Risk factors and perinatal outcome of pregnancies complicated with cephalopelvic disproportion: a population-based study

Tsvieli, Oren; Sergienko, Ruslan

doi:10.1007/s00404-011-2086-4

Cited by 28 publications

(18 citation statements)

References 32 publications

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“…The two most common indications for CD during the term period of pregnancy (37 weeks 0 days to 41 weeks 6 days of gestation) are failure to progress and fetal intolerance of labour . Cephalo‐pelvic disproportion (CPD) is a common primary cause of failure to progress and may be a co‐factor with other causes of failure to progress . Risk factors for CPD increase the chances that a fetus will be relatively large or that the maternal pelvis will be relatively small, and combinations of such risk factors increase the likelihood that the fetus will have trouble traversing the birth canal.…”

Section: Methodsmentioning

confidence: 99%

The association between the regular use of preventive labour induction and improved term birth outcomes: findings of a systematic review and meta‐analysis

Nicholson

Kellar

Henning

et al. 2015

BJOG

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Background Despite a lack of high-quality evidence, the use of 'non-indicated' term labour induction is increasingly restricted throughout the world.Objectives To assess published associations between the regular use of modelled risk-based 'non-indicated' term labour induction (hereinafter 'preventive induction') and rates of common adverse birth outcomes.Search strategy MEDLINE and PUBMED databases were searched electronically.Selection criteria Studies were identified that compared term birth outcomes following either the current standard approach with its emphasis on the expectant management of intermediate-level risk or the regular use of preventive induction.Data collection and analysis Four studies from four unique databases were identified. A meta-analysis was performed using STATA IC12.Main results Pregnancies exposed to the regular use of preventive induction (n = 1153), as compared with pregnancies receiving the current standard approach (n = 1865), experienced a lower caesarean delivery rate (5.7% versus 14.4%; relative risk 0.39, 95% CI 0.31-0.50; I 2 P = 0.21), a lower neonatal intensive care unit admission rate (2.9% versus 6.5%; relative risk 0.45, 95% CI 0.31-0.65; I 2 P = 0.57), and a lower weighted adverse outcome index score (2.8 versus 6

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Section: Methodsmentioning

confidence: 99%

The association between the regular use of preventive labour induction and improved term birth outcomes: findings of a systematic review and meta‐analysis

Nicholson

Kellar

Henning

et al. 2015

BJOG

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“…Of course, it would be interesting to assess if the width of the SPA may have a clinical impact on the labor outcome and more precisely to evaluate if a smaller SPA is associated with an increased risk of prolonged labor and dystocia, as previously suggested by clinical [14], radiological [5,15,16,17] and sonographic studies [6]. This will be the subject of a forthcoming study from our group with the aim of investigating if the maternal pubic ultrasound may be combined with the sonographic parameters of the fetal head descent to predict the chance of a spontaneous vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%

A New Method to Measure the Subpubic Arch Angle Using 3-D Ultrasound

et al. 2015

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Objectives: The aim of this study was to assess the reproducibility of both a new contrast-enhancing technique (Oblique View eXtended Imaging, OVIX; Samsung) and the recently reported 3-D multiplanar technique (MPT) in the measurement of the subpubic angle (SPA) among a group of women at term gestation. In addition, we aimed to study the intermethod agreement between the OVIX technique and MPT. Methods: We acquired a transperineal 3-D ultrasound volume from 155 women with a singleton uncomplicated term pregnancy before the onset of labor. Each 3-D dataset was analyzed by the MPT and OVIX algorithm. The angle formed by the lower edges of the pubic rami (SPA) was measured twice by an operator and once by another operator for each technique in order to assess intra- and interobserver reproducibility. Reproducibility and intermethod agreement were studied by means of the intraclass correlation coefficient (ICC) and Bland-Altman method. Results: SPA measurements performed with OVIX showed high intraobserver [ICC 0.912, 95% confidence interval (CI) 0.882-0.935] and good interobserver (ICC 0.791, 95% CI 0.724-0.844) agreement, while those measured with MPT showed moderate intraobserver (ICC 0.573, 95% CI 0.457-0.670) and good interobserver (ICC 0.640, 95% CI 0.537-0.724) agreement. Whereas the intermethod analysis showed good agreement between the MPT and the OVIX techniques (ICC 0.614, 95% CI 0.414-0.757), the SPA measured by MPT were significantly wider than those measured by OVIX (125 ± 12 vs. 120 ± 11°, p = 0.006). Conclusions: OVIX is a reliable technique for SPA measurement. MPT overestimates the SPA in comparison with OVIX. Further studies are needed to assess its clinical utility.

