306 results match your criteria Labor and Delivery Breech Extraction


Simulation-based training of vaginal twin delivery for experienced gynaecologists: Useful or not?

Eur J Obstet Gynecol Reprod Biol 2020 May 25;251:89-97. Epub 2020 May 25.

Department of Obstetrics and Gynaecology, Máxima MC, P.O. Box 7777, 5500 MB Veldhoven, The Netherlands; Eindhoven MedTech Innovation Centre (e/MTIC), Eindhoven, The Netherlands; Department of Electrical Engineering, Eindhoven University of Technology, P.O. Box 513, 5600 MB, Eindhoven, The Netherlands.

Objective: It is important to train clinicians to maintain and optimise maternal and neonatal outcomes after vaginal twin delivery. Simulation-based training provides opportunities for training in a realistic way without harming patients. The aim of this study is to evaluate the effect of simulation-based training concerning twin vaginal delivery on knowledge and comfort of obstetrician-gynaecologists. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.05.020DOI Listing

Reverse breech extraction at cesarean section in second stage of labor.

Wiad Lek 2020 ;73(5):1028-1031

Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

Objective: The aim: Taking into consideration the increase in the frequency of urgent C-sections in the second stage of labor and significant technical difficulties in the extraction of deeply impacted fetal head during this operation, the aim of our work was to analyze the current published biomedical data to identify the optimal technical strategies for conducting this type of surgical interventions.

Patients And Methods: Materials and methods: The search and analysis of current clinical data available in PubMed was performed. We analyzed 9 retrospective and randomized prospective studies with collected data from a total of 974 women (2002-2019). Read More

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January 2020

Use of automated fetal heart rate analysis to identify risk factors for umbilical cord acidosis at birth.

Comput Biol Med 2019 12 31;115:103525. Epub 2019 Oct 31.

Univ. Lille, EA 2694, Santé Publique, épidémiologie et Qualité des Soins, F-59000, Lille, France.

Objective: To identify clinical parameters and intrapartum fetal heart rate parameters associated with a risk of umbilical cord acidosis at birth, using an automated analysis method based on empirical mode decomposition.

Methods: Our single-center study included 381 cases (arterial cord blood pH at birth pHa ≤7.15) and 1860 controls (pHa ≥7. Read More

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http://dx.doi.org/10.1016/j.compbiomed.2019.103525DOI Listing
December 2019

Preferred way of delivery of the impacted fetal head in cesarean sections during second stage of labor.

J Obstet Gynaecol Res 2019 Dec 9;45(12):2386-2393. Epub 2019 Sep 9.

Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Aim: To compare maternal and neonatal outcomes between the 'head first' and 'legs first' delivery methods during a second stage cesarean section.

Methods: We conducted a retrospective study between January 2009 and May 2015 at a large public university tertiary referral center. Included were all women who underwent cesarean delivery with a fully dilated cervix and a fetal head at the level of the ischial spines or below. Read More

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http://dx.doi.org/10.1111/jog.14115DOI Listing
December 2019
4 Reads

Simulation of an impacted fetal head extraction during cesarean section: description of the creation and evaluation of a new training program.

J Perinat Med 2019 Oct;47(8):857-866

Department of Gynecology and Obstetrics, University Hospital Basel, Basel, Switzerland.

Background Although cesarean sections at full dilatation are increasing, training in delivering a deeply impacted fetal head is lacking among obstetricians. The purpose of the study was to implement and evaluate a theoretical and simulation-based training program for this obstetrical emergency. Methods We developed a training program consisting of a theoretical introduction presenting a clinical algorithm, developed on the basis of the available literature, followed by a simulation session. Read More

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http://dx.doi.org/10.1515/jpm-2019-0216DOI Listing
October 2019
1 Read

Maternal and neonatal outcome of reverse breech extraction of an impacted fetal head during caesarean section in advanced stage of labour: a retrospective cohort study.

BMC Pregnancy Childbirth 2019 Mar 27;19(1):98. Epub 2019 Mar 27.

Division of Obstetrics, University Hospital Zurich, Zurich, Switzerland.

Background: Caesarean section with extraction of a deeply impacted fetal head is technically challenging and is associated with serious maternal and neonatal complications. The purpose of the study was to identify risks and evaluate selected outcome parameters associated with difficult fetal head extraction during caesarean section in advanced labour comparing two different extraction techniques (head pushing vs. reverse breech). Read More

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http://dx.doi.org/10.1186/s12884-019-2253-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437943PMC
March 2019
9 Reads

Comparison of 'push method' with 'Patwardhan's method' on maternal and perinatal outcomes in women undergoing caesarean section in second stage.

