravida.Methods: A retrospective observational study was conducted from May 2018 to January 2019. Total participants were divided into two groups on the basis of spontaneous labor and
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Leppert, Phyllis C. "Cervical Softening, Effacement, and Dilatation." Journal of Maternal-Fetal and Neonatal Medicine 1, no. 4 (1992): 213–23. http://dx.doi.org/10.3109/14767059209161921.

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Rhoades, Janine S., Molly J. Stout, Kimberly A. Roehl, Methodius G. Tuuli, George A. Macones, and Alison G. Cahill. "740: Normal cervical effacement in labor." American Journal of Obstetrics and Gynecology 216, no. 1 (2017): S430. http://dx.doi.org/10.1016/j.ajog.2016.11.1017.

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Huber, Ambros, Gernot Hudelist, Klaus Czerwenka, Peter Husslein, Ernst Kubista, and Christian F. Singer. "Gene Expression Profiling of Cervical Tissue During Physiological Cervical Effacement." Obstetrics & Gynecology 105, no. 1 (2005): 91–98. http://dx.doi.org/10.1097/01.aog.0000146636.61611.e3.

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Study of evaluation of cervical scoring in prediction of labour and it's outcome - An observational study." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 3 (2024): 73–78. https://doi.org/10.5281/zenodo.15407655.

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<strong>Abstract</strong> <strong>Background: </strong>Cervix plays major role in childbirth. The sign of onset of labour are painful uterine contraction, slight mucus mixed bleeding the 'show', dilatation and effacement of cervix and formation of bag of membranes. Bishop score is quantifiable method used to predict labour induction outcome which includes cervical dilatation, effacement, head station, consistency and position of cervix. A Bishop score of 9 conveys a high likelihood for successful induction. <strong>Methods:</strong> The present study was carried out in Department of Obstetrics
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Shehzadi, Huma, Abeera Choudry, Fatima Mehmood, Tahira Riaz, Sadaf Shafique, and Zahra. "Obstetrical Variables Leading to Successful Vaginal Birth After a Cesarean Section in a Tertiary Care Hospital of Pakistan." Pakistan Armed Forces Medical Journal 75, SUPPL-2 (2025): S345—S350. https://doi.org/10.51253/pafmj.v75isuppl-2.9776.

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Objectives: To determine the frequency of vaginal birth and association of it with obstetrical factors that led to successful vaginal delivery after a previous one cesarean section in a tertiary care hospital. Study Design: Cross-sectional study. Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan, from Apr to Sep 2022. Methodology: A total of 340 pregnant females who fulfilled the selection criteria were enrolled after written informed consent. All patients underwent a trial of labor and were followed till the delivery of the baby. Obstetrical factors were noted d
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El-Naggar, Ramy Mohamed, Ahmed Nagy Shaker, Mohamed Attia Raslan, and Heba Rady El-Bassyouny. "Isosorbide mononitrate for preinduction cervical ripening at or post-term pregnancy: randomised placebo-controlled clinical trial." Gynecology and Obstetrics Clinical Medicine 5, no. 1 (2025): e000064. https://doi.org/10.1136/gocm-2024-000064.

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IntroductionEffective labour induction is marked by the onset of uterine contractions, progressive cervical dilation, and effacement, culminating in a vaginal birth without maternal or fetal complications. The success of induction largely depends on cervical ripening. Isosorbide mononitrate (ISMN), a nitric oxide donor, has shown potential for cervical ripening, facilitating labour induction by promoting cervical softening, effacement and dilation. This study evaluates the efficacy and safety of ISMN for cervical ripening before labour induction at term or post-term.MethodsIn this double-blind
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Malapati, Radha, Yen N. Vuong, and Tuan M. Nguyen. "Reporting cervical effacement as a percentage: How accurate is it?" Open Journal of Obstetrics and Gynecology 03, no. 07 (2013): 569–72. http://dx.doi.org/10.4236/ojog.2013.37102.

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Huhn, Kathleen A., and Brian C. Brost. "Accuracy of simulated cervical dilation and effacement measurements among practitioners." American Journal of Obstetrics and Gynecology 191, no. 5 (2004): 1797–99. http://dx.doi.org/10.1016/j.ajog.2004.07.062.

