Fetal Malposition
| Autor: | Aaron B. Caughey, Yvonne W. Cheng, Rita Sharshiner |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
FETAL MALPOSITION Labor Presentation Time-to-Treatment Pregnancy medicine Humans reproductive and urinary physiology Epidural use Fetus Cesarean Section business.industry Internal rotation Pregnancy Outcome Obstetrics and Gynecology medicine.disease Musculoskeletal Manipulations Obstetric Labor Complications Surgery Obstetric labor complication Analgesia Epidural Perinatal morbidity Occiput posterior Female Risk Adjustment business |
| Zdroj: | Clinical Obstetrics & Gynecology. 58:241-245 |
| ISSN: | 0009-9201 |
| DOI: | 10.1097/grf.0000000000000106 |
| Popis: | Fetal malposition, either occiput posterior or transverse (OT), leads to greater risk of cesarean delivery, prolonged labor, and increased perinatal morbidity. Historically, there is a known association between epidural use and malposition that was assumed to be due to the increased discomfort of laboring with a fetus in the occiput posterior position. However, evidence now suggests that the epidural itself may contribute to fetal malposition by impacting the probability of internal rotation. Fetal malposition may be impacted by manual rotation. Manual rotation has been associated with greater rates of delivering in the occiput anterior position and lower rates of cesarean delivery. |
| Databáze: | OpenAIRE |
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