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Fetal Malpresentation

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1. The safety and effectiveness of Acupoint Stimulation (AS) for fetal malpresentation or malposition during pregnancy, labour or birth: A systematic review of clinical trials (protocol).

The safety and effectiveness of Acupoint Stimulation (AS) for fetal malpresentation or malposition during pregnancy, labour or birth: A systematic review of clinical trials (protocol). Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility

2020 PROSPERO

2. Fetal Malpresentation

, Malpresentation of fetus (disorder) , Abnormal fetal presentation, NOS , Fetal malpresentation, NOS , Malpresentation of fetus, NOS , Foetal malpresentation, NOS , Fetal Malpresentations , Malpresentation, Fetal , Fetal Malpresentation , Malpresentation of fetus NOS (observable entity) Czech Nepravidelná poloha plodu Hungarian Magzati malpresentatio , Magzati tartási rendellenesség Dutch verkeerde ligging van foetus Derived from the NIH UMLS ( ) Related Topics in LAD About FPnotebook.com is a rapid access (...) , タイイイジョウ English Malpresentation of fetus NOS , malpresentation (physical finding) , malpresentation of fetus (diagnosis) , malpresentation , malpresentation of fetus , malpresentations , Disorder of fetal presentation , Disorder of fetal presentation (disorder) , Malpresentation of fetus NOS (disorder) , Malpresentation of Fetus , Malpresentation , Foetal malpresentation , Fetal malpresentation , Malpresentation of fetus , Abnormal fetal presentation (finding) , Abnormal fetal presentation

2018 FP Notebook

3. Rupture of the maternal renal calyx secondary to fetal malpresentation: a case report. (Abstract)

Rupture of the maternal renal calyx secondary to fetal malpresentation: a case report. Rupture of the renal collecting system is a potentially life-threatening condition in pregnancy. Most cases are associated with obstruction from nephrolithiasis or diseased renal parenchyma.A 24-year-old, nulliparous, African American woman at 38 weeks + 3 days' gestation presented with left flank pain refractory to conservative pain management. Computed tomography was negative for a stone but significant (...) for infrarenal fluid and rupture of a left renal calyx. The fetal head was not flexed and appeared to be compressing the left ureter. A face presentation became apparent during her labor course, and she underwent a cesarean delivery when labor did not progress.This represents the first reported case of a ruptured renal collecting system secondary to fetal malpresentation. A high index of suspicion is essential to diagnose collecting system rupture, and it may occur in the absence of parenchymal disease

2015 Journal of Reproductive Medicine

4. The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations. (Abstract)

The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations. Fetal malpositions and cephalic malpresentations are well-recognized causes of failure to progress in labor. They frequently require operative delivery, and are associated with an increased probability of fetal and maternal complications. Traditional obstetrics emphasizes the role of digital examinations, but recent studies demonstrated that this approach is inaccurate and intrapartum ultrasound is far (...) more precise. The objective of this review is to summarize the current body of literature and provide recommendations to identify malpositions and cephalic malpresentations with ultrasound. We propose a systematic approach consisting of a combination of transabdominal and transperineal scans and describe the findings that allow an accurate diagnosis of normal and abnormal position, flexion, and synclitism of the fetal head. The management of malpositions and cephalic malpresentation is currently

2017 American Journal of Obstetrics and Gynecology

5. Fetal Malpresentation

, Malpresentation of fetus (disorder) , Abnormal fetal presentation, NOS , Fetal malpresentation, NOS , Malpresentation of fetus, NOS , Foetal malpresentation, NOS , Fetal Malpresentations , Malpresentation, Fetal , Fetal Malpresentation , Malpresentation of fetus NOS (observable entity) Czech Nepravidelná poloha plodu Hungarian Magzati malpresentatio , Magzati tartási rendellenesség Dutch verkeerde ligging van foetus Derived from the NIH UMLS ( ) Related Topics in LAD About FPnotebook.com is a rapid access (...) , タイイイジョウ English Malpresentation of fetus NOS , malpresentation (physical finding) , malpresentation of fetus (diagnosis) , malpresentation , malpresentation of fetus , malpresentations , Disorder of fetal presentation , Disorder of fetal presentation (disorder) , Malpresentation of fetus NOS (disorder) , Malpresentation of Fetus , Malpresentation , Foetal malpresentation , Fetal malpresentation , Malpresentation of fetus , Abnormal fetal presentation (finding) , Abnormal fetal presentation

