Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures

Hinshaw, Kim; Arulkumaran, Sabaratnam

doi:10.1002/9781119211457.ch26

Cited by 2 publications

(4 citation statements)

References 19 publications

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“…In the present study, the success rate of ECV was 48.2% while unsuccessful ECVs were 51.8 %. Our success rate is close to that of most of the units (50%) in the UK 15,16 , and the success rate of a study conducted by Bewley S et al (46%). 17 However our success rate is less than that quoted by ACOG (58%) and some other studies by O.A.…”

Section: Discussionsupporting

confidence: 87%

“…Women with parity >3 had a strong association with successful ECV as compared to women with no previous children. Adequate liquor [11][12][13][14][15][16][17] appeared favourable for successful ECV than comparatively decreased liquor. [8][9][10] In our study, none of the babies with engaged breech presenting part could be manipulated to the cephalic presentation while 27 of unengaged breech were turned to cephalic presentation.…”

Section: Methodsmentioning

confidence: 99%

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To determine the rate of success of external cephalic version in low risk breech presentations and possible factors affecting its success in POF hospital, Wah Cantt.

Majeed¹,

Kalsoom²,

Safdar³

et al. 2021

JRMC

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Abstract Background The caesarean section rate is on the rise for various reasons. One of the reason is breech presentation . External cephalic version is a procedure to manipulate the baby from breech to cephalic presentation externally through the maternal abdomen under USG guidance . Success in ECV decreases the breech presentation and hence caesarean section rate . Methods This retrospective study was conducted by Wah Medical College in POF hospital from10 Oct 2015- 10 Oct 2019 after approval from the ethical committee . It included 56 low risk singleton breech presentations from 36 wks- 40 wks after taking their informed consent While those with < than 36 wks (primis) and >40 wks gestation, refusal to ECV , with absolute contraindication to ECV& with medical and obstetric complications (ie scarred uterus, liquor <than 8 cm & > than 17 cm, fetal growth restriction, preclampsia, gestational diabetes & abnormal cardiotocography) were excluded from the study. ECV was performed by single obstetrician in labour room with facilities of cardiotocograph and emergency caesarean section. Cardiotocography of the fetus for 30-40 min was done just before & after the procedure of ECV. ECV was declared successful on cofirming head of the fetus occupying the lower uterine segment on ultrasound. .Number of successful ECVs & specific factors of the women & the baby (age . parity, amniotic fluid index ,type of breech, engagement of breech, position of back of baby) were chosen to observe their effect on success of ECV. Results External cephalic version was successful in 27 (48.2%) & unsuccessful in 29 (51.8%)of women .Multiparity , unengaged breech & type of breech (complete flexed) ( with p values .001, .000 & .001 respectively) had statistically significant positive association with successful external cephalic version. Conclusion ECV should be offered to all women with low risk breech presentations. Knowledge of factors predictive of ECV success can be utilized in selecting cases for ECV &counselling the women regarding the success and failure of ECV.

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

To determine the rate of success of external cephalic version in low risk breech presentations and possible factors affecting its success in POF hospital, Wah Cantt.

Majeed¹,

Kalsoom²,

Safdar³

et al. 2021

JRMC

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“…An episiotomy is one of the widely practiced obstetric interventions performed to minimize the risk of severe tears or to enlarge the birth outlet during childbirth at a time when the fetus's head descends ( 1 , 2 ). It helps in avoiding potential intracranial damage to the infant, prevents low Apgar score, and avoids severe and irregular perineal tears.…”

Section: Introductionmentioning

confidence: 99%

“…Even though seven different types of episiotomy have been reported in works of literature, two major types are routinely used: median and mediolateral episiotomy ( 2 , 4 , 5 ). Mediolateral episiotomies are most commonly performed in Europe, whereas midline episiotomy is common in the USA ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Magnitude of episiotomy practice and associated factors among women who gave birth at Hiwot Fana Specialized University Hospital, Eastern Ethiopia

Bekele

Tamiru

Debella

et al. 2022

Front. Glob. Womens Health

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BackgroundEpisiotomy is an intentional surgical incision made on the perineum with the aim of enlarging the introits during the second stage of labor or just before delivery of the baby. It sometimes also interferes with the mother's comfort during the postpartum period and has associated complications especially when it is done without indication. However, there is limited information regarding episiotomy practice in the study area.ObjectiveThis study aimed to determine the magnitude of episiotomy practice and associated factors among women who gave birth at the Hiwot Fana Specialized University Hospital, Eastern Ethiopia, 2021.MethodsA facility-based cross-sectional study was conducted among 408 systematically selected mothers who gave birth at the Hiwot Fana Specialized University Hospital, from 1 January to 30 December 2021. Datas were collected from delivery medical records using a pretested checklist. The extracted data were checked, coded, and entered into the Epi-data version 3.1 and exported to the STATA version 16 software for analysis. Binary logistic regression was fitted to identify factors associated with episiotomy practice. P-values < 0.05 were considered to declare the presence of statistical significance.ResultsThe overall prevalence of episiotomy practice was found to be 43.4 % (95% CI: 38.7, 48.9), and mediolateral was the most commonly practiced episiotomy type (41.4%). Parity [AOR: 6.2; 95% CI (3.8–17.6)], 1st min Apgar score [AOR: 1.6; 95% CI (1.04–2.67)], presence of maternal medical disease [AOR: 3.3; 95% CI (1.09–6.9)], and induced labor [AOR: 1.6; 95%CI (1.12, 4.13)] were significantly associated with the episiotomy practice.ConclusionThe prevalence of episiotomy practice in the study area was high. Parity, presence of maternal medical disease, induction of labor, and 1st min APGAR score were significant factors associated with episiotomy practice. Considering the presence of appropriate indications or preventing unjustifiable indications, can help to reduce the current high practice rates.

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Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures

Cited by 2 publications

References 19 publications

To determine the rate of success of external cephalic version in low risk breech presentations and possible factors affecting its success in POF hospital, Wah Cantt.

To determine the rate of success of external cephalic version in low risk breech presentations and possible factors affecting its success in POF hospital, Wah Cantt.

Magnitude of episiotomy practice and associated factors among women who gave birth at Hiwot Fana Specialized University Hospital, Eastern Ethiopia

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