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Fetal Malpresentation

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121. Cervical Ripening Balloon in Induction of Labour at Term

at term will be will be identified by doctors and clinical research coordinator in the subsidized clinic or labour ward or obstetric subsidized wards, and screened accordingly with inclusion criteria and exclusion criteria. Inclusion criteria: Pregnant women aged 21 - 40 years old, singleton pregnancy, no major fetal anomaly, planned induction of labour at 37+0 weeks to 41+6 weeks gestation, vaginal delivery is appropriate, patient able to give informed consent to participate in the trial Exclusion (...) criteria: Spontaneous labour at start of planned induction, Bishop score <6 and cervical dilatation >=3 cm at start of induction, confirmed rupture of membrane, abnormal CTG at start of induction, caesarean section delivery is indicated, scarred uterus such as previous caesarean section, malpresentation in labour, patient withdraw consent to participate in the trial. Latex allergy, severe asthma and glaucoma. Study Design Go to Layout table for study information Study Type : Interventional (Clinical

2015 Clinical Trials

122. Pregnancy outcome and uterine fibroids. (PubMed)

Pregnancy outcome and uterine fibroids. Myomas are observed in about 3-12% of pregnant women. Uterine fibroids may affect the outcome of pregnancy. The presence of myomas - in particular of myomas that distort the uterine cavity and larger intramural myomas - has been associated with infertility. In the case of pregnancy, it has been linked to an increased risk of spontaneous abortion, fetal malpresentation, placenta previa, preterm birth, cesarean section, and peripartum hemorrhage. Although

2015 Best practice & research. Clinical obstetrics & gynaecology

123. Cervical Ripening With Cook Catheter Plus Low Dose Oxytocin

will be placed by either Resident or Attending Physicians and left in place for 12 hours (protocol) in both groups or until it falls out. After either 12 hours or the Balloon falls out, oxytocin will be used for the remainder of the induction per current hospital protocol. Time to delivery, mode of delivery, average number of hours Balloon remained in place, non-reassuring fetal heart tracings, adverse outcomes (ie fetal malpresentation, postpartum hemorrhage) will be recorded. Condition or disease (...) . 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: 16 Years to 40 Years (Child, Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: singleton pregnancy reassuring fetal status at time of presentation Bishop Score <6 Exclusion Criteria: Closed cervix Breech presentation Multiple gestations

2015 Clinical Trials

124. Location of Childbirth For Rural Women: Implications For Maternal Levels Of Care. (PubMed)

Location of Childbirth For Rural Women: Implications For Maternal Levels Of Care. A recent American Congress of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine (MFM) consensus statement on levels of maternity care lays out designations that correspond to specific capacities available in facilities that provide obstetric care. Pregnant women in rural and remote areas receive particular attention in discussions of regionalization and levels of care, owing to the challenges (...) cross-sectional analysis of administrative hospital discharge data for all births to rural women in 9 states in 2010 and 2012. Multivariate logistic regression models were used to predict the odds of childbirth in a nonlocal hospital (at least 30 road miles from the patient's residence). We examined patient age, race/ethnicity, payer, rurality, clinical diagnoses (diabetes, hypertension, hemorrhage during pregnancy, placental abnormalities, malpresentation, multiple gestation, preterm delivery

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2015 American Journal of Obstetrics and Gynecology

125. Obstetric Care Consensus No. 3 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

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2015 Obstetrics and Gynecology

126. Obstetric Care Consensus No. 3: 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

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2015 Obstetrics and Gynecology

127. ACOG/SMFM Obstetric Care Consensus: 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

2015 American Journal of Obstetrics and Gynecology

128. Effect of Adjunctive Misoprostol Treatment on Blood Loss at Vaginal Delivery

is multiple. There is a breech or other malpresentation The patient reports involvement in another clinical trial currently or previously in this pregnancy. The patient is expected to have a cesarean delivery. The patient had a prior cesarean delivery. There has been an intrauterine fetal death. There is polyhydramnios (amniotic fluid index >22 cm). Presence of acute or chronic renal disease Presence of preeclampsia Of subjects who enter the study, the development of certain conditions will exclude them (...) completed weeks) live singleton gestation in cephalic presentation and has been admitted to the Labor and Delivery Unit She is in the latent phase of labor or has been admitted for induction of labor or at prenatal clinic visit She has had fewer than four prior vaginal deliveries. She reports no allergy to misoprostol. The following factors or conditions will exclude a patient from consideration as a subject: The fetus has a known major fetal malformation or chromosome abnormality The gestation

2015 Clinical Trials

129. Reducing stillbirths in low-income countries. (PubMed)

), 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.