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Sohan, Karen, Rebecca Wiggins, and Peter Soothill. "Cervical physiology in pregnancy and labour." Fetal and Maternal Medicine Review 11, no. 3 (1999): 135–41. http://dx.doi.org/10.1017/s0965539599000339.

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The uterine cervix is a remarkable structure, which plays an essential role in pregnancy. During the development of the conceptus within the uterus, the cervix usually remains firmly closed to ensure that the developing fetus attains an appropriate degree of maturity to permit extra-uterine survival. On the other hand, it prepares for labour and birth, by undergoing a process of effacement, whereby the substance of the cervix shortens and thins out. During labour, it must be stretched and dilated to a sufficient diameter, usually about 10cm at term, to allow the successful passage of the fetus
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12

Langen, Elizabeth S., Steven J. Weiner, Steven L. Bloom, et al. "Association of Cervical Effacement With the Rate of Cervical Change in Labor Among Nulliparous Women." Obstetrics & Gynecology 127, no. 3 (2016): 489–95. http://dx.doi.org/10.1097/aog.0000000000001299.

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Langen, Elizabeth. "307: The role of cervical effacement in predicting the rate of cervical change in labor." American Journal of Obstetrics and Gynecology 208, no. 1 (2013): S138—S139. http://dx.doi.org/10.1016/j.ajog.2012.10.472.

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Phelps, John Y., Nicholas Lambrou, and Daniel Roshanfekr. "Accuracy and intraobserver variability of simulated cervical dilatation and effacement measurements." Primary Care Update for OB/GYNS 5, no. 4 (1998): 185. http://dx.doi.org/10.1016/s1068-607x(98)00102-4.

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Glover, Angelica V., Ashley N. Battarbee, Cynthia Gyamfi-Bannerman, et al. "Association Between Features of Spontaneous Late Preterm Labor and Late Preterm Birth." American Journal of Perinatology 37, no. 04 (2019): 357–64. http://dx.doi.org/10.1055/s-0039-1696641.

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Abstract Objective This study aimed to evaluate the association between clinical and examination features at admission and late preterm birth. Study Design The present study is a secondary analysis of a randomized trial of singleton pregnancies at 340/7 to 365/7 weeks' gestation. We included women in spontaneous preterm labor with intact membranes and compared them by gestational age at delivery (preterm vs. term). We calculated a statistical cut-point optimizing the sensitivity and specificity of initial cervical dilation and effacement at predicting preterm birth and used multivariable regre
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Yehia, Amera, and Hala Alansary. "Role of adding Isosorbide-5-Mononitrate to misoprostol in Induction of the second trimesteric abortion, a randomized controlled trial." Obstetrics & Gynecology International Journal 11, no. 4 (2020): 202–6. http://dx.doi.org/10.15406/ogij.2020.11.00510.

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Objective: To compare the therapeutic efficacy of prostaglandins when they used alone versus a combination therapy of prostaglandins and a nitric oxide (NO) donor as isosorbide-5-mononitrate to induce cervical ripening and effacement for induction of the second trimester missed abortion and occurrence of complete abortion. Methods: A Randomized clinical trial study in which 160 Second trimester (13-26weeks) missed abortion pregnant women admitted for medical induction of abortion, were randomly divided into two group (80 patients in each). One group received only vaginal Misoprostol and the ot
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17

Schwartz, Joel, Henry Galan, Niki Istwan, Debbie Rhea, Gary Stanziano, and John Hobbins. "The impact of cervical effacement on pregnancy prolongation in singleton gestations with cervical dilation of 1cm." American Journal of Obstetrics and Gynecology 189, no. 6 (2003): S174. http://dx.doi.org/10.1016/j.ajog.2003.10.419.

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Lin, Muh-Shi, Woon-Man Kung, Wen-Ta Chiu, Rong-Kuo Lyu, Chi-Jen Chen, and Tzu-Yung Chen. "Hirayama disease." Journal of Neurosurgery: Spine 12, no. 6 (2010): 629–34. http://dx.doi.org/10.3171/2009.12.spine09431.

