SlideShare a Scribd company logo

Labor down

•Download as PPT, PDF•
•
Babak Jebelli
Babak Jebelli
TechnologyBusiness
1 of 8
“ LABORING DOWN” Passive Descent Delayed Pushing Small Randomised Controlled Trials with Different outcome measures & variable amounts of “time for delay before pushing” have created fuel for passionate positions
ACOG PRACTICE BULLETIN 2003 No 49 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Laboring Down” WHAT IS THE EVIDENCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multicenter, randomized, controlled trial of delayed pushing for Nulliparous women in the second stage of labor with Continuous Epidural Analgesia . Am J Obstet Gynecol 2000;182:1165 (n = 1862) (1994-1996) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multicenter, randomized, controlled trial of delayed pushing for Nulliparous women in the second stage of labor with Continuous Epidural Analgesia . Am J Obstet Gynecol 2000;182:1165 (n = 1862) (1994-1996) MEDIAN DELAY ~ 2 HOURS ( 40 % > 2 HRS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Meta-Analysis of passive descent versus immediate pushing in Nulliparous women with Epidural analgesia in the second stage of labor. J Obstet Gynecol Neonatal Nurs. 2008 Jan-Feb;37(1):4-12. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Candidates for Delayed Pushing Maximum delay 90 minutes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Labor Down Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommended

Peri arrest scenario in pregnancy
Peri arrest scenario in pregnancyPeri arrest scenario in pregnancy
Peri arrest scenario in pregnancyVaidyanathan R
 
01 grace herbosa
01 grace herbosa01 grace herbosa
01 grace herbosaDuy Quang
 
2007 comparison of general exercise, motor control exercise and spinal manipu...
2007 comparison of general exercise, motor control exercise and spinal manipu...2007 comparison of general exercise, motor control exercise and spinal manipu...
2007 comparison of general exercise, motor control exercise and spinal manipu...Fisio2012
 
Mov manipulacion al completo
Mov manipulacion al completoMov manipulacion al completo
Mov manipulacion al completoFisio2012
 
Mov manipulacion
Mov manipulacionMov manipulacion
Mov manipulacionFisio2012
 
Cervical Manipulation - EDM - Research Day - OU-5-13-2012
Cervical Manipulation - EDM - Research Day - OU-5-13-2012Cervical Manipulation - EDM - Research Day - OU-5-13-2012
Cervical Manipulation - EDM - Research Day - OU-5-13-2012Erik De Meulemeester
 
Manipulação torácica e Síndrome do Impacto do Ombro
Manipulação torácica e Síndrome do Impacto do OmbroManipulação torácica e Síndrome do Impacto do Ombro
Manipulação torácica e Síndrome do Impacto do OmbroPodoposturologia Palmilhas Posturais
 
Effect of bed height on chest compression effectiveness
Effect of bed height on chest compression effectivenessEffect of bed height on chest compression effectiveness
Effect of bed height on chest compression effectivenesspbsherren
 

Recommended

Peri arrest scenario in pregnancy
Peri arrest scenario in pregnancyPeri arrest scenario in pregnancy
Peri arrest scenario in pregnancyVaidyanathan R
 
01 grace herbosa
01 grace herbosa01 grace herbosa
01 grace herbosaDuy Quang
 
2007 comparison of general exercise, motor control exercise and spinal manipu...
2007 comparison of general exercise, motor control exercise and spinal manipu...2007 comparison of general exercise, motor control exercise and spinal manipu...
2007 comparison of general exercise, motor control exercise and spinal manipu...Fisio2012
 
Mov manipulacion al completo
Mov manipulacion al completoMov manipulacion al completo
Mov manipulacion al completoFisio2012
 
Mov manipulacion
Mov manipulacionMov manipulacion
Mov manipulacionFisio2012
 
Cervical Manipulation - EDM - Research Day - OU-5-13-2012
Cervical Manipulation - EDM - Research Day - OU-5-13-2012Cervical Manipulation - EDM - Research Day - OU-5-13-2012
Cervical Manipulation - EDM - Research Day - OU-5-13-2012Erik De Meulemeester
 