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2015 Acta Obstetricia et Gynecologica Scandinavica

130. Effect of Uterine Massage Versus Sustained Uterine Compression on Blood Loss After Vaginal Delivery

, with a singleton pregnancy, gestational age of 36 or more weeks, and with fewer than or equal to three previous childbirths. Exclusion Criteria: Exclusion criteria include multiple gestation, fetal malpresentation, the third stage of labor lasting more than 30 minutes, a previous cesarean delivery, chorioamnionitis, three or more previous induced abortions, preeclampsia, fetal death, polyhydramnios, hemoglobin of 9 g/L or less before delivery, coagulopathy, on magnesium sulfate infusion, abruptio placentae

2015 Clinical Trials

131. A descriptive analysis of the indications for caesarean section in mainland China. (PubMed)

overall rate of CS in mainland China was 54.90%. The most common indication for CS was caesarean delivery on maternal request (CDMR; 28.43%), followed by cephalo-pelvic disproportion (14.08%), fetal distress (12.46%), previous CS (10.25%), malpresentation and breech presentation (6.56%), macrosomia (6.10%) and other indications (22.12%). CDMR accounted for 15.53% of all the deliveries and 28.43% of all CS deliveries in mainland China.CDMR appears to be a considerable driver behind the increasing CS

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2014 BMC Pregnancy and Childbirth

132. Indications for Caesarean sections in a rural hospital in the Highlands of Papua New Guinea. (PubMed)

Indications for Caesarean sections in a rural hospital in the Highlands of Papua New Guinea. We retrospectively documented indications for Caesarean sections in a rural district level hospital in the highlands of Papua New Guinea. Over a 53-month study period, 745 Caesarean sections were performed. Prolonged labour, previous history of Caesarean section, cephalopelvic disproportion, malpresentation and fetal distress accounted for over 88% of Caesarean sections performed. In older mothers (aged

2014 Tropical Doctor

133. Middle Cerebral To Umbilical Artery Doppler Ratio And Amniotic Fluid Volume Measurement In Post-date Pregnancies

or Rh isoimmunization) Prelabor rupture of membranes Polyhydramnios Women with multiple pregnancy Congenital fetal anomalies Antepartum hemorrhage Previus cesarean section Fetal malpresentation 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 (...) the adverse perinatal fetal outcome in uncomplicated postdate pregnancy Condition or disease Intervention/treatment Pregnancy, Prolonged Other: ultrasound and Doppler examination Detailed Description: The Study Will be a case-control study that will be conducted at Banha University Hospital after the approval of Institutional ethical committee. One hundred pregnant women will be recruited from antenatal clinic. Starting from November 2013. An informed consent will be obtained from the patients

2014 Clinical Trials

134. Diazepam at the Active Phase of Labor

by (Responsible Party): Yunhai Chuai, Navy General Hospital, Beijing Study Details Study Description Go to Brief Summary: Prolonged labour can lead to increased maternal and neonatal mortality and morbidity due to increased risks of maternal exhaustion, postpartum haemorrhage and sepsis, fetal distress and asphyxia and requires early detection and appropriate clinical response. The risks for complications of prolonged labour are much greater in poor resource settings. Active management of labour versus (...) complications previous uterine scarring, or cervical surgery cervical dilatation of more than 5 cm other antispasmodics in the first stage malpresentation, macrosomia, cephalopelvic disproportion 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): NCT02232035

2014 Clinical Trials

135. Titrated Oral Misoprostol Compared to Vaginal Dinoprostone for Induction of Labor

Adult Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Single vertex presentation. Gestational age > 37 weeks calculated from last menstrual period or U/S scanning. Bishop score <8 . Not in labor. Reassuring fetal heart rate (CTG for 20 min on the day of induction). Valid indication for Induction of labor. Exclusion Criteria: Gestational age <37 weeks. Patients with rupture of membranes. Previous uterine scar. Fetal malpresentation. Multiple pregnancy (...) stability. It ripens the cervix by inducing regular uterine contractions. However, it is associated with several adverse effects especially uterine hyperstimulation, which is painful and may result in fetal compromise. Testing the efficacy and safety of titrated oral misoprostol versus vaginal dinoprostone may develop a new safe and effective method for labor induction. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 200

