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"description": "Comment diagnostiquer une présentation en siège ?\nQuels signes indiquent une version fœtale ?\nQuand effectuer une échographie pour la version fœtale ?\nQuels examens préalables à la version fœtale ?\nPeut-on détecter une version fœtale par palpation ?",
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"description": "Quels symptômes peuvent indiquer un siège fœtal ?\nY a-t-il des douleurs associées à la version fœtale ?\nComment se manifeste un fœtus en siège ?\nQuels signes de détresse fœtale peuvent apparaître ?\nLes contractions sont-elles différentes en cas de siège ?",
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"description": "Comment se déroule une version fœtale ?\nQuels sont les risques de la version fœtale ?\nQuand est-il préférable de ne pas faire de version fœtale ?\nQuels médicaments peuvent être utilisés lors de la version ?\nLa version fœtale est-elle toujours efficace ?",
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"description": "Quelles complications peuvent survenir après une version ?\nLa version fœtale peut-elle entraîner une césarienne ?\nQuels sont les signes d'une complication post-version ?\nLes complications sont-elles fréquentes après une version ?\nComment gérer les complications après une version ?",
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"@type": "Question",
"name": "Comment diagnostiquer une présentation en siège ?",
"position": 1,
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"text": "L'échographie et l'examen pelvien permettent de confirmer la présentation en siège."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une version fœtale ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une palpation abdominale révèle la position du fœtus et des mouvements anormaux."
}
},
{
"@type": "Question",
"name": "Quand effectuer une échographie pour la version fœtale ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une échographie est recommandée vers la 36e semaine de grossesse pour évaluer la position."
}
},
{
"@type": "Question",
"name": "Quels examens préalables à la version fœtale ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un examen clinique et une échographie sont nécessaires pour évaluer les risques."
}
},
{
"@type": "Question",
"name": "Peut-on détecter une version fœtale par palpation ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la palpation abdominale permet d'évaluer la position du fœtus."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer un siège fœtal ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une sensation de pression dans le bas-ventre et des mouvements fœtaux anormaux."
}
},
{
"@type": "Question",
"name": "Y a-t-il des douleurs associées à la version fœtale ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales peuvent survenir lors de la manœuvre de version."
}
},
{
"@type": "Question",
"name": "Comment se manifeste un fœtus en siège ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le fœtus en siège peut provoquer des douleurs lombaires et une pression pelvienne."
}
},
{
"@type": "Question",
"name": "Quels signes de détresse fœtale peuvent apparaître ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une diminution des mouvements fœtaux ou des anomalies du rythme cardiaque."
}
},
{
"@type": "Question",
"name": "Les contractions sont-elles différentes en cas de siège ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les contractions peuvent être plus intenses et moins régulières avec un fœtus en siège."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir un siège fœtal ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode garantie pour prévenir un siège fœtal, mais un suivi régulier aide."
}
},
{
"@type": "Question",
"name": "Les exercices peuvent-ils aider à la position fœtale ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certains exercices de positionnement peuvent encourager le fœtus à se retourner."
}
},
{
"@type": "Question",
"name": "Le yoga peut-il influencer la position fœtale ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le yoga prénatal peut aider à améliorer la flexibilité et favoriser une meilleure position."
}
},
{
"@type": "Question",
"name": "Les positions de sommeil affectent-elles la version ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Dormir sur le côté gauche peut favoriser une meilleure circulation et position fœtale."
}
},
{
"@type": "Question",
"name": "Les visites régulières chez le médecin sont-elles importantes ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles permettent de surveiller la position fœtale et d'anticiper les complications."
}
},
{
"@type": "Question",
"name": "Comment se déroule une version fœtale ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "La version fœtale est réalisée par un obstétricien, souvent sous échographie et anesthésie."
}
},
{
"@type": "Question",
"name": "Quels sont les risques de la version fœtale ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent la rupture des membranes, la détresse fœtale et des saignements."
