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Apresentação de 1 a 151 das 151 fichas encontradas

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2427

/ This article examines why so many women in the Western world are compelled to take powerful drugs during their labor and exposes the risks epidurals pose to both mother and baby.

2011

Judy Slome Cohain

The Epidural Trip. Why are so many women taking dangerous drugs during labor? Midwifery Today Issue 95, Autumn 2010

Two million American women will take an epidural trip this year during childbirth. In most cases, they’ll be ill-informed as to possible side effects or...

tout public / easy / fácil

www.midwiferytoday.c...

2363

2008

Kettle C, Tohill S.

Perineal care. Clin Evid (Online). 2008 Sep 24;2008. pii: 1401.

University Hospital of North Staffordshire, Stoke-on-Trent, UK.

INTRODUCTION: Over 85% of women having a vaginal birth suffer some perineal trauma. Spontaneous tears requiring suturing are...

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www.clinicalevidence...

2393

2008

N. Rouzic a, d, , M. Faisant a, J.-L. Scheydeker c , M. Collet b , B. Lejeune a

Infections nosocomiales en maternité au centre hospitalier universitaire de Brest du 01/01/2000 au 31/12/2005
Hospital infections in the maternity department at Brest Hospital over a period from 2000 to 2005
Pathologie Biologie
Volume 56, numéro 2
pages 58-65 (mars 2008)

Les infections nosocomiales représentent un enjeu en terme de santé publique. Elles sont responsables d’une augmentation de la morbidité et occasionnent un coût important pour...
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Hospital infections are at stake in terms of public health. They are responsible for increase in morbidity and involve the community in high costs. Epidemiologic...

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dx.doi.org/10.1016/j...

1995


2006

Zanetti-Dällenbach R, Lapaire O, Maertens A, Holzgreve W, Hösli I.

Water birth, more than a trendy alternative: a prospective, observational study. {Suisse}. Archives of Gynecology and Obstetrics 2006;274(6):355-365.

OBJECTIVE: To prospectively assess the effect of water birth on maternal and fetal outcomes in a selected low-risk collective of a tertiary obstetrical unit.

METHOD...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1997

2006

(Journal compilation)

Why Do Women Go Along with This Stuff? Roundtable discussion, part 2. BIRTH 33:3 September 2006, p. 245-250

Dans le monde entier, la naissance normale est menacée par l’augmentation inexorable des interventions médicales. Césariennes, déclenchements et péridurales sont en augmentation constante dans de...
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Normal childbirth has become jeopardized by inexorably rising interventions around the world. In many countries and settings, cesarean surgery, labor induction, and epidural analgesia continue...

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www.ingentaconnect.c...

2002

L'accouchement sous péridurale rend l'allaitement plus difficile à démarrer et à maintenir au delà de 24
semaines.
Women in this cohort who had epidurals were less likely to fully breastfeed their infant in the few days
after birth and more likely to stop breastfeeding in the first 24 weeks.

2006

Siranda Torvaldsen, Christine L Roberts, Judy M Simpson, Jane F Thompson and David A Ellwood

Intrapartum epidural analgesia and breastfeeding: a prospective cohort study. International Breastfeeding Journal 2006,  1:24

SYDNEY, 11 déc. 2006 (AFP)

Les femmes qui accouchent sous péridurale pourraient avoir plus de difficultés à allaiter que celles qui choisissent l'accouchement sans anesthésie...
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Background

Anecdotal reports suggest that the addition of fentanyl (an opioid) to epidural analgesia for women during childbirth results in difficulty establishing breastfeeding. The aim...

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dx.doi.org/10.1186/1...

1180

2005

Mehl-Madrona, Lewis & Morgaine

Medical Risks of Epidural Anesthesia During Childbirth. Website.

Pour l'essentiel, l'analgésie péridurale est efficace contre les douleurs de l'accouchement. Les spécialistes de l'anesthésie obstétricale affirment que cette pratique peut avoir des effets secondaires...
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For the most part, epidural analgesia does effectively relieve labor pain. Obstetrical anesthesiologists continue to state that epidural analgesia has other, potentially catastrophic, adverse effects...

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www.healing-arts.org...

1332

Facteurs de risque de l'incontinence urinaire, l'incontinence avant, puis la constipation chronique et
l'épisiotomie.

2005

Ewings P, Spencer S, Marsh H, O'sullivan M.

Obstetric risk factors for urinary incontinence and preventative pelvic floor exercises: Cohort study and nested randomized controlled trial.{Angleterre}.
J Obstet Gynaecol. 2005 Aug;25(6):558-64.

We conducted a cohort study assessing risk factors for developing urinary incontinence following childbirth, and a pilot randomized controlled trial of a physiotherapist-led intervention to...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1343

La prise en charge des grossesses et accouchements doit être effectuée en fonction des niveaux de risque estimé pour la femme enceinte et pour le foetus / Since the 1998 perinatal reform, pregnancies and births have to be handled as a function of the estimated level of risk for the pregnant woman and fetus.

2005

Danièle Carricaburu

De la gestion technique du risque à celle du travail : l’accouchement en hôpital public. (From the technical management of risk to the technical management of work: Childbirth in public hospitals.) Sociologie du travail 47 (2005) 245–262

Depuis la réforme de la périnatalité de 1998, la prise en charge des grossesses et accouchements doit être effectuée en fonction des niveaux de risque...
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Since the 1998 perinatal reform, pregnancies and births have to be handled as a function of the estimated level of risk for the pregnant woman...

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france.elsevier.com/...

1899


2005

Sachs BP.

A 38-year-old woman with fetal loss and hysterectomy. {USA}.
JAMA. 2005 Aug 17;294(7):833-40.

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

428

2004

Cluett ER, Pickering RM, Getliffe K, St George Saunders NJ.

Randomised controlled trial of labouring in water compared with standard of augmentation for management of dystocia in first stage of labour.
The British Medical Journal 2004;328:314.

OBJECTIVES : To evaluate the impact of labouring in water during first stage of labour on rates of epidural analgesia and operative delivery in nulliparous women...

spécialisé / hard / difícil

bmj.bmjjournals.com/...

459

2004

Howell EA, Concato J.

Obstetric patient satisfaction: Asking patients what they like.
American Journal of Obstetrics and Gynecology 2004;190(1):175-82.

OBJECTIVE : This study was undertaken to determine pertinent attributes of women's hospital experience related to the delivery of their children and to use open-ended responses...

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www.sciencedirect.co...

543

2004

Kariminia A, Chamberlain ME, Keogh J, Shea A.

Randomised controlled trial of effect of hands and knees posturing on incidence of occiput posterior position at birth.
The British Medical Journal 2004;328:490.

Objective To evaluate the efficacy of hands and knees position and pelvic rocking exercises on the incidence of fetal occiput posterior position at birth.

Design...

spécialisé / hard / difícil

bmj.bmjjournals.com/...

617

2004

Zaidi J, Zaidi F.

Labouring in water. Method is unclear. Letter.
The British Medical Journal 2004;328:767.

Commentaire sur l'article de Cluett et al. (fiche 428...
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Commentary of the paper by Cluett et al. (428)

The method of the study by Cluett et al comparing labouring in water with standard augmentation...

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bmj.bmjjournals.com/...

618

2004

Bradshaw H.

Labouring in water. Findings do not fully support conclusions. Letter.
The British Medical Journal 2004;328:768.

Commentaire de l'article de Cluett et al. (fiche 428...
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Commentary of the paper by Cluett et al. (428)

The study by Cluett et al, comparing labour in water with standard augmentation for dystocia, tackles...

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bmj.bmjjournals.com/...

619

2004

Cluett ER, Getliffe K, Pickering RM, St George Saunders NJ.

Labouring in water. Authors' reply. Letter.

Réponse aux commentaires sur l'article de Cluett et al. (fiche 428...
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Answers to commentaries on the paper by Cluett et al. (428...

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bmj.bmjjournals.com/...

681

2004

Mead M, Kornbrot D.

An intrapartum intervention scoring system for the comparison of maternity units' intrapartum care of nulliparous women suitable for midwifery-led care.
Midwifery 2004;20(1):15-26.

Objective:

to develop an intrapartum intervention scoring tool which could be used to define maternity units as either `lower intrapartum intervention' or `higher intrapartum intervention...

spécialisé / hard / difícil

www.sciencedirect.co...

791

Grande disparité des taux de péridurale, déclenchement, épisiotomie, déchirures, forceps, entre deux maternités françaises.

2004

Le Ray C, Gaudu S, Teboul M, Cabrol D, Goffinet F.

Prise en charge du travail et de l'accouchement chez la nullipare à bas risque : comparaison d'une maternité de type 1 et d'une maternité de type 3
J Gynecol Obstet Biol Reprod 2004 Feb;33:30-6.

BUT: Comparer les pratiques obstétricales entre une maternité de type 1 et une de type 3 chez les nullipares à bas risque.

MATERIEL ET METHODES...
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OBJECTIVES: To compare obstetrical practices between level 1 ( community hospital) and level 3 (university hospital) maternities in a low risk nulliparous population.

MATERIALS AND METHODS...

spécialisé / hard / difícil

www.e2med.com/index....

827

2004

Stadlmayr W, Schneider H, Amsler F, Bürgin D, Bitzer J.

How do obstetric variables influence the dimensions of the birth experience as assessed by Salmon’s item list (SIL-Ger)?
European Journal of Obstetrics & Gynecology and Reproductive Biology 2004;115(1):43-50.