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“…Zniekształcenia miednicy kostnej mogą mieć również istotny wpływ na przebieg porodu fizjologicznego, znacznie go utrudniając lub uniemożliwiając, będąc istotnym czynnikiem ryzyka m.in. dysproporcji płodowo-miednicowej [11]. Przebyte operacje naprawcze w obrębie układu moczowego oraz dolnego odcinka przewodu pokarmowego stanowią nie tylko istotny czynnik ryzyka powikłań porodu operacyjnego drogą cięcia cesarskiego, lecz również, z uwagi na zmienioną anatomię i możliwą obecność rozległych zrostów, mogą wpłynąć na przebieg ciąży.…”

Section: Dyskusjaunclassified

“…Przebyte operacje naprawcze w obrębie układu moczowego oraz dolnego odcinka przewodu pokarmowego stanowią nie tylko istotny czynnik ryzyka powikłań porodu operacyjnego drogą cięcia cesarskiego, lecz również, z uwagi na zmienioną anatomię i możliwą obecność rozległych zrostów, mogą wpłynąć na przebieg ciąży. W podobnych przypadkach można rozważyć jeszcze na etapie planowania ciąży podjęcie próby oceny anatomii badaniami obrazowymi, choć znaczenie prognostyczne wyników takich badań budzi bardzo wiele kontrowersji [5,10,11].…”

Section: Dyskusjaunclassified

Ciąża, poród i połóg u kobiety po przebytym w dzieciństwie rozległym urazie miednicy oraz obustronnej wysokiej amputacji kończyn dolnych – opis przypadku

Mikołajek-Bedner

Celewicz

Grzymała-Figura

et al. 2017

Pomeranian J Life Sci

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Introduction:The aim of study was to analyze two pregnancies, deliveries and puerperal periods in a woman who had experienced bilateral lower limb amputation, pelvic bone fracture and severe injury of the urinary tract and reproductive organs. Case report: At the age of 4 she was the victim of a traffic accident, getting squashed by a trolley car, which caused crush wounds to both lower limbs and extensive perineal injury. Surgical intervention consisted of bilateral lower limb amputation at the level of the coxofemoral joint, and suturing of the torn vagina and rectum, with a temporary artificial anus formed from the sigmoid colon. Subsequent reconstructive surgery made spontaneous and well-controlled urination and defecation possible. The severe bodily injury experienced in the early life of the patient caused irreversible physical disability, accompanied, obviously, by psychological trauma. Despite this, at the age of 42, the patient decided to procreate. The first pregnancy was complicated by hyperthyroidism. Delivery by caesarean section was performed in the 31st week of gestation because of the premature rupture of membranes. Before delivery the patient was given a standard course of corticosteroids to accelerate foetal maturation. The second pregnancy was complicated not only by hyperthyroidism, but also by recurrent tachycardia and gestational diabetes mellitus. The patient received a standard dose of corticosteroids in the 32nd week of gestation. Caesarean section was performed in the 36th week of gestation because of spontaneous labour onset. During both pregnancies no neurologic abnormalities were found in the patient. She was able to asses foetal movements and uterine activity adequately, which made ambulatory perinatal care possible. The reconstructive surgery of the urinary and digestive tract that the patient underwent in her childhood was not only a strong risk factor for operative delivery complications, but also because changes in anatomy and the potential presence of adhesions could have affected the pregnancy course itself. Keywords: delivery; lower limbs amputation; pregnancy; traffic accident. ABSTRAKT Wstęp:Celem pracy było przedstawienie przebiegu ciąż, porodów i połogu u 42-letniej pacjentki, która w dzieciństwie przebyła obustronną wysoką amputację kończyn dolnych, złamanie kości miednicy oraz uszkodzenie układu moczowo-płciowego. Opis przypadku: Pacjentka w 4. r.ż. uległa wypadkowi tramwajowemu, doznając zmiażdżenia obu kończyn dolnych oraz rozległego urazu krocza. Dokonano wówczas obustronnej amputacji ud w stawach biodrowych. Rozerwaną pochwę i odbytnicę zaopatrzono chirurgiczne, wytworzono sztuczny odbyt na okrężnicy esowatej. Po licznych operacjach rekonstrukcyjnych pacjentka mogła samoistnie oddawać mocz i stolec, kontrolując potrzeby fizjologiczne. Pierwsza ciąża powikłana była nadczynnością tarczycy. Ciążę ukończono drogą cięcia cesarskiego w 31. tyg. z powodu przedwczesnego pęknięcia błon płodowych po przeprowadzeniu sterydoterapii. Kolejna ciąża pacjentki powikłana by...

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Risk factors and perinatal outcome of pregnancies complicated with cephalopelvic disproportion: a population-based study

Cited by 28 publications

References 32 publications

The association between the regular use of preventive labour induction and improved term birth outcomes: findings of a systematic review and meta‐analysis

The association between the regular use of preventive labour induction and improved term birth outcomes: findings of a systematic review and meta‐analysis

A New Method to Measure the Subpubic Arch Angle Using 3-D Ultrasound

Ciąża, poród i połóg u kobiety po przebytym w dzieciństwie rozległym urazie miednicy oraz obustronnej wysokiej amputacji kończyn dolnych – opis przypadku

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