Journal ArticleDOI
Manual rotation of the fetal occiput: Predictors of success and delivery
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TLDR
After successful manual rotation of the fetal occiput, women had lower cesarean delivery rates than women with unsuccessful rotations, and Multiparity and maternal age of < 35 years were associated with more successful rotations.About:
This article is published in American Journal of Obstetrics and Gynecology.The article was published on 2005-12-01. It has received 62 citations till now. The article focuses on the topics: Occiput & Fetal position.read more
Citations
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Journal ArticleDOI
When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia.
TL;DR: Faced with a decreasing probability of SVD and increased maternal risk of morbidity after 2 hours, the question as to whether expulsive efforts should be continued after this time is raised.
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Associated factors and outcomes of persistent occiput posterior position: A retrospective cohort study from 1976 to 2001
TL;DR: Epidural use, AROM, African-American ethnicity, nulliparity, and birth weight >4000 g are associated with persistent OP position at delivery, with higher rates of operative deliveries and obstetric complications.
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Manual rotation in occiput posterior or transverse positions: risk factors and consequences on the cesarean delivery rate.
TL;DR: Manual rotation may be an effective technique for reducing the cesarean delivery rate in patients with an occiput posterior or transverse position during labor, including the indication for rotation and cervical dilatation.
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Manual rotation to reduce caesarean delivery in persistent occiput posterior or transverse position
TL;DR: Compared with expectant management, a trial of manual rotation with persistent fetal OP/OT position is associated with a reduction in CD and adverse maternal outcomes.
Journal ArticleDOI
Persistent occiput posterior.
TL;DR: A role remains for teaching and practicing selected rotational forceps operations in contemporary obstetrics, and recent literature suggests that maternal and fetal outcomes with rotations are better than those reported in older series.
References
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Journal ArticleDOI
Venous thromboembolism in pregnancy and the puerperium: incidence and additional risk factors from a London perinatal database
TL;DR: This study aims to determine the incidence of venous thromboembolism in pregnancy and the puerperium and to identify risk factors for pregnancy‐related venous dilation and thrombosis.
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Maternal morbidity associated with vaginal versus cesarean delivery.
TL;DR: Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased risks of endometritis, the need for transfusion, and pneumonia; however, these rates are lower than reported previously.
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Persistent fetal occiput posterior position: obstetric outcomes.
TL;DR: Persistent occiput posterior position is associated with a higher rate of complications during labor and delivery, and in this population, the chances that a laboring woman with persistent occipUT posterior position will have a spontaneous vaginal delivery are only 26% for nulliparas and 57% for multiparas.
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Influence of persistent occiput posterior position on delivery outcome.
TL;DR: Persistent occiput posterior position led to a sevenfold increase in the incidence of anal sphincter injury, and was associated with significantly higher incidences of prolonged pregnancy, induction of Labor, oxytocin augmentation of labor, epidural use, and prolonged labor.
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Effect of Fetal Position on Second-Stage Duration and Labor Outcome
TL;DR: Fetal malposition at full dilatation results in a higher risk of prolonged second stage of labor and increases maternal morbidity indicators and indicators of maternal and neonatal morbidity.