2015 FP Notebook

6. Endometriosis and adverse maternal, fetal and neonatal outcomes, a systematic review and meta-analysis. (Full text)

Endometriosis and adverse maternal, fetal and neonatal outcomes, a systematic review and meta-analysis. How is endometriosis associated with adverse maternal, fetal and neonatal outcomes of pregnancy?Women with endometriosis are at elevated risk for serious and important adverse maternal (pre-eclampsia, gestational diabetes, placenta praevia and Cesarean section) and fetal or neonatal outcomes (preterm birth, PPROM, small for gestational age, stillbirth and neonatal death).A number of studies (...) have shown an association between endometriosis and certain adverse maternal and fetal outcomes, but the results have been conflicting with potential for confounding by the use of assisted reproductive technology.A systematic review and meta-analysis of observational studies (1 January 1990-31 December 2017) that evaluated the effect of endometriosis on maternal, fetal and neonatal outcomes was conducted.Studies were considered for inclusion if they were prospective or retrospective cohort or case

2018 Human Reproduction PubMed abstract

7. Evaluation of a Quality Improvement Project on Impacted Fetal Head at Cesarean Section

Evaluation of a Quality Improvement Project on Impacted Fetal Head at Cesarean Section Evaluation of a Quality Improvement Project on Impacted Fetal Head at Cesarean Section - 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. Evaluation of a Quality Improvement Project on Impacted Fetal Head at Cesarean Section 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. Read our for details. ClinicalTrials.gov Identifier: NCT03387189 Recruitment Status : Enrolling by invitation First Posted : January 2, 2018 Last Update Posted : May 22, 2018 Sponsor: HealthPartners

2017 Clinical Trials

8. Intrauterine death following intraamniotic triiodothyronine and thyroxine therapy for fetal goitrous hypothyroidism associated with polyhydramnios and caused by a thyroglobulin mutation (Full text)

, malpresentation at delivery and neonatal respiratory distress. We report an Indian kindred in which the proband (first-born son) had congenital hypothyroidism (CH) without obvious neonatal goitre. His mother's second pregnancy was complicated by fetal hypothyroid goitre and polyhydramnios, prompting amniotic fluid drainage and intraamniotic therapy (with liothyronine, T3 and levothyroxine, T4). Sadly, intrauterine death occurred at 31 weeks. Genetic studies in the proband demonstrated compound heterozygous (...) Intrauterine death following intraamniotic triiodothyronine and thyroxine therapy for fetal goitrous hypothyroidism associated with polyhydramnios and caused by a thyroglobulin mutation In the absence of maternal thyroid disease or iodine deficiency, fetal goitre is rare and usually attributable to dyshormonogenesis, for which genetic ascertainment is not always undertaken in the UK. Mechanical complications include tracheal and oesophageal compression with resultant polyhydramnios

2017 Endocrinology, diabetes & metabolism case reports PubMed abstract

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

Measurement of the Fetal Occiput-spine Angle During the First Stage of Labor as Predictor of the Outcome of Labor Measurement of the Fetal Occiput-spine Angle During the First Stage of Labor as Predictor of the Outcome of Labor - 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. Measurement of the Fetal Occiput-spine Angle During the First Stage of Labor as Predictor of the Outcome of Labor 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. Read our for details. ClinicalTrials.gov Identifier: NCT03264599 Recruitment Status : Completed First Posted : August 29, 2017

2017 Clinical Trials

10. Cross sectional study in China: fetal gender has adverse perinatal outcomes in mainland China. (Full text)

retrospective survey collected data from thirty-nine hospitals in 2011 in mainland China. A total of 109,722 women with singleton pregnancy who delivered after 28 weeks of gestation were included.Of these pregnancies, the male-to-female sex ratio was 1.2. The rates of preterm birth (7.3% for males, 6.5% for females) and fetal macrosomia (8.3% for males, 5.1% for females) were higher for male newborns, whereas fetal growth restriction (8.0% for females, 5.4% for males) and malpresentation (4.3% for females (...) Cross sectional study in China: fetal gender has adverse perinatal outcomes in mainland China. The association between fetal gender and pregnancy outcomes has been thoroughly demonstrated in western populations. However, this association has not been thoroughly documented in China. The primary objective of the present study is to determine whether the association of adverse pregnancy and labour outcomes with male fetuses applies to the Chinese population.This cross-sectional hospital-based

2014 BMC Pregnancy and Childbirth PubMed abstract

11. Fetal Growth Restriction (Overview)

processing > Fetal Growth Restriction Updated: Jul 25, 2018 Author: Michael G Ross, MD, MPH; Chief Editor: Carl V Smith, MD Share Email Print Feedback Close Sections Sections Fetal Growth Restriction Overview Overview Intrauterine growth restriction (IUGR) refers to a condition in which a fetus is unable to achieve its genetically determined potential size. This functional definition seeks to identify a population of fetuses at risk for modifiable but otherwise poor outcomes. This definition (...) of necrotizing enterocolitis, thrombocytopenia, temperature instability, and renal failure. These are thought to occur as a result of the alteration of normal fetal physiology in utero. With limited nutritional reserve, the fetus redistributes blood flow to sustain function and to help in the development of vital organs. This is called the brain-sparing effect and results in increased relative blood flow to the brain, heart, adrenals, and placenta, with diminished relative flow to the bone marrow, muscles

