Displaying publications 1 - 20 of 110 in total

  1. Puvan IS
    Med J Malaya, 1968 Sep;23(1):41-6.
    PMID: 4237555
    Matched MeSH terms: Delivery, Obstetric*
    Med J Malaya, 1958 Sep;13(1):94-9.
    PMID: 13589377
    Matched MeSH terms: Delivery, Obstetric*
  3. CHAN KC
    Med J Malaya, 1962 Mar;16:169-83.
    PMID: 13878003
    Matched MeSH terms: Delivery, Obstetric*
  4. Goh TH
    Med J Malaysia, 1985 Mar;40(1):54-5.
    PMID: 3831738
    Matched MeSH terms: Delivery, Obstetric*
    Med J Malaysia, 1963 Dec;18:83-6.
    PMID: 14117285
    Matched MeSH terms: Delivery, Obstetric*
    Med J Malaya, 1955 Dec;10(2):162-6.
    PMID: 13308617
    Matched MeSH terms: Delivery, Obstetric*
  7. AUDY JR
    Med J Malaya, 1959 Sep;14:1-11.
    PMID: 13795072
    Matched MeSH terms: Delivery, Obstetric*
  8. Sukumaran S, Kanagalingam D
    Med J Malaysia, 2019 02;74(1):85-86.
    PMID: 30846669
    We present two cases of diamniotic, dichorionic twin pregnancies in which after the loss of the first foetus in the setting of clinical chorioamnionitis, both pregnancies were successfully managed by delayed-interval delivery. A fourstage protocol including aspects of management in this specific setting is proposed. We consider the importance of a selection process when managing conservatively, measures to promote latency and decisions regarding delivery of the foetuses. Whilst we report successful case studies of conservative management with delayed-interval delivery, we support a cautious approach and understand that in the setting of clinical chorioamnionitis of the remaining foetus, delivery is necessary.
    Matched MeSH terms: Delivery, Obstetric/methods*
  9. Karanth L, Kanagasabai S, Abas AB
    Cochrane Database Syst Rev, 2017 08 04;8:CD011059.
    PMID: 28776324 DOI: 10.1002/14651858.CD011059.pub3
    BACKGROUND: Bleeding disorders are uncommon but may pose significant bleeding complications during pregnancy, labour and following delivery for both the woman and the foetus. While many bleeding disorders in women tend to improve in pregnancy, thus decreasing the haemorrhagic risk to the mother at the time of delivery, some do not correct or return quite quickly to their pre-pregnancy levels in the postpartum period. Therefore, specific measures to prevent maternal bleeding and foetal complications during childbirth, are required. The safest method of delivery to reduce morbidity and mortality in these women is controversial. This is an update of a previously published review.

    OBJECTIVES: To assess the optimal mode of delivery in women with, or carriers of, bleeding disorders.

    SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Coagulopathies Trials Register, compiled from electronic database searches and handsearching of journals and conference abstract books. We also searched the Cochrane Pregnancy and Childbirth Group's Trials Register as well as trials registries and the reference lists of relevant articles and reviews.Date of last search of the Group's Trials Registers: 16 February 2017.

    SELECTION CRITERIA: Randomised controlled trials and all types of controlled clinical trials investigating the optimal mode of delivery in women with, or carriers of, any type of bleeding disorder during pregnancy were eligible for the review.

    DATA COLLECTION AND ANALYSIS: No trials matching the selection criteria were eligible for inclusion MAIN RESULTS: No results from randomised controlled trials were found.

    AUTHORS' CONCLUSIONS: The review did not identify any randomised controlled trials investigating the safest mode of delivery and associated maternal and foetal complications during delivery in women with, or carriers of, a bleeding disorder. In the absence of high quality evidence, clinicians need to use their clinical judgement and lower level evidence (e.g. from observational trials, case studies) to decide upon the optimal mode of delivery to ensure the safety of both mother and foetus.Given the ethical considerations, the rarity of the disorders and the low incidence of both maternal and foetal complications, future randomised controlled trials to find the optimal mode of delivery in this population are unlikely to be carried out. Other high quality controlled studies (such as risk allocation designs, sequential design, and parallel cohort design) are needed to investigate the risks and benefits of natural vaginal and caesarean section in this population or extrapolation from other clinical conditions that incur a haemorrhagic risk to the baby, such as platelet alloimmunisation.

