Not exact matches
Not surprisingly, the risk of
operative vaginal delivery and the risk of emergency cesarean section are much higher
in the hospital.
Training
in, and ongoing maintenance of, practical skills related to
operative vaginal delivery should be encouraged.
In addition to greater expectant management of the second stage, two other practices could potentially reduce cesarean deliveries in the second stage: 1) operative vaginal delivery and 2) manual rotation of the fetal occiput for malpositio
In addition to greater expectant management of the second stage, two other practices could potentially reduce cesarean
deliveries in the second stage: 1) operative vaginal delivery and 2) manual rotation of the fetal occiput for malpositio
in the second stage: 1)
operative vaginal delivery and 2) manual rotation of the fetal occiput for malposition.
Manual rotation of the fetal occiput
in the setting of fetal malposition
in the second stage of labor is a reasonable intervention to consider before moving to
operative vaginal delivery or cesarean
delivery.
Yet, comparison of the outcomes of
operative vaginal deliveries and unplanned cesarean
deliveries shows no difference
in serious neonatal morbidity (eg, intracerebral hemorrhage or death).
Neuraxial analgesia or anaesthesia was provided
in 84 %, 89 % and 95 % of spontaneous
vaginal,
operative vaginal and caesarean
deliveries, respectively.
This dramatic increase was a result of several changes
in the practice environment, including the introduction of electronic fetal monitoring and a decrease
in operative vaginal deliveries and attempts at
vaginal breech
deliveries (8 — 11).
So ebil obstetricians are both trigger - happy scalpel fiends, desperate to cut wombyn open as soon as look at them, AND lazy, lackadaisical layabouts who won't go near wombyn with a scalpel until it's too late... Also, you said the woman still wanted to try for a
vaginal delivery, so
in other words the midwife wanted to overrule the OB AND the woman, and force an
operative birth on the mother.
«There have been no randomized trials of the total package of active management or of the use of strict diagnostic criteria alone, but trials of early amniotomy, early oxytocin, and these interventions combined do not suggest that these interventions are effective
in reducing rates of cesarean sections or
operative vaginal deliveries.