scholarly journals OP19.05: Does McRoberts' manoeuvre affect fetal head angle of progression in active second stage of labour?

2017 ◽  
Vol 50 ◽  
pp. 110-111
Author(s):  
A.L. Zimerman ◽  
R. Maymon ◽  
J. Tobbin
Keyword(s):  
Fetal Head ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Angle Of Progression

scholarly journals OP04.07: Three‐dimensional transperineal ultrasound render of fetal head in the second stage of labour: a pilot study

2019 ◽  
Vol 54 (S1) ◽  
pp. 97-97
Author(s):  
A. Youssef ◽  
M. Dodaro ◽  
G. Di Donna ◽  
L. Bianchini ◽  
F. Bellussi ◽  
...  
Keyword(s):  
Pilot Study ◽  
Three Dimensional ◽  
Transperineal Ultrasound ◽  
Fetal Head ◽  
Second Stage ◽  
Second Stage Of Labour

Effects of fetal head shape variation on the second stage of labour

2015 ◽  
Vol 48 (9) ◽  
pp. 1593-1599 ◽  
Author(s):  
Xiani Yan ◽  
Jennifer A. Kruger ◽  
Poul M.F. Nielsen ◽  
Martyn P. Nash
Keyword(s):  
Shape Variation ◽  
Head Shape ◽  
Fetal Head ◽  
Second Stage ◽  
Second Stage Of Labour

scholarly journals Maternal and foetal outcome in second stage caesarean section: a prospective study

2021 ◽  
Vol 10 (4) ◽  
pp. 1644
Author(s):  
Shuchi Sharma ◽  
Poojan Dogra ◽  
Reena Sharma ◽  
Suraj Bhardwaj
Keyword(s):  
Caesarean Section ◽  
Prospective Study ◽  
Cervical Dilatation ◽  
Bladder Injury ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Adjacent Structures ◽  
A Prospective Study

Background: Caesarean section is the most commonly performed abdominal operation in women all over the world. Caesarean sections during the second stage labour accounts for approximately one fourth of all primary caesareans.  Caesarean section at full cervical dilatation is technically difficult and is associated with increased trauma to the lower uterine segment and adjacent structures, as well as increased haemorrhage and infection. Aims and objectives were to determine the indications, maternal and foetal morbidity associated with caesarean section in the second stage of labour.Methods: This prospective study included consecutive 50 cases of caesarean section deliveries conducted in second stage of labor for singleton live pregnancies at term. The data collected in the study was analyzed in terms of maternal demographics, indications of caesarean section, intra-operative and postoperative complications and neonatal outcomes.Results: In our series of 50 deliveries, arrest of descent of fetal head due to malposition was the most common indication of caesarean section accounting for 74% and average procedure time was 45-70 minutes. PPH (62%) was the most common complication. Bladder injury was found in 14% cases. Neonatal outcome variables like APGAR<3 at 5 minutes, respiratory distress and neonatal death were observed in 7, 26 and 2 deliveries respectively.Conclusions: Women undergoing cesarean section in second stage of labour are associated with increased maternal and fetal morbidity. They require special care and hence operation should ideally be performed and supervised by an experienced obstetrician. A proper judgement is required to take a decision for caesarean section at full cervical dilatation.

scholarly journals P22.11: Fetal head molding: changes of fetal head diameters during active second stage of labour on open MRI scanner

2014 ◽  
Vol 44 (S1) ◽  
pp. 318-318
Author(s):  
C. Bamberg ◽  
N. Sindhwani ◽  
U. Teichgraeber ◽  
J.W. Dudenhausen ◽  
J. Deprest ◽  
...  
Keyword(s):  
Fetal Head ◽  
Open Mri ◽  
Second Stage ◽  
Second Stage Of Labour

scholarly journals OP07.08: An image-scoring method for angle of progression in the second stage of labour