2014 eMedicine.com

12. Fetal Growth Restriction (Treatment)

processing > Fetal Growth Restriction Updated: Jul 25, 2018 Author: Michael G Ross, MD, MPH; Chief Editor: Carl V Smith, MD Share Email Print Feedback Close Sections Sections Fetal Growth Restriction Overview Overview Intrauterine growth restriction (IUGR) refers to a condition in which a fetus is unable to achieve its genetically determined potential size. This functional definition seeks to identify a population of fetuses at risk for modifiable but otherwise poor outcomes. This definition (...) of necrotizing enterocolitis, thrombocytopenia, temperature instability, and renal failure. These are thought to occur as a result of the alteration of normal fetal physiology in utero. With limited nutritional reserve, the fetus redistributes blood flow to sustain function and to help in the development of vital organs. This is called the brain-sparing effect and results in increased relative blood flow to the brain, heart, adrenals, and placenta, with diminished relative flow to the bone marrow, muscles

2014 eMedicine.com

13. Fetal Growth Restriction (Follow-up)

processing > Fetal Growth Restriction Updated: Jul 25, 2018 Author: Michael G Ross, MD, MPH; Chief Editor: Carl V Smith, MD Share Email Print Feedback Close Sections Sections Fetal Growth Restriction Overview Overview Intrauterine growth restriction (IUGR) refers to a condition in which a fetus is unable to achieve its genetically determined potential size. This functional definition seeks to identify a population of fetuses at risk for modifiable but otherwise poor outcomes. This definition (...) of necrotizing enterocolitis, thrombocytopenia, temperature instability, and renal failure. These are thought to occur as a result of the alteration of normal fetal physiology in utero. With limited nutritional reserve, the fetus redistributes blood flow to sustain function and to help in the development of vital organs. This is called the brain-sparing effect and results in increased relative blood flow to the brain, heart, adrenals, and placenta, with diminished relative flow to the bone marrow, muscles

2014 eMedicine.com

14. Fetal Growth Restriction (Diagnosis)

processing > Fetal Growth Restriction Updated: Jul 25, 2018 Author: Michael G Ross, MD, MPH; Chief Editor: Carl V Smith, MD Share Email Print Feedback Close Sections Sections Fetal Growth Restriction Overview Overview Intrauterine growth restriction (IUGR) refers to a condition in which a fetus is unable to achieve its genetically determined potential size. This functional definition seeks to identify a population of fetuses at risk for modifiable but otherwise poor outcomes. This definition (...) of necrotizing enterocolitis, thrombocytopenia, temperature instability, and renal failure. These are thought to occur as a result of the alteration of normal fetal physiology in utero. With limited nutritional reserve, the fetus redistributes blood flow to sustain function and to help in the development of vital organs. This is called the brain-sparing effect and results in increased relative blood flow to the brain, heart, adrenals, and placenta, with diminished relative flow to the bone marrow, muscles

2014 eMedicine.com

15. Malpresentations - impact on mode of delivery. (Abstract)

Malpresentations - impact on mode of delivery. Fetal malpresentation, including persistent occipitoposterior position, is a major cause of dystocia resulting in obstetric interventions. We studied malpresentation among 11 957 consecutive singleton deliveries from 1995 to 2004. There were 1 030 deliveries with a malpresentation (8.6%). Cephalic malpresentations occurred in 5.4% of deliveries (persistent occipitoposterior 5.2%, face 0.1%, brow 0.14%), and 3.1% had breech presentation and 0.12 (...) % a transverse lie. The odds ratios (OR) for cesarean section were 14.89 (95%CI 11.91-18.63) in breech presentation and 4.57 (95% CI 3.85-5.42) in persistent occipitoposterior presentation. With persistent occipitoposterior position, the OR for instrumental vaginal delivery was 3.84 (95%CI 3.14-4.70). Primiparity was associated with increased malpresentation risks, as 54.6% of those with malpresentations were primiparous compared with 41.7% of those without (OR 1.68, 95%CI 1.48-1.91, p < 0.001). Primiparous