J Obstet Gynaecol 2019 Jul 27;39(5):606-611. Epub 2019 Mar 27.

a Department of Obstetrics and Gynecology , Jawaharlal Institute of Post-graduate Medical Education and Research , Puducherry , India.

A deeply impacted foetal head in a second stage caesarean section is associated with an increased risk of maternal and neonatal complications. For the present study, we compared the maternal and neonatal outcomes during the use of the 'Push method' and of 'Patwardhan's method' for a foetal head delivery in a second-stage caesarean section. This was a retrospective observational study involving 298 women who underwent a second stage caesarean section with a foetal head at or below the level of their ischial spines and was conducted in a tertiary teaching hospital in South India. Read More

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http://dx.doi.org/10.1080/01443615.2018.1537259DOI Listing
July 2019
12 Reads

Twin vaginal delivery: To maintain skill - simulation is required.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 24;234:195-199. Epub 2019 Jan 24.

Hôpital Bichat, Maternité Aline de Crepy, APHP, 75018, Paris, France; Université Paris Diderot, Paris 7, Paris, France; Ilumens Paris Diderot, Centre de simulation, Paris, France; DHU Risk and Pregnancy (Paris V and Paris VII University), France. Electronic address:

Background: Although most societies of obstetrics advocate vaginal delivery of twins, there has been a steady rise in the rate of twin cesarean sections. We risk perhaps losing in a single generation our obstetrical learning and skills because of medicolegal and emotionally charged issues.

Methods: We have therefore designed a realistic as possible simulation model of second twin delivery and tested it on residents in obstetrics. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.12.038DOI Listing
March 2019
14 Reads

Assessment of Current Epidemiology and Risk Factors Surrounding Brachial Plexus Birth Palsy.

J Hand Surg Am 2019 Jun 25;44(6):515.e1-515.e10. Epub 2018 Sep 25.

Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH.

Purpose: Brachial plexus birth palsy (BPBP) is common; however, the current incidence is unknown and more than 50% of infants with BPBP have no known risk factors. The purpose of this study was to determine the current incidence of BPBP, assess known risk factors, and evaluate hypotonia as a new risk factor, as well as estimate the length of stay (LOS) and direct costs of children with an associated BPBP injury.

Methods: Data from the 1997 to 2012 Kids' Inpatient Database data sets were evaluated to identify patients with a BPBP injury and various risk factors. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.07.020DOI Listing
June 2019
10 Reads

Evaluation of a Quality Improvement Intervention to Increase Vaginal Birth for Twins.

Obstet Gynecol 2018 07;132(1):85-93

Division of Maternal-Fetal Medicine and the Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Objective: To evaluate whether there was an association between the systematic promotion of twin vaginal delivery and an increase in the rates of twin vaginal birth.

Methods: We conducted a retrospective cohort study. We implemented a quality improvement initiative promoting twin vaginal delivery at an academic tertiary care center in 2013. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002680DOI Listing
July 2018
8 Reads
5.170 Impact Factor

Delivery of the second twin: influence of presentation on neonatal outcome, a case controlled study.

BMC Pregnancy Childbirth 2018 May 18;18(1):176. Epub 2018 May 18.

Department of Obstetrics and Gynecology (OB/GYN), Paracelsus Medical University, Muellner Hauptstr. 48, A-5020, Salzburg, Austria.

Background: Spontaneous vaginal twin delivery after 32nd week of gestation is safe when first twin presenting cephalic. Aim of this study is to identify obstetric factors influencing the condition of second twin and to verify whether non-cephalic presentation and vaginal breech delivery of the second twin is safe.

Methods: This is a retrospective case controlled cohort study of 717 uncomplicated twin deliveries ≥32 + 0 weeks of gestation from 2005 to 2014 in two tertiary perinatal centers. Read More

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http://dx.doi.org/10.1186/s12884-018-1815-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960113PMC
May 2018
34 Reads

A Simulator for Breech Extraction of the Second Twin.

Obstet Gynecol 2018 06;131(6):1057-1061

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, St. Luke's University Health Network, Bethlehem, Pennsylvania.

Background: Breech extraction of a second twin is a skill useful for any health care provider planning on undertaking vaginal delivery of twins. However, training opportunities in this skill may be limited.