Objective: To analyse the effect of obstetric variables on four dimensions of the birth experience. Design/participants: The birth experience of 251 German-speaking women was...

spécialisé / hard / difícil

www.sciencedirect.co...

828

2004

Russell IF.

A comparison of cold, pinprick and touch for assessing the level of spinal block at caesarean section.
International Journal of Obstetric Anesthesia 2004;13(3):146-152.

The sensory block levels of 102 women undergoing caesarean section under spinal anaesthesia were assessed by four different methods: sharp pinprick (Neurotip tester pin), cold...

spécialisé / hard / difícil

www.sciencedirect.co...

841

Eviter l'expression abdominale traumatisante et dangereuse.

2004

Bicheron F.

Communiqué du conseil national de l'ordre des Sages-Femmes. PRATIQUE DE LA VENTOUSE.
Publication électronique.(http://www.ordre-sages-femmes.fr/)

Le Conseil national de l’Ordre des sages-femmes a demandé l'inscription dans l'article 18 du Code de déontologie la possibilité, pour les sages-femmes, de pratiquer le...

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www.ordre-sages-femm...

845

La péridurale faiblement dosée en bipuvacaïne n'augmente pas le risque de césarienne, augmente le risque d'extraction iinstrumentale, rallonge la durée du 2sd stade.

2004

Liu EHC, Sia ATH.

Rates of caesarean section and instrumental vaginal delivery in nulliparous women after low concentration epidural infusions or opioid analgesia: systematic review.
British Medical Journal 2004;328:1410.

OBJECTIVE: To compare the effects of low concentration epidural infusions of bupivacaine with parenteral opioid analgesia on rates of caesarean section and instrumental vaginal delivery...

spécialisé / hard / difícil

bmj.bmjjournals.com/...

848

Pour les femmes sous péridurale, on compare la position couchée latérale (droite ou gauche, au choix) à la position assise avec soutien pendant la période passive de la seconde phase du travail (soit, d'après le protocole, une période d'une heure à partir de la dilatation complète pendant laquelle on ne demande pas à la femme de pousser). La position latérale permettrait moins d'extractions instrumentales que la position assise avec soutien.

2004

Downe S, Gerrett D, Renfrew MJ.

A prospective randomised trial on the effect of position in the passive second stage of labour on birth outcome in nulliparous women using epidural analgesia.
Midwifery 2004;20(2):157-168.

Essai randomisé prospectif qui cherche à déterminer si le taux d’extractions instrumentales est influencé par la position de la mère pendant la période passive de...
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Objective:

To determine whether the rate of instrumental birth in nulliparous women using epidural analgesia is affected by maternal position in the passive second stage...

spécialisé / hard / difícil

www.sciencedirect.co...

910

2004

Institut des Mamans

Pratiques obstétricales et frustrations des mamans : quelle réalité ?

Enquête menée à la demande de l’association Naissance et Citoyenneté sur un échantillon de 679 femmes ayant accouché entre le 1er janvier 2002 et le...

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www.institutdesmaman...

1009

2004

Morrisson S.

NEWS. Canada achieves lowest perinatal mortality ever.
Canadian Medical Association Journal 2004; 171 (9).

The increasing medicalization of childbirth in Canada isn't surprising and does have its benefits, says the Society of Obstetricians and Gynaecologists of Canada (SOGC).
...
But...

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www.cmaj.ca/cgi/cont...

1024

2004

Horowitz ER, Yogev Y, Ben-Haroush A, Kaplan B.

Women’s attitude toward analgesia during labor—a comparison between 1995 and 2001.
European Journal of Obstetrics & Gynecology and Reproductive Biology 2004;117(1):30-32.

Objective: To compare the attitude of gravid women towards analgesia during labor in 1995 and 2001, in Israel.

Method: Women in the third trimester of...

spécialisé / hard / difícil

www.sciencedirect.co...

1086

Cet article étudie la validité d'opinions établies sur le bénéfice de la mobilité pendant le travail et passe en revue les tendances actuelles d'anesthésie ambulatoire. / This article assesses the validity of various strongly advocated opinions as to whether parturients benefit from ambulation in labor and also reviews the current trends in ambulatory labor analgesia.

2004

Kuczkowski KM

Ambulatory labor analgesia: what does an obstetrician need to know?
Acta Obstetricia et Gynecologica Scandinavica 83(5):415-424.

La qualité de l’anesthésie pendant le travail est souvent évaluée uniquement par la perception de soulagement de la douleur rapportée par la patiente. Pourtant, les...
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A simple statement that describes the degree of the patient's satisfaction with the pain relief from her labor epidural analgesia has often assessed the quality...

spécialisé / hard / difícil

www.blackwell-synerg...

1087

Cette étude compare la durée du travail et le soulagement de la douleur chez des parturientes sous péridurale. Un groupe est en position allongée, l'autre a la possibilité de marcher. La liberté de marcher n'a pas d'effet sur la durée du travail ni sur la douleur, mais elle est associée à une réduction des besoins en bupivacaine et en oxytocine. / This study compared the duration of labor and pain relief between parturients receiving epidural analgesia who were ambulated or were recumbent. Whereas walking had no impact on either duration of labor or pain relief, it was associated with a reduction in both bupivacaine and oxytocin requirements.

2004

Frenea S, Chirossel C, Rodriguez R, Baguet JP, Racinet C, Payen JF

The effects of prolonged ambulation on labor with epidural analgesia.
Anesthesia and Analgesia 98(1):224-229.

La déambulation pendant le travail a du succès, bien que ses effets sur la progression du travail et l’intensité de la douleur doivent encore être...
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Ambulation during labor is becoming more popular, although its impact on the progress of labor and on pain intensity remains unclear. We wondered whether prolonged...

spécialisé / hard / difícil

www.anesthesia-analg...

1120

Pour des femmes sous péridurale, la mobilité pendant la première phase du travail n'a d'effet ni sur le mode d'accouchement (extraction instrumentale ou césarienne), ni sur la durée du travail, ni sur l'utilisation d'oxytocines, ni sur la douleur, ni sur l'apgar, mais ne semble pas présenter d'effets délétères.

2004

Roberts CL, Algert CS, Olive E.

Impact of first-stage ambulation on mode of delivery among women with epidural analgesia.
Aust N Z J Obstet Gynaecol. 2004 Dec;44(6):489-94.

Contexte: Des techniques récentes d’administration de l’analgésie péridurale permettent une plus grande mobilité aux femmes accouchant sous péridurale.

Objet : Pour des femmes sous péridurale, déterminer...
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BACKGROUND: New techniques for administering epidural analgesia allow increased mobility for labouring women with epidurals. Aim: To determine the effect of ambulation or upright positions...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1286

La péridurale diminuerait le risque de dépression postnatale dans les jours suivants l'accouchement, mais pas à long terme.

2004

Hiltunen P, Raudaskoski T, Ebeling H, Moilanen I.

Does pain relief during delivery decrease the risk of postnatal depression?
Acta Obstet Gynecol Scand. 2004 Mar;83(3):257-61.

CONTEXTE: Tester l'hypothèse qu'un soulagement de la douleur efficace lors de l'accouchement diminue le risque de dépression postnatale.

METHODES: Ce travail fait partie d'une étude...
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BACKGROUND: To test the hypothesis that sufficient pain relief during delivery decreases the risk of postnatal depression.

METHODS: As part of a prospective follow-up study...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

86

2003

Evans PR, Evans U.

Poor outcome following epidural abscess complicating epidural analgesia for labour.
European Journal of Obstetrics & Gynecology and Reproductive Biology 2003;109:102-105.

Abscess is a rare complication of epidural analgesia that may occur post-partum. A case is described where a lumbar epidural abscess initially presented with back...

spécialisé / hard / difícil

www.sciencedirect.co...

87

2003

Aubard Y, Fourgeaud V, Collet D, Grandchamp P, Vincelot A.

Forceps delivery and the use of synthetic opioid analgesia during epidural anaesthesia.
European Journal of Obstetrics & Gynecology and Reproductive Biology 2003;106:130-133.

OBJECTIVE: To verify whether the use of sufentanil during obstetric epidural anaesthesia (EA) was accompanied by an increase in the rate of instrumental extraction.
STUDY...

spécialisé / hard / difícil

www.sciencedirect.co...

166

2003

Heinze SD, Sleigh MJ.

Epidural or no epidural anaesthesia: relationships between beliefs about childbirth and pain control choices.
Journal of Reproductive and Infant Psychology 2003;21(4):323-33.

L’objet de cette étude était d’observer les différences entre les femmes qui accouchent avec ou sans péridurale. Cette étude est en partie la réplique d’une...
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The purpose of this study was to look at the differences between women who labour with or without epidural anaesthesia. This study was a partial...

spécialisé / hard / difícil

taylorandfrancis.met...

221

2003

Tortosa JC, Parry NS, Mercier FJ, Mazoit JX, Benhamou D.

Efficacy of augmentation of epidural analgesia for Caesarean section.
British Journal of Anaesthesia 2003 Oct;91(4):532-5.

BACKGROUND: Extension of a labour epidural for Caesarean delivery is thought to be successful in most cases and avoids the use of general anaesthesia. However...

spécialisé / hard / difícil

bja.oupjournals.org/...

222

2003

Eriksson SL, Blomberg I, Olofsson C.

