Management of delivery when malposition of the fetal head complicates the second stage of labour

2015 ◽  
Vol 17 (4) ◽  
pp. 273-280 ◽  
Author(s):  
Nicola Tempest ◽  
Kate Navaratnam ◽  
Dharani K Hapangama
Keyword(s):  
Fetal Head ◽  
Second Stage ◽  
Second Stage Of Labour

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

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 OC141: Correlation between sonographically determined fetal head rotation and direction in the second stage of labour

2008 ◽  
Vol 32 (3) ◽  
pp. 289-289
Author(s):  
T. Ghi ◽  
M. Segata ◽  
A. Farina ◽  
G. Simonazzi ◽  
S. Gabrielli ◽  
...  
Keyword(s):  
Head Rotation ◽  
Fetal Head ◽  
Second Stage ◽  
Second Stage Of Labour

scholarly journals Maternal and neonatal outcome in second stage cesarean section versus first stage: a comparative study

2018 ◽  
Vol 7 (11) ◽  
pp. 4640
Author(s):  
Anusha S. R. ◽  
Deepak A. V. ◽  
K. J. Jacob
Keyword(s):  
Cesarean Section ◽  
Neonatal Outcome ◽  
Cross Sectional Study ◽  
Fetal Head ◽  
Cross Sectional ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Adjacent Structures ◽  
Duration Of Surgery ◽  
Fetal Complications

Background: Cesarean Section is the most commonly performed abdominal operation in women all over the world. Variable rates of cesarean section are reported between and within countries. Cesarean section at full cervical dilatation with an impacted fetal head can be technically difficult and is associated with increased trauma to the lower uterine segment and adjacent structures, as well as increased hemorrhage and infection.Methods: This is a comparative cross-sectional study comparing maternal and neonatal outcome between first stage and second stage cesarean section performed at Govt Medical College Thrissur.Results: In present study out of 90 cesarean sections 30 were performed in second stage and 60 in first stage.74 % were primigravida in second stage cs group. Arrest due to malposition was major indication for second stage (76% of cases). The most important complication among second stage cs group was PPH (76.7%) and majority of them needed blood transfusion. These complications were less in first stage cs group. Other Complications like increased duration of surgery (mean=53.3 min), post op fever (36% post op Wound infection (13.3%) was seen in second stage group. Fetal complications like low APGAR scores were seen in 16.7% of cases compared to first stage group and most of them needed resuscitation.Conclusions: Women undergoing cesarean section in second stage of labour had increased maternal and fetal morbidity. They required special care and hence Operation should ideally perform and supervised by an experienced obstetrician. Timely decision for cesarean section should be made especially when risk factors for failure to progress are present.

Sign in / Sign up

Export Citation Format

Share Document