Method: Using readily available supplies, a reusable model neoprene uterus can be constructed, as can a balloon model to simulate a fetus in the amniotic cavity. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002609DOI Listing
June 2018
10 Reads

[E.G. Simon in reply to the article by L. Hejl et al.: Vaginal delivery in case of breech presentation: impact of a service's incentive. Gynecol Obstet Fertil Senol 2017;45(11):596-603].

Authors:
E G Simon

Gynecol Obstet Fertil Senol 2018 02 19;46(2):133-134. Epub 2018 Jan 19.

Pôle de gynécologie obstétrique, médecine fœtale, reproduction et génétique, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France; UMR Inserm U930, université de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France. Electronic address:

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http://dx.doi.org/10.1016/j.gofs.2017.12.007DOI Listing
February 2018
10 Reads

Internal Podalic Version and Breech Extraction: Enhancing Realistic Sensations in a Simulation Model.

Obstet Gynecol 2018 02;131(2):360-363

Departments of Obstetrics and Gynaecology, Pediatrics, and Epidemiology, Erasmus Medical Center, Rotterdam, and Managing Obstetrical Emergencies and Trauma (MOET), Stichting MOET, Tilburg, the Netherlands.

Background: Experience with internal podalic version and breech extraction is diminishing, especially in the younger generation of obstetricians. Simulation training is essential to teach and maintain these skills.

Instrument: We present a mannequin-based simulation method that enhances realistic sensations during training. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002424DOI Listing
February 2018
11 Reads

Labor and Delivery of Twin Pregnancies.

Obstet Gynecol Clin North Am 2017 Dec;44(4):645-654

Maternal Fetal Medicine Associates, PLLC, and The Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, 70 East 90th Street, New York, NY 10128, USA. Electronic address:

Obstetricians who care for twin pregnancies should be aware of the challenges that may arise during the labor and delivery. With recognition of these issues and proper training, providers should be able to help women with twin pregnancies achieve a safe delivery for them and their babies. With the use of breech extraction of the second twin and active management of the second stage of labor, women with twin pregnancies can also achieve a high vaginal delivery rate of both twins. Read More

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http://dx.doi.org/10.1016/j.ogc.2017.08.004DOI Listing
December 2017
11 Reads

Proportion and factors associated with low fifth minute Apgar score among singleton newborn babies in Gondar University referral hospital; North West Ethiopia.

Afr Health Sci 2017 Mar;17(1):1-6

Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Ethiopia.

Back Ground: New born babies with low Apgar scores are at an increased risk of perinatal morbidity and mortality.

Objective: To assess proportion and factors associated with low 5 minute Apgar Apgar score among singleton newborn babies in Gondar University referral hospital; North West Ethiopia.

Methods: A cross-sectional study was conducted on singleton 261 live births from March - May, 2013. Read More

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http://dx.doi.org/10.4314/ahs.v17i1.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5636237PMC
March 2017
17 Reads

Vaginal breech delivery at term and neonatal morbidity and mortality - a population-based cohort study in Sweden.

J Matern Fetal Neonatal Med 2019 Jan 22;32(2):265-270. Epub 2017 Sep 22.

c Karolinska University Hospital , Stockholm , Sweden.

Introduction: The routine to deliver almost all term breech cases by elective cesarean section (CS) has continued to be debated due to the risk of maternal and neonatal complications. The aims of the study were (1) to investigate if mode of delivery impacts on the risk of morbidity and mortality among term infants in breech presentation and (2) to compare the rates of severe neonatal complications and mortality in relation to presentation and mode of delivery.

Methods: This population-based cohort study used data from the Swedish Medical Birth Register. Read More

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http://dx.doi.org/10.1080/14767058.2017.1378328DOI Listing
January 2019
12 Reads

Twin vaginal delivery: innovate or abdicate.

Am J Obstet Gynecol 2017 05 7;216(5):484-488.e4. Epub 2017 Feb 7.

Division of Maternal-Fetal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Neonatal safety data along with national guidelines have prompted renewed interest in vaginal delivery of twins, particularly in the case of the noncephalic second twin. Yet, the rising rate of twin cesarean deliveries, coupled with the national decline in operative obstetrics, raises concerns about the availability of providers who are skilled in twin vaginal birth. Providers are key stakeholders for increasing rates of twin vaginal delivery. Read More

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http://dx.doi.org/10.1016/j.ajog.2017.01.041DOI Listing
May 2017
13 Reads

Reverse breech extraction versus the standard approach of pushing the impacted fetal head up through the vagina in caesarean section for obstructed labour: A randomised controlled trial.