Manipulação torácica e Síndrome do Impacto do Ombro
Manipulação torácica e Síndrome do Impacto do OmbroManipulação torácica e Síndrome do Impacto do Ombro
Manipulação torácica e Síndrome do Impacto do OmbroPodoposturologia Palmilhas Posturais
 
Effect of bed height on chest compression effectiveness
Effect of bed height on chest compression effectivenessEffect of bed height on chest compression effectiveness
Effect of bed height on chest compression effectivenesspbsherren
 
WVU Inservice
WVU InserviceWVU Inservice
WVU InserviceJustin Williams
 
Troubleshooting in obstetric regional
Troubleshooting in obstetric regional Troubleshooting in obstetric regional
Troubleshooting in obstetric regional Geeta Karki
 
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...Lifecare Centre
 
A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...pharmaindexing
 
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...angelingj
 
WILSON_C_Thermoregulation_Assignment_661967
WILSON_C_Thermoregulation_Assignment_661967WILSON_C_Thermoregulation_Assignment_661967
WILSON_C_Thermoregulation_Assignment_661967Christopher Wilson
 
Hydrodilatation distension for frozen shoulder wrightington 2011
Hydrodilatation distension for frozen shoulder wrightington 2011Hydrodilatation distension for frozen shoulder wrightington 2011
Hydrodilatation distension for frozen shoulder wrightington 2011Lennard Funk
 
Duong quang tuan ta
Duong quang tuan taDuong quang tuan ta
Duong quang tuan taDuy Quang
 
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...iosrjce
 
Progressive mobility ipad
Progressive mobility ipadProgressive mobility ipad
Progressive mobility ipaddanielmuotka
 
Management of frozen shoulder(adhesive capsulitis)
Management of frozen shoulder(adhesive capsulitis)Management of frozen shoulder(adhesive capsulitis)
Management of frozen shoulder(adhesive capsulitis)Dhiwahar Kh
 
Painless Labor Adverse Effects
Painless Labor Adverse EffectsPainless Labor Adverse Effects
Painless Labor Adverse EffectsReza Aminnejad
 
article surabhi
article surabhiarticle surabhi
article surabhiDr jithesh madhavan
 
Cricolol by John Hinds at smaccGOLD
Cricolol by John Hinds at smaccGOLDCricolol by John Hinds at smaccGOLD
Cricolol by John Hinds at smaccGOLDprecordialthump
 
Weaning final (3).ppt
Weaning final (3).pptWeaning final (3).ppt
Weaning final (3).pptRajsingh824183
 
dysfunctional-labour.ppt
dysfunctional-labour.pptdysfunctional-labour.ppt
dysfunctional-labour.pptGichanaElvis
 
ABNORMAL PROGRESS.ppt
ABNORMAL PROGRESS.pptABNORMAL PROGRESS.ppt
ABNORMAL PROGRESS.pptGichanaElvis
 
The decision to delivery interval in emergency and non
The decision to delivery interval in emergency and nonThe decision to delivery interval in emergency and non
The decision to delivery interval in emergency and nonTariq Mohammed
 
Acute uterine inversion
Acute uterine inversionAcute uterine inversion
Acute uterine inversionpilocarpine
 
Compresa Versus Masaje
Compresa Versus MasajeCompresa Versus Masaje
Compresa Versus MasajeClaudi Platz
 
Role of tranexamic acid in cesarean section
Role of tranexamic acid in cesarean sectionRole of tranexamic acid in cesarean section
Role of tranexamic acid in cesarean sectionAhmad Farouk
 
Labor_Analgesia_An_Update2 (2).ppt
Labor_Analgesia_An_Update2 (2).pptLabor_Analgesia_An_Update2 (2).ppt
Labor_Analgesia_An_Update2 (2).pptBiltonbhawal
 

More Related Content

What's hot

Troubleshooting in obstetric regional
Troubleshooting in obstetric regional Troubleshooting in obstetric regional
Troubleshooting in obstetric regional Geeta Karki
 
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...Lifecare Centre
 
A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...pharmaindexing
 
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...angelingj
 
WILSON_C_Thermoregulation_Assignment_661967
WILSON_C_Thermoregulation_Assignment_661967WILSON_C_Thermoregulation_Assignment_661967
WILSON_C_Thermoregulation_Assignment_661967Christopher Wilson
 
