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Quick versus standard vaginal birth when a baby is bottom-down | Cochrane

The best outcomes in childbirth for both mothers and babies are when babies are born head-first. If the baby is in another position, there is a higher risk of complications including the need for caesarean section. In a ‘breech presentation’ the unborn baby is bottom-down instead of head-down. This review looked for evidence about whether a quicker birth might be better in such cases.  
cochrane.org
over 4 years ago
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Planned caesarean section for term breech delivery | Cochrane

Babies are usually born head first. If the baby is in another position the birth may be complicated. In a ‘breech presentation’ the unborn baby is bottom-down instead of head-down. Babies born bottom-first are more likely to be harmed during a normal (vaginal) birth than those born head-first. For instance, the baby might not get enough oxygen during the birth. Having a planned caesarean may reduce these problems. We looked at evidence comparing planned caesarean sections and vaginal births at the normal time of birth.  
cochrane.org
over 4 years ago
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External cephalic version for breech presentation before term | Cochrane

Babies born bottom first (in the breech position) may have more problems during birth than those who are born head first (in the cephalic position) because there may be some delay in birth of the head and pressure on the umbilical cord as the head passes through the birth canal. During an external cephalic version (ECV) a breech baby is turned to the head down position by gently pushing on the mother's abdomen. Research shows that ECV after 37 weeks reduces the number of babies in the breech position at full term, and the number of caesarean sections.  
cochrane.org
over 4 years ago
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Methods to reduce pain with insertion of intrauterine contraception | Cochrane

Fear of pain with insertion of intrauterine contraception (IUC) may cause women to avoid using this very effective method of birth control. IUC includes devices with copper and with the hormone levonorgestrel. Researchers have studied many ways of reducing pain with IUC insertion. These include drugs that lessen uterine cramps, soften and open the cervix (uterus opening), or numb the cervix.  
cochrane.org
over 4 years ago
Sinaiem dark
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p-or-iup

A G1P0 10-week pregnant female presents to the ED with lower abdominal pain and vaginal spotting. She’s had no prenatal care. Being the highly motivated resident that you are, before even the urine is collected and the pregnancy is verified, you bring the ultrasound machine bedside and see this:  
sinaiem.org
over 4 years ago
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Pre-eclampsia - Case Video - Ministry of Ethics .co.uk

Medical ethics and law revision notes for free, with MCQs, EMQs, animated videos, clinical scenarios, lecture notes and discussion forums. Discuss with senior lecturers, and download resources they upload  
ministryofethics.co.uk
over 4 years ago
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Immune System Drives Pregnancy Complications after Fetal Surgery in Mice

UCSF researchers have shown that, in mice at least, pregnancy complications after fetal surgery are triggered by activation of the mother’s T cells.  
ucsf.edu
over 4 years ago
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Premature births are blamed for high death rate in UK’s under 5s compared with Sweden

The death rate in preschool children in the United Kingdom is almost twice as high as in Sweden, and the most common causes are complications after premature birth, congenital abnormality, and infection, says a study published online by the Archives of Disease in Childhood.1  
feeds.bmj.com
over 4 years ago
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Comparison of non-surgical treatments for women diagnosed with high-grade VIN (precancerous changes of the vulva related to HPV-infection) | Cochrane

This is an update of a Cochrane review previously published in 2011. Vulval intraepithelial neoplasia (VIN) is a skin condition affecting the vulval skin, which, if left untreated, may become cancerous. Distressing symptoms include itching, burning, and soreness of the vulva or painful intercourse. There may be discolouration and various other visible changes to the vulval skin. There are two types of VIN: the most common type (now known as usual-type VIN or uVIN) is associated with infection of the cells of the vulva with a virus called human papilloma virus (HPV or wart virus), whereas the other type (known as differentiated-type VIN) is not associated with this viral infection. As HPV infection is common, uVIN is becoming more common in younger women (under 50 years of age). At the moment treatments are aimed at relief of distressing symptoms and to ensure that the condition does not become cancerous.The most common treatment option for women with this condition has been surgery to remove the affected skin areas. Surgery, however, does not guarantee a cure, can be disfiguring, and may result in physical and psychological problems in younger women who are sexually active.  
cochrane.org
about 4 years ago
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The day I removed a toy dinosaur from a woman's vagina

