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Fetal Malpresentation

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41. Induction of Labour at Term in Older Mothers

and in women aged 40 years and older has trebled in this time from 1.2% (almost 27 000 maternities) to 3.6% (approximately 82 000 maternities). 2 There is a continuum of risk for both mother and baby with rising maternal age with numerous studies reporting multiple adverse fetal and maternal outcomes associated with advanced maternal age. Obstetric complications including placental abruption, 3 placenta praevia, malpresentation, low birthweight, 4–7 preterm 8 and post–term delivery 9 and postpartum (...) can all influence fetal health and are likely to compound the effect of age on the risk of pregnancy in an older mother. However, after controlling for these co–morbidities, advanced maternal age is still found to be independently associated with an increase in antenatal and intrapartum stillbirth. 3,13 It is also associated with an increase in neonatal mortality. 14 Epidemiological studies show that women aged 40 years or older have a similar stillbirth risk at 39 weeks of gestation to 25–29 year

2013 Royal College of Obstetricians and Gynaecologists

42. Handheld ultrasound to avert maternal and neonatal deaths in 2 regions of the Philippines: an iBuntis® intervention study. (PubMed)

Handheld ultrasound to avert maternal and neonatal deaths in 2 regions of the Philippines: an iBuntis® intervention study. The major causes of maternal and neonatal mortality in the Philippines are hemorrhages and obstructed labor due to placental implantation abnormalities (PIAs), twin pregnancies and fetal malpresentations. All of which are all easily detected by ultrasound. However, women in rural areas and low-income groups do not have access to ultrasound during their prenatal care. We (...) 5 Premium ultrasound machine for validation. Maternal and neonatal deaths averted were estimated as health outcome measures of the study.Four hundred sixty women were scanned of which 146 (31.7%) showed abnormal ultrasound readings consisting of 17 PIAs, 123 fetal malpresentation, 3 twins and 3 AFV abnormalities. The use of HU could have possibly averted 29 (6.3%) maternal deaths and 14.6% neonatal deaths at the time of delivery. Thirty-two out of the 460 women (~7%) delivered at home and 93

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2018 BMC Pregnancy and Childbirth

43. Transvaginal Sonographic Measurement of Cervical Length Versus Bishop Score in Induction of Labour for Prediction of Caesarean Delivery.

. Malpresentation. 2. Major fetal congenital anomalies as hydrocephalous & dead fetus. 3. Patient received any pre induction ripping methods for example: (Acetic Acid-Prostaglandins). 4. Any medical history contraindicating vaginal delivery. 5. Assessment meconium staining to liquor or any evidence of chorioamnionitis. 6. Previous uterine surgery. 7. Multiple gestations. 8. Women with allergy to prostaglandins. Contacts and Locations Go to Information from the National Library of Medicine To learn more about (...) by transvaginal ultrasound in centimetres. Bishop score [ Time Frame: 72 ] median Bishop score assessed by digital vaginal examination as follows: Cervical dilatation in centimeters will be given a score of zero if closed, a score of 1 if 1-2 cm dilated, a score of 2 if 3-4 cm dilated and a score of 3 if 5 cm or more dilatation. Effacement of the cervix will be given a score of zero if 0-30%, a score of 1 if 40-50%, a score of 2 if 60-70% and a score of 3 if 80% or more. Station of fetal head will be given

2018 Clinical Trials

44. Does Induction Dosage in Latent Phase Affect Active Phase of Labor?

weight less than 4200 g, undergoing induction of labor at 37-42 weeks of gestation, having indications of labor, no previous uterine surgery Exclusion Criteria: malpresentation, placenta previa, previous uterine surgery, multiple gestation, active genital herpes, non-reassuring fetal heart rate pattern Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information (...) to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 40 Years (Adult) Sexes Eligible for Study: Female Gender Based Eligibility: Yes Gender Eligibility Description: term pregnant women Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Live fetus in cephalic presentation, sonographically estimated fetal

2018 Clinical Trials

45. Association Between Attempted External Cephalic Version and Perinatal Morbidity and Mortality. (PubMed)

Association Between Attempted External Cephalic Version and Perinatal Morbidity and Mortality. To examine whether, with fetal malpresentation at term, perinatal morbidity and mortality differ between women who undergo an external cephalic version (ECV) attempt and those who do not and are expectantly managed.We conducted a retrospective cohort study of women with nonanomalous singleton gestations in nonvertex presentation delivering at a tertiary care institution from 2006 to 2016. Women

2018 Obstetrics and Gynecology

46. Risk Factors for Brachial Plexus Birth Injury (PubMed)

, mother's age >26.4 years, tachysystole, or fetal malpresentation) were present in any combination.