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Object Controversy exists over the choice of surgical candidates and prognosis of Hirayama disease. The purpose of this study was to examine the outcomes of patients with cervical flexion myelopathy who received surgical treatment. Methods A retrospective study was conducted. From May 2002 through December 2006, 6 young patients with cervical flexion myelopathy were seen in the Department of Neurosurgery at Chang Gung Memorial Hospital. The neurological and radiological findings in all 6 patients met the criteria for Hirayama disease. All patients had evidence of a tight dural canal or forward
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Tanacan, Atakan, Gokcen Orgul, Ahmet Bülent Dogrul, Fatih Aktoz, Osman Abbasoglu, and M. Sinan Beksac. "Management of a Pregnancy with a Solid Pseudopapillary Neoplasm of the Pancreas." Case Reports in Obstetrics and Gynecology 2018 (2018): 1–3. http://dx.doi.org/10.1155/2018/5832341.

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A 26-year-old primigravid patient, at 35 weeks and 2 days of gestation, was referred to Hacettepe University Hospital for pancreatic mass, giant cervical myoma, maternal systemic lupus erythematosus, thrombocytopenia, and onset of preterm labor. At 36 weeks and 1 day of gestation (6 days after admission to the hospital), regular uterine contractions started and cervical dilatation with effacement was observed. Because of breech presentation and giant cervical myoma, a cesarean section was performed on the primigravid patient under general anesthesia. Four months after the birth, subtotal pancr
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20

Pastore, Lisa M., Katherine E. Hartmann, John M. Thorp Jr., Rachel A. Royce, Tracy P. Jackson,, and David A. Savitz. "BACTERIAL VAGINOSIS AND CERVICAL DILATION AND EFFACEMENT AT 24-29 WEEKS' GESTATION." American Journal of Perinatology Volume 17, Number 02 (2000): 083–88. http://dx.doi.org/10.1055/s-2000-9275.

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Shashi Bharti, Sushma, and Vidya Sagar Ram. "Exploring the Ayurvedic Practice of Potaki Taila Pichu for Labor Facilitation among Rural Women in Northern Indi." Journal of Ayurveda and Integrated Medical Sciences 9, no. 4 (2024): 40–45. http://dx.doi.org/10.21760/jaims.9.4.6.

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Introduction: Childbirth is a profound experience in a woman's life, emphasizing the importance of promoting natural birthing processes to minimize discomfort and medical intervention. Ayurveda, an ancient holistic medical system, advocates for safe motherhood through herbal interventions like Potaki (Basella alba) Taila Pichu, which aims to alleviate imbalances in Apana Vayu and facilitate smooth labor. Methods: This study evaluated the efficacy of Potaki Taila Pichu in promoting easier labor by assessing its impact on cervical dilation and effacement. Sixty pregnant women meeting inclusion c
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Sinhasane, Hema, and Nishty GM. "A comparative study on the efficacy of drotaverine and valethamate on cervical dilatation during labour." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 2 (2017): 423. http://dx.doi.org/10.18203/2320-1770.ijrcog20170017.

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Background: The most common cause of prolonged first stage of labour is cervical spasm leading to cervical dystocia. Many times it is observed that inspite of good uterine contractions; cervix fails to dilate or dilates very slowly. This is functional cervical dystocia.Methods: On admission detailed history was taken, complete general physical examination was made. Careful obstetric examination confirmed the lie, presentation, position of the foetus and FHP. Vaginal examination was made and the state of cervix (Dilatation, consistency and effacement) station of the vertex and type and adequacy
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Malapati, R., Y. Vuong, and T. M. Nguyen. "P32.11: Reporting cervical effacement as a percentage: is it time for a change?" Ultrasound in Obstetrics & Gynecology 40, S1 (2012): 304. http://dx.doi.org/10.1002/uog.12233.

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Yildiz, Ayse Gizem, Mujde Can Ibanoglu, Serap Topkara Sucu, and Ali Turhan Çaglar. "Uterocervical and Posterior Cervical Angle Compared with Cervical Length and Bishop’s Score as Predictors of Labor Induction in Singleton Pregnancies: A Prospective Study." Archives of Obstetrics and Gynaecology 5, no. 4 (2024): 145–53. https://doi.org/10.33696/gynaecology.5.074.

