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.

264 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

81. Amniotic fluid embolism treated with emergency extracorporeal membrane oxygenation: a case report. (PubMed)

Amniotic fluid embolism treated with emergency extracorporeal membrane oxygenation: a case report. Amniotic fluid embolism (AFE) is a rare disorder classically characterized by the abrupt onset of hypotension, hypoxia and consumptive coagulopathy during delivery or in the immediate postpartum period. It is postulated that amniotic fluid,fetal cells, hair or other debris enters the maternal circulation, causing cardiopulmonary collapse. The precise pathophysiologic mechanism remains elusive (...) , treatment is supportive, and AFE carries a mortality of up to 80%.A 21-year-old woman, gravida 2, para 1, at 33+ weeks' gestation with an uncomplicated pregnancy, was admitted with preterm uterine contractions and underwent a low-transverse cesarean section for malpresentation after tocolysis failure. Surgery was without complications; however, 75 minutes postoperatively the patient experienced cardiopulmonary collapse with loss of vital signs. After 20 minutes of cardiopulmonary resuscitation

2017 Journal of Reproductive Medicine

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

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 Anesthesiology Controlled trial quality: predicted high

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

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 Anesthesiology Controlled trial quality: predicted high

84. Insertion of a double balloon catheter for induction of labour in pregnant women without previous caesarean section

) of 126 women with oligohydramnios and unfavourable cervices. 5.2 'Fetal malpresentation after catheter removal' was reported in 2 women in the DBC group (1 had a fetus with face presentation and 1 had a fetus with a transverse lie) in an RCT of 302 pregnant women (293 in the final analysis) comparing DBC (n=148) against single balloon catheter (SBC; n=145). One woman had a vaginal delivery after an external cephalic version was performed and 1 had a caesarean section. Insertion of a double balloon (...) Indications and current treatments Indications and current treatments 2.1 Induction of labour is the most commonly performed obstetric intervention. It is done in up to 20% of pregnancies in the UK and is generally carried out when the risks of continuing pregnancy outweigh the benefits. It is usually more painful than spontaneous labour, and epidural analgesia and assisted delivery are more likely to be needed. Maternal and fetal indications for induction of labour include pregnancy-induced hypertensive

2015 National Institute for Health and Clinical Excellence - Interventional Procedures

85. Induction of labour: misoprostol vaginal delivery system

common in the dinoprostone group (all p<0.05). There was no significant difference between the groups in the rate of admission to neonatal intensive care. The EXPEDITE study was well designed and well reported, and allocation was concealed. However, the inclusion and exclusion criteria limit the generalisability of the results. For example, women aged under 18 years, women with multiple pregnancies or more than 3 previous vaginal deliveries, and women with fetal malpresentation were not included (...) of fetal compromise before induction fetal malpresentation prior administration of oxytocic drugs or other labour induction agents suspicion or evidence of uterine scarring from previous uterine or cervical surgery, for example, caesarean delivery. See the summary of product characteristics for other contraindications, warnings and precautions for use. The misoprostol vaginal delivery system is not currently marketed in the UK. The manufacturer has advised that the UK launch is expected in quarter 4

2014 National Institute for Health and Clinical Excellence - Advice

86. Use of a portable system with ultrasound and blood tests to improve prenatal controls in rural Guatemala (PubMed)

and urine tests. The information of each pregnancy is registered in a medical exchange tool, and is later reviewed by a gynecology specialist to ensure a correct diagnosis and improve nurses training.No maternal deaths were reported within the intervention group, versus five cases in the control group. Regarding neonatal deaths, official data revealed a 64 % reduction for neonatal mortality. A 37 % prevalence of anemia was detected. Non-urgent referral was recommended to 70 pregnancies, being fetal (...) malpresentation the main reported cause.Impact data on maternal mortality (reduction to zero) and neonatal mortality (NMR was reduced to 36 %) are encouraging, although we are aware of the limitations of the study related to possible biasing and the small sample size. The major reduction of maternal and neonatal mortality provides promising prospects for these low-cost diagnostic procedures, which allow to provide high quality prenatal care in isolated rural communities of developing countries.This research

Full Text available with Trip Pro

2016 Reproductive health

87. The Effect of Hyoscine Butylbromide on Shortening of First and Second Stages of Labor

Information provided by (Responsible Party): Kamal Mohamed Zahran, Woman's Health University Hospital, Egypt Study Details Study Description Go to Brief Summary: The management of normal labor is both an art and a science. For decades, health providers have worked to manage labor actively and safely, with the goal of shortening the duration of painful labor. Reduction of Cesarean sections and other fetal and maternal complications is also an important aspect of labor management. The safety of active (...) (gestational age between 37-41 weeks + 6 days). Spontaneous labor with either intact membranes or spontaneous rupture of membranes for less than 12 hours. Exclusion Criteria: Previous uterine scarring including previous cesarean section. Cephalopelvic disproportion. Malpresentation. Antepartum hemorrhage. Multiple pregnancy. Induced delivery. Any medical disease. Prolonged premature rupture of the membrane (more than 12 hours). Epidural analgesia or receive any analgesic like pethidine. Pervious cervical