2011 Acta Obstetricia et Gynecologica Scandinavica

16. Twin and triplet pregnancy

: map the fetal positions use nuchal translucency and maternal age to screen for Down's syndrome, Edwards' syndrome and Patau's syndrome when crown–rump length measures from 45.0 mm to 84.0 mm (at approximately 11 +2 weeks to 14 +1 weeks) calculate the chance of Down's syndrome, Edwards' syndrome and Patau's syndrome for each fetus. [2011, amended 2019] [2011, amended 2019] 1.4.6 Refer women with a dichorionic and monochorionic triplet pregnancy who want to have screening for Down's syndrome (...) , measure the deepest vertical pocket (DVP) on either side of the amniotic membrane. [2019] [2019] 1.4.19 Continue monitoring for fetal weight discordance at intervals that do not exceed: 28 days for women with a dichorionic twin pregnancy 14 days for women with a trichorionic triplet pregnancy. [2019] [2019] 1.4.20 Calculate and document estimated fetal weight (EFW) discordance for dichorionic twins using the formula below [2019] [2019]: (EFW larger fetus - EFW smaller fetus) ÷ EFW larger fetus (EFW

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

17. Intrapartum care for women with existing medical conditions or obstetric complications and their babies

Regional anaesthesia and analgesia for women with bleeding disorders 68 Modifying the birth plan according to platelet count or function 69 Management of the third stage of labour for women with bleeding disorders 70 Mode of birth and management of the second stage of labour for women with subarachnoid haemorrhage or arteriovenous malformation of the brain 70 Fluid management for women with kidney disease 72 Timing and mode of birth for women with kidney disease 73 Assessing fetal presentation early (...) in labour for women with a BMI over 30 74 Anaesthesia and analgesia for women with a BMI over 30 75 Fetal monitoring for women with a BMI over 30 75 Position in labour for women with a BMI over 30 76 Equipment needs for women in labour with a BMI over 30 77 Intrapartum care for women with existing medical conditions or obstetric complications and their babies (NG121) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Last

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

18. Breech presentation

York: McGraw-Hill Professional; 2002. There is good current evidence regarding effective management of breech presentation in late pregnancy using external cephalic version and/or planned caesarean section. History and exam presence of risk factors buttocks or feet as the presenting part fetal head under costal margin fetal heartbeat above the maternal umbilicus subcostal tenderness pelvic or bladder pain premature fetus small for gestational age fetus nulliparity fetal congenital anomalies (...) ; and for the baby in terms of preterm birth, small fetal size, congenital anomalies, and perinatal mortality. Incidence decreases as pregnancy progresses and by term occurs in 3% to 4% of singleton term pregnancies. Treatment options include external cephalic version to increase the likelihood of vaginal birth or a planned caesarean section, the optimal gestation being 37 and 39 weeks, respectively. Planned caesarean section is considered the safest form of delivery for infants with a persisting breech

2019 BMJ Best Practice

19. Reproductive Implications and Management of Congenital Uterine Anomalies

, fetal malpresentation and fetal growth restriction. These women are also reported to have increased rates of pre‐eclampsia and stillbirth. The types of CUA are individually associated with varying degrees of adverse outcomes. A systematic review of 3805 women with CUAs reported that those with canalisation defects, such as septate and partial septate uteri, appeared to have the poorest reproductive performance, with a reduced conception rate (OR 0.86; 95% CI 0.77–0.96) and increased risk of first (...) ‐trimester miscarriage (OR 2.89; 95% CI 2.02–4.14), preterm birth (OR 2.14; 95% CI 1.48–3.11), and fetal malpresentation at delivery (OR 6.24; 95% CI 4.05–9.62). Compared with those with a partial septate uterus, women with a septate uterus have poorer outcomes throughout their pregnancies. While there seems to be an association between canalisation defects and suboptimal reproductive performance, the definite aetiology and pathophysiological processes underlying infertility and miscarriage remain

2019 Royal College of Obstetricians and Gynaecologists

20. Summary of the clinical recommendations regarding the use of intrapartum ultrasound

til at hjælpe klinikeren i den kliniske beslutningstagning. Herudover ser vi på, UL’s performance ifht. traditionelle håndgreb under fødslen samt den fødendes accept af metoder. SØGNING/LITTERATUR Litteratursøgning afsluttet dato: 01.11.19 Søgestrategi i PubMed og Cochrane: engelsk og dansk. Søgestrenge 1: (abdominal OR translabial OR transperineal) AND (ultrasound OR ultrasonic OR sonographic) AND (fetus OR fetal) AND (caput OR fetal head OR occiput) AND (vacuum extraction OR labor OR delivery (...) . The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations. Am J Obstet Gynecol. december 2017;217(6):633–41. 13. Ghi T, Bellussi F, Azzarone C, Krsmanovic J, Franchi L, Youssef A, m.fl. The “occiput-spine angle”: a new sonographic index of fetal head deflexion during the first stage of labor. Am J Obstet Gynecol. juli 2016;215(1):84.e1-7. 14. Malvasi A, Stark M, Ghi T, Farine D, Guido M, Tinelli A. Intrapartum sonography for fetal head asynclitism and transverse position

2020 Nordic Federation of Societies of Obstetrics and Gynecology

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