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Aim: To investigate the efficacy of uterocervical angle, posterior cervical angle, Bishop score and cervical length in predicting the success of labor induction in nulliparous patients during labor. Methods: Our study was prospectively conducted on patients admitted to Etlik Hospital between November 2022 and June 2023 who opted for induction of labor. The mothers were between 18 and 40 years old, nulliparous and carrying a single live fetus with vertex between 37 and 41 weeks of gestation. 140 patients who met the criteria were examined by transvaginal sonography and digital cervical examinat
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Benatar, Michael. "Clinical Equipoise and Treatment Decisions in Cervical Spondylotic Myelopathy." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 34, no. 1 (2007): 47–52. http://dx.doi.org/10.1017/s0317167100005771.

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Objective:The primary objective of this study is to evaluate clinician attitudes towards the treatment of cervical spondylotic myelopathy (CSM) in order to determine whether clinical equipoise exists for a segment of this patient population. The secondary objective is to examine the factors that influence treatment decisions.Methods:Cross-sectional internet-based survey of neurologists, neurosurgeons and orthopedic surgeons.Results:Between 40-60% of respondents recommended surgery for (1) patients with minimal or no symptoms, but incidentally discovered increased T2 signal within the cervical
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Abd El-Hady Ismail Abdullah, Hossam, Yousry Omar Salim Al-Maraghi, Ahmed Hashim Mohammed, and Osama Abd El-Azem. "EFFECT OF HYOSCINE-N-BUTYL BROMIDE ON CERVICAL EFFACEMENT AND DILATION DURING NORMAL LABOR." Al-Azhar Medical Journal 50, no. 3 (2021): 1723–34. http://dx.doi.org/10.21608/amj.2021.178264.

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Muhammad, Usman Rasheed Dr. Muhammad Azfar Maqsood Hira Tariq Chaudhary. "EFFICAY OF PHLOROGLUCINOL IN COMPARISON TO THE PLACEBO AT THE FIRST ACTIVE STAGE OF LABOUR." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 12 (2018): 13690–96. https://doi.org/10.5281/zenodo.1690019.

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<strong><em>Objectives: </em></strong><em>The objective of this research is the comparison of phloroglucinol to placebo in terms of mean duration of active first-stage of labour.</em> <strong><em>Materials &amp; Methods: </em></strong><em>The study included sixty singletons pregnant patients having first-stage of uncomplicated labour, of (18 &ndash; 40) age group. Obstetrical/surgical complications, multiple pregnancies, heart-rhythm abnormality, asthma, and heart failure was the study&rsquo;s exclusion criteria. Patients were divided into group A of spasfon/</em><em>phloroglucinol and B of pl
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Rimsza, Rebecca R., Jeannie C. Kelly, Antonina I. Frolova, et al. "The impact of cervical effacement at time of amniotomy in patients undergoing induction of labor." American Journal of Obstetrics and Gynecology 226, no. 1 (2022): S612—S613. http://dx.doi.org/10.1016/j.ajog.2021.11.1009.

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Larsen, Stephen, and Christian Junghanss. "Chronic fatigue syndrome in patient with ALK-positive anaplastic large cell lymphoma." American Journal of BioMedicine 8, no. 1 (2020): 13–21. http://dx.doi.org/10.18081/2333-5106/016-4/75-80.

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Anaplastic large cell lymphoma (ALCL) is a rare type of NHL, and more common subtypes of T-cell lymphoma, we report a case of ALK-positive anaplastic large cell lymphoma preceded by long history of chronic fatigue syndrome. A 75-year-old patient recently developed cervical lymphadenopathy, pyrexia, weight loss, night sweats. Chest computed tomography scan showed widening of the superior mediastinum. Magnetic resonance imaging of the spine demonstrated spinal effacement at T7 raising the risk of cord compression. A lymph node biopsy showed positive anaplastic large cell lymphoma. Patient was tr
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Peralta, Laura, Francisca Molina, Juan Melchor, et al. "Transient Elastography to Assess the Cervical Ripening during Pregnancy: A Preliminary Study." Ultraschall in der Medizin - European Journal of Ultrasound 38, no. 04 (2015): 395–402. http://dx.doi.org/10.1055/s-0035-1553325.