2016 Clinical Trials

88. Combined Foley Catheter Balloon and PGE2 Vaginal Ovule for Induction of Labor at Term: A Randomized Study

: singleton pregnancy, gestational age ≥37 weeks, intact membranes, cephalic 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, a category II or III fetal heart rate pattern, anomalous (...) 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

2016 Clinical Trials

89. Continuous Versus Intermittent Oxytocin for Induction of Labor: A Randomized Study

Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: singleton pregnancy, 37≤ weeks of gestational age , vertex presentation, women with cervical dilation 3 cm no contraindication to vaginal delivery. Exclusion Criteria: fetal malpresentation, multifetal pregnancy, more than three contractions in 10 minutes, contraindications to oxytocin, a category II or III fetal heart rate pattern, fetal anomaly, fetal demise women with immediate delivery

2016 Clinical Trials

90. Early Amniotomy After Vaginal Prostaglandin E2 for Induction of Labor at Term: a Randomized Clinical Trial

: Patients who have contraindications for vaginal 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 (...) ( half of participants) when the cervix will dilated 3 cm using the amniotomy hook. Amniotomy will not be done for control group(other half of participants) until the membranes rupture spontaneously. Condition or disease Intervention/treatment Phase Early Amniotomy, Unfavorable Cervix Drug: PGE2 Phase 2 Detailed Description: During induction of labour, amniotomy (defined as artificial rupture of fetal membranes) is commonly used in combination with induction of labor. However, there is a lack of data

2016 Clinical Trials

91. Effect of Maternal Body Mass Index on Labor Progress in Nulliparous Women

-anterior position. Exclusion Criteria: Multiparous women. Preterm labor. Passed date delivery. Multiple gestation. Large fetal weight (more than 4000g). Intrauterine fetal death. Intrauterine fetal growth restriction. Major fetal congenital anomalies. Rupture of membranes before onset of active labor. Fetal malposition or malpresentation. Inadequate pelvis or cephalopelvic disproportion. Maternal medical disorder. Induction of labor by oxytocin or prostaglandins. Conditions requiring urgent delivery eg (...) Measures : descent of fetal head [ Time Frame: every 2 hours during active phase of labor, from admission to the labor ward until second stage of labor ] head station Other Outcome Measures: duration of active phase of labor [ Time Frame: all through the course of labor, individually assessed for each participant, starting from the time of admission to labor ward until start of second stage of labor ] total duration in hours duration of second stage of labor [ Time Frame: from start of second stage

2016 Clinical Trials

92. Prediction of Perineal Tears by Striae Gravidarum Score

: No Criteria Inclusion criteria: Multipara Singleton pregnancy Full-term (37- 41 weeks) Average size fetus (2500-4000 gm) Cephalic-vertex presentation Spontaneous onset of labor No scarred uterus No medical diseases as hypertension No obstetric complications as obstructed labor Women accepted to participate in the study Exclusion criteria: Multiple pregnancy Women with Previous cesarean sections Preterm labor Malpresentation Fetal macrosomia Medical diseases as diabetes and hypertension Women refuse (...) A Episiotomy Procedure: Episiotomy episiotomy will be done after crowning of the fetal head No Intervention: Group B no episiotomy Outcome Measures Go to Primary Outcome Measures : Rate of third and forth degree perineal tears [ Time Frame: intraoperative ] Secondary Outcome Measures : Rate of first and second degree perineal tears [ Time Frame: intraoperative ] Rate of superficial perineal lacerations [ Time Frame: intraoperative ] Need for blood transfusion [ Time Frame: 2 hours ] Eligibility Criteria Go

2016 Clinical Trials

93. Continuous Oxytocin Infusion Versus Pulsatile Intravenous Oxytocin for Augmentation of First Stage of Labor

. Single viable fetus. Rupture of membranes before augmentation of labor. Cephalic presentation. Term pregnancy. Exclusion Criteria: Malpresentation. Induction of labor by prostaglandins. Any uterine previous surgery. Fetal anomalies. Premature labor. Previous cesarean section. Any uterine anomalies. Multiple 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

2016 Clinical Trials

94. Virtual Reality Analgesia in Labor: The VRAIL Pilot Study

risk pregnancy without obstetric complications In first stage of labor for vaginal delivery Desires non-pharmacologic alternative for pain control Exclusion Criteria: Younger than 18 or older than 45 years of age Presence of fetal or placental anomaly High risk pregnancy or anesthetic concerns (BMI>40, difficult airway, hemorrhage, nonreassuring FHR, malpresentation) Current use of pharmacologic analgesia including neuraxial anesthesia Not capable of answering study measures using numeric rating