Single-shot intrathecal sufentanil with bupivacaine in late labour--analgesic quality and obstetric outcome.
European Journal of Obstetrics & Gynecology and Reproductive Biology 2003 Oct 10;110(2):131-5.

OBJECTIVES: To investigate the analgesic effect and obstetric outcome after single-shot intrathecal sufentanil with bupivacaine in late labour.
STUDY DESIGN: Forty multiparous women in advanced...

spécialisé / hard / difícil

www.sciencedirect.co...

223

2003

Eriksson LS, Gentele C, Olofsson CH.

PCEA compared to continuous epidural infusion in an ultra-low-dose regimen for labor pain relief: a randomized study.
Acta Anaesthesiologica Scandinavica 2003 Oct;47(9):1085-90.

BACKGROUND: Patient-controlled epidural analgesia, PCEA, has been introduced in obstetric analgesia during the past decade. Many studies have shown that the consumption of analgesic is...

spécialisé / hard / difícil

www.blackwell-synerg...

225

2003

DeBalli P, Breen TW.

Intrathecal opioids for combined spinal-epidural analgesia during labour.
CNS Drugs. 2003;17(12):889-904.

In <25 years, intrathecal administration of opioids (i.e. spinal analgesia) has evolved from an experimental model into an important therapy for obstetric analgesia and anaesthesia...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

226

2003

Mattingly JE, D'Alessio J, Ramanathan J.

Effects of obstetric analgesics and anesthetics on the neonate : a review.
Paediatr Drugs. 2003;5(9):615-27.

Most anesthetic and analgesic agents in current use traverse the placental barrier in varying degrees, but are well tolerated by the fetus if judiciously administered...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

227

2003

Camorcia M, Capogna G.

Epidural levobupivacaine, ropivacaine and bupivacaine in combination with sufentanil in early labour: a randomized trial.
Eur J Anaesthesiol. 2003 Aug;20(8):636-9.

BACKGROUND AND OBJECTIVE: To evaluate the efficacy, delay and duration of analgesia of three equianalgesic epidural doses of levobupivacaine, ropivacaine and bupivacaine during the first...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

228

2003

Hill JB, Alexander JM, Sharma SK, McIntire DD, Leveno KJ.

A comparison of the effects of epidural and meperidine analgesia during labor on fetal heart rate.
Obstetrics & Gynecology. 2003 Aug;102(2):333-7.

OBJECTIVE: To estimate the effects of initiation of epidural analgesia on fetal heart rate (FHR) patterns compared with intravenous meperidine analgesia. METHODS: Fetal heart rate...

spécialisé / hard / difícil

www.sciencedirect.co...

231

2003

Rane K, Sollevi A, Segerdahl M.

A randomised double-blind evaluation of adenosine as adjunct to sufentanil in spinal labour analgesia.
Acta Anaesthesiologica Scandinavica. 2003 May;47(5):601-3.

BACKGROUND: Intrathecal injection of sufentanil offers labour pain relief of short duration. This double-blind randomised study evaluates if the combination of adenosine to sufentanil could...

spécialisé / hard / difícil

www.blackwell-synerg...

232

2003

Panni M, Segal S.

New local anesthetics. Are they worth the cost?
Anesthesiol Clin North America. 2003 Mar;21(1):19-38.

Epidural analgesia that uses dilute concentrations of bupivacaine with fentanyl or sufentanil provides excellent analgesia, good sensory-motor discrimination, and minimal toxicity and is inexpensive. The...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

233

2003

Cohen S, Fernandez N, Groysman R, Soremekun O.

Loss of consciousness from epidural sufentanil for labour analgesia.
Anaesthesia. 2003 May;58(5):487-8.

tout public / easy / fácil

www.blackwell-synerg...

234

2003

Gadalla F, Lee SH, Choi KC, Fong J, Gomillion MC, Leighton BL.

Injecting saline through the epidural needle decreases the iv epidural catheter placement rate during combined spinal-epidural labour analgesia.
Canadian Journal of Anesthesia. 2003 Apr;50(4):382-5.

PURPOSE: To determine if injecting 10 mL saline before epidural catheter threading (pre-cannulation epidural fluid injection) can decrease the incidence of iv epidural catheter placement...

spécialisé / hard / difícil

www.cja-jca.org/cgi/...

235

2003

Capogna G, Camorcia M, Columb MO.

Minimum analgesic doses of fentanyl and sufentanil for epidural analgesia in the first stage of labor.
Anesthesia & Analgesia. 2003 Apr;96(4):1178-82

In this study, we sought to determine the minimum analgesic doses and relative potencies of fentanyl and sufentanil when they are used as the sole...

spécialisé / hard / difícil

www.anesthesia-analg...

236

2003

Boselli E, Debon R, Duflo F, Bryssine B, Allaouchiche B, Chassard D.

Ropivacaine 0.15% plus sufentanil 0.5 microg/mL and ropivacaine 0.10% plus sufentanil 0.5 microg/mL are equivalent for patient-controlled epidural analgesia during labor.
Anesthesia & Analgesia. 2003 Apr;96(4):1173-7.

We compared the administration of 0.15% ropivacaine plus 0.5 microg/mL of sufentanil with that of 0.10% ropivacaine plus 0.5 microg/mL of sufentanil for...

spécialisé / hard / difícil

www.anesthesia-analg...

237

2003

Roelants F, Rizzo M, Lavand'homme P.

The effect of epidural neostigmine combined with ropivacaine and sufentanil on neuraxial analgesia during labor.
Anesthesia & Analgesia. 2003 Apr;96(4):1161-6.

Spinal neostigmine produces analgesia without respiratory depression or hypotension but provokes major gastrointestinal side effects. Epidural injection of this drug, however, appears to induce analgesia...

spécialisé / hard / difícil

www.anesthesia-analg...

238

Etude randomisée contrôlée, sur des femmes en travail spontané ou déclenché. Le fait de marcher sous péridurale ambulatoire a pour seul effet une réduction notable du temps du travail.

2003

Karraz MA.

Ambulatory epidural anesthesia and the duration of labor.
International Journal of Gynecology & Obstetrics. 2003 Feb;80(2):117-22.

OBJECTIVES: Ambulatory epidural analgesia has become a common option for women in labor in France. We tested the hypothesis that a method of epidural analgesia...

spécialisé / hard / difícil

www.sciencedirect.co...

289

Combien de temps attendre avant de déclencher après une rupture spontanée des membranes, sur un col favorable?

2003

Crane JM, Young DC.

Induction of labour with a favourable cervix and/or pre-labour rupture of membranes.
Best Pract Res Clin Obstet Gynaecol. 2003 Oct;17(5):795-809.

Premature rupture of membranes (PROM) occurs in 8% of term deliveries. In this situation labour induction with prostaglandins, compared with expectant management, results in a...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

292

2003

Bohra U, Donnelly J, O'Connell MP, Geary MP, MacQuillan K, Keane DP.

Active management of labour revisited: the first 1000 primiparous labours in 2000.
J Obstet Gynaecol. 2003 Mar;23(2):118-20.

This was a prospective observational study in a tertiary referral obstetric unit in Dublin to ascertain the delivery outcome in the first 1000 nulliparous women...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

293

Les interventions ayant une influence sur la durée du travail s'influencent mutuellement. On ne peut donc pas les étudier comme des variables séparées.

2003

Gross MM, Antes G.

[Scientific evidence on labor duration from systematic reviews] [Article in German]
Zeitschrift für Geburtshilfe und Neonatologie. 2003 Jan-Feb;207(1):17-23.

OBJECTIVE: We examined the evidence of systematic reviews in the Cochrane Library on interventions that influence the duration of labor.

MATERIAL AND METHODS: Of the...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

399

2003

Ponkey SE, Cohen AP, Heffner LJ, Lieberman E.

Persistent fetal occiput posterior position: obstetric outcomes.
Obstetrics & Gynecology 2003;101(5):915-920.

OBJECTIVE : To evaluate the obstetric outcomes associated with persistent occiput posterior position of the fetal head in term laboring patients.

METHODS : We performed a cohort...

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www.sciencedirect.co...

692

On réalise aujourd’hui que des microdéchirures pourraient être préférables à l’épisiotomie. (France)

2003

Balland K.

Episiotomie et péridurale : attention aux dogmes.
Le nouvel Observateur, supplément Paris-Ile-de-France.

L’obstétrique est une science relative. N’attendez pas le dernier moment pour vous renseigner sur l’art et les méthodes…

« J’ai appris après cinq ans de métier...

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obsdeparis.nouvelobs...

794

La meilleure recommandation est de laisser les femmes accoucher dans la position qu'elles souhaitent.

2003

Bodner-Adler B, Bodner K, Kimberger O, Lozanov P, Husslein P, Mayerhofer K.

Women's position during labour: influence on maternal and neonatal outcome.
Wien Klin Wochenschr. 2003 Oct 31;115(19-20):720-3.

AIM: To assess the maternal, perineal and neonatal outcomes of an upright position compared with a supine position during vaginal delivery, in terms of defined...

spécialisé / hard / difícil

795

Plus de déchirures sévères lorsque l'accouchement est en dépassement de terme, déclenché avec macrosomie foetale, utilisation de la péridurale, extraction instrumentale (notamment forceps), ou simplement conduit par un obstétricien.

2003

Gupta N, Kiran TU, Mulik V, Bethel J, Bhal K.

The incidence, risk factors and obstetric outcome in primigravid women sustaining anal sphincter tears.
Acta Obstet Gynecol Scand. 2003 Aug;82(8):736-43.

