Sentences with phrase «of nulliparous»

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One of my nulliparous patients was a professional landscaper who had engaged in a long and successful career.

Variation in the rates of nulliparous term singleton vertex cesarean births indicates that clinical practice patterns affect the number of cesarean births performed.

The percentage of women with a non-Dutch background was also small in our study population: 3.1 % in total, as compared with 25.3 % of all nulliparous women in the Netherlands in 2012 [19].

The rates of assisted vaginal births and cesarean sections in this study are comparable to the national data of nulliparous women from 2012 (16.4 % assisted vaginal birth and 17.7 % caesarean section)[19].

Not exact matches

: «1.1.1 Explain to both multiparous and nulliparous women who are at low risk of complications that giving birth is generally very safe for both the woman and her baby.

Advise low ‑ risk nulliparous women that planning to give birth in a midwifery ‑ led unit (freestanding or alongside) is particularly suitable for them because the rate of interventions is lower and the outcome for the baby is no different compared with an obstetric unit.

1.1.2 Explain to both multiparous and nulliparous women that they may choose any birth setting (home, freestanding midwifery unit, alongside midwifery unit or obstetric unit), and support them in their choice of setting wherever they choose to give birth: Advise low ‑ risk multiparous women that planning to give birth at home or in a midwifery ‑ led unit (freestanding or alongside) is particularly suitable for them because the rate of interventions is lower and the outcome for the baby is no different compared with an obstetric unit.

In other words, there was no difference in severe acute maternal morbidity (SAMM) between home and hospital among nulliparous women and a slightly lower rate of SAMM for parous women at homebirth.

This is based on the number of women who fall into a category called NTSV (nulliparous term singleton vertex), or first time mothers at term, with one head down baby.

For healthy nulliparous women with a low risk pregnancy, the risk of an adverse perinatal outcome seems to be higher for planned births at home, and the intrapartum transfer rate is high in all settings other than an obstetric unit

Our results support a policy of offering healthy nulliparous and multiparous women with low risk pregnancies a choice of birth setting.

«Women with planned home birth had lower rates of all adverse maternal outcomes, albeit not significantly so for nulliparous women.»

In the subgroup analysis stratified by parity, there was an increased incidence of the primary outcome for nulliparous women in the planned home birth group (weighted incidence 9.3 per 1000 births, 95 % confidence interval 6.5 to 13.1) compared with the obstetric unit group (weighted incidence 5.3, 3.9 to 7.3).

For nulliparous women the rate for planned home versus planned hospital birth was 2.3 versus 3.1 per 1000 births (adjusted odds ratio 0.77, 95 % confidence interval 0.56 to 1.06), relative risk reduction 25.7 % (95 % confidence interval − 0.1 % to 53.5 %), the rate of postpartum haemorrhage was 43.1 versus 43.3 (0.92, 0.85 to 1.00 and 0.5 %, − 6.8 % to 7.9 %), and the rate of manual removal of placenta was 29.0 versus 29.8 (0.91, 0.83 to 1.00 and 2.8 %, − 6.1 % to 11.8 %).

For nulliparous women, there is some evidence that planning birth at home is associated with a higher risk of an adverse perinatal outcome.

When the analysis was restricted to units or trusts with a response rate of at least 85 %, the higher odds of the primary outcome for nulliparous women in the planned home birth group remained, and the strength of this association increased (appendix 5 on bmj.com).

However, higher rates of a composite outcome of perinatal morbidity and mortality were seen for nulliparous women having homebirths (adjusted odds ratio 1.75; 95 % CI, 1.07 — 2.86), with no differences for multiparous women.

J. A. Thorp et al., «The Effect of Continuous Epidural Analgesia on Cesarean Section for Dystocia in Nulliparous Women,» Am J Obstet Gynecol 161, no. 3 (1989): 670 — 675.

The odds of cesarean section among women planning out - of - hospital birth were lower among multiparous women than among nulliparous women and among women with 12 years of education or less than among women with more than 12 years of education (Figure 1).

We therefore assigned nulliparous women the same risk of metabolic disease as women who breastfed for 6 or more months.

We used multivariable logistic - regression models to adjust for potential confounders, including maternal race or ethnic group (non-Hispanic white vs. other), parity (nulliparous vs. multiparous), insurance status (public or none vs. other), extent of prenatal care (≥ 5 visits vs. < 5 visits), advanced maternal age (≥ 35 years vs. < 35 years), maternal education (> 12 years vs. ≤ 12 years), history or no history of cesarean delivery, and a composite marker of conditions that confer increased medical risk.

Characteristics of low - risk nulliparous women who initially preferred a midwife - led home or hospital birth or an obstetrician - led birth

There was, however, an increased incidence of adverse perinatal outcome associated with planned birth at home in nulliparous low risk women, resulting in the probability of it being the most cost effective option at a cost effectiveness threshold of # 20000 declining to 0.63.

Nice post I found something similar to Clara finding: «The Effect of Late Pregnancy Consumption of Date Fruit on Cervical Ripening in Nulliparous Women» (https://www.ncbi.nlm.nih.gov/pubmed/21280989).

There was, however, an increased incidence of adverse perinatal outcomes associated with planned birth at home in nulliparous low risk women, resulting in the probability of it being the most cost effective option at a threshold of # 20000 declining to 0.63.