    Matched MeSH terms: Delivery, Obstetric/methods*
  10. Ong HC, Teo SP
    Med J Malaysia, 1976 Sep;31(1):42-5.
    PMID: 1023012
    Matched MeSH terms: Delivery, Obstetric
  11. Ong HC, Chelvam P
    Med J Malaysia, 1975 Jun;29(4):299-301.
    PMID: 1196178
    Matched MeSH terms: Delivery, Obstetric
  12. Ravindran J, Parampalam SD
    Med J Malaysia, 2000 Jun;55(2):280-2.
    PMID: 19839163
    The obstetric flying squad has been used in obstetric practice since 1933 to manage obstetric emergencies occurring in domicilliary practice. It has often been criticised in such situations as only delaying effective treatment to the patient. We have introduced the obstetric flying squad in an urban setting to cater for obstetric emergencies occurring in private practice. This service has been used on ten occasions since its inception without any maternal deaths being recorded or any delay in the provision of emergency care. The flying squad has led to closer cooperation between the government and private sectors in providing obstetric care.
    Matched MeSH terms: Delivery, Obstetric*
    Med J Malaysia, 1963 Jun;17:288-91.
    PMID: 14060506
    Matched MeSH terms: Delivery, Obstetric*
    Med J Malaysia, 1964 Mar;18:212-4.
    PMID: 14157188
    Matched MeSH terms: Delivery, Obstetric*
  15. Har Kok Kee
    Midwives Chron, 1972 Aug;86(15):249.
    PMID: 4484243
    Matched MeSH terms: Delivery, Obstetric
  16. Lim, P.S., Muhammad Abdul Jamil, M.Y, Zainul, R.A.Z, Mohd Hashim O., Rozman, Z., Shafiee, M.N., et al.
    Vulvo-vaginal haematomas are not an uncommon obstetric complication. Despite advances in obstetric care, practice and technique, vulvo-vaginal haematomas do occur especially in complicated vaginal deliveries. Various management options are available for vulvo-vaginal haematomas. We describe three cases of vulvo-vaginal haematomas with different severity and presentations which were managed in different manners i.e. local haemostasis control, laparotomy with hysterectomy, and transarterial embolisation. The choice of treatment options would mainly depend on the clinical presentations, availability of expertise as well as facilities. Early identification is crucial.
    Matched MeSH terms: Delivery, Obstetric
  17. Hakim, B., Roszaman, R., Nor Ziana, A.W., Che Anuar, C.Y., Jefri, A.
    Syringomyelia is a rare neurological disease, which is characterized by the formation of a cyst in the spinal cord. The aetiology of the disease still remains controversial. The damage to the spinal cord results in headache, weakness, stiffness and numbness on both lower and upper limbs. Only few a cases of syringomyelia in pregnancy have been reported thus far. As such, there is no standard management of intrapartum care.1 We present a case of symptomatic syringomyelia in pregnancy, its management and literature review. The mode of delivery with risks for vaginal route is discussed.
    Matched MeSH terms: Delivery, Obstetric
  18. Hamzah-Sendut, I., Tee, Ah Chuan
    A medical audit is defined as a systematic and critical analysis carried out by doctors looking at the things that doctors do. The concept of auditing is relatively new to the medical profession. It is indeed an excellent instrument to institute change to medical practices which have been "institutionalized". A properly carried out audit can provide highly revealing data that can often sway an administrator to institute change. At the University Hospital Kuala Lumpur we chose to audit the paediatric attendances at high risk deliveries. High risk deliveries were defined as any delivery to which the obstetrician requested a paediatric attendance prior to delivery. A paediatrician must be on hand at all high risk deliveries to ensure proper resuscitation of the new born. The aim of the audit was to determine if paediatric attendance at high risk deliveries were optimal at the University Hospital. (Copied from article).
    Matched MeSH terms: Delivery, Obstetric
  19. Tan PC, Khine PP, Sabdin NH, Vallikkannu N, Sulaiman S
    J Ultrasound Med, 2011 Feb;30(2):227-33.
    PMID: 21266561
    OBJECTIVES: The purpose of this study was to evaluate cervical length changes after membrane sweeping and the effect of cervical shortening on pregnancy outcomes.

    METHODS: Low-risk women at 40 weeks' gestation undergoing membrane sweeping to expedite labor were recruited. Participants were scheduled for labor induction at 41 weeks' gestation. Transvaginal ultrasonography was performed immediately before and after membrane sweeping to measure the cervical length. Three presweep and postsweep cervical lengths were measured. The shortest lengths before and after the sweep were taken as the representative lengths. The effect of membrane sweeping on cervical length was analyzed. Multivariable logistic regression analysis was performed to evaluate the effect of cervical shortening on labor induction and the mode of delivery.

    RESULTS: For the 160 participants, the mean presweep cervical length ± SD was 21.0 ± 10.0 mm; the postsweep length was 23.8 ± 10.9 mm, an average increase of 2.8 ± 0.6 mm (P < .001). Cervical shortening after membrane sweeping was noted in 53 of 160 cases (33%). Cervical shortening was associated with a reduction in all-cause cesarean delivery but not labor induction on bivariate analysis. After adjustment for maternal age, parity, presweep Bishop score, postsweep cervical length, oxytocin augmentation, epidural analgesia, and meconium-stained fluid, cervical shortening after membrane sweeping was independently predictive of a reduction in cesarean deliveries (adjusted odds ratio, 0.24; 95% confidence interval, 0.06-0.90; P = .034).

    CONCLUSIONS: Membrane sweeping was associated with lengthening of the cervix. A shortened cervix after sweeping was independently predictive of vaginal delivery.

    Matched MeSH terms: Delivery, Obstetric
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