Sentences with phrase «third degree perineal»

Rates were low for caesarean section, postpartum haemorrhage, third degree perineal tears, stillbirth and early neonatal death in this sample of women and babies.

Not exact matches

Nurse - midwives demonstrated with a high grade level of evidence a lower rate of cesarean sections, lower apgar scores, lower labor augmentation, lower episotomy rates, equivalent low birthrates, lower vaginal operative deliveries, less use of labor analgesia and epidurals, and lower rates of third - and fourth - degree perineal lacerations.

Maternal outcomes included admission to the intensive care unit (ICU), blood transfusion, and severe perineal lacerations (third or fourth degree).

Unit cost estimation involved a combination of bottom - up and top - down costing methods and followed guidance on costing healthcare services as part of an economic evaluation.15 17 Detailed unit costs, derived from the finance departments of participating trusts and information provided by senior midwives, were estimated for resource inputs into the following components of intrapartum and after birth care for all settings: homebirth delivery packs; NHS reimbursement for midwifery travel; some forms of pain relief; alternative modes of delivery; active management of the third stage of labour; suturing for episiotomy; suturing third and fourth degree perineal tears; manual removal of the placenta; blood transfusions; and care after a stillbirth or neonatal death.

Adverse maternal morbidity: defined as at least one of: general anaesthetic; instrumental birth; caesarean section; third or fourth degree perineal trauma; blood transfusion; admission to an intensive treatment unit, high dependency unit, or specialist unit; or maternal death (within 42 days after giving birth)

Patients who sustained third - or fourth - degree perineal tears after a vaginal delivery were recruited for the study.

John Thorp, BJOG deputy editor - in - chief said: «This study captures over 96 % of all deliveries in NHS hospitals in England over a 7 year period, and represents the first piece of research into the mode of delivery and recurrence rate in a pregnancy subsequent to a third or fourth degree perineal tear.

Each patient was given a single intravenous dose of a second - generation cephalosporin (cefotetan or cefoxitin) or placebo before repair of third - or fourth - degree perineal tears.

To estimate whether prophylactic antibiotics at the time of repair of third - or fourth - degree perineal tears after vaginal delivery prevent wound infection and breakdown.This was a prospective, randomized, placebo - controlled study.

There were no differences between groups in parity, incidence of diabetes, operative delivery, or third - degree compared with fourth - degree lacerations.By 2 weeks postpartum, patients who received prophylactic antibiotics at the time of third - or fourth - degree laceration repair had a lower rate of perineal wound complications than patients who received placebo.ClinicalTrials.gov, www.clincaltrials.gov, NCT00186082.I.

Women in the planned home - birth group were significantly less likely than those who planned a midwife - attended hospital birth to have obstetric interventions (e.g., electronic fetal monitoring, relative risk [RR] 0.32, 95 % CI 0.29 — 0.36; assisted vaginal delivery, RR 0.41, 95 % 0.33 — 0.52) or adverse maternal outcomes (e.g., third - or fourth - degree perineal tear, RR 0.41, 95 % CI 0.28 — 0.59; postpartum hemorrhage, RR 0.62, 95 % CI 0.49 — 0.77).

Compared with women who planned a hospital birth with a midwife in attendance, those who planned a home birth were significantly less likely to have a third - or fourth - degree perineal tear (adjusted relative risk [RR] 0.43, 95 % CI 0.29 — 0.63), postpartum hemorrhage (RR 0.62, 95 % CI 0.49 — 0.77) or pyrexia (RR 0.45, 95 % CI 0.29 — 0.76)(Table 3).