Hydrodilatation distension for frozen shoulder wrightington 2011
Hydrodilatation distension for frozen shoulder wrightington 2011Hydrodilatation distension for frozen shoulder wrightington 2011
Hydrodilatation distension for frozen shoulder wrightington 2011Lennard Funk
 
Duong quang tuan ta
Duong quang tuan taDuong quang tuan ta
Duong quang tuan taDuy Quang
 
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...iosrjce
 
Progressive mobility ipad
Progressive mobility ipadProgressive mobility ipad
Progressive mobility ipaddanielmuotka
 
Management of frozen shoulder(adhesive capsulitis)
Management of frozen shoulder(adhesive capsulitis)Management of frozen shoulder(adhesive capsulitis)
Management of frozen shoulder(adhesive capsulitis)Dhiwahar Kh
 
Painless Labor Adverse Effects
Painless Labor Adverse EffectsPainless Labor Adverse Effects
Painless Labor Adverse EffectsReza Aminnejad
 
Cricolol by John Hinds at smaccGOLD
Cricolol by John Hinds at smaccGOLDCricolol by John Hinds at smaccGOLD
Cricolol by John Hinds at smaccGOLDprecordialthump
 

What's hot (14)

WVU Inservice
WVU InserviceWVU Inservice
WVU Inservice
 
Troubleshooting in obstetric regional
Troubleshooting in obstetric regional Troubleshooting in obstetric regional
Troubleshooting in obstetric regional
 
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
Uterine balloon therapy an alternatives to hysterectomy dr. sharda jain le...
 
A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...A study to assess the effectiveness of paced breathing versus back massage fo...
A study to assess the effectiveness of paced breathing versus back massage fo...
 
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion ...
 
WILSON_C_Thermoregulation_Assignment_661967
WILSON_C_Thermoregulation_Assignment_661967WILSON_C_Thermoregulation_Assignment_661967
WILSON_C_Thermoregulation_Assignment_661967
 
Hydrodilatation distension for frozen shoulder wrightington 2011
Hydrodilatation distension for frozen shoulder wrightington 2011Hydrodilatation distension for frozen shoulder wrightington 2011
Hydrodilatation distension for frozen shoulder wrightington 2011
 
Duong quang tuan ta
Duong quang tuan taDuong quang tuan ta
Duong quang tuan ta
 
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
To Evaluate the Role of Inj. Ketamine (0.3mg/Kg) Intravenously, Before Skin I...
 
Progressive mobility ipad
Progressive mobility ipadProgressive mobility ipad
Progressive mobility ipad
 
Management of frozen shoulder(adhesive capsulitis)
Management of frozen shoulder(adhesive capsulitis)Management of frozen shoulder(adhesive capsulitis)
Management of frozen shoulder(adhesive capsulitis)
 
Painless Labor Adverse Effects
Painless Labor Adverse EffectsPainless Labor Adverse Effects
Painless Labor Adverse Effects
 
article surabhi
article surabhiarticle surabhi
article surabhi
 
Cricolol by John Hinds at smaccGOLD
Cricolol by John Hinds at smaccGOLDCricolol by John Hinds at smaccGOLD
Cricolol by John Hinds at smaccGOLD
 

Similar to Labor down

dysfunctional-labour.ppt
dysfunctional-labour.pptdysfunctional-labour.ppt
dysfunctional-labour.pptGichanaElvis
 
ABNORMAL PROGRESS.ppt
ABNORMAL PROGRESS.pptABNORMAL PROGRESS.ppt
ABNORMAL PROGRESS.pptGichanaElvis
 
The decision to delivery interval in emergency and non
The decision to delivery interval in emergency and nonThe decision to delivery interval in emergency and non
The decision to delivery interval in emergency and nonTariq Mohammed
 
Acute uterine inversion
Acute uterine inversionAcute uterine inversion
Acute uterine inversionpilocarpine
 
Compresa Versus Masaje
Compresa Versus MasajeCompresa Versus Masaje
Compresa Versus MasajeClaudi Platz
 