BACKGROUND: The incidence of anal sphincter tears is highest among nulliparous women. The aim of this study was to ascertain if there were other factors...

spécialisé / hard / difícil

www.blackwell-synerg...

809

2003

Bodner-Adler B, Bodner K, Kimberger O, Wagenbichler P, Kaider A, Husslein P, Mayerhofer K.

The effect of epidural analgesia on obstetric lacerations and neonatal outcome during spontaneous vaginal delivery.
Arch Gynecol Obstet. 2003 Jan;267(3):130-3.

The aim of this study was to determine if epidural analgesia is associated with increased risk of obstetric lacerations during spontaneous vaginal delivery. We also...

spécialisé / hard / difícil

www.springerlink.com...

842

L'expression abdominale est utilisée en France pour 50% des accouchements, d'après une enquête de l'institut des mamans.

2003

Institut des mamans

Pratique obstétricales et frustrations des mamans: quelle réalité. Enquête.
Publication électronique http://www.institutdesmamans.com/Online/

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www.institutdesmaman...

1100

Les primipares sous péridurale ambulatoire peuvent maintenir une position verticale jusqu'à la naissance, à condition d'être soutenues physiquement et émotionnellement en permanence.

2003

Mayberry LJ, Strange LB, Suplee PD, Gennaro S.

Use of upright positioning with epidural analgesia: findings from an observational study.
MCN Am J Matern Child Nurs. 2003 May-Jun;28(3):152-9.

PURPOSE: To present research findings and related nursing implications from an observational study designed to evaluate the use of upright positioning during second stage labor...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1936


2003

Hofmeyr GJ, Gulmezoglu AM.

Vaginal misoprostol for cervical ripening and induction of labour. Méta-analyse. Cochrane Database Syst Rev. 2003;(1):CD000941.

BACKGROUND: Misoprostol (Cytotec, Searle) is a prostaglandin E1 analogue marketed for use in the prevention and treatment of peptic ulcer disease. It is inexpensive, easily...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

89

Disparité des pratiques

2002

Alran S, Sibony O, Oury JF, Luton D, Blot P.

Differences in management and results in term-delivery in nine European referral hospitals: descriptive study.
European Journal of Obstetrics & Gynecology and Reproductive Biology 2002;103:4-13.

OBJECTIVE: To compose obstetric interventions around Europe.

STUDY DESIGN: A survey of obstetric practices, logistics and statistical outcomes in nine tertiary referral hospitals in Europe...

spécialisé / hard / difícil

www.sciencedirect.co...

113

2002

J. Söderquist, K. Wijma and B. Wijma.

Traumatic stress after childbirth: the role of obstetric variables.
Journal of Psychosomatic Obstetrics and Gynecology 2002;23:31-9.

Nous avons étudie l'état de stress post-traumatique après l'accouchement en fonction des paramètres obstétricaux sur un échantillon de 1550 récentes accouchées.
Le profil symptomatique de...
- - - - - - -
In a sample of 1550 recently delivered women, traumatic stress after childbirth was studied in relation to obstetric variables.
A post-traumatic stress disorder (PTSD) symptom...

spécialisé / hard / difícil

jpog.ispog.org/abstr...

241

2002

Rolfseng OK, Skogvoll E, Borchgrevink PC.

Epidural bupivacaine with sufentanil or fentanyl during labour: a randomized, double-blind study.
European Journal of Anaesthesiology. 2002 Nov;19(11):812-8.

BACKGROUND AND OBJECTIVE: Epidural analgesia with bupivacaine plus either sufentanil or fentanyl is widely used during labour, but it is not clear which opioid is...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

243

2002

Loughnan BA, Carli F, Romney M, Dore CJ, Gordon H.

Epidural analgesia and backache: a randomized controlled comparison with intramuscular meperidine for analgesia during labour.
British Journal of Anaesthesia. 2002 Sep;89(3):466-72.

BACKGROUND: Concern has been expressed that epidural analgesia for labour may be associated with a higher incidence of backache.
METHODS: A prospective randomized trial investigating...

spécialisé / hard / difícil

bja.oupjournals.org/...

244

2002

Wiklund I, Matthiesen AS, Klang B, Ransjo-Arvidson AB.

A comparative study in Stockholm, Sweden of labour outcome and women's perceptions of being referred in labour.
Midwifery. 2002 Sep;18(3):193-9.

OBJECTIVE: to study the outcome of labour and women's perceptions of being referred after onset of labour.

DESIGN: a comparative study carried out between October...

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245

2002

Clement HJ, Caruso L, Lopez F, Broisin F, Blanc-Jouvan M, Derre-Brunet E, Thomasson A, Leboucher G, Viale JP.

Epidural analgesia with 0.15% ropivacaine plus sufentanil 0.5 microgram ml-1 versus 0.10% bupivacaine plus sufentanil 0.5 microgram ml-1: a double-blind comparison during labour.
British Journal of Anaesthesia. 2002 Jun;88(6):809-13.

BACKGROUND: Ropivacaine has been claimed to produce less motor block than bupivacaine during epidural analgesia. However, this advantage has not been clearly confirmed in obstetric...

spécialisé / hard / difícil

bja.oupjournals.org/...

475

De plus en plus d'interventions de routine sont pratiquées sans preuve de leur efficacité, sous la pression du secteur privé, du médico-légal, sans consentement éclairé. Des taux plus élevés d'accouchement normaux seraient obtenus simplement en changeant les croyances et en implémentant la pratique de la médecine factuelle.

2002

Johanson R, Newburn M, Macfarlane A.

Has the medicalisation of childbirth gone too far? The British Medical Journal 2002;324:892-895.

Summary points

- Obstetricians play an important role in preserving lives when there are complications of pregnancy or labour

- In developed countries, however, obstetrician involvement and...

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bmj.bmjjournals.com/...

1049

Il n'y a pas davantage de risque nénoatal et maternel lors d'une naissance à
domicile planifiée avec accompagnement d'une sage-femme. / There was no increased maternal or neonatal risk associated with planned home
birth under the care of a regulated midwife

2002

Janssen, P.A., Lee, S.K., Ryan, E.M., Etches, D.J., Farquharson, D.F., Peacock, D., Klein, M.C.

Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia. CMAJ. 2002 February 5; 166(3): 315–323.

Résultat des naissances prévues à domicile comparées à celles prévues à l’hôpital suite à la réglementation de la pratique des sages-femme, en Colombie Britannique (Canada...
- - - - - - -
Background
The choice to give birth at home with a regulated midwife in attendance became available to expectant women in British Columbia in 1998. The...

spécialisé / hard / difícil

www.pubmedcentral.ni...

1124

Revue des facteurs obstétriques optimaux pendant le second stade, en particulier les positions de la femme et le réflexe de poussée. Réflexion sur ces facteurs en cas de péridurale.

2002

Roberts JE.

The "push" for evidence: management of the second stage.
J Midwifery Womens Health. 2002 Jan-Feb;47(1):2-15.

Recognition that the available evidence does not support arbitrary time limits for the second stage of labor has led to reconsideration of the influence of...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1220

Les femmes sous péridurale ambulatoire en profitent effectivement pour bouger et ont une seconde phase du travail plus courte.

2002

Golara M, Plaat F, Shennan AH.

Upright versus recumbent position in the second stage of labour in women with combined spinal-epidural analgesia.
Int J Obstet Anesth. 2002 Jan;11(1):19-22.

Neuraxial blockade is widely used for pain relief in labour. This form of analgesia may be associated with an increase in instrumental delivery rates due...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

92

2001

Capogna G.

Effect of epidural analgesia on the fetal heart rate. Eur J Obstet Gynaecol Reprod Biol 2001;98:160-164. Review.

Fetal heart rate (FHR) changes occasionally follow the use of labor epidurals. Most studies of the phenomenon have focused on specific techniques, but similar timing...

spécialisé / hard / difícil

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247

2001

Gerbelli, C.

La péridurale. Mémoire présenté au Baccalauréat en pratique sage-femme, Université du Québec à Trois Rivières.

Actuellement au Québec la péridurale ne fait pas partie des prérogatives des sages-femmes. Cependant, nous nous y sommes trouvées confrontées à plusieurs reprises, dès lors...

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www.fraternet.org/na...

300

2001

Sadler LC, Davison T, McCowan LM.

Maternal satisfaction with active management of labor: a randomized controlled trial.
Birth. 2001 Dec;28(4):225-35.

BACKGROUND: Active management of labor reduces the length of labor and rate of prolonged labor, but its effect on satisfaction with care, within a randomized...

spécialisé / hard / difícil

www.blackwell-synerg...

307

2001

Aveline C, Bonnet F.

Influence de l'anesthésie péridurale sur la durée et les modalités de l'accouchement. [Effects of epidural anesthesia on labor and delivery]. Annales Françaises d'Anesthésie et de Réanimation. 2001 May;20(5):471-84.

Objectif : Déterminer l'influence de l'analgésie péridurale (APD) sur le taux de césariennes et d'extractions instrumentales au cours du travail obstétrical.

Source des données : Recherche dans...
- - - - - - -
OBJECTIVE: To determine the effect of epidural analgesia (EA) on the duration of labour and the mode of delivery.

DATA SOURCES: A Medline computerised literature...

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www.sciencedirect.co...

