4,941 results match your criteria: "Breech Presentation"
Development and internal validation of a model predicting successful trial of labour among pregnant individuals with previous one caesarean section: A cohort study (DEVI-CS model).
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics & Gynaecology, Jawaharlal Institute of Medical Education & Research, Puducherry 605006, India. Electronic address:
Objective: To develop and internally validate a model predicting successful trial of labour among pregnant women with previous caesarean scar.
Design: Cohort study.
Setting: Tertiary care and teaching hospital.
Robson ten group classification system for Caesarean sections across Europe: A systematic review and meta-analysis.
Eur J Obstet Gynecol Reprod Biol
December 2024
Obstetrics & Gynaecology, Institution of Clinical Sciences Lund, Lund University, Sweden; Department of Obstetrics and Gynaecology, Skåne University Hospital, Malmö and Lund, Sweden. Electronic address:
Unlabelled: The aim of this systemic review and meta-analysis was to examine the differences in caesarean section rates across European regions and at a country level by utilizing the Robson classification system. The study has compared caesarean rates across European regions using the Robson classification to identify the drivers of caesarean section use. This review shows significant variations in caesarean section rates across European regions, ranging from 16.
View Article and Find Full Text PDFOvarian Hyperstimulation and Maternal Virilisation with Successful Pregnancy Outcome: A case report.
Sultan Qaboos Univ Med J
November 2024
Radiology, The Royal Hospital, Muscat, Oman.
Hyperreactio luteinalis (HL) and ovarian hyperstimulation syndrome during pregnancy are both benign conditions where the ovaries are enlarged with presence of multiple thin-walled cysts. The differential diagnosis is ovarian malignancy. Hyperandrogenism with resultant maternal virilisation could be seen in some cases of HL as well as in androgen secreting tumours.
View Article and Find Full Text PDFMODES OF DELIVERY IN SECOND PREGNANCY IN WOMEN WHO HAD ELECTIVE CAESAREAN SECTION FOR BREECH PRESENTATION IN FIRST PREGNANCY.
J Ayub Med Coll Abbottabad
December 2024
Department of Gynaecology, Women and children hospital, Abbottabad-Pakistan.
Article Synopsis
- The study investigates delivery outcomes in second pregnancies of women who had elective caesarean sections for breech presentation in their first pregnancies, highlighting ongoing debates about breech management.
- Conducted at Jinnah International Hospital, the research gathered data from 321 women, revealing that only 18.7% were able to achieve vaginal delivery in their second pregnancy, while 81.3% chose repeat caesarean sections.
- Key reasons for repeat caesarean included recurrent breech presentations and foetal distress, emphasizing the challenges faced by these women with subsequent pregnancies.
Routine 36-week scan: diagnosis and outcome of abnormal fetal presentation.
Ultrasound Obstet Gynecol
December 2024
Fetal Medicine Research Institute, King's College Hospital, London, UK.
Article Synopsis
- The study aimed to investigate the frequency of non-cephalic presentations seen in routine 36-week ultrasound scans, the effectiveness of external cephalic version (ECV), and cases of spontaneous rotation from non-cephalic to cephalic positions.
- A retrospective analysis was conducted on data from over 107,000 women with singleton pregnancies to explore the influence of various maternal and pregnancy factors on non-cephalic presentations and ECV success.
- Results showed that 5.8% of pregnancies had a non-cephalic presentation at the scan, with a small continuous rate of spontaneous rotation, and ECV was attempted in about 25.5% of these non-cephalic cases.
Sonographic visualization and measurement of the fetal optic chiasm and optic tract and association with the cavum septum pellucidum.
J Perinat Med
December 2024
Department of Perinatology, City Hospital of Izmir, Izmir, Türkiye.
Article Synopsis
- The study aimed to evaluate the visibility of the fetal optic chiasm and optic tracts through ultrasound and establish reference values for mid-trimester fetuses.
- It included 154 normal fetuses at 19-23 weeks of gestation, measuring various dimensions using a specific ultrasound technique, successfully visualizing OC and OTs in 70.8% of cases.
- Results showed that the dimensions of OC and OTs were positively correlated with measurements of the cavum septum pellucidum, as well as other growth indicators like biparietal diameter and head circumference.
Strategies to reduce cesarean deliveries: surveying polish obstetricians on external cephalic version practices.