Role of tranexamic acid in cesarean section
Role of tranexamic acid in cesarean sectionRole of tranexamic acid in cesarean section
Role of tranexamic acid in cesarean sectionAhmad Farouk
 
Labor_Analgesia_An_Update2 (2).ppt
Labor_Analgesia_An_Update2 (2).pptLabor_Analgesia_An_Update2 (2).ppt
Labor_Analgesia_An_Update2 (2).pptBiltonbhawal
 
A comparative study of the effect of clonidine
A comparative study of the effect of clonidineA comparative study of the effect of clonidine
A comparative study of the effect of clonidineDhritiman Chakrabarti
 
A comparative study of the effect of clonidine
A comparative study of the effect of clonidineA comparative study of the effect of clonidine
A comparative study of the effect of clonidineRitoban C
 
Ggggghghhhhh_reissing_ptintervention.ppt
Ggggghghhhhh_reissing_ptintervention.pptGgggghghhhhh_reissing_ptintervention.ppt
Ggggghghhhhh_reissing_ptintervention.pptdrmariamyehia
 
Pain Relief In Labour1
Pain Relief In Labour1Pain Relief In Labour1
Pain Relief In Labour1inojustin
 
prolonged labor.pptx obg seminar 4th year
prolonged labor.pptx obg seminar 4th yearprolonged labor.pptx obg seminar 4th year
prolonged labor.pptx obg seminar 4th yearMonikaKosre
 
Ectopic pregnancy future fertiliy
Ectopic pregnancy future fertiliyEctopic pregnancy future fertiliy
Ectopic pregnancy future fertiliyPoonam Loomba
 
The comparison of dinoprostone and vagiprost for induction of lobar in post t...
The comparison of dinoprostone and vagiprost for induction of lobar in post t...The comparison of dinoprostone and vagiprost for induction of lobar in post t...
The comparison of dinoprostone and vagiprost for induction of lobar in post t...iosrphr_editor
 
Salon 1 14 kasim 15.30 17.00 duygu demi̇r-ing
Salon 1 14 kasim 15.30 17.00 duygu demi̇r-ingSalon 1 14 kasim 15.30 17.00 duygu demi̇r-ing
Salon 1 14 kasim 15.30 17.00 duygu demi̇r-ingtyfngnc
 

Similar to Labor down (20)

Weaning final (3).ppt
Weaning final (3).pptWeaning final (3).ppt
Weaning final (3).ppt
 
dysfunctional-labour.ppt
dysfunctional-labour.pptdysfunctional-labour.ppt
dysfunctional-labour.ppt
 
ABNORMAL PROGRESS.ppt
ABNORMAL PROGRESS.pptABNORMAL PROGRESS.ppt
ABNORMAL PROGRESS.ppt
 
The decision to delivery interval in emergency and non
The decision to delivery interval in emergency and nonThe decision to delivery interval in emergency and non
The decision to delivery interval in emergency and non
 
Acute uterine inversion
Acute uterine inversionAcute uterine inversion
Acute uterine inversion
 
Compresa Versus Masaje
Compresa Versus MasajeCompresa Versus Masaje
Compresa Versus Masaje
 
Role of tranexamic acid in cesarean section
Role of tranexamic acid in cesarean sectionRole of tranexamic acid in cesarean section
Role of tranexamic acid in cesarean section
 
Labor_Analgesia_An_Update2 (2).ppt
Labor_Analgesia_An_Update2 (2).pptLabor_Analgesia_An_Update2 (2).ppt
Labor_Analgesia_An_Update2 (2).ppt
 
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
 
A comparative study of the effect of clonidine
A comparative study of the effect of clonidineA comparative study of the effect of clonidine
A comparative study of the effect of clonidine
 
A comparative study of the effect of clonidine
A comparative study of the effect of clonidineA comparative study of the effect of clonidine
A comparative study of the effect of clonidine
 
Ggggghghhhhh_reissing_ptintervention.ppt
Ggggghghhhhh_reissing_ptintervention.pptGgggghghhhhh_reissing_ptintervention.ppt
Ggggghghhhhh_reissing_ptintervention.ppt
 