2014 Clinical Trials

136. Face Presentation (Overview)

the longitudinal axis of the uterus. Nonvertex presentations (including breech, transverse lie, face, brow, and compound presentations) occur in less than 4% of fetuses at term. Malpresentation of the vertex presentation occurs if there is deflexion or extension of the fetal head leading to brow or face presentation, respectively. In a face presentation, the fetal head and neck are hyperextended, causing the occiput to come in contact with the upper back of the fetus while lying in a longitudinal axis (...) to the pelvic axis and the anterior fontanel is on the right maternal side, the fetus would be in the right frontotransverse position (RFT). Next: Background Face presentation occurs in 1 of every 600-800 live births, averaging about 0.2% of live births. Causative factors associated with a face presentation are similar to those leading to general malpresentation and those that prevent head flexion or favor extension. Possible etiology includes multiple gestations, grand multiparity, fetal malformations

2014 eMedicine.com

137. Assisted Reproduction Technology (Follow-up)

, retained products of conception, or postpartum curettage should alert the clinician to a possible uterine factor. A history of abnormal bleeding, such as heavy menses, midcycle spotting, or irregular bleeding, may represent an intrauterine fibroid, polyp, or synechiae. Malpresentation during pregnancy or often suggests a uterine anomaly, such as a septum or bicornuate uterus. A screening transvaginal ultrasonography performed immediately following the cessation of menses may demonstrate a uterine (...) and the physician. This goal is also less vulnerable to misinterpretation than the pregnancy rate (single positive hCG vs serial increases) or the clinical pregnancy rate (gestational sac vs fetal pole vs fetal pole with heartbeat). IVF outcomes 2005 data for IVF outcomes are summarized and results can be viewed on the and Society for Web sites. Outcomes are stratified based on cycle type (fresh IVF, frozen embryo IVF, donor IVF, and maternal age). Overall, 134,260 ART cycles were performed in the United States

2014 eMedicine.com

138. Umbilical Cord Complications (Diagnosis)

the cervix into the vagina is significant. Occult prolapse occurs when the cord lies alongside the presenting part. Cord prolapse occurs in 0.6% of deliveries. The risk is increased with fetal malpresentations, especially when the presenting part does not fill the lower uterine segment, as is the case with incomplete breech presentations (5-10%), premature infants, and multiparous women. [ ] Causes include abnormal presentation, a long umbilical cord, polyhydramnios, prematurity, and an unengaged (...) Complications Updated: Jun 01, 2018 Author: Marie Helen Beall, MD; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Umbilical Cord Complications Overview Overview Umbilical cord abnormalities are numerous, ranging from false knots, which have no clinical significance, to vasa previa, which often leads to fetal death. As prenatal ultrasonography becomes increasingly sophisticated, many of these conditions are being diagnosed in utero. However, many are not apparent before

2014 eMedicine.com

139. Brow Presentation (Overview)

the longitudinal axis of the uterus. Nonvertex presentations (including breech, transverse lie, face, brow, and compound presentations) occur in less than 4% of fetuses at term. Malpresentation of the vertex presentation occurs if there is deflexion or extension of the fetal head leading to brow or face presentation, respectively. In a face presentation, the fetal head and neck are hyperextended, causing the occiput to come in contact with the upper back of the fetus while lying in a longitudinal axis (...) to the pelvic axis and the anterior fontanel is on the right maternal side, the fetus would be in the right frontotransverse position (RFT). Next: Background Face presentation occurs in 1 of every 600-800 live births, averaging about 0.2% of live births. Causative factors associated with a face presentation are similar to those leading to general malpresentation and those that prevent head flexion or favor extension. Possible etiology includes multiple gestations, grand multiparity, fetal malformations

2014 eMedicine.com

140. Assisted Reproduction Technology (Overview)

, retained products of conception, or postpartum curettage should alert the clinician to a possible uterine factor. A history of abnormal bleeding, such as heavy menses, midcycle spotting, or irregular bleeding, may represent an intrauterine fibroid, polyp, or synechiae. Malpresentation during pregnancy or often suggests a uterine anomaly, such as a septum or bicornuate uterus. A screening transvaginal ultrasonography performed immediately following the cessation of menses may demonstrate a uterine (...) and the physician. This goal is also less vulnerable to misinterpretation than the pregnancy rate (single positive hCG vs serial increases) or the clinical pregnancy rate (gestational sac vs fetal pole vs fetal pole with heartbeat). IVF outcomes 2005 data for IVF outcomes are summarized and results can be viewed on the and Society for Web sites. Outcomes are stratified based on cycle type (fresh IVF, frozen embryo IVF, donor IVF, and maternal age). Overall, 134,260 ART cycles were performed in the United States

2014 eMedicine.com

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