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Abstract Purpose To explore the feasibility of transient elastography (TE) to quantify cervical stiffness changes during normal pregnancy and its spatial variability. Materials and Methods TE was used to quantify the cervical stiffness in four anatomical regions. 42 women between 17 and 43 years of age and at 6 – 41 weeks of gestation were studied. The stiffness was related to gestational age at the time of examination, interval from ultrasound examination to delivery and cervical length to evaluate the potential of TE to assess cervical ripening. In addition, a sensitivity analysis based on C
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Newman, R. B., J. M. Ellings, M. M. O'Reilly, B. C. Brost, M. C. Miller, and D. Gates. "Correlation of Antepartum Uterine Activity and Cervical Change in Twin Gestation." Acta geneticae medicae et gemellologiae: twin research 46, no. 1 (1997): 1–7. http://dx.doi.org/10.1017/s0001566000000702.

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Objective. To determine the correlation between quantitative measurements of antepartum uterine activity and cervical change twin gestations.Methods. Forty women from our Twin Clinic constituted the study group. Participants had a cervical examination each week between 20 and 37 weeks gestation and a cervical score (CS) was calculated as follows: CS = cervical length (cms)-cervical dilation (cms) at the internal os. The women also performed blinded home uterine activity monitoring (HUAM) for a mean of 7.0+3.0 hrs/wk (+SD). Uterine activity was expressed as mean number of contractions/hour/week
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Chawanpaiboon, Saifon, Vitaya Titapant та Julaporn Pooliam. "Placental α-microglobulin-1 in cervicovaginal fluid and cervical length to predict preterm birth by Thai women with symptoms of labor". Asian Biomedicine 15, № 3 (2021): 119–27. http://dx.doi.org/10.2478/abm-2021-0015.

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Abstract Background Presence of placental α microglobulin-1 (PAMG-1) in cervicovaginal fluid is a bedside test to predict preterm delivery. Objective To determine whether the accuracy of a positive PAMG-1 test result to predict preterm birth within 7 days and 14 days in our hospital setting can be improved by adding cervical length. Methods We recruited 180 pregnant women who attended the labor ward of Siriraj Hospital, Thailand, from 2016 to 2018 for this prospective observational study of diagnostic accuracy. We used data from 161 women who met inclusion criteria including symptoms of preter
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Wu, WX, GC Smith, J. Rose, and PW Nathanielsz. "Characterization of the concentration gradient of prostaglandin H synthase 2 mRNA throughout the pregnant baboon uterus." Journal of Endocrinology 182, no. 2 (2004): 241–48. http://dx.doi.org/10.1677/joe.0.1820241.

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The present study was designed to determine the effect of the spatial gradient from the cervix to the uterine fundus on the control of local prostaglandin H synthase (PGHS) 2 mRNA expression. We performed total cesarean hysterectomies during the last trimester in 12 pregnant baboons, 7 not in labor and 5 in labor, and examined PGHS2 mRNA expression throughout the uterus. PGHS2 mRNA abundance was quantified by in situ hybridization and northern blot analysis in the uterine fundus, lower uterine segment and the different segments of the cervix. Quantitative northern blot and in situ analysis dem
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Hefila, Nermeen Mohamed. "Factors affecting time of spontaneous delivery of dichorionic diamniotic twin pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 8 (2021): 2961. http://dx.doi.org/10.18203/2320-1770.ijrcog20212941.

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Background: The incidence of twin pregnancy has markedly increased recently due to ART and advanced maternal age. The mother may also experience higher obstetrical morbidity and mortality rates. Aim of the work was to investigate factors affecting the time of spontaneous delivery in dichorionic diamniotic twin pregnancy to improve perinatal outcomes.Methods: The study was a cross-sectional study had been conducted at Elshatby university maternity hospital between October 2019 to May 2020 on 150 cases of dichorionc diamniotic twins pregnancy admitted for spontaneous delivery.History was taken f
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Sahoo, Ipsita, and Roshni Abichandani. "Role of mifepristone in preinduction cervical ripening and induction of labour at term: an observational study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 11 (2023): 3339–42. http://dx.doi.org/10.18203/2320-1770.ijrcog20233305.

