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280 results for

Fetal Malpresentation

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261. Term incomplete breech delivery in an ambulance: a case report. (Abstract)

Term incomplete breech delivery in an ambulance: a case report. Breech deliveries are the most common form of fetal malpresentations and are associated with significant risk for morbidity and mortality to mother and infant. There is an increased chance that emergency physicians may encounter breech deliveries as more women with known breech presentations are given the option for a trial of labor in lieu of mandatory caesarean section. Emergency physicians should be prepared

2005 Journal of Emergency Medicine

262. Stillbirth and Neonatal Death

of a decrease in fetal movements in many cases of stillbirth. Other stillbirths may be discovered at the routine antenatal check. An ultrasound examination is used to confirm that the fetus has died; this is seen as lack of a visible heartbeat. Management "The quality of care that bereaved families receive when their baby dies has long-lasting effects. Good care cannot remove parents' pain and grief, but poor care can and does make things much worse." [ ] Where the death of the baby is diagnosed antenatally (...) to fall over a period of two decades, and perinatal mortality rates have fallen by a third since 1982. It is felt that improvements in general healthcare, midwifery and neonatal intensive care are bringing about the gradual decline in deaths. Worldwide figures are higher. A recent WHO survey gives the stillbirth rate (although note the variable definition affects numbers) as 17.7 across 29 countries, and the early neonatal death rate as 8.4. [ ] Risk factors Fetal growth restriction: The biggest risk

2008 Mentor

263. Antenatal Examinations

. If a fetus appears to be small or large for gestational age, this can be further assessed by ultrasound. After 36 weeks, palpate the abdomen for possible malpresentation and confirm with an ultrasound scan if suspected. NICE does NOT recommend: Routine fetal auscultation by Pinard or Doppler in low-risk pregnancies, although this may be done if it is reassuring to women and requested. It is also required if there is clinical need, to help confirm the fetus is alive. Routine fetal movement counting (...) pregnancies. It may also be part of the screening for fetal anomalies when the nuchal translucency is measured. Accurate gestational age assessment helps optimal antenatal care by, for example, reducing the need for induction of labour at >41 weeks. Crown-rump length is the best surrogate measure of gestational age in the first trimester. Pregnant women who present at or beyond 14 weeks of gestation should be offered an ultrasound scan to estimate gestational age using head circumference or biparietal

2008 Mentor

264. Antenatal Mental Health Problems

. Opioids The prevalence of heroin use amongst pregnant women is thought to be 1-2% but may be much higher in some areas. Opioid misuse is associated with a much increased risk of obstetric (eg, low birth weight, third trimester bleeding, malpresentation, fetal distress and meconium aspiration) and neonatal complications (eg, narcotic withdrawal, microcephaly, neurobehavioural problems, increased neonatal mortality and increased risk of sudden infant death syndrome). In pregnancy, goals of treatment (...) are to prevent withdrawal syndrome and toxic opioid levels, both of which pose sizeable risk to the fetus, as well as reducing other potentially harmful behaviours (eg, risk of infection associated with injecting drugs) and increasing positive health behaviours (eg, attendance for antenatal care). Methadone maintenance programmes have been widely used in pregnancy and have been shown to result in improved maternal and fetal health. Fewer data are available for buprenorphine, but it offers similar benefits

2008 Mentor

265. Uterine Rupture

there is no known uterine scar. [ ] Uterine anomalies - eg, undeveloped uterine horn. Trauma - eg, a vehicle accident. Use of rotational forceps. Obstructed labour. Induction of labour - prostaglandins should be used with caution during a trial of labour. Cervical laceration. Medically induced termination after 16 weeks of gestation. [ ] Placenta percreta or increta. Hydramnios. Macrosomia and fetal anomaly - eg, hydrocephalus. Malpresentation (brow or face). Multiple pregnancy. Choriocarcinoma. Other (...) , especially fetal bradycardia. [ ] Severe abdominal pain changing so that it persists between contractions. Chest or shoulder tip pain and sudden shortness of breath. Scar pain and tenderness. Abnormal vaginal bleeding or gross haematuria. Cessation of previously efficient uterine contractions. Maternal tachycardia, hypotension or shock. Movement away of the presenting part. Abdominal palpation may reveal obvious fetal parts as the fetus passes either partially or totally out of the uterus

2008 Mentor

266. Fibroids (Uterine Leiomyoma)

as a result of narrowing of the isthmic portion of the Fallopian tube or as a consequence of interference with implantation (submucosal fibroids). In pregnancy: . Fetal malpresentation. Red degeneration: presents with fever, pain and vomiting. Intrauterine growth restriction. . . Hydronephrosis. Prognosis Typically, fibroids regress with the menopause and symptoms resolve. Did you find this information useful? Thanks for your feedback! Why not subscribe to the newsletter? Email address * We'd love to send