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2018 Children

47. High Dose Versus Low Dose Oxytocin for Augmentation of Delayed Labour in Obese Women

to participate in the study. Exclusion Criteria: Non-reassuring fetal assessment at the time of recruitment. Women received cervical ripening agents. Any patients contraindicated for vaginal delivery. Multiple gestations. Malpresentation. Previous cesarean delivery. Patients with cardiac diseases, pre-eclampsia or any other medical disorders. Fetal demise. Intrauterine growth restriction. Estimated fetal weight ≥ 5000 grams. Pre-labor rupture of membranes > 24 hours. Contacts and Locations Go to No Contacts (...) research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Spontaneous onset of labor. Body mass index ≥ 30 kg/m2. Gestational age ≥ 37 weeks. Singleton pregnancy. Cephalic presentation. Reassuring fetal heart rate monitoring. Inefficient uterine contractions during active labor Women who will accept

2018 Clinical Trials

48. Nitric Oxide Donor Isosorbide Mono Nitrate for Cervical Ripening in Induction of Labor

in the American College of Obstetrics and Gynecology Previous classical or inverted T-shaped or unknown uterine incision Previous hysterotomy/ myomectomy of the uterine corpus involving entry of the uterine cavity or extensive myometrial dissection Previous uterine rupture Placenta previa or Vasa previa Abnormal fetal lie Active genital herpes infection Major degree of cephalopelvic disproportion and contracted pelvis Grand multipara Malpresentation Over distension of uterus like polyhydramnios or multiple (...) pregnancy Invasive carcinoma cervix Pregnancy following repair for vesicovaginal fistula Prelabour rupture of membranes Previous Lower segment cesarean section. Umbilical cord prolapse. Established fetal distress Heart disease complicating Pregnancy Liver disease complicating Pregnancy Anemia complicating Pregnancy Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact

2018 Clinical Trials

49. Placental Drainage Versus no Placental Drainage After Vaginal Delivery in the Management of Third Stage of Labour

malpresentation, history of postpartum hemorrhage, preterm delivery, multiple pregnancy, fetal anomaly, uterine malformation, fetal demise, women with immediate delivery indications, unable to give written informed consent, a clinically estimated fetal weight >4500, preeclampsia, antepartum hemorrhage, previous cesarean section, instrumental delivery and known coagulation disorders. Patients were recruited regardless of using cervical ripening agents. General physical and obstetric examination were performed (...) Eligible for Study: Female Gender Based Eligibility: Yes Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: >37 weeks of gestation, singleton, alive pregnancy, with vertex presentation expected to have spontaneous vaginal delivery - Exclusion Criteria: fetal malpresentation, history of postpartum hemorrhage, preterm delivery, multiple pregnancy, fetal anomaly, uterine malformation, fetal demise, women with immediate delivery indications, unable to give written informed consent, a clinically

2018 Clinical Trials

50. Comparing Foley Catheter Balloon With Early Amniotomy for Induction of Labor at Term

presentation, bishop score ≤5, had obstetrical indications for induction of labor, had less than three uterine contractions in every 10 minutes. Exclusion Criteria: Patients who had contraindications for vaginal delivery, previous uterine surgery, fetal malpresentation, multifetal pregnancy, more than three contractions in 10 minutes, contraindications to prostaglandins, Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may (...) and has the advantages of lower cost and lowest rate of fetal heart rate changes due to tachysystole compared with PGE1 and PGE2. Despite the advantages of mechanical methods, PGE1 and PGE2 are reported to be more effective than mechanical methods to achieve vaginal delivery within 24 hours. Although there are a lot of studies comparing PGE1, PGE2 and transcervical Foley balloon catheter separately and PGE1 combined with transcervical Foley balloon catheter, less is known about combined usage of PGE2