2014 ◽  
Vol 44 (S1) ◽  
pp. 78-79
Author(s):  
T. Bultez ◽  
P. Bouhanna ◽  
S. Menard ◽  
T. Popowski ◽  
T. Quibel ◽  
...  
Keyword(s):  
Scoring Method ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Angle Of Progression

scholarly journals McRoberts' maneuver increases fetal head angle of progression in second stage of labor

2018 ◽  
Vol 52 (4) ◽  
pp. 545-547 ◽  
Author(s):  
A. L. Zimerman ◽  
M. Moskovich ◽  
E. B. Levi ◽  
R. Maymon ◽  
J. Tobvin ◽  
...  
Keyword(s):  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Angle Of Progression

Postpartum lumbosacral radiculopathy: a neuraxial anaesthesia complication or an intrinsic obstetric palsy?

2021 ◽  
Vol 14 (4) ◽  
pp. e241669
Author(s):  
Leonor Silva Sousa ◽  
Jânia Pacheco ◽  
Catarina Reis-de-Carvalho ◽  
Filipa Lança
Keyword(s):  
Peripheral Nerve ◽  
Lower Limbs ◽  
Motor Deficit ◽  
Fetal Head ◽  
Lumbosacral Radiculopathy ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Obstetrical Complication ◽  
Aetiological Diagnosis ◽  
Spinal Epidural

Postpartum peripheral nerve disorders are an uncommon obstetrical complication, with most cases resulting from intrinsic obstetric palsies. We present the case of a full-term nulliparous pregnant 33-year-old woman with a vacuum-assisted vaginal delivery due to a prolonged second stage of labour and occipitoposterior position of the fetal head. For analgesia, a combined spinal–epidural technique was used. Four hours after delivery, the patient experienced a painless asymmetric motor deficit and hypoesthesia in the lower limbs, followed by sphincter disturbance. Emergent MRI was unremarkable. Electromyography showed signs of a bilateral lumbosacral radiculopathy. The patient experienced a gradual recovery over the following 2 months. Although a definitive aetiological diagnosis could not be confirmed, a lumbosacral polyradiculopathy due to intrinsic obstetric complication was considered. The patient presented several risk factors known to be associated with intrinsic obstetric palsies. Obstetricians and anaesthesiologists have an important role in preventing and diagnosing postpartum peripheral nerve disorders.

scholarly journals Mueller-Hillis maneuver and angle of progression: Are they correlated?

2017 ◽  
Vol 63 (6) ◽  
pp. 527-531
Author(s):  
Sofia Mendes ◽  
Rita Silva ◽  
Inês Martins ◽  
Susana Santo ◽  
Nuno Clode
Keyword(s):  
Roc Curve ◽  
Area Under The Curve ◽  
P Value ◽  
Operating Characteristics ◽  
Roc Curve Analysis ◽  
Singleton Pregnancy ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Angle Of Progression

Summary Objective: Mueller-Hillis maneuver (MHM) and angle of progression (AOP) measured by transperineal ultrasound have been used to assess fetal head descent during the second stage of labor. We aimed to assess whether AOP correlates with MHM in the second stage of labor. Method: A prospective observational study including women with singleton pregnancy in the second stage of labor was performed. The AOP was measured immediately after the Mueller-Hillis maneuver. A receiver-operating characteristics (ROC) curve analysis was performed to determine the best discriminatory AOP cut-off for the identification of a positive MHM. A p-value less than 0.05 was considered statistically significant. Results: One hundred and sixty-six (166) women were enrolled in the study and 81.3% (n=135) had a positive MHM. The median AOP was 143º (106º to 210º). The area under the curve for the prediction of a positive maneuver was 0.619 (p=0.040). Derived from the ROC curve, an AOP of 138.5º had the best diagnostic performance for the identification of a positive MHM (specificity of 65% and a sensitivity of 67%). Conclusion: An AOP of 138º seems to be associated with a positive MHM in the second stage of labor.

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