972

2001

PEEK-Michael-John; NELSON-PIERCY-C, ed

Drugs for obstetric conditions. Drugs in Pregnancy. Bailliere's-best-practice-and-research-Clinical-obstetrics-and-gynaecology. 2001; 15 (6) : 999-1011

For many reasons, including the fear of fetal anomaly, the recognition of pregnancy being a normal physiological process and maternal choice, few drugs are prescribed...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1000

Etude, chez les génisses, de l’effet sur le lien mère-enfant (1) de l’analgésie péridurale et (2) de l’injection d'estradiol [visant à stimuler la production endogène d'ocytocine], d’une stimulation génitale et autres stimuli

2001

Williams GL, Gazal OS, Leshin LS, Stanko RL, Anderson LL

Physiological regulation of maternal behavior in heifers: Roles of genital stimulation, intracerebral oxytocin release, and ovarian steroids. BIOLOGY OF REPRODUCTION 65 (1), p. 295-300 JUL

Etude, chez les génisses, de l’effet sur le lien mère-enfant (1) de l’analgésie péridurale et (2) de l’injection d'estradiol [visant à stimuler la production endogène...
- - - - - - -
We tested the hypotheses that 1) epidural anesthesia at parturition would block both peripheral and central release of oxytocin and eliminate the development of maternal...

spécialisé / hard / difícil

1003

High use of epidural analgesia is a marker for a style of practice characterized by malpositions leading to dysfunctional labors and higher intervention rates leading, in turn, to excess maternal/newborn morbidity / L’utilisation intensive de l’analgésie péridurale est le marqueur d’une pratique caractérisée par des mauvaises présentations qui induisent un travail dysfonctionnel et un taux plus élevé d’interventions, ce qui conduit à trop de morbidité maternelle et infantile.

2001

Klein MC, Grzybowski S, Harris S, Liston R, Spence A, Le G, Brummendorf D, Kim S, Kaczorowski J

Epidural analgesia use as a marker for physician approach to birth: Implications for maternal and newborn outcomes. BIRTH-ISSUES IN PERINATAL CARE, 28 (4), p.243-248 DEC

Background: Understanding the association between caregiver belief systems and practice patterns is an emerging area of research. We hypothesized an association between a maternity caregivers...

spécialisé / hard / difícil

1050

La péridurale augmente le taux d'utilisation de l'épisiotomie et diminue le taux d'extension des épisiotomies. / Epidural analgesia increases the rates of episiotomy use, and decreases the rate of episiotomy extension.

2001

Newman, M. G., Lindsay, M. K., Graves, W.

The effect of epidural analgesia on rates of episiotomy use and episiotomy extension in an inner-city hospital. Journal of Maternal-Fetal and Neonatal Medicine, 10(2), April 2001, 97 - 101.

Objective: To determine the relationship between epidural analgesia and episiotomy usage and episiotomy extension in parturients delivering vaginally.

Methods: A database of 20 888 women...

spécialisé / hard / difícil

taylorandfrancis.met...

1089

La péridurale ambulatoire ne raccourcit pas la durée entre la pose de la péridurale et la dilatation complète. / Ambulatory epidural analgesia with walking or sitting does not shorten labor duration from the time of epidural insertion to complete cervical dilatation.

2001

Vallejo MC, Firestone LL, Mandell GL, Jaime F, Makishima S, Ramanathan S

Effect of epidural analgesia with ambulation on labor duration
ANESTHESIOLOGY 95 (4): 857-861 OCT 2001

Background: Ambulatory epidural analgesia (AEA) is a popular choice for labor analgesia because ambulation reportedly increases maternal comfort, increases the intensity of uterine contractions, avoids...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

4

2000

Didierjean-Jouveau, Claude

Pour une naissance a visage humain. Paris: Jouvence

Il y a deux facons d'envisager la naissance: l'une, qui voit dans la grossesse et l'accouchement des situations à risque à "sécuriser" au maximum grâce...

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www.amazon.fr/exec/o...

72

Le principal facteur de décision concernant la pratique de l’épisiomie est l’identité du praticien.

2000

Robinson JN, Norwitz ER, Cohen AP, Lieberman E.

Predictors of episiotomy use at first spontaneous vaginal delivery. Obstet Gynecol. 2000 Aug;96(2):214-8.

OBJECTIVE: To identify factors associated with the use of episiotomy at spontaneous vaginal delivery.

METHODS: We studied 1576 consecutive term, singleton, spontaneous vaginal deliveries in...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

239

2000

Murray Enkin, Marc J.N.C. Keirse, James Neilson, Caroline Crowther, Lelia Duley, Ellen Hodnett and Justus Hofmeyr.

A Guide to Effective Care in Pregnancy and Childbirth.
Oxford University Press, 2000.

A Guide to Effective Care in Pregnancy and Childbirth (Guide des soins efficaces pendant la grossesse et l'accouchement) est un résumé des meilleures études disponibles...
- - - - - - -
A Guide to Effective Care in Pregnancy and Childbirth is an overview of results of the best available research about effects of specific maternity practices...

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www.maternitywise.or...

407

Avec une gestion moins invasive de l’accouchement, dans un hôpital allemand, en 6 ans le taux d’épisiotomies a diminué de plus 80% à moins de 15%.

2000

Eberhard J, Geissbuhler V.

Influence of alternative birth methods on traditional birth management.
Fetal Diagn Ther. 2000 Sep-Oct; 15(5): 283-90.

BACKGROUND: Because of popular demand for more natural childbirth, a new concept was introduced in 1991 in our clinic. It consisted of careful monitoring and...

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www.ncbi.nlm.nih.gov...

511

2000

CNGOF (Collège National des Gynécologues et Obstétriciens de France)

Césarienne: conséquences et indications. Recommandations pour la pratique clinique.
Publication internet courte sur le site du CNGOF. (Version longue dans J Gynecol Obstet Biol Reprod, 2000; 29 (suppl. n°2): 9-108).

L'accouchement par voie basse est associé à une mortalité et à une morbidité maternelle plus faibles que l'accouchement par césarienne avant travail (NP 2). Par...

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www.cngof.asso.fr/

800

2000

Samuelsson E, Ladfors L, Wennerholm UB, Gareberg B, Nyberg K, Hagberg H.

Anal sphincter tears: prospective study of obstetric risk factors.
BJOG. 2000 Jul;107(7):926-31.

Objectifs: évaluer les facteurs de risques intrapartume pour les déchirures du sphincter anal.
Etude d'observation prospective à l'hôpital universitaire de Goteborg, Suède.

Participants: 2883 femmes...
- - - - - - -
OBJECTIVE: To evaluate intrapartum risk factors for anal sphincter tear.

DESIGN: A prospective observational study.

SETTING: Delivery unit at the University Hospital in Goteborg, Sweden...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

907

2000

Murray Enkin, Marc J.N.C. Keirse, James Neilson, Caroline Crowther, Lelia Duley, Ellen Hodnett and Justus Hofmeyr.

The second stage of labor. Chapter 32, A Guide to Effective Care in Pregnancy and Childbirth.
Oxford University Press, 2000.

Diagnostic du début de la seconde phase de travail
Les poussées pendant la seconde phase de travail
Position pendant la seconde phase de travail
Durée...
- - - - - - -
Diagnosis of the onset of the second stage of labor
Pushing during the second stage of labor
Position during the second stage of labor
Duration...

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www.maternitywise.or...

953

2000

Eggebo TM, Gjessing LK.

[Hemorrhage after vaginal delivery].
Tidsskr Nor Laegeforen. 2000 Oct 10;120(24):2860-3.

BACKGROUND: Primary postpartum haemorrhage, defined as blood loss of more than 500 ml, is an important cause of maternal morbidity and mortality.

MATERIAL AND METHODS...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

140

1999

Scott KD, Berkowitz G, Klaus M.

A comparison of intermittent and continuous support during labor: a meta-analysis.
Am J Obstet Gynecol. 1999 May;180(5):1054-9.

Our goal was to contrast the influence of intermittent and continuous support provided by doulas during labor and delivery on 5 childbirth outcomes. Data were...

spécialisé / hard / difícil

www2.us.elsevierheal...

327

1999

Lieberman E, Cohen A, Lang J, Frigoletto F, Goetzl L.

Maternal intrapartum temperature elevation as a risk factor for cesarean delivery and assisted vaginal delivery.
Am J Public Health. 1999 Apr;89(4):506-10.

OBJECTIVES: This study investigated the association of intrapartum temperature elevation with cesarean delivery and assisted vaginal delivery.
METHODS: Participants were 1233 nulliparous women with singleton...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

328

1999

Robinson JN, Norwitz ER, Cohen AP, McElrath TF, Lieberman ES.

Epidural analgesia and third- or fourth-degree lacerations in nulliparas.
Obstet Gynecol. 1999 Aug;94(2):259-62.

OBJECTIVE: To determine if epidural analgesia is associated with differences in rates of severe perineal trauma during vaginal deliveries.
METHODS: We studied 1942 consecutive, low-risk...

spécialisé / hard / difícil

www.sciencedirect.co...

329

1999

Lieberman E.

No free lunch on labor day. The risks and benefits of epidural analgesia during labor.
J Nurse Midwifery. 1999 Jul-Aug;44(4):394-8.

Epidural analgesia provides effective pain relief for women during labor. However, like all medical interventions, it also has potential side effects such as longer labor...

spécialisé / hard / difícil

www.sciencedirect.co...