J Obstet Gynaecol 2017 May 31;37(4):459-463. Epub 2017 Jan 31.

c Obstetrics and Gynaecology Department , Al-Ahrar District General Hospital , Zagazig , Egypt.

The objective of this study was to assess effectiveness and safety of the reverse breech extraction approach in Caesarean section for obstructed labour, and compare it with the standard approach of pushing the fetal head up through the vagina. This randomised controlled trial included 192 women. In 96, the baby was delivered by the 'reverse breech extraction approach', and in the remaining 96, by the 'standard approach'. Read More

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http://dx.doi.org/10.1080/01443615.2016.1256958DOI Listing
May 2017
36 Reads

Locked twins: successful vaginal delivery of both twins after Zavanelli manoeuvre of Twin B.

Eur J Obstet Gynecol Reprod Biol 2016 Dec 28;207:236-237. Epub 2016 Oct 28.

Université de Lille, Faculté de Médecine, Lille, France; Service de gynécologie-obstétrique, CHU Lille, Lille, France.

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http://dx.doi.org/10.1016/j.ejogrb.2016.10.035DOI Listing
December 2016
16 Reads

Techniques for assisting difficult delivery at caesarean section.

Cochrane Database Syst Rev 2016 Jan 31(1):CD004944. Epub 2016 Jan 31.

Women's and Children's Division, Lyell McEwin Hospital, Haydown Road, Elizabeth, SA, Australia.

Background: Caesarean section involves making an incision in the woman's abdomen and cutting through the uterine muscle. The baby is then delivered through that incision. Difficult caesarean birth may result in injury for the infant or complications for the mother. Read More

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http://dx.doi.org/10.1002/14651858.CD004944.pub3DOI Listing
January 2016
14 Reads

[G. Bleu and D. Subtil in reply to the correspondence by D. Riethmuller on their article entitled: Assessment of vacuum-assisted delivery in a frank breech presentation. Gynecol Obstet Fertil 2015;43:123-7].

Authors:
G Bleu D Subtil

Gynecol Obstet Fertil 2015 Oct 26;43(10):689. Epub 2015 Sep 26.

Pôle femme-mère-nouveau-né, hôpital Jeanne-de-Flandre, CHRU de Lille, 1, rue Eugène-Avinée, 59037 Lille cedex, France.

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https://linkinghub.elsevier.com/retrieve/pii/S12979589150025
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http://dx.doi.org/10.1016/j.gyobfe.2015.08.007DOI Listing
October 2015
13 Reads

[Training achieves an internal version and a total breech extraction at birth of second twin].

Gynecol Obstet Fertil 2015 Oct 26;43(10):646-51. Epub 2015 Sep 26.

Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.

Objectives: To evaluate French residents in obstetrics and gynaecology's training to internal version and breech extraction during vaginal delivery of the second twin.

Methods: A national descriptive survey conducted among 1064 residents between July and October 2014. Respondents were invited by email to specify the type of theoretical and practical training they had received, their university hospital obstetrical practices and the number of vaginal internal version and breech extraction of the second twin they had seen and performed. Read More

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http://dx.doi.org/10.1016/j.gyobfe.2015.08.002DOI Listing
October 2015
8 Reads

Risk factors for cesarean section and instrumental vaginal delivery after successful external cephalic version.

J Matern Fetal Neonatal Med 2016 27;29(12):2005-7. Epub 2015 Aug 27.

b Department of Obstetrics and Gynecology , Academic Medical Center , Amsterdam , The Netherlands .

Aim of this article is to examine if we could identify factors that predict cesarean section and instrumental vaginal delivery in women who had a successful external cephalic version. We used data from a previous randomized trial among 25 hospitals and their referring midwife practices in the Netherlands. With the data of this trial, we performed a cohort study among women attempting vaginal delivery after successful ECV. Read More

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http://www.tandfonline.com/doi/full/10.3109/14767058.2015.10
Publisher Site
http://dx.doi.org/10.3109/14767058.2015.1072160DOI Listing
January 2017
35 Reads

Comparison of techniques used to deliver a deeply impacted fetal head at full dilation: a systematic review and meta-analysis.

BJOG 2016 Feb 24;123(3):337-45. Epub 2015 Aug 24.

Department of Obstetrics and Gynaecology, University Hospitals of Leicester, Leicester, UK.

Background: Second-stage caesarean section with a deeply impacted fetal head is associated with maternal and neonatal complications.