Partograph
Partograph Partograph
Partograph
 
Pain Relief In Labour1
Pain Relief In Labour1Pain Relief In Labour1
Pain Relief In Labour1
 
prolonged labor.pptx obg seminar 4th year
prolonged labor.pptx obg seminar 4th yearprolonged labor.pptx obg seminar 4th year
prolonged labor.pptx obg seminar 4th year
 
Intubation lecture
Intubation lectureIntubation lecture
Intubation lecture
 
Non stress test
Non stress testNon stress test
Non stress test
 
Ectopic pregnancy future fertiliy
Ectopic pregnancy future fertiliyEctopic pregnancy future fertiliy
Ectopic pregnancy future fertiliy
 
The comparison of dinoprostone and vagiprost for induction of lobar in post t...
The comparison of dinoprostone and vagiprost for induction of lobar in post t...The comparison of dinoprostone and vagiprost for induction of lobar in post t...
The comparison of dinoprostone and vagiprost for induction of lobar in post t...
 
Salon 1 14 kasim 15.30 17.00 duygu demi̇r-ing
Salon 1 14 kasim 15.30 17.00 duygu demi̇r-ingSalon 1 14 kasim 15.30 17.00 duygu demi̇r-ing
Salon 1 14 kasim 15.30 17.00 duygu demi̇r-ing
 

More from Babak Jebelli

Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012Babak Jebelli
 
Twins clinical management 2012
Twins clinical management 2012Twins clinical management 2012
Twins clinical management 2012Babak Jebelli
 
New Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervixNew Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervixBabak Jebelli
 
Medication 53333-phpapp02
Medication 53333-phpapp02Medication 53333-phpapp02
Medication 53333-phpapp02Babak Jebelli
 
Hcahps score trends in the past 4 years
Hcahps score trends in the past 4 yearsHcahps score trends in the past 4 years
Hcahps score trends in the past 4 yearsBabak Jebelli
 
Coccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyCoccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyBabak Jebelli
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands diseaseBabak Jebelli
 
Late preterm delivery
Late preterm deliveryLate preterm delivery
Late preterm deliveryBabak Jebelli
 
Insulin resistance and pcos
Insulin resistance and pcosInsulin resistance and pcos
Insulin resistance and pcosBabak Jebelli
 
Fht interpretation & management
Fht interpretation & managementFht interpretation & management
Fht interpretation & managementBabak Jebelli
 
Asymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesteroneAsymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesteroneBabak Jebelli
 
Prevention of pertussis
Prevention of pertussisPrevention of pertussis
Prevention of pertussisBabak Jebelli
 

More from Babak Jebelli (20)

Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012
 
Economy
EconomyEconomy
Economy
 
Twins clinical management 2012
Twins clinical management 2012Twins clinical management 2012
Twins clinical management 2012
 
New Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervixNew Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervix
 
Medication 53333-phpapp02
Medication 53333-phpapp02Medication 53333-phpapp02
Medication 53333-phpapp02
 
Hcahps score trends in the past 4 years
Hcahps score trends in the past 4 yearsHcahps score trends in the past 4 years
Hcahps score trends in the past 4 years
 
Coccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyCoccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancy
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands disease
 
Hini2012 update
Hini2012 updateHini2012 update
Hini2012 update
 
Pph share drive
Pph share drive Pph share drive
Pph share drive
 
Late preterm delivery
Late preterm deliveryLate preterm delivery
Late preterm delivery
 
Insulin resistance and pcos
Insulin resistance and pcosInsulin resistance and pcos
Insulin resistance and pcos
 
Induction summary
Induction summaryInduction summary
Induction summary
 
Hyperemesis6 12
Hyperemesis6 12Hyperemesis6 12
Hyperemesis6 12
 
Gbs 2010
Gbs 2010Gbs 2010
Gbs 2010
 
Foley bulb
Foley bulbFoley bulb
Foley bulb
 
Fht interpretation & management
Fht interpretation & managementFht interpretation & management
Fht interpretation & management
 
Asymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesteroneAsymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesterone
 
Prevention of pertussis
Prevention of pertussisPrevention of pertussis
Prevention of pertussis
 
