scholarly journals Spontaneous Pushing in Lateral Position versus Valsalva Maneuver During Second Stage of Labor on Maternal and Fetal Outcomes: A Randomized Clinical Trial

2016 ◽  
Vol 18 (10) ◽  
Author(s):  
Farideh Vaziri ◽  
Amene Arzhe ◽  
Nasrin Asadi ◽  
Saeedeh Pourahmad ◽  
Zeinab Moshfeghy
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Valsalva Maneuver ◽  
Lateral Position ◽  
Fetal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage

scholarly journals Effects of Continuous Use of Entonox in Comparison with Intermittent Method on Obstetric Outcomes: A Randomized Clinical Trial

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Jila Agah ◽  
Roya Baghani ◽  
Seid Hossein Safiabadi Tali ◽  
Yaser Tabarraei
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Face Mask ◽  
Labor Pain ◽  
Continuous Group ◽  
Obstetric Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Significant Difference ◽  
Continuous Use

Background. Entonox (N2O2) which is an inhalational gas for relieving labor pain is commonly used intermittently; however some women are interested in continuous breathing in face mask. So we decided to compare the complications induced by two methods to find out whether it is safe to permit the mothers to use Entonox continuously or not.Patients and Methods. This randomized clinical trial was performed in Mobini Hospital, Sabzevar, Iran. 50 parturients used Entonox intermittently and 50 cases used it continuously during labor. Then obstetrical outcomes were analyzed in two groups by spss 17 software,t-test, and Chi2whileP<0.05was considered significant.Results. This study showed the mean duration of second stage of labor had no significant difference (P=0.3). Perineal laceration was less in continuous group significantly (P=0.04). Assisted vaginal birth was not different significantly (P=0.4). Uterine atony had no significant difference in two groups (P=0.2). Maternal collaboration in pushing and satisfaction were higher in continuous group significantly (P=0.03), (P<0.0001). Apgar score of neonates at first and fifth minute was acceptable and not different significantly in two groups (P=0.3).Conclusions. Our study demonstrated continuous method is also safe. So, it seems reasonable to set mothers free to choose the desired method of Entonox usage.

scholarly journals Evaluation of the effect of Teucrium polium ointment on the episiotomy wound healing in primiparous women

2021 ◽  
Vol 7 (2) ◽  
pp. e33-e33
Author(s):  
Atena Mohammady Rouzbahani ◽  
Mahrokh Dolatian ◽  
Tayebeh Jahedbozorgan ◽  
Faraz Mojab ◽  
Majid Tajik
Keyword(s):  
Clinical Trial ◽  
Wound Healing ◽  
Surgical Incision ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Significant Difference ◽  
Teucrium Polium ◽  
The Mean ◽  
First Time ◽  
Primiparous Women

Introduction: Episiotomy is a surgical incision at the vaginal opening performed in the second stage of labor during childbirth. The purpose of performing an episiotomy is to increase the size of the soft tissue of the pelvis floor and prevent damage to the perineum, facilitate delivery, and reduce the time during childbirth. Objectives: This study aimed to determine the effect of Teucriumpolium ointment on wound healing in primiparous women. Patients and Methods: This triple-blinded clinical trial was conducted on 84 primiparous women referred to Mahdieh hospital in Tehran. Participants randomly received 2% T. polium ointment and placebo. The first time the ointment was started 24 hours after delivery and continued twice a day for 10 days. Wound healing rate was measured by redness, edema, ecchymosis, discharge, and approximation (REEDA) scale on days 1, 5, and 10 postpartum. The data were analyzed using SPSS version 23. Results: The results were performed on 84 women, 43 people using T. polium ointment and 41 people using placebo ointment. There was no significant difference between the two groups regarding obstetrics and demographic characteristics at the beginning of the study. The mean scores of REEDA in the T. polium group in the first 12 hours, days 5 and 10 were significantly different from the placebo group (P<0.001). Conclusion: Wound healing following episiotomy can be accelerated due to antibacterial, anti-inflammatory, and antiseptic properties of T. polium ointment. Trial Registration: The trial protocol was approved by the Iranian registry of clinical trial (#IRCT20100130003226N18; https://en.irct.ir/trial/40004, ethical code# IR.SBMU.RETECH.1398.055).

scholarly journals Lack of Efficacy of Trivalent Influenza Vaccination of HIV-Negative Pregnant Women Against Adverse Fetal Outcomes: A Randomized Clinical Trial