2016 Clinical Trials

95. Misoprostol for Labour Induction

measures: The primary outcomes were the time from induction to delivery and the caesarean section rate. Secondary outcomes included uterine tachysystole, tocolysis, fetal scalp blood testing, meconium-stained amniotic fluid, umbilical arterial pH, and Apgar score. Condition or disease Labour Induction Detailed Description: Open, non-interventional study in a tertiary referral center in Germany N/A The rationale of our observational study is to describe the efficacy and safety profile of the drug (...) to local clinical practice. The time period needed to induce any delivery and to describe the drug safety profile. Primary endpoints: Time to vaginal delivery in hours in patients with vaginal delivery. Length of time until any delivery Caesarean section rate Time until onset of labor Frequency of vaginal operative delivery Frequency of abnormal CTG (Figo) Frequency of uterine Tachysystole leading to abnormal fetal heartrate i.e. Figo P. Tachysystole is defined as five or more contractions in 10

2016 Clinical Trials

96. Music and/or Video Games During Labor

, 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 and older (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Age > or = 18 years old Pregnant women > or = 37 weeks gestation Induction of labor using Foley bulb Singleton gestation Vertex fetal presentation Intact membranes Exclusion Criteria (...) : Any contraindication for vaginal delivery (malpresentation, placenta previa) Previous cesarean section Gestational age <37 weeks gestation Receiving pain medication at time of Foley bulb placement Chronic narcotic use (methadone, suboxone, oxycodone, etc.) Visual or auditory impairment. 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

2016 Clinical Trials

97. Comparing Cervical Foley Catheter, Dinoprostone and a Combination of the Two for Labor Induction

Unfavorable cervix (bishop's score 6 or less) Exclusion Criteria: Previous cesarean section or other uterine surgery severe IUGR severe preeclampsia Fetal malpresentation Multiple gestation Spontaneous labor (3 contraction in 10 min) Premature rupture of membranes, PROM Category 2 or greater fetal heart rate tracing Contraindication for vaginal delivery Fever Vaginal bleeding (more than spotting or bloody show) Severe IUGR HIV carrier Sensitivity to either latex or PGE2 polyhydramnios Contacts (...) ] Tachysystole [ Time Frame: up to 24 hours ] monitor recording of 5 or more contraction in a 10 minutes period with fetal heart deceleration Neonatal Apgar scores (in a 1-10 scale) [ Time Frame: up to 24 hours ] Neonatal Apgar score in the first, 5th and 10th minutes after the delivery Neonatal intensive care unit admission [ Time Frame: up to 72 hours ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk

2016 Clinical Trials

98. Neuraxial analgesia to increase the success rate of external cephalic version: a systematic review and meta-analysis of randomized controlled trials. (PubMed)

), nonreassuring fetal testing, excluding transient bradycardia, after external cephalic version (6.9% vs 7.4%; relative risk, 0.93, 95% confidence interval, 0.53-1.64), and abruption placentae (0.4% vs 0.4%; relative risk, 1.01, 95% confidence interval, 0.06-16.1) were similar.Administration of neuraxial analgesia significantly increases the success rate of external cephalic version among women with malpresentation at term or late preterm, which then significantly increases the incidence of vaginal (...) the effectiveness of neuraxial analgesia as an intervention to increase the success rate of external cephalic version.Searches were performed in electronic databases with the use of a combination of text words related to external cephalic version and neuraxial analgesia from the inception of each database to January 2016.We included all randomized clinical trials of women, with a gestational age ≥36 weeks and breech or transverse fetal presentation, undergoing external cephalic version who were randomized

2016 American Journal of Obstetrics and Gynecology

99. Periviable birth. (PubMed)

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 counseling (...) 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 sulfate), and postnatal

2016 American Journal of Obstetrics and Gynecology

100. Indications for primary cesarean delivery relative to body mass index. (PubMed)

to the increased rate of cesarean among obese women.In the Consortium of Safe Labor study from 2002 through 2008, we calculated indications for primary cesarean including failure to progress or cephalopelvic disproportion, nonreassuring fetal heart tracing, malpresentation, elective, hypertensive disease, multiple gestation, placenta previa or vasa previa, failed induction, HIV or active herpes simplex virus, history of uterine scar, fetal indication, placental abruption, chorioamnionitis, macrosomia (...) nulliparous (29.2%) and 7329 multiparous (9.5%) women underwent primary cesarean. Regardless of parity, malpresentation, failure to progress or cephalopelvic disproportion, and nonreassuring fetal heart tracing were the common indications for primary cesarean. Regardless of parity, the rates of primary cesarean for failure to progress or cephalopelvic disproportion increased with increasing body mass index (normal weight, overweight, and classes I, II, and III obesity in nulliparous women: 33.2%, 41.6

Full Text available with Trip Pro

2016 American Journal of Obstetrics and Gynecology

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