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Fetal Malpresentation

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101. Misoprostol for Labour Induction

given When there is suspicion or evidence of uterine scar resulting from previous uterine surgery, e.g. C-section When there is uterine abnormality (e.g. bicornate uterus) When there is placenta praevia or unexplained vaginal bleeding after 24 weeks gestation with this pregnancy When there is foetal malpresentation When there are signs or symptoms of chorioamnionitis, unless adequate prior treatment has been instituted Before week 36 of gestation For evaluation of the primary and secondary endpoints (...) 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

2016 Clinical Trials

102. 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

103. 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

104. 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

105. 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

106. Sterile Water Injections For Pain Relief Ä°n Labor

, Layout table for eligibility information Ages Eligible for Study: 18 Years to 35 Years (Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Aged between 18-35 37-42 weeks of gestation Expecting vaginal delivery Cephalic presentation Single, healthy fetus Spontaneous onset of labor Active phase of first stage of labor (3-7 cm cervical dilatation) Severe low back pain (VAS>7cm) Required pain relief Exclusion Criteria: Gestation <37 weeks Multiple (...) pregnancy Malpresentation Second stage labour Pharmacological analgesia prior to SWI Back pain assessed by VAS <7 Women whose labour would be considered high risk Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party: refika genç koyucu, assist.prof., University of Beykent ClinicalTrials.gov Identifier: Other Study ID Numbers: SWI1315 First Posted: March 3, 2016 Last Update Posted: March 3, 2016 Last Verified

2016 Clinical Trials

107. 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

108. 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 (...) 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. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02861079 Locations Layout table for location information Turkey Zeynep Kamil Education and Research Hospital Istanbul, Turkey Sponsors

2016 Clinical Trials

109. 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

110. 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

111. Effect of Intravenous Hyoscine Butylbromide Injection on First Stage Labour in Primigavidae

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. Exclusion Criteria: Multigravidae. Multiple fetus. Malpresentation. Patients with indications of elective caesarean section. Medical conditions associated with pregnancy e.g. preeclampsia, diabetes mellitus. Contraindications for hyoscine butylbromide which include known allergy to hyoscine or other atropinics (e.g

2016 Clinical Trials

112. 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

113. Subcutaneous Sterile Water Injection for Relief of Low Back Pain

of significance as 5%, Zα=1.96 and power of the test as 80%, Zβ=0.84. p=0.113. A sample size of 165 in each group was calculated. Total of 330 women will be studied (165 in each arm) Inclusion criteria In labour (spontaneous or induced During first stageof labour Primary and multiparous women A term singleton pregnancy (between 37 + 0 and 41 weeks) Have a fetus in a cephalic presentation Experience back pain assessed by visual analogue scale VAS and Face pain analogue ( Warden V, Hurley AC, Volicer L.2003 (...) ) Provide informed consent. Exclusion criteria Multiple pregnancy Malpresentation (breech, transverse, shoulder) Previous CS Infection or inflammation at the injection sites or complications that could cause bleeding at injection site eg. Thrombocytopenia. Study Tools: Personal data questionnaire Visual Analogue Scale and Face analogue scale Satisfaction scale Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 336 participants

2016 Clinical Trials

114. Committee Opinion No. 669 Summary: Planned Home Birth. (Abstract)

to safe 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.

2016 Obstetrics and Gynecology

115. Committee Opinion No. 669: Planned Home Birth. Full Text available with Trip Pro

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.

2016 Obstetrics and Gynecology

116. Obstetric Care Consensus No. 4 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

2016 Obstetrics and Gynecology

117. Obstetric Care Consensus No. 4: 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

2016 Obstetrics and Gynecology

118. Indications for primary cesarean delivery relative to body mass index. Full Text available with Trip Pro

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

2016 American Journal of Obstetrics and Gynecology

119. Combination of Foley Bulb and Vaginal Misoprostol Compared With Vaginal Misoprostol Alone for Cervical Ripening and Labor Induction: A Randomized Controlled Trial (Abstract)

) to Foley bulb plus vaginal misoprostol (n=56) or vaginal misoprostol alone (n=61). Women with fetal malpresentation, multifetal gestation, spontaneous labor, contraindication to prostaglandins, nonreassuring fetal heart rate tracing, intrauterine growth restriction, anomalous fetus, fetal demise, or previous cesarean delivery or other significant uterine surgery were excluded. The primary outcome measure was induction-to-delivery time. Secondary outcomes were mode of delivery, tachysystole with fetal

2013 EvidenceUpdates Controlled trial quality: predicted high

120. Reducing stillbirths in low-income countries. Full Text available with Trip Pro

), and fetal origin (fetal growth restriction, fetal distress, cord prolapse, multiples, malpresentations, congenital anomalies). In LIC, aside from infectious origins, most stillbirths are caused by fetal asphyxia. Stillbirth prevention requires recognition of maternal conditions, and care in a facility where fetal monitoring and expeditious delivery are possible, usually by cesarean section (CS). Of major causes, only syphilis and malaria can be managed prenatally. Targeting single conditions (...) or interventions is unlikely to substantially reduce stillbirth. To reduce stillbirth rates, LIC must implement effective modern antepartum and intrapartum care, including fetal monitoring and CS. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

2015 Acta Obstetricia et Gynecologica Scandinavica

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