Le suivi échographique de la deuxième partie du travail

Fouché, C.-J.; Simon, Emmanuel; Potin, J.; Perrotin, F.

doi:10.1016/j.gyobfe.2012.09.001

Cited by 11 publications

(2 citation statements)

References 34 publications

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“…Ainsi, certains cherchent actuellement à évaluer l'intérêt de l'échographie dans le diagnostic d'engagement par différentes techniques [37]. Mais si on considère que le diagnostic clinique d'engagement n'est pas fiable, les auteurs évaluant les techniques échographiques se trouvent confrontés à un écueil majeur, l'absence de gold standard.…”

Section: Place De L'échographie Dans Le Diagnostic D'engagementunclassified

Quoi de neuf concernant les interventions obstétricales lors du travail et de l’accouchement normal ?

Ray

Theau

Ménard

et al. 2014

La Revue Sage-Femme

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Cette revue de la littérature répertorie les études publiées depuis les 5 dernières années (2008)(2009)(2010)(2011)(2012)(2013) ayant un niveau de preuve satisfaisant concernant les interventions réalisées lors du travail et l'accouchement eutocique. Les points développés concernent les interventions visant à accélérer le travail, celles visant à améliorer le confort maternel, la prise en charge des variétés postérieures, la gestion du 2 e stade du travail et les techniques de prévention des lésions périnéales. Même si l'obstétrique reste un « art » pour lequel l'enseignement est essentiellement basé sur l'expérience et l'expertise clinique, cet « art » ne peut plus à l'heure actuelle se passer de l'evidence-based medicine. Les nombreux essais randomisés publiés et en cours démontrent la prise de conscience de cette réalité dans notre spécialité.Summary This systematic review of the literature reports studies published over the last five years (2008)(2009)(2010)(2011)(2012)(2013) about interventions during labor and normal delivery. The points made concerning active management of labor, interventions aimed at improving maternal comfort, management of occiput posterior fetal presentations, management of second stage of labor and prevention techniques for perineal lesions. Although obstetrics remains an ''art'' to which training is mainly based on experience and clinical expertise, this ''art'' at present cannot live without the evidence-based medicine. Numerous randomized trials published and in process, demonstrate awareness of this reality in our specialty.

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Section: Place De L'échographie Dans Le Diagnostic D'engagementunclassified

Quoi de neuf concernant les interventions obstétricales lors du travail et de l’accouchement normal ?

Ray

Theau

Ménard

et al. 2014

La Revue Sage-Femme

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“…When the positional anomaly is occipitoposterior after the transabdominal exploration, we can find the fetal orbits facing upwards. the flexion is inferred by the profile view of the face that shows the chin resting on the chest, the choroid plexuses diverge later, in the sagittal examination the third ventricle can be seen, in the variety of transverse occipito position, the fetal spine a Often found lateral, the fetal orbits are directed laterally, however, this publication focuses on the ease of reproduction of the strabismus sign which we can explore through the transabdominal route, orienting the transducer transversely, above the pubic symphysis, in the variety of occipito-posterior position we can observe the fetal orbits oriented upwards and flexion of the chin towards the fetal chest, in the occipito-transverse position the fetal cerebral midline is observed in a transverse section, and the sign of strabismus can be demonstrated by finding only a fetal orbit laterally, therefore, the literature Consider the sign of strabismus as pathognomonic of fetal malposition [4][5][6]…”

Section: Introductionmentioning

confidence: 99%

Obstetric Outcomes of Position Abnormalities Detected by Intrapartum Suprapubic Transabdominal Ultrasound

Mendoza¹,

Niño²,

Prado³

2018

Int. J. Gynecol. Obst. Res.

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Objective: to propose the use of ultrasound during abnormal labor, as a detection of position abnormalities, to evaluate the way of resolution of pregnancy and reduce maternal-fetal complications. Materials and Methods: Prospective, cross-sectional, descriptive study, carried out in term pregnant patients, carried out in a second level of care in December 2018 to July 2019, the population was divided into group 1 (it included 15 patients with evolution abnormal labor in which no ultrasound was performed to detect position abnormalities) and group 2 (15 patients with abnormal evolution of labor and ultrasound detection of position anomaly were included) to determine the usefulness of diagnosis by ultrasound and its association with maternal-fetal morbidity and mortality. Results: A total of 30 patients were registered, both groups with 15 patients each, in group 1, 11 patients with maternal and fetal morbidity were reported, whose resolution was vaginal in which position abnormalities were detected during the obstetric event, In group 2, 15 patients were reported with abnormal evolution of labor and with a diagnosis of position abnormalities, detected by ultrasound during the second period of labor, whose resolution of pregnancy was abdominal, without complications, in 4 Patients the indication was due to fetal compromise. Conclusions: Timely detection in the second period of labor for position abnormalities is an effective method to reduce maternal-fetal complications.

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Predicting the difficulty of operative vaginal delivery by ultrasound measurement of fetal head station

Kasbaoui

Séverac²,

Aïssi

et al. 2017

American Journal of Obstetrics and Gynecology

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Le suivi échographique de la deuxième partie du travail

Cited by 11 publications

References 34 publications

Quoi de neuf concernant les interventions obstétricales lors du travail et de l’accouchement normal ?

Quoi de neuf concernant les interventions obstétricales lors du travail et de l’accouchement normal ?

Obstetric Outcomes of Position Abnormalities Detected by Intrapartum Suprapubic Transabdominal Ultrasound

Predicting the difficulty of operative vaginal delivery by ultrasound measurement of fetal head station

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