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Background: Induction implies stimulation of uterine contractions before spontaneous onset of labour. It is indicated when the benefits to either mother or fetus outweigh those of pregnancy continuation. Of the various medical methods of induction, prostaglandins and oxytocin remain the most popular and acceptable methods in obstetric practice. Mifepristone is a steroid compound, with anti-progesterone activity. It increases uterine activity and causes cervical dilatation and effacement. We intend to study the role of oral mifepristone in preinduction cervical ripening and induction of labour
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Yadava, Pushpa A., Nausheen N. Gogia, Shital T. Mehta, Shashwat K. Jani, and Silkey Mittal. "Analysis of labour by modified WHO partograph in primigravida and multigravida term patients: an observational study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 6 (2022): 1762. http://dx.doi.org/10.18203/2320-1770.ijrcog20221454.

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Background: The World Health Organization (WHO) recommends the use of a partograph to follow labor and delivery, with the aim of improving health care and reducing maternal and foetal mortality. The partograph is a graphic representation of events of labour and is an effective visual resource for early detection of abnormal progress of labour and prevention of prolonged labour. The aim of this study is to use partograph to monitor labor, analyse cervical effacement and dilatation, uterine contraction, foetal presentation while avoiding uterine hypo-stimulation, hyperstimulation and reducing th
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Kaur, Khushpreet, Balwinder Kaur, Navneet Kaur, and Gagandeep Kaur. "Intra-cervical foley’s catheter or PGE2 gel for induction of labour: which one is better: a prospective study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 5 (2021): 1802. http://dx.doi.org/10.18203/2320-1770.ijrcog20211417.

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Background: Labour is clinically defined as the initiation and perpetuation of uterine contraction with goal of producing progressive cervical effacement and dilatation. The Foley’s catheter is an effective alternative to prostaglandins for cervical ripening/labour induction. Study was done to compare the efficacy of intracervical Foley’s catheter and PGE2 gel as a cervical ripening agent and to study maternal and fetal outcome in terms of mode of delivery and Apgar score.Methods: This randomized controlled study was conducted in Obstetrics and Gynaecology department, Government Medical Colleg
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Adhikari, Ram Chandra, Gita Sayami, Min Chul Lee, Ranga Bahadur Basnet, Pradeep Krishna Shrestha, and Hari Govinda Shrestha. "Kikuchi-Fujimoto Disease in Nepal: A Study of 6 Cases." Archives of Pathology & Laboratory Medicine 127, no. 10 (2003): 1345–48. http://dx.doi.org/10.5858/2003-127-1345-kdinas.

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Abstract Context.—Kikuchi-Fujimoto disease is a benign disorder, predominantly affecting young women with a predilection for cervical lymphadenopathy. Although the disease has been recognized worldwide, to our knowledge no cases have been reported previously from Nepal. Objectives.—To determine the prevalence of Kikuchi-Fujimoto disease in Nepal and to analyze clinicopathologic features. Methods.—We reviewed 6 cases of Kikuchi-Fujimoto disease recorded at 3 different hospitals in Nepal during a period from June 1998 to June 2002. Clinical data and histopathology are presented. Results.—This st
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Singh, Deeksha, and K. Bharathi. "EFFECT OF DASMOOL KWATH ASTHAPAN BASTI AND KEBUKA TAILA YONI PICHU IN SUKHAPRASAVA: A CASE SERIES." International Journal of Research in Ayurveda and Pharmacy 16, no. 1 (2025): 1–5. https://doi.org/10.7897/2277-4343.1611.

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Labour is a natural physiological process, but it can involve intense pain and deviations due to anatomical, physiological, or unidentified factors. These variations can lead to abnormal labour presentations. When labour is induced with oxytocin or prostaglandins, cervical dystocia may occur, intensifying uterine inertia. In Ayurveda, detailed guidelines for Prasava Paricharya (childbirth care) exist, emphasizing smoother, less painful labour (Sukhprasava). Acharyas recommend a specific regimen during the ninth month of pregnancy (Navama Masa Garbhini Paricharya) to facilitate an easy delivery
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KHAN, IKRAMULLAH, IK TIAR, and NOREEN SHEZADI. "MISSED ABORTION." Professional Medical Journal 17, no. 02 (2010): 295–99. http://dx.doi.org/10.29309/tpmj/2010.17.02.2433.