2008 Mentor

267. Obstetric Ultrasound

[ ] . This is essential for intervention of post-maturity, and for accurate serum screening for . Determine viability - to confirm the presence of a heartbeat and exclude and . Determine fetal number and, in , the chorionicity/amnionicity [ ] . Detect gross fetal abnormalities. Procedure Measurement of crown-rump length accurately measures gestational age if performed before 13 weeks. After 13 weeks, the fetus becomes increasingly flexed so results are inaccurate. Alternatives that can be used after this include bi (...) or Patau's syndrome - 95%. Fetal presentation and cervical length: Suspected fetal malpresentation (eg, breech) should be confirmed by an ultrasound examination after 36 weeks [ ] . Cervical length measured by transvaginal ultrasonography in asymptomatic high-risk women predicts spontaneous preterm birth at less than 35 weeks of gestation [ ] . Doppler ultrasound Doppler ultrasound uses high-intensity sound waves to detect the blood circulation in the baby, uterus and placenta. The application has

2008 Mentor

268. Referrals by traditional birth attendants in northeast Brazil. Full Text available with Trip Pro

Referrals by traditional birth attendants in northeast Brazil. Between October 1980 and July 1981, 1,878 women were attended by traditional birth attendants (TBAs) at four obstetric units in rural areas surrounding the city of Fortaleza in Northeast Brazil. Of these women, 232 (12.4 per cent) were referred to a hospital in Fortaleza for delivery. The most important indicators for referral to hospital were: presence of an antenatal problem, complication of labor, or malpresentation. Based (...) on record review, 65 referred women with none of these conditions were classified as low risk and 42 women not referred were classified as high risk (at least one such condition present). Of 1,878 deliveries, 32 (17 per 1,000) terminated as fetal deaths, and 12 infants died before discharge from hospital or obstetric unit (six per 1,000). The death rate was much higher for the high-risk cases (156 per 1,000 referrals, 95 for nonreferrals). Although some women may have been inappropriately referred while

1985 American Journal of Public Health

269. Complications in cesarean and non-cesarean deliveries: United States, 1980. Full Text available with Trip Pro

malposition or malpresentation of the fetus was evident, 59 per cent of the mothers were delivered by C-section, and this complication was noted in one-sixth of all C-section deliveries. C-sections were also associated with placenta praevia, pre-eclampsia, infections of the genito-urinary tract, anemia, multiple births, and were almost universal for mothers who had had a previous C-section delivery. Competing explanations for the rise in C-sections from 5.5 per cent of deliveries in 1970 to 16.5 per cent

1983 American Journal of Public Health

270. Misoprostol for cervical ripening at and near term--a comparative study. (Abstract)

Misoprostol for cervical ripening at and near term--a comparative study. To compare the safety and efficacy of misoprostol with that of dinoprostone for the induction of labour at term, or near term.Three hundred and ninety-six women with term pregnancies were randomised to receive either oral or vaginal misoprostol, or dinoprostone. Women who had had a previous caesarean section (CS) or those with a malpresentation or who were parity > or = 5, were excluded. The control group received (...) . 58%, p = 0.633). There were no significant differences in CS rates between the groups; however, more CSs were performed for fetal distress in the misoprostol group than in the dinoprostone group (28% v. 25%). There was a significantly higher incidence of hyperstimulation in the vaginal misoprostol group (21.4%) than in the other two groups (oral misoprostol 16.5%, dinoprostone 8.9%) (p = 0.004). The incidence of meconium staining of liquor was comparable between the groups.In selected women

2003 South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Controlled trial quality: uncertain

271. In utero and perinatal complications preceding asthma. (Abstract)

complications during pregnancy which significantly related to asthma were early or threatened labor (ICD: 644) (4.8%, ORadj =1.58, 1.03-2.40) and the malposition or malpresentation of the fetus (ICD: 652) (1.6%, ORadj =3.63, 1.47-8.91).The results provide further evidence that in utero and perinatal factors may increase the risk of developing asthma.

2001 Allergy

272. Pregnancy in a spinal cord-injured bilateral total leg amputee: management and considerations. (Abstract)

Pregnancy in a spinal cord-injured bilateral total leg amputee: management and considerations. A 35-year-old woman, gravida 2, para 0, was seen at 20 weeks' gestation with complete T10 spinal cord transection at age 15 years, subsequent bilateral total leg amputation, urinary diversion, colostomy, and lumbar spine resection. Pregnancy complications included recurrent urinary tract infections, preterm contractions without cervical change, lumbosacral abscesses, and fetal malpresentation

2003 American Journal of Obstetrics and Gynecology

273. Obstetric aspects of the Prader-Willi syndrome. (Abstract)

diagnosis in early childhood. Because of the long-term implications of this syndrome, it is important to recognize its features as soon as possible so that early counseling of parents and the affected child is possible. Because PWS can also lead to complications in both pregnancy and labor, proper diagnosis in the fetus can also help optimize perinatal care in affected children. In three cases we illustrate that certain combinations of obstetric symptoms such as polyhydramnios, diminished fetal (...) movements, malpresentation and abnormal fetal heart rhythm can help alert clinicians to the possibility of this syndrome in fetuses.Copyright 2003 ISUOG. Published by John Wiley & Sons, Ltd.