This cost effectiveness information, however, should be considered in the light of an increased risk of adverse perinatal outcome associated with planned home birth in low risk nulliparous women.

Fig 2 Cost effectiveness plane: planned birth at home compared with planned birth in obstetric units for nulliparous low risk women without complicating conditions at start of care in labour

With regards to maternal outcomes in nulliparous and multiparous women, planned birth at home generated the greatest mean net benefit with a 100 % probability of being the optimal setting across all thresholds of cost effectiveness.

Parsons Bidewell, and Nagy (2006) studied the effect of eating in early labor on maternal and infant outcomes in a prospective comparative trial of 176 low - risk nulliparous Australian women.

The rates of NICU admissions and low Apgar scores did not significantly differ among nulliparous women (NICU admissions up to 28 days, 3.41 % versus 3.61 %, aOR 1.05, 95 % CI: 0.92 to 1.18).

The combined intra-partum and neonatal death rates up to 28 days after birth, including cases with discrepancies in the registration of the moment of death, were: for nulliparous women, 1.02 % for planned home births versus 1.09 % for planned hospital births, adjusted OR (aOR) 0.99, 95 % CI: 0.79 to 1.24; and for parous women, 0.59 % versus 0.58 %, aOR 1.16, 95 % CI: 0.87 to 1.55.

In a secondary analysis of a multicenter randomized study of fetal pulse oximetry, of 4,126 nulliparous women who reached the second stage of labor, none of the following neonatal outcomes was found to be related to the duration of the second stage, which in some cases was 5 hours or more: 5 - minute Apgar score of less than 4, umbilical artery pH less than 7.0, intubation in the delivery room, need for admission to the neonatal intensive care unit, or neonatal sepsis (27).

Given the available literature, before diagnosing arrest of labor in the second stage and if the maternal and fetal conditions permit, at least 2 hours of pushing in multiparous women and at least 3 hours of pushing in nulliparous women should be allowed (Table 3).

In the era of electronic fetal monitoring, among neonates born to nulliparous women, adverse neonatal outcomes generally have not been associated with the duration of the second stage of labor.

For example, the recent Eunice Kennedy Shriver National Institute of Child Health and Human Development document suggested allowing one additional hour in the setting of an epidural, thus, at least 3 hours in multiparous women and 4 hours in nulliparous women be used to diagnose second - stage arrest, although that document did not clarify between pushing time or total second stage (33).

In this study, the 95th percentile rate of active phase dilation was substantially slower than the standard rate derived from Friedman's work, varying from 0.5 cm / h to 0.7 cm / h for nulliparous women and from 0.5 cm / h to 1.3 cm / h for multiparous women (the ranges reflect that at more advanced dilation, labor proceeded more quickly)(Table 2).

In nulliparous women, a period of 8 hours of augmentation resulted in an 18 % cesarean delivery rate and no cases of birth injury or asphyxia, whereas if the period of augmentation had been limited to 4 hours, the cesarean delivery rate would have been twice as high given the number of women who had not made significant progress at 4 hours.

A prospective study of the progress of labor in 220 nulliparous women and 99 multiparous women who spontaneously entered labor evaluated the benefit of prolonging oxytocin augmentation for an additional 4 hours (for a total of 8 hours) in patients who were dilated at least 3 cm and had unsatisfactory progress (either protraction or arrest) after an initial 4 - hour augmentation period (21).

Women were defined by sociodemographic criteria in three studies: living in the three most disadvantaged postcode areas and over the age of 16 (Hoddinott 2012), over 18, nulliparous, low income families, who had not yet selected a paediatrician (Serwint 1996), and low - income urban women (Sellen 2013).

The vaginal delivery rate for women who had not progressed despite 2 hours of oxytocin augmentation was 91 % for multiparous women and 74 % for nulliparous women.

Researchers have found that after a 3 - hour or more second stage of labor, only one in four nulliparous women (27) and one in three multiparous women give birth spontaneously, whereas up to 30 — 50 % may require operative delivery to give birth vaginally in the current second stage of labor threshold environment (30).

Objective: To compare the efficacy of oral misoprostol to vaginal dinoprostone for labor induction in nulliparous women.Study design: Admissions for labor induction from January 2008 to December 2010 were reviewed.

On the basis of the 95th percentile threshold, historically, the latent phase has been defined as prolonged when it exceeds 20 hours in nulliparous women and 14 hours in multiparous women (18).

This also was found in a large, retrospective cohort study of 15,759 nulliparous women even in a group of women whose second stage progressed beyond 4 hours (29).

The incidence of PPH for planned hospital births would be expected to be higher than the incidence for planned home births, because nulliparous women are more likely to experience PPH (see Table 2), and are also more likely to plan a hospital birth [28].

The researchers recommend that «Nulliparous [first baby] women should be made aware of this, as well as potential risks of expectant management during counselling.»

In fact, the absolute risk risk of birth - related perinatal death associated with VBAC is extremely low and comparable to the risk for nulliparous women in labor.

Dr. Lowe's primary research foci are (a) biobehavioral aspects of the childbearing experience and its processes, (b) care during labor, and (c) postpartum outcomes of healthy, nulliparous women.

Haugen, M., Brantsaeter, A. L., Trogstad, L., Alexander, J., Roth, C., Magnus, P., and Meltzer, H. M. Vitamin D supplementation and reduced risk of preeclampsia in nulliparous women.