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Objective: To compare the effectiveness of extra-amniotic cervical catheter and vaginal misoprostol as a cervical priming agent prior to surgical evacuation in first trimester missed abortions. Design: Randomized clinical trial. Setting: At lady Willingdon hospital gynecology unit 1 from 1st March 2008 to 28th February 2009. Methods: 100 patients with diagnosis of missed abortions of up to 12 weeks + 6 days were studied. The primigravida were included. They were divided in two groups. In group. A (50) patients 400 microgram (2 tablet ) misoprostol were placed high up in posterior vaginal forni
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Quincy, Maria, Chunhua Weng, Steven Shafer, Richard Smiley, Pamela Flood, and Fadi Mirza. "Impact of Cervical Effacement and Fetal Station on Progress during the First Stage of Labor: A Biexponential Model." American Journal of Perinatology 31, no. 09 (2013): 745–52. http://dx.doi.org/10.1055/s-0033-1359721.

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Oktaavia, Dini Ria, Endah Sri Wulandari, and Faiqotul Muktamaroh. "HAND AND KNEE POSITION ON THE PROGRESS OF LABOR IN THE FIRST ACTIVE PHASE LABOR AT PMB SOESI HERAWATI KEPANJEN, MALANG DISTRICT." Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya 12, no. 2 (2024): 94. https://doi.org/10.20961/placentum.v12i2.84901.

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&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Abnormal labor patterns can occur during the active phase of labor, such as when cervical dilation takes longer than 6 hours, leading to prolonged labor, maternal and neonatal emergencies, or the need for a cesarean delivery. The hand-and-knee position can help rotate the fetus from a less ideal position (occipito-posterior) to a more favorable position (anterior), facilitating the baby's descent and speeding up cervical dilation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method:&lt;/strong&gt; This study was conducted on 20 women in active labor at PMB
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Rai, Rakhi, and Sulabha Joshi. "To compare the safety, efficacy and tolerance of intravaginal PGE 1 tab with intravaginal PGE 2 gel in induction of labour." Panacea Journal of Medical Sciences 7, no. 1 (2017): 31–34. https://doi.org/10.18231/2348-7682.2017.0009.

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Induction of labour is an intervention designed to artificially initiate uterine contractions leading to progressive dilatation and effacement of the cervix and birth of the baby. There are various methods of induction of labour. Locally applied PGs have been thought to be most physiological in initiating the process of labour by promoting both cervical ripening and myometrial contraction the present study was carried out to compare the efficacy, safety and tolerance of intravaginal misoprostol (PGE1) tablets with intravaginal dinoprostone (PGE2) gel for cervical ripening and labour induction
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Katz Eriksen, Jennifer L., Suchitra Chandrasekaran, and Shani S. Delaney. "Is Foley Catheter Use during a Trial of Labor after Cesarean Associated with Uterine Rupture?" American Journal of Perinatology 36, no. 14 (2019): 1431–36. http://dx.doi.org/10.1055/s-0039-1691766.

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Objective We sought to assess the safety of transcervical Foley catheter (TCF) placement for cervical ripening in women undergoing induction of labor (IOL) after prior cesarean by evaluating the risk of uterine rupture. Study Design We performed a secondary analysis of the Maternal-Fetal Medicine Unit's Cesarean Section Registry, a prospective observational cohort study. We included women with a history of ≤2 low-transverse cesarean deliveries who underwent IOL at ≥24 weeks of gestational age with a live singleton fetus without major anomalies. We excluded those who received prostaglandins or
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Massó, Paloma, Juan Melchor, Guillermo Rus, and Francisca Sonia Molina. "A Preliminary Study on the Safety of Elastography during Pregnancy: Hypoacusia, Anthropometry, and Apgar Score in Newborns." Diagnostics 10, no. 11 (2020): 967. http://dx.doi.org/10.3390/diagnostics10110967.

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Transient or acoustic radiation force elastography (ARFE) is becoming the most extended technology to assess cervical effacement, additionally to the Bishop test and conventional ultrasound. However, a debate on the fetal safety has been opened due to the high intensity focused beam emitted to produce shear waves. This work is aimed at providing preliminary data to assess clinical effects of fetal exposure. A follow-up study in newborns of 42 women exposed to ARFE during pregnancy was carried out to explore neonatal hypoacusia, Apgar test, and anthropometry. No hypoacusia cases attributable to
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Maroon, Joseph C., Jeffrey W. Bost, Anthony L. Petraglia, et al. "Outcomes After Anterior Cervical Discectomy and Fusion in Professional Athletes." Neurosurgery 73, no. 1 (2013): 103–12. http://dx.doi.org/10.1227/01.neu.0000429843.68836.91.

