How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

280 results for

Fetal Malpresentation

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

41. Core Competencies for Management of Labour

) • Using the appropriate methods of fetal health surveillance – IA or EFM, assess and document fetal heart rate at the recommended frequency 2. Uterine Activity • Identify uterine contraction patterns that might adversely affect oxygen delivery to the fetus • Assessment of uterine activity is performed in conjunction with IA or EFM, and is necessary in order to correctly classify the fetal heart rate patterns with EFM • Palpate by hand and/or • Assess using an external tocotransducer or an internal (...) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Annex 1: Suggested Education Curriculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Decision Support Tools 1 . Obstetrical T riage and Assessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2. Intrapartum Fetal Health Surveillance

2014 British Columbia Perinatal Health Program

42. Vaginal birth after caesarean section

) 7 - Fetal distress 600 (490–690) 7 - Malpresentation/breech 750 (600–860) 7 - (i) Australian review 32 ; (ii) International systematic review 7 Abbreviations: CI: Confidence interval; FTP: Failure to progress; CPD: Cephalo-pelvic disproportion 4 Intrapartum care Provide intrapartum care as per the Queensland Clinical Guideline Normal Birth. 37 Refer to the following sections for planned VBAC specific care. Queensland Clinical Guidelines: Vaginal birth after caesarean (VBAC) Refer to online (...) cannula • Group & hold, full blood count • One-to-one midwifery care • Continuous fetal monitoring • For intrapartum care: - Refer to QCG: Normal birth Augmentation • Discuss with obstetric team • Refer to QCG: Normal birth • Consider: - Supportive measures - Artificial rupture of membranes - Oxytocin infusion: ? Refer to IOL box Elective repeat CS (At 39-40 week, if clinically appropriate) No No Queensland Clinical Guideline (QCG): MN15.12-V4-R20 Vaginal Birth after caesarean section (VBAC

2015 Queensland Health

43. Adverse obstetric outcomes among female childhood and adolescent cancer survivors in Sweden: A population-based matched cohort study. (Abstract)

for cancer and the outcome variables, adjusting for maternal age, nicotine use and comorbidity.Survivors were more likely to have preeclampsia (adjusted odds ratio [aOR] 3.46, 95% confidence interval [CI] 1.58 to 7.56), undergo induction of labor (aOR 1.66, 95% CI 1.05 to 2.62), suffer labor dystocia (primary labor dystocia aOR 3.54, 95% CI 1.51 to 8.34 and secondary labor dystocia aOR 2.43, 95% CI 1.37 to 4.31), malpresentation of fetus (aOR 2.02, 95% CI 1.12 to 3.65) and imminent fetal asphyxia (aOR

2019 Acta Obstetricia et Gynecologica Scandinavica

44. Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial (Abstract)

Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic

2017 EvidenceUpdates

45. 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

46. Early Preterm Preeclampsia Outcomes by Intended Mode of Delivery. Full Text available with Trip Pro

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

47. 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

48. 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

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

: 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 (...) , 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

2018 Clinical Trials

51. Optimal management of umbilical cord prolapse Full Text available with Trip Pro

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

2018 International journal of women's health

52. Risk Factors for Brachial Plexus Birth Injury Full Text available with Trip Pro

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

2018 Children

53. Handheld ultrasound to avert maternal and neonatal deaths in 2 regions of the Philippines: an iBuntis® intervention study. Full Text available with Trip Pro

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

2018 BMC Pregnancy and Childbirth

54. Comparison between public and private sectors of care and disparities in adverse neonatal outcomes following emergency intrapartum cesarean at term - A retrospective cohort study. Full Text available with Trip Pro

in combination were non-reassuring fetal status followed by failure to progress in labor and malpresentation. For both category 1 and 2 cesareans, neonatal outcomes (Apgar score <7 at 5 minutes, abnormal cord gases, Neonatal Critical Care Unit admission rates, rates of severe respiratory distress and jaundice) were significantly worse in the publicly funded compared to the privately insured cohort Multivariate analyses controlling for maternal age, ethnicity, country of birth, parity, hypertension, diabetes (...) outcomes following category 1 and 2 emergency cesareans at term between publicly and privately funded women at a single major tertiary centre in Australia. Category 1-immediate threat to life (maternal or fetal); Category 2-maternal or fetal compromise that is not immediately life-threatening.This was a retrospective, cross sectional study of 61355 term singleton babies born at the Mater Mother's Hospital in Brisbane, Australia in 2007-2014. We collected data from the hospital's maternity database

2017 PLoS ONE

55. Association Between Attempted External Cephalic Version and Perinatal Morbidity and Mortality. Full Text available with Trip Pro

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

56. Dexamethasone and Induction of Delivery

aims to evaluate the effect of intravenous injection of a single dose of dexamethasone in shortening the duration interval between initiation of labor induction and delivery of the fetus in primigravida full-term pregnancy. Condition or disease Intervention/treatment Phase Induction of Labor Affected Fetus / Newborn Drug: Dexamethasone Drug: Distilled Water Phase 1 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 102 participants (...) of distilled water intravenously. Other Name: Placebo group Outcome Measures Go to Primary Outcome Measures : The interval between the initiation of induction and the delivery of the fetus. [ Time Frame: Up to 1 day ] Mean time of interval between the initiation of induction and the delivery of the fetus in the two groups. Secondary Outcome Measures : The duration of the first stage of labor (Partographic representation will do for each participant). [ Time Frame: Up to 1 hour ] Mean time of duration

2018 Clinical Trials

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

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 (...) 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

2018 Clinical Trials

58. 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

59. 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 (...) : In women undergoing induction of labor, vaginal administration of isosorbide mono nitrate (IMN) is effective to induce cervical ripening and shorten the interval time between induction and delivery. Research Questions: Does vaginal administration of isosorbide mono nitrate (IMN) induce cervical ripening and shorten the interval time between induction and delivery in women undergoing induction of labor? Condition or disease Intervention/treatment Phase Induction of Labor Affected Fetus / Newborn Drug

2018 Clinical Trials

60. 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 (...) Party): Holly Olson, Hawaii Pacific Health Study Details Study Description Go to Brief Summary: To compare the application of tension versus no tension in Foley transcervical catheters for pre-induction cervical ripening. Condition or disease Intervention/treatment Phase Induction of Labor Affected Fetus / Newborn Procedure: Tension Procedure: NO TENSION Not Applicable Detailed Description: Patients who are scheduled to undergo labor induction will be offered inclusion in the study which

2018 Clinical Trials

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>