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Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...

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Related Experiment Video

Updated: Jul 17, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Scoping Review on En Caul Births.

Ambrogio P Londero, Elena Fiasella, Arrigo Fruscalzo

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |July 15, 2026
    PubMed
    Summary

    En caul birth literature is limited but suggests benefits for preterm infants and in specific cesarean birth complications. Further research on this rare delivery method is warranted.

    Keywords:
    cesarean birthen caul birthfetal outcomesmaternal outcomespreterm birthvaginal birth

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    Published on: February 5, 2019

    Area of Science:

    • Obstetrics and Gynecology
    • Perinatal Medicine
    • Reproductive Health

    Background:

    • En caul birth, where the fetus is born encased in the amniotic sac, is a rare obstetric event.
    • Existing literature on en caul births is fragmented, necessitating a comprehensive review.

    Purpose of the Study:

    • To systematically identify and analyze the existing body of literature concerning en caul births.
    • To synthesize findings regarding en caul births in both vaginal and cesarean deliveries.

    Main Methods:

    • A systematic literature search was conducted across PubMed, Embase, and Scopus databases.
    • Included were all full-text, peer-reviewed articles in English or Italian, without publication date restrictions.
    • Data extraction focused on birth type, en caul characteristics, and key findings related to gestational age and fetal presentation.

    Main Results:

    • Thirty-two full-text articles met the inclusion criteria for this review.
    • The literature was organized by birth type, highlighting findings on gestational age, fetal presentation, and en caul cesarean birth.
    • Specific pregnancy complications, such as vasa previa, were noted in relation to en caul cesarean births.

    Conclusions:

    • The current evidence base for en caul births is limited.
    • En caul vaginal birth may benefit preterm newborns, irrespective of fetal presentation.
    • En caul cesarean birth might be advantageous for certain rare obstetric complications like vasa previa.