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Fetal Vertex Position

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1. Fetal Vertex Position

Fetal Vertex Position Fetal Vertex Position Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fetal Vertex Position Fetal Vertex (...) Position Aka: Fetal Vertex Position , Fetal Position , Occiput Anterior From Related Chapters II. Definition Position of the Fetal denominator to mother's Fetal Denominator: Occiput of Vertex III. Positions at maternal pelvic brim Occiput Anterior or Transverse (Normal) Left Occiput Lateral (LOL) 40% Right Occiput Lateral (ROL) 25% Left Occiput Anterior (LOA) 12% Right Occiput Anterior (ROA) 10% (Abnormal: Occiput at ) Left (LOP) 3% Right (ROP) 10% Images: Related links to external sites (from Bing

2018 FP Notebook

2. Spontaneous Pushing in Lateral Position versus Valsalva Maneuver During Second Stage of Labor on Maternal and Fetal Outcomes: A Randomized Clinical Trial. (PubMed)

as follows: nulliparous mothers, live fetus with vertex presentation, gestational age of 37 - 40 weeks, spontaneous labor, and no complications. The intervention group pushed spontaneously while they were in the lateral position, whereas the control group pushed using Valsalva method while in the supine position at the onset of the second stage of labor. Maternal outcomes such as pain and fatigue severity and fetal outcomes such as pH and pO2 of the umbilical cord blood were measured.Data pertaining (...) Spontaneous Pushing in Lateral Position versus Valsalva Maneuver During Second Stage of Labor on Maternal and Fetal Outcomes: A Randomized Clinical Trial. There are concerns about the harmful effects of the Valsalva maneuver during the second stage of labor.Comparing the effects of spontaneous pushing in the lateral position with the Valsalva maneuver during the second stage of labor on maternal and fetal outcomes.Inclusion criteria in this randomized clinical trial conducted in Iran were

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2017 Iranian Red Crescent medical journal

3. Fetal Vertex Position

Fetal Vertex Position Fetal Vertex Position Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fetal Vertex Position Fetal Vertex (...) Position Aka: Fetal Vertex Position , Fetal Position , Occiput Anterior From Related Chapters II. Definition Position of the Fetal denominator to mother's Fetal Denominator: Occiput of Vertex III. Positions at maternal pelvic brim Occiput Anterior or Transverse (Normal) Left Occiput Lateral (LOL) 40% Right Occiput Lateral (ROL) 25% Left Occiput Anterior (LOA) 12% Right Occiput Anterior (ROA) 10% (Abnormal: Occiput at ) Left (LOP) 3% Right (ROP) 10% Images: Related links to external sites (from Bing

2015 FP Notebook

4. WHO recommendations: intrapartum care for a positive childbirth experience

should not be a routine indication for obstetric intervention. 9. Labour may not naturally accelerate until a cervical dilatation threshold of 5 cm is reached. Therefore the use of medical interventions to accelerate labour and birth (such as oxytocin augmentation or caesarean section) before this threshold is not recommended, provided fetal and maternal conditions are reassuring. Not recommended Not recommended Not recommended a Integrated from WHO recommendations on antenatal care for a positive (...) WHO recommendations: intrapartum care for a positive childbirth experience WHO recommendations Intrapartum care for a positive childbirth experience WHO recommendations Intrapartum care for a positive childbirth experienceWHO recommendations Intrapartum care for a positive childbirth experienceWHO recommendations: intrapartum care for a positive childbirth experience ISBN 978-92-4-155021-5 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons

2018 World Health Organisation Guidelines

5. Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial. (PubMed)

Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial. To evaluate the influence of ultrasound determination of fetal head position on mode of delivery.This was a pragmatic open-label randomized controlled trial that included women with a singleton pregnancy in the vertex presentation at ≥ 37 weeks' gestation, cervical dilation ≥ 8 cm and who received epidural anesthesia. Women were assigned randomly to undergo either digital vaginal (...) examination (VE group) or both digital vaginal and ultrasound examinations (VE+US group) to determine fetal head position. When the ultrasound and digital vaginal findings were inconsistent in the VE+US group, the ultrasound result was used for clinical management. The primary outcome assessed was operative delivery (Cesarean or instrumental vaginal delivery), and maternal and fetal morbidity were also assessed.The VE and VE+US groups included 959 and 944 women, respectively. The overall rate of operative

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2015 Ultrasound in Obstetrics and Gynecology

6. Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial. (PubMed)

Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial. To evaluate the influence of ultrasound determination of fetal head position on mode of delivery.This was a pragmatic open-label randomized controlled trial that included women with a singleton pregnancy in the vertex presentation at ≥ 37 weeks' gestation, cervical dilation ≥ 8 cm and who received epidural anesthesia. Women were assigned randomly to undergo either digital vaginal (...) examination (VE group) or both digital vaginal and ultrasound examinations (VE+US group) to determine fetal head position. When the ultrasound and digital vaginal findings were inconsistent in the VE+US group, the ultrasound result was used for clinical management. The primary outcome assessed was operative delivery (Cesarean or instrumental vaginal delivery), and maternal and fetal morbidity were also assessed.The VE and VE+US groups included 959 and 944 women, respectively. The overall rate of operative

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2015 Ultrasound in Obstetrics and Gynecology

7. Cost effectiveness of using moxibustion to correct non-vertex presentation.

Cost effectiveness of using moxibustion to correct non-vertex presentation. To analyse the cost effectiveness of using the moxibustion technique to correct non-vertex presentation and to reduce the number of caesarean sections performed at term.A deterministic model of decision analysis has been developed to analyse the cost of treatment in which heat is applied by moxibustion (the combustion of Artemisia vulgaris) at acupuncture point BL67 for pregnant women with non-vertex fetal position (...) conventional treatment, in order to make the results generalisable to other healthcare settings. Deterministic and probabilistic sensitivity analyses were performed under diverse assumptions to assess the uncertainty of the result.The baseline analysis shows that the application of moxibustion prevents 8.92% of deliveries with non-vertex presentation compared with conventional treatment, with an average cost saving of €107.11 per delivery, mainly due to the cost saving from avoiding the need for caesarean

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2015 Acupuncture in medicine : journal of the British Medical Acupuncture Society

8. Measurement of the Fetal Occiput-spine Angle During the First Stage of Labor as Predictor of the Outcome of Labor

Last Update Posted : August 29, 2017 Sponsor: Cairo University Information provided by (Responsible Party): Ahmed Maged, Cairo University Study Details Study Description Go to Brief Summary: 2D trans abdominal ultrasound was done during the first stage of labor. If fetal position is occiput anterior and fetal presentation is vertex, two dimensional sagittal picture of the fetal head and upper spine was acquired and stored in the ultrasound machine. On this image, the offline measurement (...) of the angle formed by a line tangential to the occipital bone and a line tangential to the first vertebral body of the cervical spine (occiput-spine angle) will be performed to quantify the degree of fetal head flexion in respect to the trunk Condition or disease Intervention/treatment Vaginal Delivery Device: transabdominal ultrasound Detailed Description: 2D trans abdominal ultrasound was done during the first stage of labor. If fetal position is occiput anterior and fetal presentation is vertex, two

2017 Clinical Trials

9. Fetal Presentation

click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Fetal Presentation (C0022869) Definition (MSH) The position or orientation of the FETUS at near term or during OBSTETRIC LABOR, determined by its relation to the SPINE of the mother and the birth canal. The normal position is a vertical, cephalic presentation with the fetal vertex flexed on the NECK. Concepts Clinical Attribute ( T201 ) MSH SnomedCT 130957006 , 271692001 LNC MTHU002971 English (...) Presentation , Fetal Attitude , Asynclitism From Related Chapters II. Presentation: Breech (Head is not presenting part) Occurs in 25% of pregnancies at 30 weeks Abnormal after 32 weeks See III. Presentation: Cephalic (Head is presenting part) Normal Presentation: Vertex Normal Attitude: Fetus is in full flexion Every fetal joint is flexed Smallest fetal head diameter: Suboccipitobregmatic Abnormal presentations: Extended Attitude ral Abnormal Attitude: Fetal head is extended Results in largest head

2018 FP Notebook

10. Fetal Malpresentation

Malpresentation Aka: Fetal Malpresentation From Related Chapters II. Precautions Avoid in most malpresentations except Twin Consider SC before Consider maternal position changes III. Presentations (10%) (<0.2%) Mentum Anterior or Face Anterior Mentum Posterior or Face Posterior Brow (0.02%) and not converted to face or occiput (<0.5%) Transverse Presentation (0.3%): Attempt for failed version Consider uterine vertical incision Images: Related links to external sites (from Bing) These images are a random (...) sampling from a Bing search on the term "Fetal Malpresentation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Fetal Malpresentation (C0233256) Definition (NCI) Any presentation other than a vertex presentation. (reVITALize)(NICHD) Concepts Finding ( T033 ) MSH SnomedCT 199342004 , 156155001 , 363129008 , 156161003 , 267328006 , 15028002 , 80002007 French Mauvaise présentation foetale , Présentation vicieuse du

