The Experts below are selected from a list of 1029 Experts worldwide ranked by ideXlab platform

John C. Morrison - One of the best experts on this subject based on the ideXlab platform.

  • Are obstetric interventions such as cervical ripening, induction of labor, amnioinfusion, or Amniotomy associated with umbilical cord prolapse?
    American Journal of Obstetrics and Gynecology, 1997
    Co-Authors: William E. Roberts, Rick W. Martin, Holli Roach, Kenneth G. Perry, James N. Martin, John C. Morrison
    Abstract:

    Abstract OBJECTIVE: Our purpose was to determine whether intrapartum obstetric interventions are associated with umbilical cord prolapse. STUDY DESIGN: A computer search identified patients who had intrapartum umbilical cord prolapse. Thirty-seven cases were identified between 1990 and 1994 (incidence of 1.85 per 1000). These women were randomly matched to control patients with intact membranes. RESULTS: Patients with umbilical cord prolapse were delivered earlier (34.8 vs 37.1 weeks, p = 0.05). Otherwise, there were no differences between groups regarding the use of cervical ripening, incidence of labor induction, or the use of amnioinfusion and Amniotomy. Although cervical dilatation and station were similar between groups at the time of admission, women with umbilical cord prolapse did not have as much descent of the presenting part associated with cervical dilatation and progressive labor compared with control patients. CONCLUSION: By themselves, obstetric interventions of cervical ripening, labor induction, amnioinfusion, and Amniotomy do not increase the likelihood that a patient will have umbilical cord prolapse. (Am J Obstet Gynecol 1997;176:1181-5.)

William E. Roberts - One of the best experts on this subject based on the ideXlab platform.

  • Are obstetric interventions such as cervical ripening, induction of labor, amnioinfusion, or Amniotomy associated with umbilical cord prolapse?
    American Journal of Obstetrics and Gynecology, 1997
    Co-Authors: William E. Roberts, Rick W. Martin, Holli Roach, Kenneth G. Perry, James N. Martin, John C. Morrison
    Abstract:

    Abstract OBJECTIVE: Our purpose was to determine whether intrapartum obstetric interventions are associated with umbilical cord prolapse. STUDY DESIGN: A computer search identified patients who had intrapartum umbilical cord prolapse. Thirty-seven cases were identified between 1990 and 1994 (incidence of 1.85 per 1000). These women were randomly matched to control patients with intact membranes. RESULTS: Patients with umbilical cord prolapse were delivered earlier (34.8 vs 37.1 weeks, p = 0.05). Otherwise, there were no differences between groups regarding the use of cervical ripening, incidence of labor induction, or the use of amnioinfusion and Amniotomy. Although cervical dilatation and station were similar between groups at the time of admission, women with umbilical cord prolapse did not have as much descent of the presenting part associated with cervical dilatation and progressive labor compared with control patients. CONCLUSION: By themselves, obstetric interventions of cervical ripening, labor induction, amnioinfusion, and Amniotomy do not increase the likelihood that a patient will have umbilical cord prolapse. (Am J Obstet Gynecol 1997;176:1181-5.)

Anthony Odibo - One of the best experts on this subject based on the ideXlab platform.

  • the efficacy of early Amniotomy in nulliparous labor induction a randomized controlled trial
    American Journal of Obstetrics and Gynecology, 2011
    Co-Authors: George A Macones, Alison G Cahill, David Stamilio, Anthony Odibo
    Abstract:

    Objective The purpose of this study was to assess whether early Amniotomy reduces the duration of labor or increases the proportion of subjects who are delivered within 24 hours in nulliparous patients who undergo labor induction. Study Design We performed a randomized controlled trial that compared early Amniotomy to standard management in nulliparous labor inductions. Inclusion criteria were nulliparity, singleton, term gestation, and a need for labor induction. Subjects were assigned randomly to early Amniotomy (artificial rupture of membranes, ≤4 cm) or to standard treatment. There were 2 primary outcomes: (1) time from induction initiation to delivery and (2) the proportion of women who delivered within 24 hours. Results Early Amniotomy shortens the time to delivery by >2 hours (19.0 vs 21.3 hours) and increases the proportion of induced nulliparous women who deliver within 24 hours (68% vs 56%). These improvements in labor outcomes did not come at the expense of increased complications. Conclusion Early Amniotomy is a safe and efficacious adjunct in nulliparous labor inductions.

Flenady Vicki - One of the best experts on this subject based on the ideXlab platform.

