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

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.

Correlation between clinical fetal head station and sonographic angle of progression during the second stage of labor

2017 ◽  
Vol 31 (21) ◽  
pp. 2905-2910 ◽  
Author(s):  
Sharon Perlman ◽  
Zvi Kivilevitch ◽  
Orit Moran ◽  
Eldad Katorza ◽  
Salim Kees ◽  
...  
Keyword(s):  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Angle Of Progression

scholarly journals 381: The association between fetal head station at the first diagnosis of the second stage of labor and the risk for operative delivery according to parity

2018 ◽  
Vol 218 (1) ◽  
pp. S234-S235
Author(s):  
Eran Ashwal ◽  
Liran Hiersch ◽  
Michal Livne ◽  
Sharon Maslovitz ◽  
Michael J. Kupferminc ◽  
...  
Keyword(s):  
Operative Delivery ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
First Diagnosis

scholarly journals Three-dimensional magnetic resonance imaging of fetal head molding and brain shape changes during the second stage of labor

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0215721 ◽  
Author(s):  
Olivier Ami ◽  
Jean Christophe Maran ◽  
Petra Gabor ◽  
Eric B. Whitacre ◽  
Dominique Musset ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Three Dimensional ◽  
Resonance Imaging ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Brain Shape ◽  
Shape Changes

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.

Sign in / Sign up

Export Citation Format

Share Document