}
},
{
"@type": "Question",
"name": "Quand est-il préférable de ne pas faire de version fœtale ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "En cas de placenta praevia, de malformations fœtales ou de complications maternelles."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent être utilisés lors de la version ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tocolytiques peuvent être administrés pour détendre l'utérus pendant la manœuvre."
}
},
{
"@type": "Question",
"name": "La version fœtale est-elle toujours efficace ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La version fœtale réussit dans environ 50-70% des cas, selon la situation clinique."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir après une version ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des saignements, des contractions prématurées ou une détresse fœtale peuvent survenir."
}
},
{
"@type": "Question",
"name": "La version fœtale peut-elle entraîner une césarienne ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, si la version échoue ou si des complications surviennent, une césarienne peut être nécessaire."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une complication post-version ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs abdominales intenses, des saignements ou une diminution des mouvements fœtaux."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes après une version ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares, mais un suivi médical est essentiel après la procédure."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications après une version ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical étroit et des interventions appropriées sont nécessaires pour gérer les complications."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de siège fœtal ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les grossesses multiples, l'anatomie pelvienne et les antécédents de siège augmentent le risque."
}
},
{
"@type": "Question",
"name": "L'âge maternel influence-t-il la position fœtale ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes plus âgées peuvent avoir un risque accru de présentation en siège."
}
},
{
"@type": "Question",
"name": "Les anomalies utérines affectent-elles la version fœtale ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les anomalies utérines peuvent limiter la capacité du fœtus à se positionner correctement."
}
},
{
"@type": "Question",
"name": "Le tabagisme maternel influence-t-il la position fœtale ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut affecter le développement fœtal et augmenter le risque de siège."
}
},
{
"@type": "Question",
"name": "Les antécédents de césarienne influencent-ils la version ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les antécédents de césarienne peuvent compliquer la version fœtale et augmenter les risques."
}
}
]
}
]
}
The Robson Ten Groups Classification System (RTGCS) is increasingly used to assess, monitor, and compare caesarean section (CS) rates within and between healthcare facilities. We evaluated the major c...
We conducted a retrospective analysis of all deliveries from June 2019 through July 2020 at GRRH, Gulu city, Uganda. We reviewed files of mothers and collected data on sociodemographic and obstetric v...
We reviewed medical records of 3,183 deliveries, with a mean age of 24.6 ± 5.7 years. The overall CS rate was 13.4% (n = 427). Most participants were in RTGCS groups 3 (43.3%, n = 185) and 1 (29.2%, n...
Our study showed that GRRH patients had a low-risk obstetric population dominated by mothers in groups 3 and 1, which could explain the low overall CS rate of 13.4%. However, the rates of CS among low...
A fetal scalp electrode (FSE), first described by Edward Hon in 1967, is an intrapartum monitoring device embedded directly into the fetal scalp for an accurate measure of fetal heart rate. Though use...
Patient was a 28-year-old G6P5006 who presented for induction of labor at 39 weeks due to asymptomatic bilateral pulmonary embolism. Concerning findings on external fetal monitoring led to placement o...
Facial or brow presentation during delivery is rare but may increase the risk for misplacement of an FSE. Ultrasound verification of vertex position is warranted immediately prior to placing an FSE fo...
Occiput-posterior (OP) or occiput-transverse (OT) fetal malposition has a prevalence of 33-58% in the first-stage of labour with 12-22% persisting until delivery. Malposition is associated with signif...
To assess the incidence and health outcomes for women and their newborn infants of a fetal malposition in the first or second stage of labour....
A retrospective cohort study of 738 maternity records (randomly selected) from a tertiary hospital in New Zealand. Maternal and neonatal characteristics are described. Outcomes for women with a fetus ...
499 (68%) women had an OP/OT positioned fetus and 239 (32%) had an OA positioned fetus on vaginal examination in labour. Women had similar characteristics except a body mass index ≥30 kg/m2 was more c...
Interventions such as maternal posture in the first and second stage of labour could potentially reduce the incidence of malposition and improve health outcomes for mothers....