Objectives: Systematic review and meta-analysis to identify, appraise and synthesise existing evidence that evaluated various techniques of delivering a baby with a deeply impacted head at full-dilation caesarean section. The primary outcome was uterine extension and secondary outcomes were other maternal and neonatal morbidities. Read More

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http://dx.doi.org/10.1111/1471-0528.13593DOI Listing
February 2016
23 Reads

Fetal presentation and successful twin vaginal delivery.

Am J Obstet Gynecol 2016 Jan 18;214(1):116.e1-116.e10. Epub 2015 Aug 18.

Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Background: Despite the demonstrated safety of a trial of labor for pregnancies with a vertex-presenting twin and clinical guidelines in support of this plan, the rate of planned cesarean delivery for twin pregnancies remains high. This high rate, as well as variation in cesarean rates for twin pregnancies across providers, may be influenced strongly by concern about delivery of the second twin, particularly when it is in a nonvertex presentation. There are limited data in the literature that has examined the impact of the position of the nonpresenting twin on successful vaginal delivery or maternal/neonatal morbidity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378150086
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http://dx.doi.org/10.1016/j.ajog.2015.08.017DOI Listing
January 2016
26 Reads

[D. Riethmuller in reply to the article by G. Bleu et al.: Assessment of vacuum-assisted delivery in a Frank breech presentation. Gynecol Obstet Fertil 2015;43:123-7].

Authors:
D Riethmuller

Gynecol Obstet Fertil 2015 Oct 23;43(10):688-9. Epub 2015 Jul 23.

Pôle Mère-Femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France. Electronic address:

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http://dx.doi.org/10.1016/j.gyobfe.2015.04.015DOI Listing
October 2015
13 Reads

Is the risk of obstetric anal sphincter injuries increased in vaginal twin deliveries?

J Matern Fetal Neonatal Med 2016 28;29(10):1700-3. Epub 2015 Jul 28.

a Division of Feto Maternal Medicine, Department of Obstetrics and Gynecology , Sunnybrook Health Science Centre, University of Toronto , Toronto , Ontario , Canada.

Objective: Vaginal twin deliveries have a higher rate of intrapartum interventions. We aimed to determine whether these characteristics are associated with an increased rate of obstetric anal sphincter injuries compared with singleton.

Study Design: Retrospective study of all twin pregnancies undergoing vaginal delivery trial was conducted from January 2000-September 2014. Read More

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http://dx.doi.org/10.3109/14767058.2015.1059813DOI Listing
December 2016
10 Reads

[Second twin delivery in cephalic presentation. Apropos of a series of 127 patients].

J Gynecol Obstet Biol Reprod (Paris) 2016 Mar 28;45(3):291-9. Epub 2015 Apr 28.

Hôpital Jean-Minjoz, pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France. Electronic address:

Introduction: In 2009, the French National College of Obstetricians and Gynaecologists (CNGOF) clinical practice guidelines encouraged the active management of the second twin (T2) in high and mobile cephalic presentation (CP) by performing systematic internal maneuvers. In our department, this type of management is less frequent as whenever T2 is not delivered spontaneously after a short time interval, an instrumental extraction is realized.

Materials And Methods: We analyzed our practice for 5 years upon 127 twin pregnancies with a trial of vaginal delivery for T2 in CP. Read More

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http://dx.doi.org/10.1016/j.jgyn.2015.04.002DOI Listing
March 2016
9 Reads

Management of twins: vaginal or cesarean delivery?

Clin Obstet Gynecol 2015 Jun;58(2):294-308

Brigham and Women's Hospital, Boston, Massachusetts.

Recent level I evidence from a single randomized-controlled trial has shown that there is no difference in fetal or neonatal outcomes (composite of fetal/neonatal death or serious neonatal morbidity) between planned cesarean delivery and planned vaginal delivery for twins between 32 and 38 6/7 weeks. As long as the presenting twin is vertex, vaginal delivery should be considered regardless of the presentation of the second twin. To avoid unnecessary cesarean deliveries and maternal morbidity, it is important to continue to train residents to perform obstetrics maneuvers necessary for vaginal delivery of twins such as vaginal breech extraction. Read More

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http://dx.doi.org/10.1097/GRF.0000000000000105DOI Listing
June 2015
7 Reads

[L. Marpeau in reply to the article by G. Bleu et al.: Assessment of vacuum-assisted delivery in a Frank breech presentation. Gynecol Obstet Fertil 2015;43:123-7].

Authors:
L Marpeau

Gynecol Obstet Fertil 2015 Apr 26;43(4):333-4. Epub 2015 Mar 26.