330

Les taux de ruptures utérines dans des tentatives d’accouchement vaginal après une ou deux césariennes sont de 0.8 et 3.7% respectivement. (Période d’observation: 1984-1996)

1999

Caughey AB, Shipp TD, Repke JT, Zelop CM, Cohen A, Lieberman E.

Rate of uterine rupture during a trial of labor in women with one or two prior cesarean deliveries.
Am J Obstet Gynecol. 1999 Oct;181(4):872-6.

OBJECTIVE: We sought to determine whether there is a difference in the rate of symptomatic uterine rupture after a trial of labor in women who...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

331

Le taux de ruptures utérines est multiplié par 4 à 6 en cas de déclenchement avec accélération du travail, dans une tentative d’accouchement vaginal après une césarienne.

1999

Zelop CM, Shipp TD, Repke JT, Cohen A, Caughey AB, Lieberman E.

Uterine rupture during induced or augmented labor in gravid women with one prior cesarean delivery.
Am J Obstet Gynecol. 1999 Oct;181(4):882-6.

OBJECTIVE: Our purpose was to examine the risk of uterine rupture during induction or augmentation of labor in gravid women with 1 prior cesarean delivery...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

333

1999

Goldberg AB, Cohen A, Lieberman E.

Nulliparas' preferences for epidural analgesia: their effects on actual use in labor.
Birth. 1999 Sep;26(3):139-43.

BACKGROUND: Few studies have directly examined the reasons for choices of pain relief during labor. The purpose of this study was to investigate if women's...

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www.blackwell-synerg...

334

1999

Lieberman E, Lang JM, Frigoletto F, Cohen A.

Epidurals and Cesareans: The Jury Is Still Out
Birth. 1999 Sep;26(3):196-8.

spécialisé / hard / difícil

www.blackwell-synerg...

558

Qui est interventionniste?

1999

Page L, McCourt C, Beake S, Vail A, Hewison J.

Clinical interventions and outcomes of One-to-One midwifery practice.
J Public Health Med. 1999 Sep;21(3):243-8.

BACKGROUND: Changing Childbirth became policy for the maternity services in England in 1994 and remains policy. One-to-One midwifery was implemented to achieve the targets set...

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jpubhealth.oupjourna...

559

1999

Varma A, Gunn J, Lindow SW, Duthie GS.

Do routinely measured delivery variables predict anal sphincter outcome?
Dis Colon Rectum. 1999 Oct;42(10):1261-4.

PURPOSE: Trauma to the anal sphincter is a recognized complication of primiparous childbirth. This damage may be compounded during subsequent deliveries leading to symptoms. Earlier...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

566

Régression de la pratique de l’épisiotomie en Suède

1999

Rockner G, Fianu-Jonasson A.

Changed pattern in the use of episiotomy in Sweden.
Br J Obstet Gynaecol. 1999 Feb;106(2):95-101.

OBJECTIVE: To study changes in the use of episiotomy since 1989, controlling for variables such as severe tears, epidural anaesthesia, duration of the second stage...

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www.ncbi.nlm.nih.gov...

1287

Moind de péridurale et un meilleur vécu de l'accouchement avec une doula, mais même taux d'accouchements opératoires.

1999

Gordon NP, Walton D, McAdam E, Derman J, Gallitero G, Garrett L.

Effects of providing hospital-based doulas in health maintenance organization hospitals.
Obstet Gynecol. 1999 Mar;93(3):422-6.

OBJECTIFS: Evaluer si la présence d'une doula lors des accouchements en structure hospitalière affecte le type d'accouchement, la demande de péridurale, l'allaitement, et les perceptions...
- - - - - - -
OBJECTIVE: To evaluate whether providing doulas during hospital-based labor affects mode of delivery, epidural use, breast-feeding, and postpartum perceptions of the birth, self-esteem, and depression...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

1947


Many women want a quick and painless labor, and do not object to the interventions that help achieve
this.

1999

Lawrence Impey

Maternal Attitudes to Amniotomy and Labor Duration: A Survey in Early Pregnancy. BIRTH 26:4 December 1999: 211-214.

Background: Although maternal choice increasingly influences intrapartum care, little is known about maternal attitudes about many outcomes and interventions, particularly the length of labor. Early...

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325

1998

Fogel ST, Shyken JM, Leighton BL, Mormol JS, Smeltzer JS.

Epidural labor analgesia and the incidence of cesarean delivery for dystocia.
Anesth Analg. 1998 Jul;87(1):119-23.

We performed this retrospective study to examine the changes in cesarean delivery rates associated with the establishment of a labor epidural service. In April 1993...

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326

1998

Norris MC, Fogel ST, Holtmann B.

Intrathecal sufentanil (5 vs. 10 microg) for labor analgesia: efficacy and side effects.
Reg Anesth Pain Med. 1998 May-Jun;23(3):252-7.

BACKGROUND AND OBJECTIVES: Despite growing popularity, there are few studies examining the relative efficacy of different doses of intrathecal sufentanil for labor analgesia. This prospective...

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335

1998

Thompson TT, Thorp JM Jr, Mayer D, Kuller JA, Bowes WA Jr.

Does epidural analgesia cause dystocia?
J Clin Anesth. 1998 Feb;10(1):58-65.

STUDY OBJECTIVE: To analyze the effects of epidural analgesia for labor when dystocia occurs.

DESIGN: Retrospective cohort study.

SETTING: Academic health center.

PATIENTS: 641 low...

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715

Les taux d’interventions étaient trop élevés pour ce groupe à faible risque de nullipares.

1998

Williams FL, Florey CV, Ogston SA, Patel NB, Howie PW, Tindall VR.

UK study of intrapartum care for low risk primigravidas: a survey of interventions.
J Epidemiol Community Health. 1998 Aug;52(8):494-500.

STUDY OBJECTIVE: To determine the extent of intrapartum intervention received by primigravidas.

DESIGN: Cross sectional survey of NHS hospitals in the UK.

SETTING: One hundred...

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jech.bmjjournals.com...

718

L’accompagnement global réduit le nombre des interventions.

1998

Waldenstrom U, Turnbull D.

A systematic review comparing continuity of midwifery care with standard maternity services.
Br J Obstet Gynaecol. 1998 Nov;105(11):1160-70.

OBJECTIVE: To review randomised controlled trials of alternative maternity services characterised by continuity of midwifery care.

METHODS: A systematic review of randomised controlled trials, analysed...

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1090

Le fait de marcher n'est ni positif ni négatif sur le travail. Il n'est pas dangereux ni pour la mère ni pour leurs enfants. / Walking neither enhanced nor impaired active labor and was not harmful to the mothers or their infants.

1998

Bloom SL, McIntire DD, Kelly MA, Beimer HL, Burpo RH, Garcia MA, Leveno KJ.

Lack of effect of walking on labor and delivery.
N Engl J Med. 1998 Jul 9;339(2):117-8.

Lack of effect of walking on labor and delivery...
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BACKGROUND AND METHODS: Walking during labor may reduce patients' discomfort and improve outcomes. We conducted a randomized trial of walking during active labor to determine...

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2206

Pour les femmes des classes moyennes soutenues par leur conjoint durant l'accouchement, la présence continue d'une doula durant le travail diminue significativement la probabilité d'une naissance par césarienne et réduit le besoin de recours à la péridurale. / For middle-class women laboring with the support of their male partner, the continuous presence of a doula during labor significantly decreased the likelihood of cesarean delivery and reduced the need for epidural analgesia.

1998

McGrath SK, Kennell JH.

A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates. Br J Obstet Gynaecol. 1998 Oct;105(10):1056-63.

CONTEXTE: Des études précédentes dans plusieurs cadres différents ont démontré les effets positifs de l'accompagnement continu du travail par une femme expérimentée (une doula) pour...
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BACKGROUND: Previous randomized controlled studies in several different settings demonstrated the positive effects of continuous labor support by an experienced woman (doula) for low-income women...

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338

1997

Turcot L, Marcoux S, Fraser WD.

Multivariate analysis of risk factors for operative delivery in nulliparous women. Canadian Early Amniotomy Study Group.
Am J Obstet Gynecol. 1997 Feb;176(2):395-402.

OBJECTIVE: Our purpose was to develop predictive models of operative delivery in nulliparous women on the basis of sociodemographic, anthropometric, and obstetric risk factors.
STUDY...

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339

1997

Lieberman E, Lang JM, Frigoletto F Jr, Richardson DK, Ringer SA, Cohen A.

Epidural analgesia, intrapartum fever, and neonatal sepsis evaluation.
Pediatrics. 1997 Mar;99(3):415-9.

OBJECTIVE: Although several studies have documented an increase in maternal temperature associated with use of epidural analgesia during labor, none have investigated the impact of...

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pediatrics.aappublic...

350

1997

Gagnon AJ, Waghorn K, Covell C.

A randomized trial of one-to-one nurse support of women in labor.
Birth. 1997 Jun;24(2):71-7.

BACKGROUND: Health researchers and provider groups have recommended that women in labor should receive continuous professional support. The objective of our study was to compare...

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733

En l’absence de données certifiant le contraire, les femmes devraient être encouragées à la liberté de position et à la pratique du massage périnéal pendant le 3e trimestre / In the absence of strong data to the contrary, women should be encouraged to engage in perineal massage if they wish and to adopt the birth positions of their choice.

1997

Flynn P, Franiek J, Janssen P, Hannah WJ, Klein MC.

How can second-stage management prevent perineal trauma? Critical review.
Can Fam Physician. 1997 Jan;43:73-84.