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Abstract BACKGROUND: Significant controversy exists regarding when an athlete may return to contact sports after anterior cervical discectomy and fusion (ACDF). Return-to-play (RTP) recommendations are complicated due to a mix of medical factors, social pressures, and limited outcome data. OBJECTIVE: The aim of this study was to characterize our diagnostic and surgical criteria, intervention, postoperative imaging results, and rehabilitation and report RTP decisions and outcomes for professional athletes with cervical spine injuries. METHODS: Fifteen professional athletes who had undergone a 1
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Tubbs, R. Shane, Marios Loukas, Joshua Dixon, and Aaron A. Cohen-Gadol. "Compression of the cervical internal carotid artery by the stylopharyngeus muscle: an anatomical study with potential clinical significance." Journal of Neurosurgery 113, no. 4 (2010): 881–84. http://dx.doi.org/10.3171/2010.1.jns091407.

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Object Occasionally, the internal carotid artery (ICA) may be symptomatically compressed in the neck by an elongated styloid process. The authors are unaware, however, of any study to date in which the aim was to describe the compression of this part of the ICA by surrounding muscles extending from the styloid process. Methods In 20 adult cadavers (40 sides), dissection of the cervical ICA was performed, with special attention given to the relationship between this artery and the stylopharyngeus muscle. In addition, rotation of the head was performed while observing for any compression of the
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Elmenam, Hend S. A., and Mohammed H. Farouk. "Bovine lactoferrin in preterm labor with sterile inflammation." Scientific Journal of Al-Azhar Medical Faculty, Girls 5, no. 2 (2021): 299–306. http://dx.doi.org/10.4103/sjamf.sjamf_63_21.

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Background Preterm delivery (PTD) that occurs before the 37th week of gestation complicates 10% of all pregnancies. Iron deficiency, iron-deficiency anemia, and inflammatory processes either related to infection or sterile inflammatory response represent risk factors for PTD (Genc and Ford, 2010). Bovine lactoferrin (BLF), an emerging important regulator of iron and inflammatory homeostasis, can represent a new therapeutic approach for PTD, with significant improvement of maternal serum interleukin 6 (IL-6) after oral administration. Aim The goal of the study was to evaluate the role of BLF in
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Lipi, Lutfa Begum, Nasima Begum, Ummum Khair Alam, Rounak Jahan, Mohammed Mizanur Rahman, and Ratu Rumana. "Study on role of magnesium Sulphate as a Tocolytic agent in preventing preterm labour." Journal of Dhaka Medical College 22, no. 2 (2015): 179–84. http://dx.doi.org/10.3329/jdmc.v22i2.21538.

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A prospective study was done to assess the effectiveness of magnesium sulphate therapy given to women in preterm labour with the aim preventing preterm birth and its sequel. The place of study was the Department of Obstetrics &amp; Gynecology, Sir Salimullah Medical College &amp; Mitford Hospital, Dhaka. The study population were all primi and multigravida with preterm labour admitted in the above mentioned hospital, from January to December, 2009. Gestational age, maternal pulse, blood pressure, temperature, urine output, respiratory rate, uterine contractions, cervical effacement, dilatation
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Acharya, Indira, Sumana Thapa, and Pushpa Chaudhary. "Efficacy and Safety of Sublingual versus Vaginal Misoprostol for Pre-induction Cervical Ripening among Primigravida." Medical Journal of Shree Birendra Hospital 17, no. 1 (2018): 18–24. http://dx.doi.org/10.3126/mjsbh.v17i1.17882.

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Introduction: Induction of labor is an intervention intended to artificially initiate uterine contractions resulting in progressive effacement and dilatation of the cervix. This is a common intervention during pregnancy in both industrialized and non-industrialized countries.Misoprostol is the commonly used induction agent. The objective of this study was to compare the efficacy of sublingual route of misoprostol with that of vaginal for pre-induction cervical ripening at term among Primigravida.Methods: This study was a hospital based cross sectional comparative study, conducted at a tertiary
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