Service de gynécologie-obstétrique, CHU Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S12979589150007
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http://dx.doi.org/10.1016/j.gyobfe.2015.03.002DOI Listing
April 2015
16 Reads

[G. Bleu et D. Subtil in reply to the correspondence by L. Marpeau on their article entitled: Assessment of vacuum-assisted delivery in a Frank breech presentation. Gynecol Obstet Fertil 2015;43:123-7].

Authors:
G Bleu D Subtil

Gynecol Obstet Fertil 2015 Apr 26;43(4):334. Epub 2015 Mar 26.

Pôle femme-mère-nouveau-né, hôpital Jeanne-de-Flandre, CHRU de Lille, 1, rue Eugène-Avinée, 59037 Lille cedex, France.

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http://dx.doi.org/10.1016/j.gyobfe.2015.03.003DOI Listing
April 2015
14 Reads

Does advanced operative obstetrics still have a place in contemporary practice?

Curr Opin Obstet Gynecol 2015 Apr;27(2):115-20

aDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool bLiverpool Women's Hospital, NHS Foundation Trust, Liverpool, UK.

Purpose Of Review: This article reviews recent significant contributions to the literature concerning advanced operative obstetric procedures used for rotational vaginal deliveries and their alternative, primary caesarean section.

Recent Findings: Rising caesarean section rates are a global concern. Caesarean section in the second stage of labour is associated with high rates of maternal and fetal morbidity. Read More

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http://pdfs.journals.lww.com/co-obgyn/2015/04000/Does_advanc
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/GCO.0000000000000159DOI Listing
April 2015
13 Reads

Interventions for helping to turn term breech babies to head first presentation when using external cephalic version.

Cochrane Database Syst Rev 2015 Feb 9(2):CD000184. Epub 2015 Feb 9.

Department of Obstetrics and Gynaecology, Faculty of Health Sciences, Stellenbosch University and Tygerberg Hospital, PO Box 19063, Tygerberg, Western Cape, South Africa, 7505.

Background: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth so as to avoid the adverse effects of breech vaginal birth or caesarean section. Interventions such as tocolytic drugs and other methods have been used in an attempt to facilitate ECV. Read More

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http://dx.doi.org/10.1002/14651858.CD000184.pub4DOI Listing
February 2015
40 Reads

[Assessment of vacuum-assisted vaginal delivery in a frank breech presentation].

Gynecol Obstet Fertil 2015 Feb 27;43(2):123-7. Epub 2015 Jan 27.

Pôle femme-mère-nouveau-né, hôpital Jeanne-de-Flandre, université Lille Nord de France, 1, rue Eugène-Avinée, 59037 Lille cedex, France; EA 2694, université Lille Nord de France, 59000 Lille, France.

Objectives: After verification of the eligibility criteria and with an obstetrician familiar with the specific maneuvers likely to be needed, vaginal delivery of breech presentations is possible. If problems arise during the active pushing phase of labor, vacuum extraction has been described in the literature for this uncommon condition with limited series. The aim of this study is to assess retrospectively vacuum extraction in frank breech presentation in our center. Read More

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http://dx.doi.org/10.1016/j.gyobfe.2014.12.004DOI Listing
February 2015
9 Reads

Does internal podalic version of the non-vertex second twin still have a place in obstetrics? A Danish national retrospective cohort study.

Acta Obstet Gynecol Scand 2015 Jan 7;94(1):59-64. Epub 2014 Nov 7.

Department of Gynecology and Obstetrics, Roskilde University Hospital, Roskilde, Denmark.

Objective: Investigate the rate of internal podalic version followed by breech extraction for a second non-vertex twin with the first delivered vaginally, and compare neonatal outcome with emergency cesarean section.

Design: Cohort study.

Setting: National Danish Registers. Read More

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http://dx.doi.org/10.1111/aogs.12521DOI Listing
January 2015
27 Reads

Training needs in operative obstetrics for maternal-fetal medicine fellows.

J Matern Fetal Neonatal Med 2015 Aug 10;28(12):1467-70. Epub 2014 Sep 10.

a Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Greenville Health Systems , Greenville , SC , USA .

Objective: To define residual operative obstetric training needs for first-year maternal-fetal medicine (MFM) fellows.