Ginekol Pol
November 2024
Chair and Clinical Department of Gynecology, Obstetrics and Gynecological Oncology, Medical University of Silesia, Katowice, Poland, Poland.
Article Synopsis
- - A survey was conducted to assess Polish obstetricians' and gynecologists' knowledge and experiences regarding External Cephalic Version (ECV), revealing that many prefer elective cesarean sections for non-cephalic presentations.
- - Of the 461 respondents, a significant majority (78.70% for primiparas and 73.50% for multiparas) chose cesarean sections over ECV, with only a small fraction having participated in the procedure.
- - The findings indicated a need for better education on ECV, as experienced practitioners expressed higher concerns about its safety and efficacy, suggesting that improved training could help reduce reliance on cesarean deliveries.
Risk Factors for Developmental Dysplasia of the Hip: A Critical Analysis About an Unclear Relationship.
J Clin Med
November 2024
BIOMORF Department of Biomedical, Dental, Morphological and Functional Images, University of Messina, A.O.U Policlinico "G. Martino", Via Consolare Valeria 1, 98124 Messina, Italy.
Article Synopsis
- The study aimed to investigate how various prenatal risk factors influence developmental dysplasia of the hip (DDH) in newborns, specifically looking at the Graf grading system.
- Data was analyzed from 112 newborns diagnosed with DDH, focusing on specific risk factors like breech presentation, firstborn status, and other orthopedic conditions, using logistic regression to evaluate their impact.
- Results indicated that some factors, such as lower limb malformations, may protect against unstable DDH, while others, particularly for females, increased the risk of developing unstable forms of the condition.
Successful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report.
Medicina (Kaunas)
November 2024
Department of Obstetrics and Gynecology, Daegu Dongsan Hospital, Keimyung University School of Medicine, 56, Dalseong-ro, Jung-gu, Daegu 41931, Republic of Korea.
A 36-year-old primigravida conceived dichorionic diamniotic twins via in vitro fertilization. The first twin experienced premature rupture of membranes at 18 weeks and 5 days of gestation. Despite antibiotic treatment, the first fetus suffered intrauterine fetal death and was delivered three days later at 19 weeks and 1 day.
View Article and Find Full Text PDFEx utero intrapartum treatment (EXIT) procedure for the second twin with neck mass in a twin pregnancy with vertex/breech presentation.
BMJ Case Rep
November 2024
Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Article Synopsis
- - The case involves a twin pregnancy with one twin (twin B) diagnosed via antenatal MRI with a large cystic neck mass that negatively affects the airway and the upper limb.
- - Due to the risk of airway obstruction for twin B, a multidisciplinary team decided to perform an EXIT (ex utero intrapartum treatment) procedure.
- - The EXIT procedure was successfully executed by first delivering twin A, then using an external cephalic version to assist in the delivery of twin B’s head, followed by intubation while the mother maintained circulation.
Digital vs formal teaching of vaginal breech delivery: Which is the residents' choice?
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics and Gynecology, Santo Spirito Hospital, Pescara, affiliated University G. d'Annunzio Chieti-Pescara, Italy; EASC, Santo Spirito Hospital, Pescara, Italy. Electronic address:
Article Synopsis
- The study focuses on improving residents' training in managing breech deliveries, a critical skill in obstetrics, especially as vaginal deliveries of breech cases decline in favor of cesarean sections.
- A randomized controlled trial was conducted where obstetrics residents were divided into two groups: one received a formal lecture while the other used digital materials for home learning, with both groups evaluated through a simulation test.
- Results showed no significant differences in performance based on the type of learning, although the digital group scored slightly higher in some questionnaire aspects, indicating that both learning methods are effective in training for vaginal breech deliveries.
Comparison of outcomes of labor induction with dinoprostone vaginal insert (PROPESS) and double balloon cook catheter in term nulliparous pregnancies.
J Obstet Gynaecol Res
January 2025
Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan City, P.R. China.
Article Synopsis
- - The study compared two methods for inducing labor in first-time mothers: dinoprostone vaginal insert (PROPESS) and double balloon cook catheter (DBC), with a focus on delivery outcomes.
- - Results showed similar overall vaginal delivery rates, but PROPESS had a significantly higher rate of successful vaginal deliveries within 24 hours compared to DBC (55.45% vs. 38.43%).
- - While DBC had a higher occurrence of complications like chorioamnionitis and required more oxytocin for labor augmentation, neonatal outcomes were similar in both groups.