Magnesium sulfate
Magnesium sulfateMagnesium sulfate
Magnesium sulfate
 

Recently uploaded

08448380779 Call Girls In Civil Lines Women Seeking Men
08448380779 Call Girls In Civil Lines Women Seeking Men08448380779 Call Girls In Civil Lines Women Seeking Men
08448380779 Call Girls In Civil Lines Women Seeking MenDelhi Call girls
 
Exploring the Future Potential of AI-Enabled Smartphone Processors
Exploring the Future Potential of AI-Enabled Smartphone ProcessorsExploring the Future Potential of AI-Enabled Smartphone Processors
Exploring the Future Potential of AI-Enabled Smartphone Processorsdebabhi2
 
Finology Group – Insurtech Innovation Award 2024
Finology Group – Insurtech Innovation Award 2024Finology Group – Insurtech Innovation Award 2024
Finology Group – Insurtech Innovation Award 2024The Digital Insurer
 
Histor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slideHistor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slidevu2urc
 
Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Enterprise Knowledge
 
Partners Life - Insurer Innovation Award 2024
Partners Life - Insurer Innovation Award 2024Partners Life - Insurer Innovation Award 2024
Partners Life - Insurer Innovation Award 2024The Digital Insurer
 
Injustice - Developers Among Us (SciFiDevCon 2024)
Injustice - Developers Among Us (SciFiDevCon 2024)Injustice - Developers Among Us (SciFiDevCon 2024)
Injustice - Developers Among Us (SciFiDevCon 2024)Allon Mureinik
 
08448380779 Call Girls In Diplomatic Enclave Women Seeking Men
08448380779 Call Girls In Diplomatic Enclave Women Seeking Men08448380779 Call Girls In Diplomatic Enclave Women Seeking Men
08448380779 Call Girls In Diplomatic Enclave Women Seeking MenDelhi Call girls
 
Developing An App To Navigate The Roads of Brazil
Developing An App To Navigate The Roads of BrazilDeveloping An App To Navigate The Roads of Brazil
Developing An App To Navigate The Roads of BrazilV3cube
 
Unblocking The Main Thread Solving ANRs and Frozen Frames
Unblocking The Main Thread Solving ANRs and Frozen FramesUnblocking The Main Thread Solving ANRs and Frozen Frames
Unblocking The Main Thread Solving ANRs and Frozen FramesSinan KOZAK
 
Automating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps ScriptAutomating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps Scriptwesley chun
 
Handwritten Text Recognition for manuscripts and early printed texts
Handwritten Text Recognition for manuscripts and early printed textsHandwritten Text Recognition for manuscripts and early printed texts
Handwritten Text Recognition for manuscripts and early printed textsMaria Levchenko
 
Breaking the Kubernetes Kill Chain: Host Path Mount
Breaking the Kubernetes Kill Chain: Host Path MountBreaking the Kubernetes Kill Chain: Host Path Mount
Breaking the Kubernetes Kill Chain: Host Path MountPuma Security, LLC
 
08448380779 Call Girls In Greater Kailash - I Women Seeking Men
08448380779 Call Girls In Greater Kailash - I Women Seeking Men08448380779 Call Girls In Greater Kailash - I Women Seeking Men
08448380779 Call Girls In Greater Kailash - I Women Seeking MenDelhi Call girls
 
A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)Gabriella Davis
 
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...Miguel Araújo
 
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc
 
08448380779 Call Girls In Friends Colony Women Seeking Men
08448380779 Call Girls In Friends Colony Women Seeking Men08448380779 Call Girls In Friends Colony Women Seeking Men
08448380779 Call Girls In Friends Colony Women Seeking MenDelhi Call girls
 
Scaling API-first – The story of a global engineering organization
Scaling API-first – The story of a global engineering organizationScaling API-first – The story of a global engineering organization
Scaling API-first – The story of a global engineering organizationRadu Cotescu
 
Salesforce Community Group Quito, Salesforce 101
Salesforce Community Group Quito, Salesforce 101Salesforce Community Group Quito, Salesforce 101
Salesforce Community Group Quito, Salesforce 101Paola De la Torre
 

Recently uploaded (20)

08448380779 Call Girls In Civil Lines Women Seeking Men
08448380779 Call Girls In Civil Lines Women Seeking Men08448380779 Call Girls In Civil Lines Women Seeking Men
08448380779 Call Girls In Civil Lines Women Seeking Men
 