Methods: We administered a web-based survey to all 100 first-year fellows. We used descriptive statistics to report frequency data for 13 procedures, and logistic regression to estimate odds ratios for comfort in doing and teaching selected procedures. Read More

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http://dx.doi.org/10.3109/14767058.2014.957669DOI Listing
August 2015
23 Reads

Stillbirths and very low Apgar scores among vaginal births in a tertiary hospital in Ghana: a retrospective cross-sectional analysis.

BMC Pregnancy Childbirth 2014 Aug 28;14:289. Epub 2014 Aug 28.

Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Background: Data pertaining to risk factors associated with stillbirths and very low Apgar scores is very sparse. This study was conducted to determine the prevalence of, and examine the socio-demographic and obstetric factors associated with stillbirths and very low Apgar scores among vaginal births in a tertiary health facility, Ghana.

Methods: A retrospective cross-sectional review of vaginal deliveries conducted at a teaching hospital in Ghana from 1st January to 31st December, 2009. Read More

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http://dx.doi.org/10.1186/1471-2393-14-289DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4162948PMC
August 2014
77 Reads
3 Citations
2.190 Impact Factor

Evisceration as fetal destructive operation: an art revisited.

Arch Gynecol Obstet 2015 Mar 23;291(3):701-3. Epub 2014 Aug 23.

Department of Obstetrics and Gynecology, PGIMER, Chandigarh (U.T.), 160012, India,

Fetal destructive operation is a vanishing art today. In an era of increasing cesarean deliveries it has become a historic event. Incidence of destructive operation has varied from various Indian hospitals 0. Read More

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http://dx.doi.org/10.1007/s00404-014-3428-9DOI Listing
March 2015
23 Reads

[Active management of the second twin for vaginal delivery: ruptured versus intact membranes. Apropos a series of 182 patients].

J Gynecol Obstet Biol Reprod (Paris) 2015 Mar 23;44(3):246-51. Epub 2014 Jul 23.

Pôle mère-femme, CHU Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France. Electronic address:

Aim: The vaginal management of the second twin (T2) differs throughout our country. In 2009, the French National College of Gynecologists and Obstetricians released practice guidelines, with low-level evidence, encouraging active management of the second twin, using maneuvers with intact membrane.

Patients And Methods: In our level III labour ward, these maneuvers are systematically performed when the second twin is in a breech or transverse presentation and after ruptured membranes in most cases. Read More

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http://dx.doi.org/10.1016/j.jgyn.2014.06.006DOI Listing
March 2015
17 Reads

Preterm birth by vacuum extraction and neonatal outcome: a population-based cohort study.

BMC Pregnancy Childbirth 2014 Jan 22;14:42. Epub 2014 Jan 22.

Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Retzius väg 13, 171 77 Stockholm, Sweden.

Background: Very few studies have investigated the neonatal outcomes after vacuum extraction delivery (VE) in the preterm period and the results of these studies are inconclusive. The objective of this study was to describe the use of VE for preterm delivery in Sweden and to compare rates of neonatal complications after preterm delivery by VE to those found after cesarean section during labor (CS) or unassisted vaginal delivery (VD).

Methods: Data was obtained from Swedish national registers. Read More

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http://dx.doi.org/10.1186/1471-2393-14-42DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3900732PMC
January 2014
15 Reads
1 Citation
2.190 Impact Factor

[Transverse presentation and modalities of delivery: caesarean section versus large internal cephalic version and breech extraction; about 162 births at the maternity Jason Sendwe of Lubumbashi, DR Congo].

Pan Afr Med J 2014 18;19:300. Epub 2014 Nov 18.

Département de Gynécologie-Obstétrique, Cliniques Universitaires de Lubumbashi, Faculté de Médecine, Université de Lubumbashi, République Démocratique du Congo.

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http://dx.doi.org/10.11604/pamj.2014.19.300.3120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393970PMC
November 2015
18 Reads

A meta-analysis of reverse breech extraction to deliver a deeply impacted head during cesarean delivery.

Int J Gynaecol Obstet 2014 Feb 6;124(2):99-105. Epub 2013 Nov 6.

Department of Pharmacology, Hawassa University College of Medicine and Health Sciences, Hawassa, Ethiopia.

Background: During cesarean delivery, extracting a deeply impacted head is a real challenge for obstetricians.

Objectives: To compare selected maternal and fetal outcome indicators of the "pull" (reverse breech extraction) and "push" methods for impacted fetal head extraction during cesarean delivery.

Search Strategy: A computer-based search of the Medline, Cochrane library, and HINARI databases. Read More

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http://dx.doi.org/10.1016/j.ijgo.2013.08.014DOI Listing
February 2014
20 Reads
1.563 Impact Factor

Obstetrical interventions for term first deliveries in the US.