To evaluate the association between fetal head position during prevacuum assessment and adverse outcomes....
This retrospective cohort study included all vacuum-assisted deliveries using the Kiwi Omnicup over 5 years. Primary outcomes were third- or fourth-degree perineal tear, pH < 7.1, and subgaleal hemato...
The study included 1960 patients. OP position was more likely to involve epidural analgesia (311 [82.5%] vs. 1216 [77%], P = 0.020), higher fetal head station (P = 0.001), higher percentage of cup det...
OP position is an independent risk-factor for anal sphincter injury and SGH during vacuum-assisted delivery....
During the second stage of labor, in case of a need for a fetal extraction at midcavity, the choice of attempting the procedure between operative vaginal delivery and cesarean delivery is difficult. M...
This study aimed to identify antenatal and intrapartum parameters associated with a failed midcavity vacuum-assisted delivery and its association with maternal and neonatal adverse outcomes....
This was a single-center, retrospective, cohort study conducted at a tertiary maternity hospital in France from January 2010 to December 2020. Women with singleton pregnancies under epidural analgesia...
Overall, 951 cases of midcavity vacuum-assisted delivery were included in this study. Failed midcavity vacuum-assisted delivery occurred in 242 patients (25.4%). Factors independently associated with ...
Study data showed that a high fetal head station, measured using the head-to-perineum distance, and a nonocciput anterior position of the fetal head are independently associated with failed midcavity ...
Little is known about the latent phase of labor, including whether its duration influences subsequent labor processes or birth outcomes....
This study aimed to describe the duration of the latent phase of labor from self-report of the onset of painful contractions to a cervical dilation of 5 cm in a large, Swedish population and evaluate ...
This was a population-based cohort study of 67,267 pregnancies with deliveries between 2008 and 2020 in the Stockholm-Gotland Regions, Sweden. Nulliparous and parous women without a history of cesarea...
Including the time from painful contraction onset to a cervical dilation of 5 cm, the median durations of the latent phase of labor were 16.0 (interquartile range, 10.0-26.6) hours for nulliparous wom...
The duration of the latent phase of labor in nulliparous women was longer than that of multiparous women at each point of distribution. A longer duration of the latent phase of labor was associated wi...
The assessment of labor progress from digital vaginal examination has remained largely unchanged for at least a century, despite the current major advances in maternal and perinatal care. Although inc...
This study aimed to compare the prognostic accuracy of intrapartum transperineal ultrasound measures of fetal descent before operative vaginal birth in predicting complicated or failed procedures....
We performed a predefined systematic search in Medline, Embase, CINAHL, and Scopus from inception to June 10, 2022....
We included studies assessing the following intrapartum transperineal ultrasound measures before operative vaginal birth to predict procedure outcome: angle of progression, head direction, head-perine...
Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Bivariate meta-analysis was used to pool sensitivities and specificities into summary receiver operating ...
Overall, 16 studies involving 2848 women undergoing attempted operative vaginal birth were included. The prognostic accuracy of intrapartum transperineal ultrasound measures taken at rest to predict f...
Angle of progression, progression distance, and midline angle measured with pushing demonstrated the highest prognostic accuracy in predicting complicated or failed operative vaginal birth. Overall, t...
The angle of progression (AoP) for assessing fetal head (FH) descent during labor is measured from the standard plane of transperineal ultrasound images as the angle between a line through the long ax...
To measure maternal/fetal SARS-CoV-2 antibody levels....
A prospective observational study of eligible parturients admitted to the hospital for infant delivery was conducted between April and September 2020. SARS-CoV-2 antibody levels were measured in mater...
In total, 402 mothers were enrolled and spike RBD antibodies in 388 pregnancies were measured (336 maternal and 52 cord specimens). Of them, 19 were positive (15 maternal, 4 cord) resulting in a serop...
A variable antibody response to SARS-CoV-2 in pregnancy among asymptomatic infections compared to symptomatic infections was found, the significance of which is unknown. Although transfer of transplac...