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Eric A. F. Simões ◽  
Claire Cutland ◽  
Phyllis Carosone-Link ◽  
Andrea Hugo ◽  
Stephanie Jones ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Randomized Clinical Trial ◽  
Fetal Outcomes ◽  
Hiv Negative

scholarly journals Marginal Bone Remodeling around healing Abutment vs Final Abutment Placement at Second Stage Implant Surgery: A 12-month Randomized Clinical Trial

2016 ◽  
Vol 17 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Ronald Younes ◽  
Antoine Berberi ◽  
Nabih Nader ◽  
Maissa Aboulhosn ◽  
Cordahi Manal
Keyword(s):  
Clinical Trial ◽  
Bone Loss ◽  
Randomized Clinical Trial ◽  
Bone Remodeling ◽  
Test Group ◽  
Control Group ◽  
Marginal Bone Loss ◽  
Second Stage ◽  
Stable Connection

ABSTRACT Background The periimplant bone level has been used as one of the criteria to assess the success of dental implants. It has been documented that the bone supporting two-piece implants undergoes resorption first following the second-stage surgery and later on further to abutment connection and delivery of the final prosthesis. Objective The aim of this multicentric randomized clinical trial was to evaluate the crestal bone resorption around internal connection dental implants using a new surgical protocol that aims to respect the biological distance, relying on the benefit of a friction fit connection abutment (test group) compared with implants receiving conventional healing abutments at secondstage surgery (control group). Materials and methods A total of partially edentulous patients were consecutively treated at two private clinics, with two adjacent two-stage implants. Three months after the first surgery, one of the implants was randomly allocated to the control group and was uncovered using a healing abutment, while the other implant received a standard final abutment and was seated and tightened to 30 Ncm. At each step of the prosthetic try-in, the abutment in the test group was removed and then retightened to 30 Ncm. Horizontal bone changes were assessed using periapical radiographs immediately after implant placement and at 3 (second-stage surgery), 6, 9 and 12 months follow-up examinations. Results At 12 months follow-up, no implant failure was reported in both groups. In the control group, the mean periimplant bone resorption was 0.249 ± 0.362 at M3, 0.773 ± 0.413 at M6, 0.904 ± 0.36 at M9 and 1.047 ± 0.395 at M12. The test group revealed a statistically significant lower marginal bone loss of 20.88% at M3 (0.197 ± 0.262), 22.25% at M6 (0.601 ± 0.386), 24.23% at M9 (0.685 ± 0.341) and 19.2% at M9 (0.846 ± 0.454). The results revealed that bone loss increased over time, with the greatest change in bone loss occurring between 3 and 6 months. Alveolar bone loss was significantly greater in the control condition than the test condition. Conclusion The results of this prospective study demonstrated the benefit of placing a prosthetic component with a stable connection at second-stage surgery, in terms of reduced marginal bone remodeling when compared with conventional procedure. Clinical significance. The use of a stable connection in a healing component during try-in stages prior to final restoration placement leads to less periimplant marginal bone loss. How to cite this article Nader N, Aboulhosn M, Berberi A, Manal C, Younes R. Marginal Bone Remodeling around healing Abutment vs Final Abutment Placement at Second Stage Surgery: A 12-month Randomized Clinical Trial. J Contemp Dent Pract 2016;17(1):7-15.

scholarly journals Comparing the Effects of Acupressure at the Hugo Point and Hyoscine on the Duration of Labor Stages and Fetalneonatal Outcomes in Nulliparous Women: A Controlled Randomized Clinical Trial

2018 ◽  
Vol 7 (3) ◽  
pp. 393-399
Author(s):  
Solmaz Babazadeh Topraghlou ◽  
Fahimeh Sehhatie Shafaie ◽  
Mojgan Mirghafourvand ◽  
Narges Salehi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Active Phase ◽  
Control Groups ◽  
Chi Square ◽  
Second Stage Of Labor ◽  
Nulliparous Women ◽  
Prolonged Labor ◽  
The Mean ◽  
And Control

