Anaesthesia, Volume 81, Issue 9, Page 1236-1244, September 2026.Summary Introduction Patients who require major vascular surgery often receive antiplatelet therapy for primary or secondary prevention of cardiovascular disease. Clopidogrel resistance and variability in platelet recovery after drug discontinuation pose clinical challenges, particularly for regional anaesthesia and blood management.
Akshay Shah +11 more
wiley +1 more source
Construction and Validation of a Prediction Model for Conversion to Cesarean Section in Primiparous Women Receiving Epidural Labor Analgesia: A Retrospective Cohort Study. [PDF]
Int J Womens HealthHuang X, Hua J.
europepmc +1 more source
Acta Obstetricia et Gynecologica Scandinavica, Volume 105, Issue 9, Page 1717-1730, September 2026.Women with one previous cesarean section and spontaneous labor had the most favorable outcomes in this high‐fertility, resource‐limited setting. Reducing unnecessary elective repeat cesarean section , together with careful decisions regarding primary cesarean section, is not only about lowering cesarean rates but about minimizing cumulative maternal ...
Raffaela Baiocchi +16 more
wiley +1 more source
Determining the Optimal Volume of Ropivacaine Combined with Dexmedetomidine for Programmed Intermittent Epidural Bolus in Labor Analgesia: A Randomized Dose-Response Study. [PDF]
Drug Des Devel TherSong C, Ni J, Liu C, Xu Y, Mei Z, Yu J.
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Midwifery Students' Definitions of Normal Labor and Birth: A Study From Five Countries
Birth, Volume 53, Issue 3, Page 596-603, September 2026.The image brings together the seven aspects considered most important in defining ‘normal/physiological birth’ according to research carried out among 664 student midwives across five countries. ABSTRACT Introduction Internationally, many women and birthing people are receiving maternity care interventions as a routine with no medical indication for ...
International Network Exploring Midwifery Students' Confidence in Physiological Birth +12 more
wiley +1 more source
Preanesthetic withdrawal improves the conversion efficacy of prolonged epidural labor analgesia to epidural surgical anesthesia: a prospective cohort study combined with MRI mechanistic exploration. [PDF]
BMC Pregnancy ChildbirthLi S, Gu J, Zhang Y, Li X, Xiong X.
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Birth, Volume 53, Issue 3, Page 617-626, September 2026.ABSTRACT Background Maternal pushing during the second stage of labor plays a critical role to labor progression, with professional guidelines recommend supporting a natural, “spontaneous” approach to pushing. Midwives are key to facilitating this practice; however, there is limited of evidence regarding their perceptions of spontaneous pushing.
Jiasi Yao +4 more
wiley +1 more source
Cerebral Venous Sinus Thrombosis Following Neuraxial Labor Analgesia: A Case Report. [PDF]
Clin Case RepTong Q, Zhong M, Han X.
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Prevalence of Episiotomy Practice and Associated Factors in Brazil: A Systematic Review
Birth, Volume 53, Issue 3, Page 467-480, September 2026.ABSTRACT Introduction Although routine episiotomy is not recommended, it remains widely performed during childbirth, with rates varying substantially across countries. This systematic review synthesizes evidence on the prevalence and associated factors of episiotomy in Brazil.
Ana Carolina dos Santos Rodrigues +7 more
wiley +1 more source
Knowledge, Attitudes, and Practices of Pregnant Women and Their Spouses Toward Intraspinal Labor Analgesia. [PDF]
Patient Prefer AdherenceZhang X, Wang D, Li X, Dong P.
europepmc +1 more source