We'd all love to be able to predict the future, especially when it comes to how a baby will be born: by vaginal, operative, or cesarean delivery. A cesarean delivery after labor is significantly more likely to lead to complications like hemorrhage or infection than a scheduled cesarean delivery. However, for the average low-risk woman, a spontaneous vaginal delivery is safer than any cesarean delivery. Obstructed (or stalled) labor is one of the largest contributors to our rising cesarean delivery rate. Therefore, predicting which women will ultimately need a cesarean delivery for obstructed labor could potentially lead to more effective care and possibly fewer complications. One approach to predicting mode of delivery is by analyzing the pelvic muscles as viewed through ultrasound.
A c-section is a c-section is a c-section. Right? Nope. There are a variety of techniques that vary from one surgeon to the next. Most patients do not realize that there are options in the ways to execute certain maneuvers, but there are quite a few for this common surgery. While each obstetrician has her favorite technique, do these variations actually make a difference in outcomes for patients? Thanks to the CORONIS trial, we now have a look into 5 different techniques.
Welcome to November! It’s hard to believe the fall is coming to a close, especially here in San Francisco where the weather has been sunny! This week’s most popular women’s health articles are all pregnancy and obstetrics-related. Three of the articles seek to explain risk factors for preterm birth: obesity and prior cesarean delivery. The fourth article provides an update on the fight to curb the spread of Zika, and finally we take a “sunny-side-up” look at OP fetal positioning.
I'm trying out a new feature for the Friday blog post this week in the hopes that I can pack more cutting edge women's health updates into your inbox! Four times a day I feature highlights from the top women's health stories on Twitter @elmtreemedical. Here, I'll feature the top 5 most interesting and loved stories from the week with a brief summary for your skimming pleasure. This week's topics include: over-screening risks of mammography, acupressure for labor induction, no-strings-attached prenatal financial support, Kaiser's quiet digital health revolution, and timing of delivery for vasa previa. I hope you enjoy the new format!