Exploring the Future Potential of AI-Enabled Smartphone Processors
Exploring the Future Potential of AI-Enabled Smartphone ProcessorsExploring the Future Potential of AI-Enabled Smartphone Processors
Exploring the Future Potential of AI-Enabled Smartphone Processors
 
Finology Group – Insurtech Innovation Award 2024
Finology Group – Insurtech Innovation Award 2024Finology Group – Insurtech Innovation Award 2024
Finology Group – Insurtech Innovation Award 2024
 
Histor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slideHistor y of HAM Radio presentation slide
Histor y of HAM Radio presentation slide
 
Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...Driving Behavioral Change for Information Management through Data-Driven Gree...
Driving Behavioral Change for Information Management through Data-Driven Gree...
 
Partners Life - Insurer Innovation Award 2024
Partners Life - Insurer Innovation Award 2024Partners Life - Insurer Innovation Award 2024
Partners Life - Insurer Innovation Award 2024
 
Injustice - Developers Among Us (SciFiDevCon 2024)
Injustice - Developers Among Us (SciFiDevCon 2024)Injustice - Developers Among Us (SciFiDevCon 2024)
Injustice - Developers Among Us (SciFiDevCon 2024)
 
08448380779 Call Girls In Diplomatic Enclave Women Seeking Men
08448380779 Call Girls In Diplomatic Enclave Women Seeking Men08448380779 Call Girls In Diplomatic Enclave Women Seeking Men
08448380779 Call Girls In Diplomatic Enclave Women Seeking Men
 
Developing An App To Navigate The Roads of Brazil
Developing An App To Navigate The Roads of BrazilDeveloping An App To Navigate The Roads of Brazil
Developing An App To Navigate The Roads of Brazil
 
Unblocking The Main Thread Solving ANRs and Frozen Frames
Unblocking The Main Thread Solving ANRs and Frozen FramesUnblocking The Main Thread Solving ANRs and Frozen Frames
Unblocking The Main Thread Solving ANRs and Frozen Frames
 
Automating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps ScriptAutomating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps Script
 
Handwritten Text Recognition for manuscripts and early printed texts
Handwritten Text Recognition for manuscripts and early printed textsHandwritten Text Recognition for manuscripts and early printed texts
Handwritten Text Recognition for manuscripts and early printed texts
 
Breaking the Kubernetes Kill Chain: Host Path Mount
Breaking the Kubernetes Kill Chain: Host Path MountBreaking the Kubernetes Kill Chain: Host Path Mount
Breaking the Kubernetes Kill Chain: Host Path Mount
 
08448380779 Call Girls In Greater Kailash - I Women Seeking Men
08448380779 Call Girls In Greater Kailash - I Women Seeking Men08448380779 Call Girls In Greater Kailash - I Women Seeking Men
08448380779 Call Girls In Greater Kailash - I Women Seeking Men
 
A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)A Domino Admins Adventures (Engage 2024)
A Domino Admins Adventures (Engage 2024)
 
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
Mastering MySQL Database Architecture: Deep Dive into MySQL Shell and MySQL R...
 
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law DevelopmentsTrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
TrustArc Webinar - Stay Ahead of US State Data Privacy Law Developments
 
08448380779 Call Girls In Friends Colony Women Seeking Men
08448380779 Call Girls In Friends Colony Women Seeking Men08448380779 Call Girls In Friends Colony Women Seeking Men
08448380779 Call Girls In Friends Colony Women Seeking Men
 
Scaling API-first – The story of a global engineering organization
Scaling API-first – The story of a global engineering organizationScaling API-first – The story of a global engineering organization
Scaling API-first – The story of a global engineering organization
 
Salesforce Community Group Quito, Salesforce 101
Salesforce Community Group Quito, Salesforce 101Salesforce Community Group Quito, Salesforce 101
Salesforce Community Group Quito, Salesforce 101
 

Labor down

  • 1. “ LABORING DOWN” Passive Descent Delayed Pushing Small Randomised Controlled Trials with Different outcome measures & variable amounts of “time for delay before pushing” have created fuel for passionate positions
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.