|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: induction risk (another source for study report)From: S. H. (lastfrontiermidwife@yahoo.com)Sun Oct 22 15:00:09 2006
"S. H." <lastfrontiermidwife@yahoo.com> wrote: I got on her site and here is a great article, that everyone should read http://www.inamay.com/view_article.php?Article_ID=1&page_number=1 Sherri Holley LM, CPM LCLEMOS@aol.com wrote: I couldn't open Ina May's link, but here is another presumably about the same study? http://www.medpagetoday.com/OBGYN/Pregnancy/tb/4334 <SNIP> MONTREAL, Oct. 20 -- Amniotic-fluid embolism is a serious but rare complication of pregnancy, although the risk appears to double when labor is induced, according to researchers here. In cases where the mother died from the embolism, which occurred in 24 of 180 total singleton deliveries out of three million, the women were 3.5 times more likely to have had induced labor than they were to have spontaneous labor, reported Michael S. Kramer, M.D., of Montreal Children's Hospital, and colleagues, in the Oct. 21 issue of The Lancet. "Although the absolute excess risk is low, women and physicians should be aware of this risk when making decisions about elective labor induction," they wrote. Other risk factors for amniotic fluid embolism were multiple pregnancy, older maternal age (35 or older), caesarean delivery or instrument-assisted vaginal delivery, eclampsia, polyhydramnios, placental abruption, placenta previa, cervical laceration, uterine rupture, and fetal distress, the authors found. The overall rate of the complication was 14.8 per 100,000 multiple-birth deliveries, and 6.0 per 100,000 singleton deliveries. "Kramer and colleagues' study is important for the people who will be affected by this rare but deadly disease," wrote Jason Moore, M.D, assistant professor of critical care medicine at the University of Pittsburgh, in an accompanying editorial. "The researchers have identified definitively the association of medical induction of labor with amniotic fluid embolism, and delineated the small but important effect this association can have on future obstetric patients," wrote Dr. Moore. "They have also strengthened the evidence for the association of the disorder with other risk factors for which data were previously inconsistent." <SNIP> Get on board. You're invited to try the new Yahoo! Mail.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:06:23 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.