Objectives: The shortened duration of labor without creating major complications is considered ideal for the mother and infant while prolonged labor is accompanied by maternal and fetal consequences. Considering its importance, the purpose of this study was to compare the effects of acupressure at the Hugo point and hyoscine on the duration of labor stages and fetal-neonatal outcomes in nulliparous women. Methods: This controlled randomized clinical trial was conducted on 162 nulliparous women who referred to Ardabil Sabalan Hospital in 2017. Participants were divided into Hugo acupressure, hyoscine, and control groups by means of randomized blocks, each containing 54 nulliparous women. In the Hugo group, the pressure exerted on the Hugo point at 5 cm dilatation and in the hyoscine group, the hyoscine was injected intramuscularly at 5 cm dilatation. Data were analyzed using one-way ANOVA, KruskalWallis, Fisher exact, and chi-square tests. Results: The mean (SD) duration of the active phase of labor was 137.0 (15.1), 143.3 (172), and 187.7 (24.7) minutes in the Hugo, hyoscine, and control groups, respectively. In addition, the mean (SD) duration of the second stage of labor in the above-mentioned groups was 39.5 (8.5), 52.4 (15.0), and 58.3 (8.7) minutes, respectively (P<0.001). Conclusions: Overall, the implementation of acupressure at the Hugo point led to a greater reduction in the duration of labor stages compared to hyoscine infusion without imposing the side-effects on mother.

scholarly journals Lack of Efficacy of Trivalent Influenza Vaccination of HIV-Positive Pregnant Women Against Adverse Fetal Outcomes: A Randomized Clinical Trial

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Eric A. F. Simões ◽  
Claire Cutland ◽  
Phyllis Carosone-Link ◽  
Andrea Hugo ◽  
Stephanie Jones ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Randomized Clinical Trial ◽  
Hiv Positive ◽  
Fetal Outcomes

scholarly journals Evaluation of Dental Anxiety in Patients Undergoing Second-Stage Implant Surgery with Er,Cr: YSGG Laser Treatment: Randomized Clinical Trial

2020 ◽  
Vol 25 (1) ◽  
pp. 45-54
Author(s):  
Serap Keskin Tunç ◽  
Nazli Zeynep Alpaslan Yayli ◽  
Ahmet Cemil Talmaç ◽  
Erkan Feslihan ◽  
Volkan Kaplan
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Laser Treatment ◽  
Dental Anxiety ◽  
Implant Surgery ◽  
Ysgg Laser ◽  
Second Stage

scholarly journals Role of Perineal Length Estimation in The Prediction of Maternal and Fetal Outcomes

2020 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Sabah R. H. Ahmed ◽  
Hala A. Ali
Keyword(s):  
Cesarean Section ◽  
Apgar Score ◽  
Normal Vaginal Delivery ◽  
P Value ◽  
Fetal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Significant Difference ◽  
The Mean

Context: Female perineum is a significant part of females because perineal tears and episiotomy habitually happen in childbirth with first-time deliveries. Aim: This study aimed to explore the role of perineal length (PL) estimation in the prediction of maternal and fetal outcomes. Methods: A prospective cohort observational design used to collect data from the Department of Obstetrics and Gynecology, Laboring room, Kafrelsheikh General Hospital, Kafrelsheikh City, Egypt. A purposive sample of 139 parturient women recruited during the period from the first of December 2018 to the end of August 2019. Six tools used to conduct this study. Maternal and newborn characteristics questionnaire, disposable standardized paper tape for measuring PL in centimeters, a standardized scale for measuring maternal height by meters, and body weight in kilograms to calculate Body Mass Index (BMI) (k/m2), REEDA scale, partograph for labor process and Apgar score. Results: There were statistically significant differences regarding the mean age, previous episiotomy and cesarean section of both studied groups (PL less than or equal to 4 cm and more than 4 cm) at p-value <0.001. Out of 139 parturient women, the two groups of PL less than or more than 4 cm had 16.7% versus 56.9%, respectively had normal vaginal delivery, with a statistically significant difference between both groups, while 46.7% versus 6.3% respectively had an episiotomy. However, the mean duration of the second stage of labor had statistically significant differences between both studied groups, with 116.7 ± 44.3 versus 85.1 ± 42.0, respectively. Additionally; Mean birth weight/grams, cephalohematoma, caput succedaneum, and mean APGAR score after 5 minutes had a statistically significant difference between the two groups. Conclusions: Short perineum accompanied by increased duration of the second stage of labor. Cesarean section delivery and perineal trauma are associated with primigravida with short perineum. Regarding the mean APGAR score after 5 minutes, there were statistically significant differences between both studied groups. Maternity and newborn health nursing need to improve the illustration of the risk factors that can lead to undesirable consequences

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