[Term breech presentation: an indication for cesarean section].
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Biomedical subjects
Publications and source records attributed to I P Senden.
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The management of threatened preterm labour is hampered by an inability to differentiate accurately true from false labour at an early stage. We compared the performance of vaginal assessment, fetal breathing movements and the detection of fetal fibronectin (Ffn) in the prediction of true preterm labour among 25 singleton pregnancies admitted with regular uterine activity, cervical dilatation < 4 cms and intact membranes at 25 to 35 weeks of gestation. A Bishop score of < 2 or a negative Ffn test was highly predictive (100%) of false preterm labour whereas fetal breathing movement detection was less reliable. The positive predictive value of cervical assessment alone was considerably improved with the addition of Ffn testing. The introduction of Ffn testing of cervico-vaginal secretions could result in a more rational use of tocolysis.
Women giving birth in two university hospitals, one in the Netherlands and the other in the United States, were surveyed postpartum regarding expectations of pain in labor and availability of medication for its relief, perceptions of the painfulness of labor, and use of analgesia and anesthesia. American women expected labor to be more painful, anticipated that they would receive medication for it, and did receive such medication in significantly greater proportions compared with Dutch parturients. These findings point to fundamental, culturally determined differences between these two societies with respect to women's views of the painfulness of childbirth.