Intrapartum Ultrasound Guidance to Make Safer Any Obstetric Intervention: Fetal Head Rotation, Assisted Vaginal Birth, Breech Delivery of the Second Twin.
Clin Obstet Gynecol
December 2024
Department of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.
Article Synopsis
- * Research indicates that intrapartum US significantly improves predictions of labor outcomes, especially for women experiencing slow progression, and is more reliable than manual exams before instrumental deliveries.
- * Guidelines are increasingly recommending the use of intrapartum US to verify fetal position, aiding in interventions like manual rotation of the fetal position and assisted breech delivery, ultimately enhancing safety in obstetric care.
If the first child is breech, overall outcomes for families with two children are similar regardless of the mode of the first birth.
Sci Rep
October 2024
Department of Obstetrics and Gynecology, Danderyd Hospital, Stockholm, Sweden.
Article Synopsis
Refining Risk Factors for Developmental Dysplasia of the Hip in Neonates: A Cross-Sectional Study in a Tertiary Referral Center.
Med J Islam Repub Iran
June 2024
Department of Radiology, Tehran University of Medical Sciences, imam Khomeini hospital, Tehran, Iran.
Article Synopsis
- Developmental dysplasia of the hip (DDH) is a condition with various structural abnormalities in the hip, where early diagnosis and treatment are crucial for optimal outcomes.
- This study involved 399 infants to assess the prevalence of DDH, particularly focusing on those with and without associated risk factors, as well as the effectiveness of ultrasound screening in diagnosing this condition.
- Results showed that 25.8% of infants with risk factors had DDH compared to 2.8% without, with factors like being female and having limb anomalies significantly increasing the risk, highlighting ultrasound's effectiveness for early screening.
Term Breech Presentation and Timing of Delivery.
Isr Med Assoc J
October 2024
Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
Article Synopsis
- Breech presentation often leads to cesarean deliveries (CD), but the best timing for these surgeries is still a topic of debate.
- A study analyzed 468 breech CDs to determine how gestational age affects maternal and neonatal outcomes, with particular attention to emergent CDs.
- Results showed that cesarean deliveries performed between 39 + 0 and 39 + 6 weeks led to better maternal outcomes and fewer emergencies compared to surgeries at earlier or later weeks.
Difficult fetal extraction in cesarean section: Number 8 - 2024.
Rev Bras Ginecol Obstet
October 2024
Hospital das Clínicas São SebastiãoSP Brazil Hospital das Clínicas, São Sebastião, SP, Brazil.
Article Synopsis
- Difficult fetal extraction during cesarean sections is mainly caused by a deeply impacted fetal head and floating fetus presentation, with limited scientific evidence supporting various management techniques.
- Maternal complications from managing a deeply impacted fetal head include lacerations and hematomas, while neonates may suffer serious issues like hemorrhage, fractures, nerve injuries, and perinatal asphyxia.
- The abdominovaginal delivery method is linked to higher complications, while the internal podalic version followed by pelvic extraction is a distinct approach for floating fetal presentations.
Ogilvie syndrome with caecal perforation following cesarean section: a rare case report from Jordan.
Ann Med Surg (Lond)
October 2024
Faculty of Medicine, University of Kalamoon, Al-Nabk, Syria.
Article Synopsis
- Ogilvie syndrome is a rare condition marked by acute colonic dilation, first described in 1948, with an incidence of about 100 cases per 100,000 people annually in the US, and major symptoms include abdominal distention and pain.
- A case study of a 32-year-old pregnant woman revealed that after a caesarean section, she developed severe abdominal pain and distension, leading to the discovery of a caecal perforation requiring surgery.
- This condition, although more common in males, can affect women post-childbirth or pelvic surgery, and diagnosis involves imaging to check for bowel obstruction, while treatment options include conservative measures, medication, or colonoscopic decompression.
Delivery management of pregnant blue rubber bleb nevus syndrome patients: a case report and literature review.
Nagoya J Med Sci
August 2024
Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Article Synopsis
- * A case study highlights a 36-year-old first-time mother with BRBNS who had a cesarean section using spinal anesthesia due to breech presentation, with careful pre-operation imaging done to avoid complications.
- * Managing pregnant women with BRBNS requires thorough evaluation of VMs to predict potential complications and determine the safest delivery and anesthesia options.
Prediction of intrapartum caesarean section in vaginal breech birth: development of models for nulliparous and multiparous women.