Paediatr Perinat Epidemiol 2013 Sep 25;27(5):442-51. Epub 2013 Jul 25.

Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA.

Background: Labour induction and caesarean are increasingly done without clinical indication. However, little is known about the prevalence of such interventions, or the characteristics of women who receive them. We used the 2003 revision of the US birth certificates to summarise recorded interventions and to characterise maternal profiles associated with such interventions. Read More

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http://dx.doi.org/10.1111/ppe.12068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963489PMC
September 2013
29 Reads

The effect of chorionicity and twin-to-twin delivery time interval on short-term outcome of the second twin.

J Matern Fetal Neonatal Med 2014 Jan 31;27(1):42-7. Epub 2013 May 31.

Department of Obstetrics and Gynecology, Roskilde Hospital , Roskilde , Denmark .

Objectives: To investigate the effect of chorionicity and twin-to-twin delivery time interval on short-term outcome in the second twin as well as to investigate the predictors of adverse outcome in both twins.

Methods: Data included vaginally delivered twins (≥36 weeks) from Copenhagen University Hospitals (2001-2009). The association between delivery interval and adverse outcome parameters was compared for monochorionic (MC) and dichorionic (DC) twins by multiple linear regression. Read More

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http://dx.doi.org/10.3109/14767058.2013.799657DOI Listing
January 2014
15 Reads

Assisting instrumental delivery for breech babies at the limits of viability.

Arch Gynecol Obstet 2013 Aug 20;288(2):449-51. Epub 2013 Jan 20.

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http://dx.doi.org/10.1007/s00404-013-2716-0DOI Listing
August 2013
8 Reads

Reverse breech extraction in cases of second stage caesarean section.

J Obstet Gynaecol 2012 Aug;32(6):548-51

Department of Obstetrics and Gynaecology, Holy Family Hospital, Nazareth, Israel.

Our objective was to examine the feasibility of reverse breech extraction to disengage fetal head from the pelvis at second stage caesarean section (CS). A total of 50 consecutive women with singleton term pregnancies undergoing urgent CS at second stage were retrospectively evaluated. A total of 29 were delivered by the reverse breech manoeuvre (study group) and 21 women were delivered by the conventional approach (control group). Read More

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http://dx.doi.org/10.3109/01443615.2012.684911DOI Listing
August 2012
22 Reads

Risk factors for neonatal brachial plexus paralysis.

Arch Gynecol Obstet 2012 Aug 23;286(2):333-6. Epub 2012 Mar 23.

Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Be'er Sheva, Israel.

Purpose: The study was aimed to identify risk factors for neonatal brachial plexus paralysis.

Methods: A retrospective case-control study was designed. A comparison was performed between cases of brachial plexus paralysis, with all consecutive deliveries during the same 5 months period, without brachial plexus paralysis. Read More

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http://dx.doi.org/10.1007/s00404-012-2272-zDOI Listing
August 2012
15 Reads

Interventions for helping to turn term breech babies to head first presentation when using external cephalic version.

Cochrane Database Syst Rev 2012 Jan 18;1:CD000184. Epub 2012 Jan 18.

Department of Obstetrics and Gynaecology, Faculty of Health Sciences, Stellenbosch Universityand Tygerberg Hospital, PO Box 19063, Tygerberg, Western Cape, 7505, South Africa.

Background: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth, and reduce the adverse effects of breech vaginal birth or caesarean section. Tocolytic drugs and other methods have been used in an attempt to facilitate ECV. Read More

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http://doi.wiley.com/10.1002/14651858.CD000184.pub3
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http://dx.doi.org/10.1002/14651858.CD000184.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4171393PMC
January 2012
18 Reads

Single-institute experience, management, success rate, and outcome after external cephalic version at term.

Int J Gynaecol Obstet 2012 Feb 9;116(2):134-7. Epub 2011 Dec 9.

Department of Obstetrics and Gynecology I, Klinikum Kreuzschwestern Wels, Wels, Austria.

Objective: To determine obstetric outcomes after external cephalic version (ECV) performed at term.

Methods: In a retrospective study of ECV among pregnant women at term at Klinikum Kreuzschwestern Wels between January 1999 and June 2010, univariate and multivariate logistic regression was used to analyze factors influencing success rate.

Results: Among 379 ECV attempts, 49. Read More

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http://dx.doi.org/10.1016/j.ijgo.2011.09.027DOI Listing
February 2012
13 Reads