2018 FP Notebook

11. Adaptive responses of cardiac function to fetal postural change as gestational age increases (PubMed)

examination were performed on 114 women with vertex singleton pregnancies at 19 to 40 weeks' gestation. Participants were placed in an upright seated position, and the Tei index for fetal left ventricular cardiac function was measured. The women were then moved into a supine position and the Tei index was re-measured.The mean Tei index when measured in an upright seated position was significantly lower than that measured in a supine positioning for all fetuses (0.528±0.103 vs. 0.555±0.106, P=0.014 (...) Adaptive responses of cardiac function to fetal postural change as gestational age increases The cardiovascular system maintains homeostasis through a series of adaptive responses to physiological requirements. However, little is known about the adaptation of fetal cardiac function to gravity, according to gestational age. In the present study, we aimed to evaluate the adaptive responses of cardiac function to postural changes, using Tei index measurements.Fetal echocardiography and Doppler

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2016 Obstetrics & gynecology science

12. Association Between Fluid Administration, Oxytocin Administration, and Fetal Heart Rate Changes

Association Between Fluid Administration, Oxytocin Administration, and Fetal Heart Rate Changes Association Between Fluid Administration, Oxytocin Administration, and Fetal Heart Rate Changes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Association Between Fluid Administration, Oxytocin Administration, and Fetal Heart Rate Changes The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02121184 Recruitment Status : Recruiting

2014 Clinical Trials

13. Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline

Surveillance for Women With Risk Factors for Adverse Perinatal Outcome 1. Electronic fetal monitoring is recommended for pregnancies at risk of adverse perinatal outcome. (II-A) 2. Normal electronic fetal monitoring tracings during the first stage of labour. When a normal tracing is identified, it may be appropriate to interrupt the electronic fetal monitoring tracing for up to 30 minutes to facilitate periods of ambulation, bathing, or position change, providing that (1) the maternal-fetal condition (...) is stable and (2) if oxytocin is being administered, the infusion rate is not increased. (III-B) Recommendation 12: Digital Fetal Scalp Stimulation 1. Digital fetal scalp stimulation is recommended in response to atypical electronic fetal heart tracings. (II-B) 2. In the absence of a positive acceleratory response with digital fetal scalp stimulation,  Fetal scalp blood sampling is recommended when available. (II-B)  If fetal scalp blood sampling is not available, consideration should be given

2008 British Columbia Perinatal Health Program

14. Fetal Malpresentation

Malpresentation Aka: Fetal Malpresentation From Related Chapters II. Precautions Avoid in most malpresentations except Twin Consider SC before Consider maternal position changes III. Presentations (10%) (<0.2%) Mentum Anterior or Face Anterior Mentum Posterior or Face Posterior Brow (0.02%) and not converted to face or occiput (<0.5%) Transverse Presentation (0.3%): Attempt for failed version Consider uterine vertical incision Images: Related links to external sites (from Bing) These images are a random (...) sampling from a Bing search on the term "Fetal Malpresentation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Fetal Malpresentation (C0233256) Definition (NCI) Any presentation other than a vertex presentation. (reVITALize)(NICHD) Concepts Finding ( T033 ) MSH SnomedCT 199342004 , 156155001 , 363129008 , 156161003 , 267328006 , 15028002 , 80002007 French Mauvaise présentation foetale , Présentation vicieuse du

2015 FP Notebook

15. Fetal Presentation

click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Fetal Presentation (C0022869) Definition (MSH) The position or orientation of the FETUS at near term or during OBSTETRIC LABOR, determined by its relation to the SPINE of the mother and the birth canal. The normal position is a vertical, cephalic presentation with the fetal vertex flexed on the NECK. Concepts Clinical Attribute ( T201 ) MSH SnomedCT 130957006 , 271692001 LNC MTHU002971 English (...) Presentation , Fetal Attitude , Asynclitism From Related Chapters II. Presentation: Breech (Head is not presenting part) Occurs in 25% of pregnancies at 30 weeks Abnormal after 32 weeks See III. Presentation: Cephalic (Head is presenting part) Normal Presentation: Vertex Normal Attitude: Fetus is in full flexion Every fetal joint is flexed Smallest fetal head diameter: Suboccipitobregmatic Abnormal presentations: Extended Attitude ral Abnormal Attitude: Fetal head is extended Results in largest head

