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Fetal Malpresentation

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61. 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

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

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 (...) + 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

2017 Clinical Trials

63. 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

64. 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

65. Cesarean deliveries and maternal weight retention. (PubMed)

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

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2017 BMC Pregnancy and Childbirth

66. Obstetric Care Consensus No. 6 Summary: Periviable Birth. (PubMed)

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

67. Obstetric Care consensus No. 6: Periviable Birth. (PubMed)

, 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

68. Inter-delivery weight gain and risk of cesarean delivery following a prior vaginal delivery. (PubMed)

delivery.The objective of the study was to determine whether interdelivery weight gain is associated with an increased risk of intrapartum cesarean delivery following a vaginal delivery.This was a case-control study of women who had 2 consecutive singleton births of at least 36 weeks' gestation between 2005 and 2016, with a vaginal delivery in the index pregnancy. Women were excluded if they had a contraindication to a trial of labor (eg, fetal malpresentation or placenta previa) in the subsequent (...) % confidence interval, 1.15-4.76 for body mass index increase of ≥4 kg/m2). Contrarily, women who lost ≥2 kg/m2 were less likely to undergo any cesarean delivery (adjusted odds ratio, 0.41, 95% confidence interval, 0.21-0.78) as well as less likely to undergo cesarean delivery for an arrest disorder (adjusted odds ratio, 0.29, 95% confidence interval, 0.10-0.82). Weight gain or loss was not significantly associated with a cesarean delivery for fetal indications.Among women with a prior vaginal delivery

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2017 American Journal of Obstetrics and Gynecology

69. Systematic Review of Hydrotherapy Research: Does a Warm Bath in Labor Promote Normal Physiologic Childbirth? (PubMed)

in labor. One study each found that hydrotherapy reduced maternal anxiety and fetal malpresentation, increased maternal satisfaction with movement and privacy, and resulted in cervical dilation progress equivalent to standard labor augmentation practices. Studies examined more than 30 fetal and neonatal outcomes, and no benefit or harm of hydrotherapy was identified. Two trials had anomalous findings of increased newborn resuscitation or nursery admission after hydrotherapy, which were not supported

2017 The Journal of perinatal & neonatal nursing

70. Planned home births: the need for additional contraindications. (PubMed)

criteria are necessary to guide the selection of appropriate candidates for planned home birth. The committee lists 3 absolute contraindications for a planned home birth: fetal malpresentation, multiple gestations, and a history of cesarean delivery.The aim of this study was to evaluate whether there are risk factors that should be considered contraindications to planned home births in addition to the 3 that are listed by the American College of Obstetricians and Gynecologists.We conducted a population (...) , malpresentation, multiple gestations) for a total of 5 contraindications for planned home births.Copyright © 2017 Elsevier Inc. All rights reserved.

2017 American Journal of Obstetrics and Gynecology

71. Committee Opinion No 697 Summary: Planned Home Birth. (PubMed)

and timely transport to nearby hospitals. The Committee on Obstetric Practice considers fetal malpresentation, multiple gestation, or prior cesarean delivery to be an absolute contraindication to planned home birth.

2017 Obstetrics and Gynecology

72. Committee Opinion No. 697: Planned Home Birth. (PubMed)

and timely transport to nearby hospitals. The Committee on Obstetric Practice considers fetal malpresentation, multiple gestation, or prior cesarean delivery to be an absolute contraindication to planned home birth.

2017 Obstetrics and Gynecology

73. 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

74. Myomas and Adenomyosis: Impact on Reproductive Outcome (PubMed)

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

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2017 BioMed research international

75. 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

76. Value of Measuring Cervical Angle and Length by Ultrasound in Prediction of Successful Induction of Delivery

table for eligibility information Ages Eligible for Study: 18 Years to 37 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Singleton pregnancy Gestational age between 35 and 42 Presence of an indication for induction of labour as post-term pregnancy or rupture of membranes The fetus is living Cephalic presentation Exclusion Criteria: Estimated fetal weight more than 4 kilograms Malpresentation Oligohydramnios Polyhydramnios Non-reassuring non

2017 Clinical Trials

77. Indications and appropriateness of caesarean sections performed in a tertiary referral centre in Uganda: a retrospective descriptive study (PubMed)

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

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2017 The Pan African medical journal

78. Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania (PubMed)

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

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2017 Journal of pregnancy

79. Accouchement chez la primipare à Lubumbashi: pronostic maternel et périnatal (PubMed)

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

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2017 The Pan African medical journal

80. Obstetric outcomes in pregnant women with and without depression: population-based comparison (PubMed)

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

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2017 Scientific reports

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