J Perinat Med
November 2024
Department of Obstetrics, University Hospital of Leipzig, Leipzig, Germany.
Article Synopsis
- The study aims to create prediction models for intrapartum cesarean sections during vaginal breech births, focusing on nulliparous (first-time mothers) and multiparous (previously giving birth) women.
- Two prediction models were developed for each group, with the nulliparous model having an AUC (Area Under Curve) of 0.67 and the multiparous model showing better performance at 0.77, indicating higher accuracy.
- Key risk factors identified include epidural analgesia, maternal height, birth weight, and abdominal circumference, with a significant finding that certain factors only influence cesarean outcomes when birth weights exceed 3.8 kg or abdominal circumference is above 34 cm.
The Optimal Prediction Model for Successful External Cephalic Version.
Am J Perinatol
October 2024
Carle Illinois College of Medicine, The University of Illinois at Urbana-Champaign, Champaign, Illinois.
Article Synopsis
- Most breech fetuses are delivered via Cesarean section, but an external cephalic version (ECV) can help avoid this, though not all attempts succeed and there are risks involved.
- This study analyzed data from Carle Foundation Hospital to validate six different models designed to predict the success of ECV attempts.
- Among the models, Dahl 2021 showed the best predictive value for ECV success, suggesting it may be the most reliable tool for clinicians to use in practice.
External Cephalic Version: A Retrospective Chart Review at a Canadian Tertiary Care Centre.
J Obstet Gynaecol Can
November 2024
Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada.
Article Synopsis
- The study aimed to evaluate the success rate of external cephalic version (ECV) in breech pregnancies, identifying factors that enhance the likelihood of success and monitoring complication rates.
- Analysis of patient charts from January 2018 to December 2022 revealed a 31% overall success rate for ECV, with multiparity, transverse presentation, and higher neonatal birthweight linked to greater success.
- The findings suggest that while ECV can effectively manage term breech cases, obstetrical providers can better counsel patients by considering specific factors to improve success chances, though there was a 10% emergency cesarean rate and 8% neonatal intensive care admission rate noted.
False-Positive Human Immunodeficiency Virus-1 Test Results With Rapid Seroreversion After Third-Trimester Tdap Booster Vaccination.
Obstet Gynecol
December 2024
Departments of Pediatrics (Infectious Diseases), Medicine (Infectious Diseases), and Obstetrics and Gynecology, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, and Oishei Children's Hospital, Buffalo, New York.
Article Synopsis
- A 34-year-old pregnant woman experienced false-positive HIV test results after receiving a Tdap booster vaccine, despite initially testing negative for HIV during her first trimester.
- The false-positive results appeared in both initial screening and confirmatory tests, but follow-up tests indicated she was HIV-negative, ruling out laboratory error.
- Clinicians should be aware that vaccinations and other immune triggers can cause false-positive HIV results, emphasizing the importance of retesting sooner when such cases are suspected.
Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus and sartorius transfer: A case report.
World J Orthop
August 2024
Department of Orthopedic, Alnoor Specialist Hospital, Mecca 24241, Makkah al Mukarramah, Saudi Arabia.
Article Synopsis
- Congenital knee dislocation (CKD) is a rare condition that affects only 1% of congenital hip dislocations and can occur alone or alongside other genetic disorders.
- A case study describes a 2-year-old girl with bilateral CKD who experienced delays in treatment due to failed casting and socioeconomic barriers, presenting with limited mobility and other health issues.
- After a multidisciplinary approach, she underwent successful surgery (V-Y quadricepsplasty) and began to regain mobility, underscoring the need for early intervention in similar cases.
A Full-Term Pregnancy in a Patient With Uterus Didelphys.
Cureus
August 2024
Obstetrics and Gynaecology, Al Kharj Armed Forces Hospital, Al-Kharj, SAU.
Article Synopsis
- Müllerian duct anomalies (MDAs) are congenital issues with the uterus caused by improperly developed Müllerian ducts, and uterus didelphys is a rare type associated with complications like infertility and pain.
- A case study of a 21-year-old woman revealed an irregularly shaped uterus, diagnosed as a bicornuate uterus, but further examination before a scheduled surgery showed a thick vaginal septum, halting the procedure.
- The patient ultimately underwent a cesarean section at 37 weeks, revealing two non-communicating uteri and vaginas; the study emphasizes that proper prenatal care can lead to successful pregnancy outcomes in women with this anomaly.