Journal ArticleDOI
Persistent fetal occiput posterior position: obstetric outcomes.
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TLDR
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.About:
This article is published in Obstetrics & Gynecology.The article was published on 2003-05-01. It has received 247 citations till now. The article focuses on the topics: Population.read more
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Fetal head position during the second stage of labor: comparison of digital vaginal examination and transabdominal ultrasonographic examination.
Olivier Dupuis,Silveira Ruimark,Dupont Corinne,Thevenet Simone,Dittmar André,Rudigoz René-Charles +5 more
TL;DR: Transabdominal ultrasonography is a simple, quick and efficient way of increasing the accuracy of the assessment of fetal head position during the second stage of labor.
Journal ArticleDOI
Changes in Fetal Position During Labor and Their Association With Epidural Analgesia
TL;DR: The demonstration of a strong association of epidural with fetal occiput posterior position at delivery represents a mechanism that may contribute to the lower rate of spontaneous vaginal delivery consistently observed with epidural.
Journal ArticleDOI
Diagnosis of station and rotation of the fetal head in the second stage of labor with intrapartum translabial ultrasound
TL;DR: To investigate the ability of intrapartum translabial sonography to diagnose fetal station in the second stage of labor, a large number of patients with high-risk pregnancies are referred to the neonatal intensive care unit.
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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.
References
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Journal ArticleDOI
The effect of intrapartum epidural analgesia on nulliparous labor: A randomized, controlled, prospective trial
James A. Thorp,Daniel H. Hu,Rene M. Albin,Jay D. McNitt,Bruce A. Meyer,Gary R. Cohen,John D. Yeast +6 more
TL;DR: In a randomized, controlled, prospective trial epidural analgesia resulted in a significant prolongation in the first and second stages of labor and a significant increase in the frequency of cesarean delivery, primarily related to dystocia.
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Epidural analgesia, intrapartum fever, and neonatal sepsis evaluation
Ellice Lieberman,Janet M. Lang,Fredric D. Frigoletto,Douglas K. Richardson,Steven A. Ringer,Amy Cohen +5 more
TL;DR: Use of epidural analgesia during labor is strongly associated with the occurrence of maternal intrapartum fever, neonatal sepsis evaluations, and neonatal antibiotic treatment.
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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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The length of active labor in normal pregnancies
TL;DR: Active labor in healthy women lasted longer than is widely appreciated, and upward revision of clinical expectations for the length of active labor is warranted.
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Occipitoposterior position: associated factors and obstetric outcome in nulliparas.
A R Sizer,D M Nirmal +1 more
TL;DR: Epidural analgesia and oxytocin augmentation are associated with increased incidence of occipitoposterior position, which leads to increased operative obstetric intervention for delivery.