Podcast
Questions and Answers
What is recommended for women using epidural analgesia in the second stage of labor to increase the rate of spontaneous vaginal birth?
What is recommended for women using epidural analgesia in the second stage of labor to increase the rate of spontaneous vaginal birth?
- Supine positions
- Upright positions
- Sitting positions
- Lying down lateral positions (correct)
In nulliparous women with epidural analgesia, how long is delayed pushing recommended for to potentially reduce the need for rotational and midpelvic assisted vaginal birth?
In nulliparous women with epidural analgesia, how long is delayed pushing recommended for to potentially reduce the need for rotational and midpelvic assisted vaginal birth?
- 1–2 hours (correct)
- 30 minutes
- 5–6 hours
- 3–4 hours
Why is it advised not to routinely discontinue epidural analgesia during pushing?
Why is it advised not to routinely discontinue epidural analgesia during pushing?
- To avoid increased pain without reducing the incidence of assisted vaginal birth (correct)
- To reduce labor time
- To decrease the risk of infection
- To increase maternal comfort
What does the text suggest regarding recommending a specific regional analgesia technique to reduce the incidence of assisted vaginal birth?
What does the text suggest regarding recommending a specific regional analgesia technique to reduce the incidence of assisted vaginal birth?
What does the text say about routine prophylactic manual rotation of fetal malposition in the second stage of labor?
What does the text say about routine prophylactic manual rotation of fetal malposition in the second stage of labor?
What position is recommended for women using epidural analgesia in the second stage of labor?
What position is recommended for women using epidural analgesia in the second stage of labor?
Why is delayed pushing recommended for nulliparous women with epidural analgesia?
Why is delayed pushing recommended for nulliparous women with epidural analgesia?
What is the risk of obstetric anal sphincter injuries (OASIS) in ventouse deliveries without episiotomy compared to forceps deliveries without episiotomy?
What is the risk of obstetric anal sphincter injuries (OASIS) in ventouse deliveries without episiotomy compared to forceps deliveries without episiotomy?
Which group reported that episiotomy in vacuum birth may increase maternal morbidity in parous women?
Which group reported that episiotomy in vacuum birth may increase maternal morbidity in parous women?
What was the odds ratio (OR) for postpartum hemorrhage associated with episiotomy compared to no episiotomy?
What was the odds ratio (OR) for postpartum hemorrhage associated with episiotomy compared to no episiotomy?
In which group of women is mediolateral or lateral episiotomy considered protective against obstetric anal sphincter injuries (OASIS)?
In which group of women is mediolateral or lateral episiotomy considered protective against obstetric anal sphincter injuries (OASIS)?
Based on the text, what is the risk of OASIS in ventouse deliveries without episiotomy?
Based on the text, what is the risk of OASIS in ventouse deliveries without episiotomy?
Which study design was used in assessing the relationship between mediolateral episiotomy and OASIS in parous women?
Which study design was used in assessing the relationship between mediolateral episiotomy and OASIS in parous women?
What did the Danish group recommend in terms of the use of mediolateral or lateral episiotomy during vacuum birth?
What did the Danish group recommend in terms of the use of mediolateral or lateral episiotomy during vacuum birth?
What was the non-significant relationship found between mediolateral episiotomy and OASIS in nulliparous women?
What was the non-significant relationship found between mediolateral episiotomy and OASIS in nulliparous women?
What is the primary risk associated with Caesarean birth in the second stage of labour compared to completed assisted vaginal birth?
What is the primary risk associated with Caesarean birth in the second stage of labour compared to completed assisted vaginal birth?
When comparing the use of two instruments versus failed forceps proceeding to Caesarean birth, what is the primary concern?
When comparing the use of two instruments versus failed forceps proceeding to Caesarean birth, what is the primary concern?
In a population-based retrospective analysis in the US, what was the reported outcome associated with sequential use of vacuum and forceps compared to forceps alone?
In a population-based retrospective analysis in the US, what was the reported outcome associated with sequential use of vacuum and forceps compared to forceps alone?
What is the risk of intracranial haemorrhage for two instruments versus failed forceps proceeding to Caesarean birth?
What is the risk of intracranial haemorrhage for two instruments versus failed forceps proceeding to Caesarean birth?
Which birthing method is associated with a prolonged hospital stay according to the text?
Which birthing method is associated with a prolonged hospital stay according to the text?
In the US study, what was the adjusted odds ratio (aOR) for the need for mechanical ventilation with sequential use of vacuum and forceps compared to forceps alone?
In the US study, what was the adjusted odds ratio (aOR) for the need for mechanical ventilation with sequential use of vacuum and forceps compared to forceps alone?
What is the main risk associated with using two instruments during delivery according to the text?
What is the main risk associated with using two instruments during delivery according to the text?
Which type of birth leads to an increased risk of admission of the baby to the neonatal unit?
Which type of birth leads to an increased risk of admission of the baby to the neonatal unit?
What is recommended for women who have received regional analgesia for a trial of assisted vaginal birth in theatre?
What is recommended for women who have received regional analgesia for a trial of assisted vaginal birth in theatre?
What should be monitored and documented in postpartum women according to the text?
What should be monitored and documented in postpartum women according to the text?
What is associated with an increased risk of postpartum urinary retention?
What is associated with an increased risk of postpartum urinary retention?
What should be measured if urinary retention is suspected according to the text?
What should be measured if urinary retention is suspected according to the text?
What is recommended to reduce the risk of postpartum urinary incontinence at 3 months?
What is recommended to reduce the risk of postpartum urinary incontinence at 3 months?
What can be used as an alternative to catheterisation to measure residual urine, if appropriate training has been undertaken?
What can be used as an alternative to catheterisation to measure residual urine, if appropriate training has been undertaken?
What type of trial suggests that systematic intermittent bladder catheterisation at 2 hours post birth reduces the risk of covert postpartum urinary retention after assisted vaginal birth?
What type of trial suggests that systematic intermittent bladder catheterisation at 2 hours post birth reduces the risk of covert postpartum urinary retention after assisted vaginal birth?
What was the main finding of the ANODE trial regarding women who received prophylactic antibiotics after assisted vaginal birth?
What was the main finding of the ANODE trial regarding women who received prophylactic antibiotics after assisted vaginal birth?
Which group was less likely to require primary care physician or hospital outpatient visits related to concerns about their perineum in the ANODE trial?
Which group was less likely to require primary care physician or hospital outpatient visits related to concerns about their perineum in the ANODE trial?
What is recommended for obstetricians to reduce infection and prevent contamination during assisted vaginal births?
What is recommended for obstetricians to reduce infection and prevent contamination during assisted vaginal births?
Why is it suggested that obstetricians should practice good aseptic techniques during assisted vaginal births?
Why is it suggested that obstetricians should practice good aseptic techniques during assisted vaginal births?
What should be done after an assisted vaginal birth in terms of assessing thromboembolism risk according to the text?
What should be done after an assisted vaginal birth in terms of assessing thromboembolism risk according to the text?
Why is there a lack of data to evaluate the independent risk of assisted vaginal birth for thromboembolism according to the text?
Why is there a lack of data to evaluate the independent risk of assisted vaginal birth for thromboembolism according to the text?
