المؤلفون: Lauterbach, Roy, Aharoni, Saar, Justman, Naphtali, Farago, Naama, Gruenwald, Ilan, Lowenstein, Lior

المصدر: International Urogynecology Journal ; volume 33, issue 12, page 3499-3504 ; ISSN 0937-3462 1433-3023

مصطلحات موضوعية: Urology, Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1007/s00192-022-05103-xTest

المؤلفون: Siegler, Yoav, Justman, Naphtali, Bachar, Gal, Lauterbach, Roy, Zipori, Yaniv, Khatib, Nizar, Weiner, Zeev, Vitner, Dana

المصدر: American Journal of Obstetrics and Gynecology ; volume 226, issue 1, page S618 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2021.11.1018Test
https://api.elsevier.com/content/article/PII:S0002937821022158?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0002937821022158?httpAccept=text/plainTest

المؤلفون: Bachar, Gal, Farago, Naama, Lauterbach, Roy, Siegler, Yoav, Khatib, Nizar, Beloosesky, Ron, Weiner, Zeev, Vitner, Dana

المصدر: American Journal of Obstetrics and Gynecology ; volume 226, issue 1, page S494-S495 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2021.11.818Test
https://api.elsevier.com/content/article/PII:S0002937821020159?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0002937821020159?httpAccept=text/plainTest

المؤلفون: Lauterbach, Roy, Ben David, Chen, Siegler, Yoav, Justman, Naphtali, Bachar, Gal, Vitner, Dana, GHANIM, Nadier, Beloosesky, Ron, Weiner, Zeev, Ginsberg, Yuval, Khatib, Nizar

المصدر: American Journal of Obstetrics and Gynecology ; volume 226, issue 1, page S628-S629 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2021.11.1036Test
https://api.elsevier.com/content/article/PII:S000293782102233X?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S000293782102233X?httpAccept=text/plainTest

المؤلفون: Lauterbach, Roy, David, Chen Ben, Bachar, Gal, Justman, Naftali, Matanes, Emad, Ginsberg, Yuval, Vitner, Dana, Beloosesky, Ron, Weiner, Zeev, Zipori, Yaniv

الوصف: Objectives: To determine the rates of surgical site infections following continuous as compared to interrupted subcutaneous tissue closure technique ‎during cesarean delivery. Design: Retrospective study. Setting: Tertiary, university-affiliated medical center. Population: Term pregnant women who underwent elective or emergent cesarean delivery at our center during the years 2008-2018. Methods: Group allocation was based on type of subcutaneous tissue closure. The study group included women who underwent either elective or emergent cesarean delivery with continuous subcutaneous tissue closure, while the control group comprised those with interrupted subcutaneous tissue closure. We excluded women with suspected infectious morbidity prior to cesarean delivery. Main outcome measures: Rate of surgical site infection (SSI) comparing women who had undergone continuous as compared to interrupted subcutaneous suturing. Results: Final analysis included 6,281 women. We performed continuous subcutaneous tissue closure in ‎37.4% (1,867/4,988) of scheduled cesarean deliveries, and 45.8% (592/1,293) ‎of emergent cesarean deliveries. The rate of SSI was significantly lower following continuous as compared to interrupted subcutaneous tissue closure, in both elective ‎(2.7% vs. 4.5%, respectively, P=0.031) ‎and emergent cesarean delivery ‎(3.2% vs. 5.4%, respectively, P=0.036), in nulliparous and multiparous women. Similarly, secondary outcomes such as re-admission rates within 6 weeks due to SSI, post-operative maternal fever, and need for antibiotic treatment were significantly lower following continuous subcutaneous closure technique. Conclusions: Continuous subcutaneous closure technique during cesarean delivery yields a lower rate of surgical site infections compared to the interrupted technique.