  • Measuring women’s experience of induction of labor using prostaglandin vaginal gel
    Elsevier, 2017
    Co-Authors: Beckmann Michael, Thompson Rachel, Miller Yvette, Prosser, Samantha J., Flenady Vicki, Kumar Sailesh
    Abstract:

    Objective\ud \ud To describe and examine the EXIT (EXperiences of Induction Tool), and report on the experience of women undergoing PGE2 vaginal gel IOL, who were participants in a randomized controlled trial comparing early Amniotomy with repeat-PGE2.\ud \ud Study Design\ud \ud Following an evening dose of PGE2 vaginal gel, 245 women with live singleton term pregnancies were randomized to Amniotomy or repeat-PGE2. Women’s experience of IOL was a secondary outcome measure, assessed using the self-report EXIT administered by phone at 7–9 days post-partum. The 10-item EXIT assessed women’s experiences in multiple domains using a 5-point agreement scale. Principal components analysis with orthogonal varimax rotation was undertaken to examine the scale structure. Internal consistency, face, content, construct and discriminant validity were also assessed.\ud \ud Results\ud \ud The final 3-component solution comprised 8 of the 10 EXIT items, explained 76.1% of the variance and had a good fit to model (p < 0.001). The three resulting components were representative of women’s experience of the time taken to give birth, discomfort with IOL, and subsequent contractions. The items loading to each component showed good internal consistency for time taken to give birth (α=0.88), discomfort with IOL (α=0.78), and experience of subsequent contractions (α=0.87). Women in the repeat-PGE2 group reported a less favorable experience with the time taken to give birth (mean (SD): 3.5 (1.4) vs 3.9 (1.2); p = 0.04) and more discomfort with IOL (2.9 (1.1) vs 2.5 (1.0); p = 0.04) compared to women in the Amniotomy group. At the individual item level, women in the Amniotomy group responded more positive about the time taken to have their baby (median (IQR): 4 (3-5) vs 3 (2-5); p

  • Measuring women's experience of induction of labor using prostaglandin vaginal gel
    'Elsevier BV', 2017
    Co-Authors: Beckmann Michael, Thompson Rachel, Miller Yvette, Prosser, Samantha J., Flenady Vicki, Kumar Sailesh
    Abstract:

    Objective To describe and examine the EXIT (EXperiences of Induction Tool), and report on the experience of women undergoing PGE2 vaginal gel IOL, who were participants in a randomized controlled trial comparing early Amniotomy with repeat-PGE2. Study design Following an evening dose of PGE2 vaginal gel, 245 women with live singleton term pregnancies were randomized to Amniotomy or repeat-PGE2. Women's experience of IOL was a secondary outcome measure, assessed using the self-report EXIT administered by phone at 7–9 days post-partum. The 10-item EXIT assessed women's experiences in multiple domains using a 5-point agreement scale. Principal components analysis with orthogonal varimax rotation was undertaken to examine the scale structure. Internal consistency, face, content, construct and discriminant validity were also assessed. Results The final 3-component solution comprised 8 of the 10 EXIT items, explained 76.1% of the variance and had a good fit to model (p < 0.001). The three resulting components were representative of women's experience of the time taken to give birth, discomfort with IOL, and subsequent contractions. The items loading to each component showed good internal consistency for time taken to give birth (α = 0.88), discomfort with IOL (α = 0.78), and experience of subsequent contractions (α = 0.87). Women in the repeat-PGE2 group reported a less favorable experience with the time taken to give birth (mean (SD): 3.5 (1.4) vs 3.9 (1.2); p = 0.04) and more discomfort with IOL (2.9 (1.1) vs 2.5 (1.0); p = 0.04) compared to women in the Amniotomy group. At the individual item level, women in the Amniotomy group responded more positive about the time taken to have their baby (median (IQR): 4 (3–5) vs 3 (2–5); p < 0.01); and less negative to the question about the number of vaginal examinations (2 (1–3) vs 2 (1–4); p = 0.05). Conclusions The EXIT shows promise as an instrument for assessing women's experience of IOL. Women undergoing PGE2 vaginal gel IOL reports a more positive experience with an early Amniotomy rather than with repeat-PGE2

  • Predictors of mode of birth and duration of labour following induction using prostaglandin vaginal gel
    'Wiley', 2017
    Co-Authors: Beckmann Michael, Flenady Vicki, Gibbons Kristen, Kumar Sailesh
    Abstract:

    Background and aims: Using data from a randomised controlled trial (RCT) comparing two policies of prostaglandin (PGE2) vaginal gel induction of labour (IOL) at term, this study aimed to determine: (i) demographic/clinical factors that predict IOL outcomes; and (ii) clinical characteristic(s) of women who would benefit from a policy of Amniotomy once technically possible as opposed to giving more PGE2. Material and methods: Following an initial PGE2 dose, women were randomised to Amniotomy or repeat-PGE2. Using RCT data, two multivariate models were developed, assessing the relationship between demographic/clinical characteristics and the outcomes of caesarean section (CS), and vaginal delivery within 24\ua0h (VD\ua