2018 Clinical Trials

51. Mechanical Dilation of the Cervix in a Scarred Uterus

vaginal birth after previous caesarean section, or emergency caesarean section Maternal complications [ Time Frame: Within 24-48hours of intervention ] failed device insertion, inability to void urine following insertion, intolerance of device and early removal, vaginal bleeding after insertion of device, spontaneous membrane rupture. Fetal complications [ Time Frame: Within 24-48hours of intervention ] fetal distress, meconium-stained liquor, malpresentation, neonatal Apgar score of <7 at 5 minutes (...) Previous classical or lower segment vertical incision, or inverted T or J incision in the previous caesarean delivery Previous uterine surgery with contra-indication to future TOLAC Maternal contraindication for vaginal delivery Fetal contraindication for vaginal delivery or major fetal abnormality Malpresentation or cord presentation Placenta praevia <20mm from internal os Chorioamnionitis Antepartum haemorrhage of undetermined origin AND deemed a contraindication for TOLAC Suspected fetal macrosomia

2018 Clinical Trials

52. Tension Versus no Tension With Foley Bulb Induction

Eligible for Study: Female Gender Based Eligibility: Yes Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Nulliparas with singleton live intrauterine pregnancies undergoing labor induction at Kapiolani Medical Center for Women and Children. Cephalic presentation Intact fetal membranes Bishop score less than or equal to 6 Age greater than or equal to 18 years Exclusion Criteria: Multiparas Multiple gestation Previous uterine/cervical surgery Ruptured fetal membranes Fetal malpresentation Any

2018 Clinical Trials

53. Dexamethasone and Induction of Delivery

research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Primiparity Singleton pregnancy Gestational age i.e. 40 weeks or more by date or 1sttrimestric ultrasound. Bishop score of 4 or greater. Longitudinal lie. Vertex presentation. Intact membranes Exclusion Criteria: Refused consent Malpresentation (...) . Multiple pregnancies. Active phase of labour. Rupture of membranes (ROM). Cephalo-pelvic disproportion. Previous C-section or myomectomy operation. Known contraindication or hypersensitivity to Dexamethasone. Fetal distress. IUFD Current maternal disorder e.g. diabetes mellitus and pregnancy induced hypertension. Over distended abdomen e.g. fetal macrosomia or polyhydramonus suggested by ultrasound. Ante-partum hemorrhage e.g. placenta previa, accidental hemorrhage. Contacts and Locations Go

2018 Clinical Trials

54. Nitric Oxide Donor Isosorbide Mono Nitrate for Induction of Labor With Pre-labor Rupture of Membranes

, previous uterine rupture) Patients with regular uterine contractions. Malpresentation. Multifetal gesta1tion. Established fetal distress ( e.g. thick meconium stained liguor or non reassuring CTG changes) Indication for CS, e.g. Major degree of cephalopelvic disproportion and fetal macrosomia. Placenta previa or vasa previa. Active genital herpes infection. Severe maternal illness (e.g. severe preeclampsia). Laboratory and clinical sign of chorioamnionitis. Contacts and Locations Go to Information from (...) : No Criteria Inclusion Criteria: Singleton pregnancy. Cephalic presentation. Bishop score < or = 6. Average size of the fetus. Adequate pelvic dimensions. Prelabour rupture of membranes. Term or post-term pregnancies with an indication for labor induction either maternal or fetal. Exclusion Criteria: Previous uterine scar (e.g. caesarian delivery or unknown uterine incision , previous hysterotomy or myomectomy of the uterine corpus involving entry of the uterine cavity or extensive myometrial dissection

2018 Clinical Trials

55. Intravaginal Isosorbide Mononitrate in Addition to Misoprostol Versus Misoprostol Only for Induction of Labor

general condition with straightforward enthusiasm for the trial. Exclusion Criteria: IUGR. Rupture of membranes. Favorable cervix (Bishop score : '8' or more) Cephalopelvic disproportion,fetal malpresentation. Antepartum hemorrhage, any abnormal placentation such as placenta previa, accreta, increta and percreta Uterine fibroid. Previous uterine major surgery such as : myomectomy, uterine repair caused by trauma and metroplasty for Mullerian anomalies. Any medical disorder such as : gestational