At first I thought my patient had a bad case of thrush. How wrong I was  
theguardian.com
about 4 years ago
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PODCAST: Really Rural Surgery with Dr. Bret Batchelor - Broome Docs

rural surgery obstetrics podcast bret batchelor  
broomedocs.com
about 4 years ago
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A new mindset: from perimortem cesarean to resuscitative hysterotomy | EMBlog Mayo Clinic

Author: Daniel Cabrera, M.D.   I’m lucky to work in an academic center that fosters innovation and multidisciplinary dialogue. E…  
emblog.mayo.edu
about 4 years ago
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A new mindset: from perimortem cesarean to resuscitative hysterotomy

A new mindset: from perimortem cesarean to resuscitative hysterotomy http://t.co/OGJvfN0VVa #FOAMed pic.twitter.com/hKMbowswuH— Mayo Clinic EM (@MayoClinicEM) August 28, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
about 4 years ago
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In brief

Regulator to review care of newborns requiring additional support: The Care Quality Commission is reviewing how infants born prematurely or who need treatment in hospital after birth are cared for by hospitals and community services. The review will start in September and cover around 20 services in England. It will look at how well staff in fetal medicine, obstetrics, and neonatal and community services work together to care for newborns with declining health problems, particularly those with hypertension and tracheostomies.  
feeds.bmj.com
about 4 years ago
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In brief

Regulator to review care of newborns requiring additional support: The Care Quality Commission is reviewing how infants born prematurely or who need treatment in hospital after birth are cared for by hospitals and community services. The review will start in September and cover around 20 services in England. It will look at how well staff in fetal medicine, obstetrics, and neonatal and community services work together to care for newborns with declining health problems, particularly those with hypertension and tracheostomies.  
feeds.bmj.com
about 4 years ago
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In brief

Regulator to review care of newborns requiring additional support: The Care Quality Commission is reviewing how infants born prematurely or who need treatment in hospital after birth are cared for by hospitals and community services. The review will start in September and cover around 20 services in England. It will look at how well staff in fetal medicine, obstetrics, and neonatal and community services work together to care for newborns with declining health problems, particularly those with hypertension and tracheostomies.  
feeds.bmj.com
about 4 years ago
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Measuring the height of the uterus from the symphysis pubis (SFH) in pregnancy for detecting problems with fetal growth | Cochrane

Monitoring the baby’s growth is important during pregnancy. If growth is poor then this should be identified as soon as possible, because delay might result in the baby’s death. The simplest way to determine growth is to examine the baby by palpating the mother's by abdomen and estimate the size of her womb compared with a landmark such as the navel (umbilicus). An alternative method is to use a tape measure to take a measurement, known as the symphysial fundal height (SFH) measurement, from the mother’s pubic bone (symphysis pubis) to the top of the womb. The measurement is then applied to the gestation by a simple rule of thumb and compared with normal growth.  
cochrane.org
about 4 years ago
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A review of techniques for tubal sterilisation (blocking the fallopian tubes) | Cochrane

Tubal sterilisation prevents pregnancy by stopping the woman's unfertilised eggs from passing through the fallopian tubes to be fertilised by sperm. Techniques to close the tubes include cutting and tying them (partial salpingectomy), blocking them mechanically by using clips or rings, or by applying electric current (electrocoagulation) to damage and block them, and blocking them by using chemicals or tubal inserts (inserted via the mouth of the womb) that cause tubal scarring.  
cochrane.org
about 4 years ago
938edde3e2380cf6529bb49959ea2d57723e962f7028903033725203
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Ectopic pregnancy and miscarriage

Zoom on on the app or click on the website to see a bigger version! Hope it helps ! CF: clinical features TVS- transvaginal ultrasound scan  
Katerina Efstathiou
about 4 years ago