  • Measuring women's experience of induction of labor using prostaglandin vaginal gel
    'Elsevier BV', 2017
    Co-Authors: Beckmann Michael, Thompson Rachel, Miller Yvette, Prosser Samantha, Flenady Vicki
    Abstract:

    Objective To describe and examine the EXIT (EXperiences of Induction Tool), and report on the experience of women undergoing PGE2 vaginal gel IOL, who were participants in a randomized controlled trial comparing early Amniotomy with repeat-PGE2. Study Design Following an evening dose of PGE2 vaginal gel, 245 women with live singleton term pregnancies were randomized to Amniotomy or repeat-PGE2. Women’s experience of IOL was a secondary outcome measure, assessed using the self-report EXIT administered by phone at 7–9 days post-partum. The 10-item EXIT assessed women’s experiences in multiple domains using a 5-point agreement scale. Principal components analysis with orthogonal varimax rotation was undertaken to examine the scale structure. Internal consistency, face, content, construct and discriminant validity were also assessed. Results The final 3-component solution comprised 8 of the 10 EXIT items, explained 76.1% of the variance and had a good fit to model (p < 0.001). The three resulting components were representative of women’s experience of the time taken to give birth, discomfort with IOL, and subsequent contractions. The items loading to each component showed good internal consistency for time taken to give birth (α=0.88), discomfort with IOL (α=0.78), and experience of subsequent contractions (α=0.87). Women in the repeat-PGE2 group reported a less favorable experience with the time taken to give birth (mean (SD): 3.5 (1.4) vs 3.9 (1.2); p = 0.04) and more discomfort with IOL (2.9 (1.1) vs 2.5 (1.0); p = 0.04) compared to women in the Amniotomy group. At the individual item level, women in the Amniotomy group responded more positive about the time taken to have their baby (median (IQR): 4 (3-5) vs 3 (2-5); p

  • Induction of labor using prostaglandin vaginal gel: cost analysis comparing early Amniotomy with repeat prostaglandin gel
    'Elsevier BV', 2016
    Co-Authors: Beckmann Michael, Kumar Sailesh, Merollini Katharina, Flenady Vicki
    Abstract:

    Background: In a randomized controlled trial of two policies for induction of labor (IOL) using Prostaglandin E2 (PGE2) vaginal gel, women who had an earlier Amniotomy experienced a shorter IOL-to-birth time

Ashley N Battarbee - One of the best experts on this subject based on the ideXlab platform.

  • maternal and neonatal outcomes associated with Amniotomy among nulliparous women undergoing labor induction at term
    American Journal of Perinatology, 2020
    Co-Authors: Ashley N Battarbee, Robert M Silver, Grecio Sandoval, Alan T N Tita, Yasser Y Elsayed, Dwight J. Rouse, Ronald J. Wapner, Uma M Reddy, William A Grobman, George R Saade
    Abstract:

    OBJECTIVE: The aim of the study is to evaluate the association between Amniotomy at various time points during labor induction and maternal and neonatal outcomes among term, nulliparous women. STUDY DESIGN: Secondary analysis of a randomized trial of term labor induction versus expectant management in low-risk, nulliparous women (2014-2017) was conducted. Women met inclusion criteria if they underwent induction >/=38 weeks' gestation using oxytocin with documented time and type of membrane rupture. Women with antepartum stillbirth or fetal anomaly were excluded. The primary outcome was cesarean delivery. Secondary outcomes included maternal and neonatal complications. Maternal and neonatal outcomes were compared among women with Amniotomy versus women with intact membranes and no Amniotomy at six 2-hour time intervals: before oxytocin initiation, 0 to /=4 hours after oxytocin was associated with lower odds of labor duration >24 hours. Amniotomy at time intervals >/=2 hours and 3 days. Amniotomy was not associated with postpartum or neonatal complications. CONCLUSION: Among a contemporary cohort of nulliparous women undergoing term labor induction, Amniotomy was associated with either lower or similar odds of cesarean delivery and other adverse outcomes, compared with no Amniotomy.

  • association of early Amniotomy after foley balloon catheter ripening and duration of nulliparous labor induction
    Obstetrics & Gynecology, 2016
    Co-Authors: Ashley N Battarbee, Anna Palatnik, Danielle A Peress, William A Grobman
    Abstract:

    OBJECTIVE:To evaluate the association between early Amniotomy after ripening with a Foley balloon catheter and duration of labor induction.METHODS:In this retrospective matched cohort study, 546 nulliparous women with a singleton viable gestation undergoing cervical ripening with a Foley balloon cat