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Fetal Malpresentation

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61. 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

62. 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

63. 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 Full Text available with Trip Pro

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

2018 Trials

64. 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

65. 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

66. Safe Prevention of the Primary Cesarean Delivery

. The most common indications for primary cesarean delivery include, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia. Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of these, as well as other, indications. For example, it may be necessary to revisit the definition of labor dystocia because recent data show (...) . In order to understand the degree to which cesarean deliveries may be preventable, it is important to know why cesareans are performed. In a 2011 population-based study, the most common indications for primary cesarean delivery included, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia ( ) ( ). Arrest of labor and abnormal or indeterminate fetal heart rate

2014 American College of Obstetricians and Gynecologists

67. Real-time Continuous Glucose Monitoring

of creatinine), pulmonary edema, or cerebral or visual symptoms HbA1C values [ Time Frame: HbA1C values week 1 compared to week 4 (%) ] HbA1C values (%) Polyhydramnios [ Time Frame: Through study completion, an average of 9 months ] Polyhydramnios (MVP > 8 cm at any point in the pregnancy) Cesarean delivery [ Time Frame: Delivery ] Cesarean delivery (w/ indication: macrosomia, malpresentation, failed induction, fetal distress, failed trial of labor after cesarean, scheduled repeat, other) Induction of labor (...) [ Time Frame: Delivery ] Induction of labor (w/ indication) Operative vaginal delivery [ Time Frame: Delivery ] Operative vaginal delivery (yes/no) and type (forceps/vacuum) Shoulder dystocia [ Time Frame: Delivery ] Shoulder dystocia (diagnosed clinically) Fetal macrosomia [ Time Frame: Most recent ultrasound before delivery ] Fetal macrosomia (> 4,000g at 38 wk u/s) 3rd or 4th degree perineal laceration [ Time Frame: Delivery ] 3rd or 4th degree perineal laceration at time of delivery Gestational

2017 Clinical Trials

68. Cesarean deliveries and maternal weight retention. Full Text available with Trip Pro

weight, which may have significant implications for the obesity epidemic. Previous literature, however, typically does not address selection biases stemming from correlations of pre-pregnancy weight and reproductive health with Cesarean delivery.We used fetal malpresentation as a natural experiment as it predicts Cesarean delivery but is uncorrelated with pre-pregnancy weight or maternal health. We used hospital administrative data (including fields used in vital birth record) from the state (...) of Wisconsin from 2006 to 2013 to create a sample of mothers with at least two births. Using propensity score methods, we compared maternal weight prior to the second pregnancy of mothers who delivered via Cesarean due to fetal malpresentation to mothers who deliver vaginally.We found no evidence that Cesarean delivery in the first pregnancy causally leads to greater maternal weight, BMI, or movement to a higher BMI classification prior to the second pregnancy.After accounting for correlations between pre

2017 BMC Pregnancy and Childbirth

69. Obstetric Care Consensus No. 6 Summary: Periviable Birth. (Abstract)

delivery, for concern regarding fetal well-being or fetal malpresentation. Whenever possible, periviable births for which maternal or neonatal intervention is planned should occur in centers that offer expertise in maternal and neonatal care and the needed infrastructure, including intensive care units, to support such services. This document describes newborn outcomes after periviable birth, provides current evidence and recommendations regarding interventions in this setting, and provides an outline (...) are faced with complex and ethically challenging decisions. Multiple factors have been found to be associated with short-term and long-term outcomes of periviable births in addition to gestational age at birth. These include, but are not limited to, nonmodifiable factors (eg, fetal sex, weight, plurality), potentially modifiable antepartum and intrapartum factors (eg, location of delivery, intent to intervene by cesarean delivery or induction for delivery, administration of antenatal corticosteroids

2017 Obstetrics and Gynecology

70. Obstetric Care consensus No. 6: Periviable Birth. (Abstract)

, for concern regarding fetal well-being or fetal malpresentation. Whenever possible, periviable births for which maternal or neonatal intervention is planned should occur in centers that offer expertise in maternal and neonatal care and the needed infrastructure, including intensive care units, to support such services. This document describes newborn outcomes after periviable birth, provides current evidence and recommendations regarding interventions in this setting, and provides an outline for family (...) with complex and ethically challenging decisions. Multiple factors have been found to be associated with short-term and long-term outcomes of periviable births in addition to gestational age at birth. These include, but are not limited to, nonmodifiable factors (eg, fetal sex, weight, plurality), potentially modifiable antepartum and intrapartum factors (eg, location of delivery, intent to intervene by cesarean delivery or induction for delivery, administration of antenatal corticosteroids and magnesium