OBJECTIVE: To learn which factors influencing perineal integrity were modifiable by physicians and pregnant women.

DATA SOURCES: Medical, nursing, and midwifery literature was searched mainly...

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801

1997

Poen AC, Felt-Bersma RJ, Dekker GA, Deville W, Cuesta MA, Meuwissen SG.

Third degree obstetric perineal tears: risk factors and the preventive role of mediolateral episiotomy.
Br J Obstet Gynaecol. 1997 May;104(5):563-6.

OBJECTIVE: To determine risk factors for third degree obstetric perineal tears and to give recommendations for prevention. DESIGN: Retrospective case control study.

SETTING: A teaching...

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1128

1997

al-Mufti R, Morey R, Shennan A, Morgan B.

Blood pressure and fetal heart rate changes with patient-controlled combined spinal epidural analgesia while ambulating in labour.
Br J Obstet Gynaecol. 1997 May;104(5):554-8.

OBJECTIVE: To determine the effect of patient-controlled combined spinal epidural analgesia (PCEA) on maternal pulse and blood pressure, and fetal heart rate in primigravid women...

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www.ncbi.nlm.nih.gov...

321

1996

Lieberman E, Lang JM, Cohen A, D'Agostino R Jr, Datta S, Frigoletto FD Jr.

Association of epidural analgesia with cesarean delivery in nulliparas.
Obstet Gynecol. 1996 Dec;88(6):993-1000.

OBJECTIVE: To evaluate whether epidural analgesia during the first stage of labor is associated with an increased risk of cesarean delivery.
METHODS: The association of...

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346

1996

Thorp JA, Breedlove G.

Epidural analgesia in labor: an evaluation of risks and benefits. Review.
Birth. 1996 Jun;23(2):63-83.

BACKGROUND: Intrapartum epidural analgesia has become increasingly popular because it is the most effective method of providing pain relief during labor. Much attention is given...

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1105

Les différences de pratique entre les sages-femmes et les obstétriciens.

1996

Fullerton JT, Hollenbach KA, Wingard DL.

Practice styles. A comparison of obstetricians and nurse-midwives.
J Nurse Midwifery. 1996 May-Jun;41(3):243-50.

Iain Chalmers and the National Perinatal Epidemiology Unit, Oxford, England, developed a comprehensive listing of perinatal care procedures shown to reduce the frequency of adverse...

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1221


1996

Plaat F, Golara M, Shennan A.

Upright vs recumbent position with mobile extradurals in the early second stage of labour.
British Journal of Anaesthesia 1996;76:102.

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7

1995

Goer, Henci.

The Thinking Woman's Guide to a Better Birth. Practical Information for a Safe, Satisfying Childbirth. New York: Berkley.

Award winning medical writer and birth activist Henci Goer gives clear, concise information based on the latest medical studies.
Goer will help you compare and...

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www.hencigoer.com/be...

26

1995

Goer, Henci

Slow Labor: Patience is a Virtue. In “The Thinking Woman's Guide to a Better Birth. Practical Information for a Safe, Satisfying Childbirth.” New York: Berkley, p.107-123

Le travail lent: la patience est une vertu.”

Ce que montrent les études scientifiques:

Ce sont souvent des facteurs non-médicaux qui déterminent le diagnostic et...

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27

1995

Goer, Henci.

Epidurals and Narcotics: A Shot in the Dark. In “The Thinking Woman's Guide to a Better Birth. Practical Information for a Safe, Satisfying Childbirth.” New York: Berkley, p.125-147

Péridurale et narcotiques: coup de feu dans l’obscurité”
Ce que montrent les études scientifiques:
La péridurale ralentit le travail. Elle augmente l’usage d’ocytocines, ainsi que...

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40

1995

Goer, Henci

Epidural Anesthesia. In “Obstetric Myths Versus Research Realities: A Guide to the Medical Literature.” Westport: Bergin & Garvey, p.249-273

La péridurale”
Mythe: La notion d’accouchement naturel est aussi insensée que celle d’art dentaire naturel, et la péridurale est la Cadillac de l’anesthésie.
Réalité: Dans...

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340

1995

Hawkins JL, Hess KR, Kubicek MA, Joyce TH 3rd, Morrow DH.

A reevaluation of the association between instrument delivery and epidural analgesia.
Reg Anesth. 1995 Jan-Feb;20(1):50-6.

BACKGROUND AND OBJECTIVES. Over 100 papers in the medical literature suggest pro or con that epidural analgesia is associated with an increase in the incidence...

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341

1994

Thorp JA.

Obstetricians and epidural analgesia. Letter to the Editors.
American Journal of Obstetrics and Gynecology. 1994;170(6):1161.

Farabow et al. should be congratulated on their retrospective analysis of a 20-year experience with epidural analgesia administered by obstetricians (Farabow WS, Roberson VO...

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www2.us.elsevierheal...

342

1994

Thorp JA, Meyer BA, Cohen GR, Yeast JD, Hu D.

Epidural analgesia in labor and cesarean delivery for dystocia. Review.
Obstet Gynecol Surv. 1994 May;49(5):362-9.

Published studies assessing the effect of epidural analgesia in nulliparous labor on the frequency of cesarean delivery for dystocia are reviewed. There are at least...

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1002

Etude, chez les brebis, de l’effet sur l’instinct maternel de l’analgésie péridurale et d’une stimulation génitale plus oestrogènes et progestérone

1994

KEVERNE EB, KENDRICK KM

Maternal-behavior in sheep and its neuroendocrine regulation. ACTA PAEDIATRICA 83,p.47-56 Suppl. 397 JUN

Œstrogènes + progestérone + stimulation vagino-cervicale => comportement maternel

La stimulation sexuelle entraîne la production d’ocytocine dans le fluide cérébrospinal.

Cette stimulation est sans effet si la brebis...
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Non-parturient sheep, hormonally primed and presented with newborn lambs are, at best, indifferent to them and if approached by the lamb may show violent rejection...

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322

1993

Thorp JA, Hu DH, Albin RM, McNitt J, Meyer BA, Cohen GR, Yeast JD.

The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial.
Am J Obstet Gynecol. 1993 Oct;169(4):851-8.

OBJECTIVE: Our purpose was to determine the effect of epidural analgesia on nulliparous labor and delivery.

STUDY DESIGN: Normal term nulliparous women in early spontaneous...

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345

1993

Farabow WS, Roberson VO, Maxey J, Spray BJ.

A twenty-year retrospective analysis of the efficacy of epidural analgesia-anesthesia when administered and/or managed by obstetricians.
Am J Obstet Gynecol. 1993 Aug;169(2 Pt 1):270-7; discussion 277-8.

OBJECTIVE: The purpose of this study was to retrospectively determine the safety and efficacy of epidural anesthesia when administered by obstetricians in a community hospital...

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700

1993

Viktrup L, Lose G.

Epidural anesthesia during labor and stress incontinence after delivery.
Obstet Gynecol. 1993 Dec;82(6):984-6.

OBJECTIVE: To test the hypothesis that epidural anesthesia during labor prevents the development of stress incontinence after vaginal birth. METHODS: We interviewed 208 primiparas about...

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1107

Une revue des mauvaise pratiques. Les changements de position et les positions non-conventionnelles augmentent le confort et l’efficacité du travail. La pratique de l’épisiotomie n’a pas réduit l’incidence des déchirures profondes. / Position changes and alternative birth positions promote greater comfort and efficiency during labor.

1993

Smith MA, Ruffin MT 4th, Green LA.

The rational management of labor.
Am Fam Physician. 1993 May 1;47(6):1471-81.

Some practices and procedures that are common during the management of childbirth lack proof of efficacy, and some have adverse effects. The practice of withholding...

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982

Augmentation du nombre d'infections maternelles et d’hémorragies du postpartum avec la durée de la 2e période. Toutefois, le risque d'hémorragie postpartum est encore plus lié à l'extraction isntrumentale et à un poids de naissance supérieur à 4000g. / The duration of the second stage of labour had a significant independent association with the risk of both PPH and maternal infection after adjustment for other factors. However, there was a similar or greater risk of PPH in association with operative delivery or a birthweight greater than 4000 g.

1992

Saunders NS, Paterson CM.

Neonatal and maternal morbidity in relation to the length of the second stage of labour. Br J Obstet Gynaecol 1992; 99 : 381-5

En étudiant la morbidité maternelle et néonatale en relation avec la durée de la deuxième phase du travail (définie entre dilatation complète et la naissance...
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OBJECTIVE: To investigate the relation between the duration of the second stage of labour and subsequent early neonatal and maternal morbidity.

DESIGN: Retrospective analysis of...

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1005

1992

SEPKOSKI CM, LESTER BM, OSTHEIMER GW, BRAZELTON TB

The effects of maternal epidural-anesthesia on neonatal behavior during the 1st month. DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY 34 (12): 1072-1080 DEC 1992

The effects of maternal epidural anesthesia with bupivacaine on the infant's performance on the Neonatal Behavioral Assessment Scale (NBAS) over the first month of life...

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1380

L'amniotomie de routine raccourcit la durée du travail mais nécessite davantage de péridurale. Elle augmente la fréquence d'anormalité au niveau de la fréquence cardiaque du foetus.
Routine ARM shorten labour but requires more epidurals. It increases the fetal heart rate abnormalities.