2015 FP Notebook

16. Accuracy and Reliability of Fetal Heart Rate and Uterine Contraction Monitoring Method

(K101801) EHG Fetal Monitor Device: Monica AN24 (K101081) If not confident of Monica AN24 displayed data then remove Monica AN24 monitor and continue monitoring with Philips 50XM Other Name: Philips Series 50XM (K954351) Outcome Measures Go to Primary Outcome Measures : The Mean Positive Percentage Agreement (PPA) for Fetal Heart Between Device 1 Monica AN24 & Device 2 Philips 50XM [ Time Frame: during labor and delivery the waveforms were measured for between 35 minutes and 15 hours during the first (...) and second stage of labour ] During Labor & delivery, fetal heart rate was measured between the Monica AN24 & the Philips 50XM and the waveforms of the 2 devices were measured to see the percentage of time they were in agreement. The Mean Positive Percentage Agreement (PPA) for Maternal Heart Between Device 1 Monica AN24 & Device 2 Philips 50XM [ Time Frame: during labor and delivery the waveforms were measured for between 35 minutes and 15 hours during the first and second stage of labour ] During Labor

2011 Clinical Trials

17. Fetal Dystocia

the fetus is Too large for the pelvic opening (fetopelvic disproportion) Abnormally positioned (eg, breech presentation) Normal fetal presentation is vertex, with the occiput anterior. Fetopelvic disproportion Diagnosis of fetopelvic disproportion is suggested by prenatal clinical estimates of , ultrasonography, and protracted labor. If augmentation of labor restores normal progress and fetal weight is < 5000 g in women without diabetes or < 4500 g in women with diabetes, labor can safely continue (...) is hyperextended, and position is designated by the position of the chin (mentum). When the chin is posterior, the head is less likely to rotate and less likely to deliver vaginally, necessitating cesarean delivery. Brow presentation usually converts spontaneously to vertex or face presentation. Breech presentation The 2nd most common abnormal presentation is breech (buttocks before the head). There are several types: Frank breech: The fetal hips are flexed, and the knees extended (pike position). Complete

2013 Merck Manual (19th Edition)

18. ShortGUIDE: Instrumental vaginal birth

of rotation of the sagittal suture from the midline. 1 Classification Description Mid cavity · Fetal head is no more than 1/5th palpable abdominally above the symphysis pubis · Leading point of the skull (not caput) is at or below the ischial spines and above station plus 2 cm · Two subdivisions: o Rotation of 45º or less from the occiput anterior (OA) position o Rotation of more than 45º including the occiput posterior (OP) position Low cavity · Leading point of the skull (not caput) is at or below (...) station plus 2 cm and above the pelvic floor · Two subdivisions: o Rotation of 45º or less from the OA position o Rotation of more than 45º including the OP position Outlet · Fetal skull (not caput) has reached the pelvic floor · Fetal scalp visible without separating the labia · Sagittal suture is in the antero-posterior diameter or right or left OA or OP (rotation does not exceed 45º) Indications and contraindications for instrumental vaginal birth Aspect Consideration Indications · Women

2019 Queensland Health

19. Determination of fetal head station and position during labor: a new technique that combines ultrasound and a position-tracking system. (PubMed)

of vertex, uncomplicated labor. Ultrasound-based position-tracking system calculations of fetal head station and position were compared with routine vaginal examination measurements.Comparison of vaginal examination with the system head station results revealed a mean absolute difference of 5.5 +/- 6.1 mm (n = 311). Vaginal examination head-position evaluation, within a 45 degrees interval, complied with the system in 35 of 87 cases (40.2%).Our data show that an ultrasound-based system can determine (...) Determination of fetal head station and position during labor: a new technique that combines ultrasound and a position-tracking system. The purpose of this study was to compare the ultrasound-based LaborPro (Trig Medical Ltd, Yokneam, Israel) system determination of fetal head station and position with routine vaginal examination.This prospective study, which was conducted in 3 centers included 311 measurements that were performed in 166 singleton term pregnancies during the active phase

2009 American Journal of Obstetrics and Gynecology

20. Management of Pregnancy

may be planned for breech presentation, prior uterine surgery, or as a response to unexpected maternal or fetal complications such as abnormal labor or a concerning fetal heart rate.[ ] Cesarean delivery is a major surgery with associated risks (e.g., risk of infection, hemorrhage). Cesarean delivery requires a longer period for maternal recovery than vaginal birth and has also been associated with neonatal complications, primarily respiratory.[ ] There has been a downward trend in cesarean births (...) between 2009 (32.9%) and 2015 (32.0%). The rate of low-risk cesarean births (defined as nulliparous, term, singleton, vertex cesarean deliveries to women having a first delivery) also declined from 2009 (28.0%) to 2015 (25.8%).[ ] 15 15 16 C. Pregnancy in the Department of Defense and the Department of Veterans Affairs Populations a. Location of Care This VA/DoD Pregnancy CPG is relevant to providers within the DoD and VA healthcare systems as well as in the broader community due to the way in which

2018 VA/DoD Clinical Practice Guidelines

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