2017 Obstetrics and Gynecology

71. Indications and appropriateness of caesarean sections performed in a tertiary referral centre in Uganda: a retrospective descriptive study Full Text available with Trip Pro

difference (p>0.05) was found between the two groups in terms of patient demographics or appropriateness of caesarean (43% in Oct-14 compared to 48% in Feb-15). The most common group of indications for caesarean was dystocia (43.5%) with 28% appropriate; followed by fetal distress (18.5%) with 30% appropriate; previous scar (17%) with 85% appropriate; malpresentation (10.5%) with 48% appropriate; and maternal compromise (10%) with 80% appropriate.The high number of unnecessary caesareans appeared

2017 The Pan African medical journal

72. Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania Full Text available with Trip Pro

diseases, alcohol consumption during pregnancy, malpresentation, and gravidity ≥5. Adverse maternal outcomes were postpartum haemorrhage, antepartum haemorrhage, and Caesarean delivery. PP increased odds of fetal Malpresentation and early neonatal death. Conclusion. The prevalence of PP was comparable to that found in past research. Multiple independent risk factors were identified. PP was found to have associations with several adverse fetomaternal outcomes. Early identification of women at risk of PP

2017 Journal of pregnancy

73. Obstetric outcomes in pregnant women with and without depression: population-based comparison Full Text available with Trip Pro

evaluated. The depression group had more events than comparisons for hyperemesis (39.3 vs. 35.5%), abortion (3.3 vs. 2.6%), malpresentation (12.3 vs. 10.3%), C-section (40.2 vs. 34.6%) and intrauterine fetal demise (0.7 vs. 0.4%); risks of these events were significant for childbearing depressed women, not for the 35+ years subgroup. These incidences were higher in depressed women taking antidepressant than those without the medication, but were significant in childbearing depressed subgroup

2017 Scientific reports

74. Myomas and Adenomyosis: Impact on Reproductive Outcome Full Text available with Trip Pro

is not quite clear and has been suggested for intramural myomas. Still, it seems reasonable that intramural myomas greater than 4 cm in diameter may negatively impair reproductive outcome. On the contrary, subserosal myomas do not seem to have a significant impact, if any, on reproduction. The presence of submucosal and/or large intramural myomas has also been linked to adverse pregnancy outcomes. In particular increased risk for miscarriage, fetal malpresentation, placenta previa, preterm birth, placenta

2017 BioMed research international

75. Accouchement chez la primipare à Lubumbashi: pronostic maternel et périnatal Full Text available with Trip Pro

Accouchement chez la primipare à Lubumbashi: pronostic maternel et périnatal Childbirth in primiparous women is associated with many complications and, therefore, primiparous women are considered high risk due to maternal and fetal concerns. This study aims to determine birth rate in primiparous women in our environment, to identify factors associated with delivery by cesarean section and to assess maternal and perinatal morbi-mortality from childbirth in primiparous women living (...) births were mainly observed in adolescents (OR=11. 27, (7.98-15.91)), in students (OR = 5.61 (3.33-9.45)) and in women living alone (OR=7.62 (4.36-13.30)). Risk factors associated with delivery by cesarean section in primiparous women included obstetric evacuation (OR = 9.69 (4.75-19.74)), the lack of prenatal monitoring (OR=2.57, (1.32-5.01)), size ≤ 150 cm (OR = 2.42 (1.04-5.65)), uterine height > 34 cm (OR = 2.33 (1.32-4.10)) and malpresentation (OR = 6.37 (2.92-13.87)). With regard to maternal

2017 The Pan African medical journal

76. Use of Negative Pressure Wound Therapy in Morbidly Obese Women After Cesarean Delivery

of active phase, arrest of descent, malpresentation, repeat cesarean delivery, desired cesarean Reason for admission [ Time Frame: At the time of admission ] Spontaneous labor, rupture of membranes, induction of labor, scheduled cesarean delivery, fetal condition (oligohydroamnios, growth restriction, non reassuring fetal heart tracing) Labor duration [ Time Frame: At the time of cesarean delivery ] Endometritis [ Time Frame: Four weeks postpartum ] Length of rupture of membranes [ Time Frame