1992

BARRETT JFR, SAVAGE J, PHILLIPS K, LILFORD RJ

RANDOMIZED TRIAL OF AMNIOTOMY IN LABOR VERSUS THE INTENTION TO LEAVE MEMBRANES INTACT UNTIL THE 2ND STAGE. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY 99 (1): 5-9 JAN 1992

OBJECTIVE To compare by randomized prospective clinical trial the outcome of labours which are managed with the intention to leave the membranes intact, compared with...

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337

1991

Spencer JA, Koutsoukis M, Lee A.

Fetal heart rate and neonatal condition related to epidural analgesia in women reaching the second stage of labour.
Eur J Obstet Gynecol Reprod Biol. 1991 Oct 8;41(3):173-8.

The relationship between epidural analgesia and a number of labour and delivery factors, relevant to fetal and neonatal condition, was considered in a prospective study...

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343

1991

Thorp JA, Eckert LO, Ang MS, Johnston DA, Peaceman AM, Parisi VM.

Epidural analgesia and cesarean section for dystocia: risk factors in nulliparas.
Am J Perinatol. 1991 Nov;8(6):402-10.

A retrospective study assessing the effect of epidural analgesia in labor on the incidence of cesarean section was performed. The first 500 consecutive nulliparas meeting...

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347

1991

Piper JM, Bolling DR, Newton ER.

The second stage of labor: factors influencing duration.
Am J Obstet Gynecol. 1991 Oct;165(4 Pt 1):976-9.

Prolonged second stage of labor is associated with increased perinatal mortality. Factors influencing second-stage duration are poorly understood. This study was undertaken to characterize those...

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983

L’épisiotomie médiolatérale est associée à une multiplication par 4.67 du risque d’hémorragie post-partum, et la pré-éclampsie 5.02. / Factors having a significant association with hemorrhage were prolonged third stage of labor (adjusted odds ratio 7.56), preeclampsia (odds ratio 5.02), mediolateral episiotomy (4.67), previous postpartum hemorrhage (3.55), twins (3.31), arrest of descent (2.91), soft-tissue lacerations (2.05), augmented labor (1.66), forceps or vacuum delivery (1.66), Asian (1.73) or Hispanic (1.66) ethnicity, midline episiotomy (1.58), and nulliparity (1.45).

1991

Combs CA, Murphy EL, Laros RK Jr.

Factors associated with postpartum hemorrhage with vaginal birth. Obstet Gynecol 1991 ; 77 : 69-76.

Les facteurs corrélés de manière significative à l'hémorragie post-partum étaient la prolongation de la 3e phase du travail (facteur de risque 7.56), la pré-éclampsie (5.02...
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A case-control study was performed to study risk factors for postpartum hemorrhage. Cases of hemorrhage were defined by a hematocrit decrease of 10 points or...

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324

1990

Chestnut DH, Laszewski LJ, Pollack KL, Bates JN, Manago NK, Choi WW.

Continuous epidural infusion of 0.0625% bupivacaine-0.0002% fentanyl during the second stage of labor.
Anesthesiology. 1990 Apr;72(4):613-8.

A randomized, double-blind, placebo-controlled study was performed to evaluate the analgesic efficacy and influence of continuing an epidural infusion of 0.0625% bupivacaine-0.0002% fentanyl during...

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352

1990

Walter HM.

Peridural anesthesia and method of delivery. Peridural anesthesia performed by the obstetrician.
Z Geburtshilfe Perinatol. 1990 Sep-Oct;194(5):228-35.

In deliveries in epidural analgesia (PDA) there are more obstetrical operations than in deliveries without PDA. We have investigated the delivery mode in relation to...

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1136

Comparaison des positions assises et decubitus latéral pour la pose de la péridurale. Pas de différences notables, l'expérience de l'anesthésiste étant primordiale.

1990

Stone PA, Kilpatrick AW, Thorburn J.

Posture and epidural catheter insertion. The relationship between skill, experience and maternal posture on the outcome of epidural catheter insertion.
Anaesthesia. 1990 Nov;45(11):920-3.

This study was undertaken to investigate the outcome of epidural catheter insertion in the sitting or lateral position in mothers during labour. An initial prospective...

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Comparaison des posi...

323

1989

Thorp JA, Parisi VM, Boylan PC, Johnston DA.

The effect of continuous epidural analgesia on cesarean section for dystocia in nulliparous women.
Am J Obstet Gynecol. 1989 Sep;161(3):670-5.

Epidural analgesia in labor is generally accepted as safe and effective and therefore has become increasingly popular. However, little is known regarding the effect of...

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344

1989

Philipsen T, Jensen NH.

Epidural block or parenteral pethidine as analgesic in labour; a randomized study concerning progress in labour and instrumental deliveries.
Eur J Obstet Gynecol Reprod Biol. 1989 Jan;30(1):27-33.

A prospective randomized study was performed to evaluate the influence of epidural analgesia compared to parenteral pethidine in parturients with pain in the first stage...

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1047

Il n'y a pas de preuve que l'épisiotomie diminue les déchirures lors d'accouchements "normaux". La pratique des épisiotomies doit donc être remise en question. / There is little support for the claim that episiotomy prevents tears in normal deliveries, and the rationale for the practice of episiotomy is consequently in need of reappraisal.

1989

Rockner G, Wahlberg V, Olund A.

Episiotomy and perineal trauma during childbirth. J Adv Nurs. 1989 Apr;14(4):264-8.

A study was conducted to assess the frequency of episiotomy and spontaneous tears in 807 primiparas during singleton births. The incidence of episiotomy was 50%...

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www.ncbi.nlm.nih.gov...

702

1988

Schuessler B, Hesse U, Dimpfl T, Anthuber C.

Epidural anaesthesia and avoidance of postpartum stress urinary incontinence.
Lancet. 1988 Apr 2;1(8588):762.

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353

1987

Chestnut DH.

The effect of epidural analgesia on the frequency of instrumental delivery.
Obstet Gynecol. 1987 Nov;70(5):814-6.

spécialisé / hard / difícil

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354

1987

Chestnut DH.

Regional anesthesia, other than epidural, for labor and vaginal delivery.
Clin Obstet Gynecol. 1987 Sep;30(3):530-8.

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Clin Obstet Gynecol....

356

1987

Chestnut DH, Vandewalker GE, Owen CL, Bates JN, Choi WW.

The influence of continuous epidural bupivacaine analgesia on the second stage of labor and method of delivery in nulliparous women.
Anesthesiology. 1987 Jun;66(6):774-80.

A randomized, double blind, placebo-controlled study was performed to evaluate the analgesic efficacy and influence of continuing an epidural infusion of 0.125% bupivacaine beyond a...

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357

1987

Chestnut DH, Vandewalker GE, Owen CL, Bates JN, Choi WW.

Administration of metoclopramide for prevention of nausea and vomiting during epidural anesthesia for elective cesarean section.
Anesthesiology. 1987 Apr;66(4):563-6.

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358

1987

Chestnut DH, Bates JN, Choi WW.

Continuous infusion epidural analgesia with lidocaine: efficacy and influence during the second stage of labor.
Obstet Gynecol. 1987 Mar;69(3 Pt 1):323-7.

A randomized double-blind study evaluated the analgesic efficacy and influence of maintaining a continuous epidural infusion of 0.75% lidocaine during the second stage of labor...

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359

1987

Chestnut DH, Bates JN, Choi WW.

Effect of intravenous administration of Ringer's lactate on maternal capillary blood glucose before elective cesarean section.
J Reprod Med. 1987 Mar;32(3):191-3.

Capillary blood glucose concentrations were determined before and after intravenous infusion of 20 mL/kg of Ringer's lactate (RL) in 35 women scheduled for elective...

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981

Le déclenchement du travail (amniotomie/ocytocines), les forceps, les longues 1e et 2e phase [...] ont été idntifiés comme facteurs de risque significatifs de l’hémorragie postpartum. / Induction of labour by amniotomy/oxytocin, forceps delivery, long first and second stages [...] were identified as significant risk factors of postpartum haemorrhage.

1987

Gilbert L, Porter W, Brown VA.

Postpartum haemorrhage - a continuing problem. Br J Obstet Gynaecol. 1987 Jan;94(1):67-71.

The factors responsible for postpartum haemorrhage (PPH) in singleton vaginal deliveries, not complicated by a retained placenta, were identified by comparing labour characteristics in 86...

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1147

Une baisse du rythme cardiaque et une moins bonne oxygénation du foetus sont observés dans 9% des cas juste après la pose d'une péridurale, en association avec une baisse de la tension maternelle et une hypertonie utérine.

1982

Willcourt RJ, Paust JC, Queenan JT.

Changes in fetal TCPO2 values occurring during labour in association with lumbar extradural analgesia.
Br J Anaesth. 1982 Jun;54(6):635-41.

Forty-six of 64 high risk labours were managed with continuous lumbar extradural analgesia. Fetal heart rate (FHR) and continuous transcutaneous PO2 (tcPO2) measurements were made...

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1200

La position sur le dos devrait être évitée en cas de péridurale, car elle est probablement responsable de décompensation fœtale.

1975

Weaver JB, Pearson JF, Rosen M.

Posture and epidural block in pregnant women at term. Effects on arterial blood pressure and limb blood flow.
Anaesthesia. 1975 Nov;30(6):752-6.

Upper and lower limb blood flow was measured in 4 full-term pregnant women in the left lateral and supine positions before and after epidural block...

spécialisé / hard / difícil

www.ncbi.nlm.nih.gov...

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