2018 Clinical Trials

56. Hospital Admission Versus Home Management in Women With Premature Rupture of Membranes :RCT

. Exclusion Criteria: Maternal age < 20 or > 35 years old. Multiple pregnancy. Rupture of membranes before 37 weeks of gestation or postdate. Suspected IUGR. SuspectedFetal weight > 4 kg (suspected by clinical examination or ultrasound). Congenital fetal anomalies. Malpresentation or malposition. Placental abnormalities. High risk pregnancy as hypertension, DM and pre-eclampsia . Evidence suggesting onset of spontaneous delivery (e.g.: vaginal bleeding or uterine contractions). Previous cesarean section (...) : February 16, 2018 Last Update Posted : February 16, 2018 See Sponsor: Ain Shams University Information provided by (Responsible Party): ahmed mahmoud hussein, Ain Shams University Study Details Study Description Go to Brief Summary: According to high tendency for admission of cases of premature rupture of membranes (PROM) for fear of maternal & fetal complications, we compare here between cases managed at hospital with other managed at home for if there any difference between in maternal and neonatal

2018 Clinical Trials

57. Optimal management of umbilical cord prolapse (PubMed)

Optimal management of umbilical cord prolapse Umbilical cord prolapse (UCP) is an uncommon obstetric emergency that can have significant neonatal morbidity and/or mortality. It is diagnosed by seeing/palpating the prolapsed cord outside or within the vagina in addition to abnormal fetal heart rate patterns. Women at higher risk of UCP include multiparas with malpresentation. Other risk factors include polyhydramnios and multiple pregnancies. Iatrogenic UCP (up to 50% of cases) can occur (...) in procedures such as amniotomy, fetal blood sampling, and insertion of a cervical ripening balloon. The perinatal outcome largely depends on the location where the prolapse occurred and the gestational age/birthweight of the fetus. When UCP is diagnosed, delivery should be expedited. Usually, cesarean section is the delivery mode of choice, but vaginal/instrumental delivery could be tried if deemed quicker, particularly in the second stage of labor. Diagnosis-to-delivery interval should ideally be less

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2018 International journal of women's health

58. Early Preterm Preeclampsia Outcomes by Intended Mode of Delivery. (PubMed)

in the Consortium on Safe Labor study for analysis who delivered between 24 0/7 and 33 6/7 weeks. We excluded fetal anomalies, antepartum stillbirth, or spontaneous preterm labor. Maternal and neonatal outcomes were compared between women undergoing induction of labor (n = 460) and planned cesarean delivery (n = 454) and women with successful induction of labor (n = 214) and unsuccessful induction of labor (n = 246). We calculated relative risks and 95% confidence intervals to determine outcomes by Poisson (...) regression model with propensity score adjustment. The calculation of propensity scores considered covariates such as maternal age, gestational age, parity, body mass index, tobacco use, diabetes mellitus, chronic hypertension, hospital type and site, birthweight, history of cesarean delivery, malpresentation/breech, simplified Bishop score, insurance, marital status, and steroid use.Among the 460 women with induction (50%), 47% of deliveries were vaginal. By gestational age, 24 to 27 6/7, 28 to 31 6/7

2018 American Journal of Obstetrics and Gynecology

59. A Randomized Trial of Induction Methods in Premature Rupture of Membranes

delivery, previous uterine surgery, fetal malpresentation, multifetal pregnancy, more than three contractions in 10 minutes, contraindications to prostaglandins, a category II or III fetal heart rate pattern, anomalous fetus, fetal demise women with immediate delivery indications - Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor (...) prostaglandin E2, while the other half will be used alone vaginal prostaglandin E2. Condition or disease Intervention/treatment Phase Preterm Premature Rupture of Fetal Membranes Induction of Labor Affected Fetus / Newborn Device: Foley balloon catheter Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 200 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary

2018 Clinical Trials

60. eRegQual—an electronic health registry with interactive checklists and clinical decision support for improving quality of antenatal care: study protocol for a cluster randomized trial (PubMed)

enrollment of 60 pregnancies. The intervention tool is the eRegistry's interactive checklists and clinical decision support implemented within the District Health Information System 2 (DHIS2) Tracker software, developed and customized for the Palestinian context. The primary outcomes reflect the processes of essential interventions, namely timely and appropriate screening and management of: 1) anemia in pregnancy; 2) hypertension in pregnancy; 3) abnormal fetal growth; 4) and diabetes mellitus (...) in pregnancy. The composite primary health outcome encompasses five conditions representing risk for the mother or baby that could have been detected or prevented by high-quality antenatal care: moderate or severe anemia at admission for labor; severe hypertension at admission for labor; malpresentation at delivery undetected during pregnancy; small for gestational age baby at delivery undetected during pregnancy; and large for gestational age baby at delivery. Primary analysis at the individual level

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2018 Trials

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