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Shoulder Presentation
A shoulder presentation is a malpresentation at childbirth where the baby is in a transverse lie (its vertebral column is perpendicular to that of the mother), thus the leading part (the part that first enters the birth canal) is an arm, a shoulder, or the trunk. While a baby can be delivered vaginally when either the head or the feet/buttocks are the leading part, it usually cannot be expected to be delivered successfully with a shoulder presentation unless a cesarean section (C/S) is performed. Frequency and causes Shoulder presentations are uncommon (about 0.5% of births) since, usually, toward the end of gestation, either the head or the buttocks start to enter the upper part of the pelvis, anchoring the fetus in a longitudinal lie. It is not known in all cases of shoulder presentation why the longitudinal lie is not reached, but possible causes include bony abnormalities of the pelvis, uterine abnormalities such as malformations or tumors (fibroids), or other tumors in the pel ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
William Smellie (obstetrician)
William Smellie (5 February 1697 – 5 March 1763) was a Scottish obstetrician and medical instructor who practiced and taught primarily in London. One of the first prominent male midwives in Britain, he designed an improved version of the obstetrical forceps, established safer delivery practices, and through his teaching and writing helped make obstetrics more scientifically based. He is often called the "father of British midwifery". Early life and education Smellie was born on 5 February 1697 in the town of Lesmahagow, Scotland. He was the only child of Sara Kennedy (1657–1727) and Archibald Smellie (1663/4–1735), a merchant and burgess of the town. Smellie practiced medicine before getting a license, opening an apothecary in 1720 in Lanark. It was not a particularly lucrative venture, as he also sold cloth as a side business to supplement his income, but he began reading medical books and teaching himself obstetrics at this time. By 1728, he was married to Eupham Borla ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Birth (journal)
''Birth'' is a quarterly peer-reviewed medical journal covering research on childbirth and related topics. It was established in 1973 as ''Birth and the Family Journal'', with as its founding editor-in-chief Madeleine H. Shearer, obtaining its current name in 1982. It is published by John Wiley & Sons and the editor-in-chief is Melissa Cheyney. Abstracting and indexing The journal is abstracted and indexed in: According to the ''Journal Citation Reports'', the journal has a 2020 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 3.689. References External links * Quarterly journals Wiley (publisher) academic journals Pediatric nursing journals Obstetrics and gynaecology journals Academic journals established in 1973 English-language journals {{gyna ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Presentation (obstetrics)
In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal. According to the leading part, this is identified as a cephalic, breech, or shoulder presentation. A malpresentation is any presentation other than a vertex presentation (with the top of the head first). Classification Thus the various presentations are: * cephalic presentation (head first): ** vertex (crown)—the most common and associated with the fewest complications ** sinciput (forehead) ** brow (eyebrows) ** face ** chin * breech presentation (buttocks or feet first): ** complete breech ** footling breech ** frank breech * shoulder presentation: **arm **shoulder **trunk *compound presentation—when any other part presents along with the fetal head Related obstetrical terms Attitude * Definition: Relationship of fetal head to spine: **flexed, (this is the normal situation) **neutral ("militar ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Midwife
A midwife is a health professional who cares for mothers and newborns around childbirth, a specialization known as midwifery. The education and training for a midwife concentrates extensively on the care of women throughout their lifespan; concentrating on being experts in what is normal and identifying conditions that need further evaluation. In most countries, midwives are recognized as skilled healthcare providers. Midwives are trained to recognize variations from the normal progress of labor and understand how to deal with deviations from normal. They may intervene in high risk situations such as breech births, twin births, and births where the baby is in a posterior position, using non-invasive techniques. For complications related to pregnancy and birth that are beyond the midwife's scope of practice, including surgical and instrumental deliveries, they refer their patients to physicians or surgeons. In many parts of the world, these professions work in tandem to provide ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Justine Siegemundin
Justine Siegemund or Siegemundin (26 December 1636 – 10 November 1705) was a renowned midwife from Lower Silesia whose ''Court Midwife'' (1690) was the most read, but not the first, female-published German obstetrical manual. Early life She was born the daughter of Elias Diettrich, a Lutheran minister, in Rohnstock (now Roztoka), in former silesian Duchy of Jawor on 26 December 1636. Her father died in 1650, when she was aged fourteen. In 1655, she married Christian Siegemund, an accountant, but the marriage was childless. However, it lasted for forty-two years, and Christian Siegemund provided considerable support to his wife during her professional career, although they may have lived apart from 1673. Siegemund's childlessness should have technically disqualified her from her profession, as only childbearing midwives were supposed to be able to practice. Early career: 1656–1672 At twenty, Justine Siegemund suffered considerably at the hand of incompetent midwives who wron ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
1690 Handgriff Der Justine Siegemundin