الإتاحة: https://doi.org/10.22541/au.170668976.63800442/v1Test

المؤلفون: Lauterbach, Roy¹ (AUTHOR) roylauter@gmail.com, Justman, Naphtali¹ (AUTHOR), Ginsberg, Yuval^1,2 (AUTHOR), Siegler, Yoav¹ (AUTHOR), Bachar, Gal¹ (AUTHOR), Vitner, Dana^1,2 (AUTHOR), Ben‐David, Chen¹ (AUTHOR), Zipori, Yaniv^1,2 (AUTHOR), Beloosesky, Ron^1,2 (AUTHOR), Weiner, Zeev^1,2 (AUTHOR), Khatib, Nizar^1,2 (AUTHOR)

المصدر: International Journal of Gynecology & Obstetrics. Nov2023, Vol. 163 Issue 2, p594-600. 7p.

مصطلحات موضوعية: *SECOND stage of labor (Obstetrics), *CESAREAN section, *DELIVERY (Obstetrics), *VAGINAL birth after cesarean, *NEONATAL intensive care units

مستخلص: Objective: To evaluate the effects of extending the second stage of labor in women attempting a trial of labor after a cesarean section (TOLAC). Method: A retrospective cohort study comparing maternal and neonatal outcomes following TOLAC over two periods: period I whose prolonged second stage was considered 2 h, and period II whose prolonged second stage was considered 3 h. The primary outcome was repeat cesarean delivery (CD) rate. Results: Incidence of repeat CD was significantly lower in period II (18.1% vs 29.7%, P < 0.001). Incidence of uterine rupture was significantly higher in period II (P < 0.001). Instrumental delivery rates were significantly higher in period II (26.2% vs 15.6%, odds ratio [OR] 1.67, 95% CI 1.21–3.56, P < 0.001). Rates of third‐ and fourth‐degree perineal lacerations, chorioamnionitis, and length of hospital stay were similar between groups. Incidence of fetal acidemia was significantly higher in period II (1.5% vs 0.7%, OR 2.14, 95% CI 1.32–5.63, P < 0.001), and incidence of neonatal intensive care unit (NICU) admission was significantly higher (2.5% vs 1.6%, P = 0.004). Conclusion: Extension of the second stage of labor is associated with a decrease in repeat CD rate with a concomitant increase in instrumental delivery rates, uterine rupture, fetal acidemia, and NICU admissions. These findings may warrant further consideration of allowing a prolonged second stage in patients attempting TOLAC. Synopsis: Prolongation of the second stage by 1 h is associated with a higher vaginal delivery rate, but an increase in uterine rupture risk was noted. [ABSTRACT FROM AUTHOR]

المؤلفون: Lauterbach, Roy, Hajaj, Areen, Bachar, Gal, Ben David, Chen, Weiner, Zeev, Vitner, Dana

المصدر: American Journal of Obstetrics and Gynecology ; volume 224, issue 2, page S299-S300 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2020.12.490Test
https://api.elsevier.com/content/article/PII:S0002937820318664?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0002937820318664?httpAccept=text/plainTest

المؤلفون: Zipori, Yaniv, Lauterbach, Roy, Hajaj, Areen, Justman, Naphthali, Ginsberg, Yuval, Khatib, Nizar, Weiner, Zeev, Beloosesky, Ron

المصدر: American Journal of Obstetrics and Gynecology ; volume 224, issue 2, page S288 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2020.12.474Test
https://api.elsevier.com/content/article/PII:S0002937820318500?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0002937820318500?httpAccept=text/plainTest

المؤلفون: Lauterbach, Roy, Gruenwald, Oren, Avrahami, Roni, Ganem, Nadir, Zipori, Yaniv, Lowenstein, Lior

المصدر: American Journal of Obstetrics and Gynecology ; volume 224, issue 2, page S300-S301 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2020.12.492Test
https://api.elsevier.com/content/article/PII:S0002937820318688?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0002937820318688?httpAccept=text/plainTest

المؤلفون: Ben David, Chen, Lauterbach, Roy, Bachar, Gal, Zipori, Yaniv, Weiner, Zeev, Divon, Michael, Beloosesky, Ron, Ginsberg, Yuval

المصدر: American Journal of Obstetrics and Gynecology ; volume 224, issue 2, page S250-S251 ; ISSN 0002-9378

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1016/j.ajog.2020.12.409Test
https://api.elsevier.com/content/article/PII:S0002937820317853?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0002937820317853?httpAccept=text/plainTest