2003 Ultrasound in Obstetrics and Gynecology

274. malposition and malpresentation

malposition and malpresentation malposition and malpresentation - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search malposition and malpresentation Malpresentation is the situation where a foetus within the uterus is in any position that is not cephalic - i.e. head down. Malposition is any cephalic position other than occiput anterior. The most common malpresentation is a breech presentation, occuring in 3% of term births

2010 GP Notebook

275. malpresentation and malposition

malpresentation and malposition malpresentation and malposition - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search malpresentation and malposition Malpresentation is the situation where a foetus within the uterus is in any position that is not cephalic - i.e. head down. Malposition is any cephalic position other than occiput anterior. The most common malpresentation is a breech presentation, occuring in 3% of term births

2010 GP Notebook

276. Comparison of Two Fetal Lung Maturity Tests

Comparison of Two Fetal Lung Maturity Tests Comparison of Two Fetal Lung Maturity Tests - 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. Comparison of Two Fetal Lung Maturity Tests The safety and scientific (...) Study Description Go to Brief Summary: The investigators wish to compare the difference in both cost and time to result for determining fetal lung maturity for the Lamellar Body Count method and the Fetal Lung Maturity II. Our hypothesis is that the time to result will be significantly less using the Lamellar Body Count method, and the cost associated with this method over the traditional FLM II will be favorable. Condition or disease Respiratory Distress Syndrome Study Design Go to Layout table

2008 Clinical Trials

277. Uterine torsion and fetal bradycardia associated with external cephalic version. (Abstract)

Uterine torsion and fetal bradycardia associated with external cephalic version. Torsion of the gravid uterus is a rare obstetric complication in humans, but has been reported in association with malpresentation and with uterine leiomyomata.We report a case of uterine torsion diagnosed at emergency cesarean delivery after external cephalic version with prolonged fetal bradycardia.Physicians should be aware of the possibility of uterine torsion as a complication of external cephalic version

2006 Obstetrics and Gynecology

278. Acupuncture conversion of fetal breech presentation. (Abstract)

lasted 30 min a day, and was conducted during and after 34 weeks of pregnancy with simultaneous cardiotocography.The success rate of the AP correction of fetal breech presentation is 76.4% (26 women), and spontaneous conversion without AP in vertex presentation is observed in 15 women (45.4%; p<0.001).We believe that AP correction of fetal malpresentation is a relatively simple, efficacious and inexpensive method associated with a lower percentage of operatively completed deliveries, which definitely (...) Acupuncture conversion of fetal breech presentation. The aim of this study was to assess the value of acupuncture (AP) in the conversion of fetal breech presentation into vertex presentation.A randomized prospective controlled clinical study included 67 pregnant women with fetal breech presentation: 34 women with singleton pregnancies treated with manual AP (urinary bladder 67, Zhiyin) and a control group which included 33 women with singleton pregnancies without AP treatment. The AP treatment

2003 Fetal diagnosis and therapy Controlled trial quality: uncertain

279. Intrauterine diagnosis and management of fetal goitrous hypothyroidism: a report of an Iranian family with three consecutive pregnancies complicated by fetal goiter. (Abstract)

, and treated with intra-amniotic levothyroxine injections. The mother had two previous consecutive pregnancies (13 and 8 years ago), also complicated by the occurrence of fetal goiter, resulting in tracheal compression, asphyxia, and early neonatal death in the first and in an emergency cesarean section delivery, because of fetal malpresentation, in the second neonate affected by congenital hypothyroidism (CH). The present male newborn, although born without observable goiter, had a large thyroid (...) Intrauterine diagnosis and management of fetal goitrous hypothyroidism: a report of an Iranian family with three consecutive pregnancies complicated by fetal goiter. The diagnosis and treatment of hypothyroidism during the fetal period may decrease perinatal morbidity and are believed to be important to optimize growth and intellectual development. Herewith a case report of fetal goitrous hypothyroidism is presented in a euthyroid mother, detected at 34 weeks' gestation by ultrasonography

2005 Thyroid

280. Malpresentations and Malpositions

and European Guidelines. You may find one of our more useful. In this article In This Article Malpresentations and Malpositions In this article Usually the fetal head engages in the occipito-anterior position (more often left occipito-anterior (LOA) rather than right) and then undergoes a short rotation to be directly occipito-anterior in the mid-cavity. Malpositions are abnormal positions of the vertex of the fetal head relative to the maternal pelvis. Malpresentations are all presentations of the fetus (...) other than vertex. Malpresentation Predisposing factors to malpresentation include: Prematurity. Multiple pregnancy. Abnormalities of the uterus - eg, fibroids. Partial septate uterus. Abnormal fetus. Placenta praevia. Primiparity. Breech presentation See separate article for more detailed discussion. Breech presentation is the most common malpresentation, with the majority discovered before labour. Breech presentation is much more common in premature labour. Approximately one third are diagnosed

2008 Mentor

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