Year 169 ( CLXIX) was a common year starting on Saturday (link will display the full calendar) of the Julian calendar. At the time, it was known as the Year of the Consulship of Senecio and Apollinaris (or, less frequently, year 922 ''Ab urbe condita''). The denomination 169 for this year has been used since the early medieval period, when the Anno Domini calendar era became the prevalent method in Europe for naming years. Events By place Roman Empire * Marcomannic Wars: Germanic tribes invade the frontiers of the Roman Empire, specifically the provinces of Raetia and Moesia. * Northern African Moors invade what is now Spain. * Marcus Aurelius becomes sole Roman Emperor upon the death of Lucius Verus. * Marcus Aurelius forces his daughter Lucilla into marriage with Claudius Pompeianus. * Galen moves back to Rome for good. China * Confucian scholars who had denounced the court eunuchs are arrested, killed or banished from the capital of Luoyang and official life duri ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Preterm Labour
Preterm birth, also known as premature birth, is the Childbirth, birth of a baby at fewer than 37 weeks Gestational age (obstetrics), gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is between 28 and 32 weeks, early preterm birth occurs between 32 and 36 weeks, late preterm birth is between 34 and 36 weeks' gestation. These babies are also known as premature babies or colloquially preemies (American English) or premmies (Australian English). Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes and/or the leaking of fluid from the vagina before 37 weeks. Premature infants are at greater risk for cerebral palsy, delays in development, hearing problems and problems with their Visual impairment, vision. The earlier a baby is born, the greater these risks will be. The cause of spontaneous preterm birth is often not known. Risk factors include dia ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ethiopian Medical Journal
Ethiopians are the native inhabitants of Ethiopia, as well as the global diaspora of Ethiopia. Ethiopians constitute several component ethnic groups, many of which are closely related to ethnic groups in neighboring Eritrea and other parts of the Horn of Africa. The first documented use of the name "Ethiopia" from Greek name "Αἰθίοψ" (Ethiopian) was in the 4th century during the reign of Aksumite king Ezana. There were three ethnolinguistic groups in the Kingdom of Aksum; Semitic, Cushitic, and Nilo-Saharan (ancestors of the modern-day Kunama and Nara). The Kingdom of Aksum remained a geopolitically influential entity until the pillage of its capital — also named Axum — in the 10th century by Queen Gudit. Nevertheless, the core Aksumite civilization was preserved and continued into the successive Zagwe dynasty. By this time, new ethnic groups emerged – the Tigrayans and Amharas. During the Solomonic period, the latter established major political and cultural in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Maternal Mortality
Maternal death or maternal mortality is defined in slightly different ways by several different health organizations. The World Health Organization (WHO) defines maternal death as the death of a pregnant mother due to complications related to pregnancy, underlying conditions worsened by the pregnancy or management of these conditions. This can occur either while they are pregnant or within six weeks of resolution of the pregnancy. The CDC definition of pregnancy-related deaths extends the period of consideration to include one year from the resolution of the pregnancy. Pregnancy associated death, as defined by the American College of Obstetricians and Gynecologists (ACOG), are all deaths occurring within one year of a pregnancy resolution. Identification of pregnancy associated deaths is important for deciding whether or not the pregnancy was a direct or indirect contributing cause of the death. There are two main measures used when talking about the rates of maternal mortality in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cord Prolapse
Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby. The concern with cord prolapse is that pressure on the cord from the baby will compromise blood flow to the baby. It usually occurs during labor but can occur anytime after the rupture of membranes. The greatest risk factors are an abnormal position of the baby within the uterus and a premature or small baby. Other risk factors include a multiple pregnancy, more than one previous delivery, and too much amniotic fluid. Whether medical rupture of the amniotic sac is a risk is controversial. The diagnosis should be suspected if there is a sudden decrease in the baby's heart rate during labor. Seeing or feeling the cord confirms the diagnosis. Management focuses on quick delivery, usually by cesarean section. Filling the bladder or pushing up the baby by hand is recommended until this can take place. Sometimes women will be placed in a knee-chest position or ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Caesarean Section
Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mother at risk. Reasons for the operation include obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. Most C-sections are performed without a medical reason, upon request by someone, usually the mother. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake, or under general anesthesia. A urinary catheter is used to drain ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Leopold's Maneuvers
In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. The maneuvers consist of four distinct actions, each helping to determine the position of the fetus. The maneuvers are important because they help determine the position and lie of the fetus, which in conjunction with correct assessment of the shape of the maternal human pelvis, pelvis can indicate whether the delivery is going to be complicated, or whether a caesarean section is necessary. The examiner's skill and practice in performing the maneuvers are the primary factor in whether the fetal lie is correctly ascertained. Alternately, position can be determined by ultrasound performed by a sonographer or physician. Performing the maneuvers Leopold maneuvers are difficult to perform on obese women and women who have polyhydramnios. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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