2017 Clinical Trials

77. Does Vaginal Washing Affect the Success Rate of the Labour Induction?

heart rate Cervical Modified Bishop's score <5 Exclusion Criteria: Patients with with multipl pregnancies Participiants with malpresentation anomalies Participiants with nonreassurring fetal heart rate Participiants with more than three contractions in 10 minutes Participiants with contrandications for using prostaglandins Participiants with fetal anomaly Participiants with fetal demise Participiants with emercency delivery indications, Participiants with previous cesarean delivery or have other (...) 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 Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Patients with singleton pregnancies Term gestational week (defined as>37 weeks), Fetal cephalic presentation Participiants with with intact amniotic membrane Reactive fetal

2017 Clinical Trials

78. Effect of Intravenous Hyoscine Butylbromide Injection on Labour in High Risk Women

+ 6 days. Uncomplicated cephalic singleton pregnancy occipto-anterior position. Established spontaneous active labour (defined as the presence of at least three regular uterine contractions over 10 minutes with cervical dilatation three to four centimeters) with cervical effacement not less than 50%. Intact amniotic membranes. High risk pregnancy (women with pregnancy induced hypertension- cardiac-Diabetes Mellitus Exclusion Criteria: Multigravidae. Multiple fetus. Malpresentation. Patients (...) including fetal lie, fetal presentation, head station and uterine contractions. Vaginal examination including cervical dilatation, effacement and position, state of fetal membranes, presenting part, position of fetal head and pelvic adequacy. Obstetric ultrasound to detect fetal gestational age, fetal birth weight amount of liquor, site of placental attachment and fetal heart rate. Patients were divided into three equal groups: Group A: included 40 pregnant patients. They received two ml of normal

2017 Clinical Trials

79. A Randomised Trial Investigating the Efficacy and Safety of a Vaginal Insert in Pregnant Women at Term

blood pressure > 110 mmHg. Platelets < 100,000/µL. Increased liver function tests (2x upper limits of normal range). Severe, persistent right upper quadrant/epigastric pain. Progressive renal insufficiency: Creatinine > 1.1 mg/dL, Doubling of creatinine in the absence of other renal disease. Pulmonary edema. New onset cerebral or visual disturbances Suspected or confirmed cephalopelvic disproportion and/or fetal malpresentation Diagnosed congenital abnormalities, not including polydactyly Suspected (...) or confirmed intrauterine growth retardation (≤ 1.5 SD of mean normal estimated fetal weight for dates) Any evidence of fetal compromise at baseline visit (e.g., non-reassuring fetal heart rate pattern, meconium staining, history of non-reassuring fetal status or abnormal umbilical artery Doppler wave form) Intake of medication with aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) at baseline visit Ruptured membranes Suspected clinical chorioamnionitis Current pelvic inflammatory disease, unless

2017 Clinical Trials

80. An Open-label Trial Investigating the Efficacy and Safety of a Vaginal Insert in Pregnant Women at Term

right upper quadrant/epigastric pain. Progressive renal insufficiency: Creatinine > 1.1 mg/dL, Doubling of creatinine in the absence of other renal disease. Pulmonary edema. New onset cerebral or visual disturbances. Suspected or confirmed cephalopelvic disproportion and/or fetal malpresentation Diagnosed congenital abnormalities, not including polydactyly Suspected or confirmed intrauterine growth retardation (≤ mean 1.5 SD of normal estimated fetal weight for dates) Any evidence of fetal (...) compromise at Baseline visit (e.g., non-reassuring fetal heart rate pattern, meconium staining, history of non-reassuring fetal status or abnormal umbilical artery Doppler wave form) Intake of medication with aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) at V2 Ruptured membranes ≥ 48 hours prior to IMP administration Suspected clinical chorioamnionitis Current pelvic inflammatory disease, unless adequate prior treatment has been instituted Fever (axillary temperature ≥ 38.0°C) at the Baseline

2017 Clinical Trials

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