The effect of Kristeller maneuver on maternal and neonatal outcome

Açmaz, Gökhan; Albayrak, Evrim; Öner, Gökalp; Başer, Mürvet; Aykut, Gülsüm; Tekin, Gulender Tas; Zararsız, Gökmen; Müderris, İptisam İpek

doi:10.5455/aces.20140328024258

Cited by 10 publications

(17 citation statements)

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“…10 The Kristeller maneuver, albeit safe for the fetus, increases the risk of vaginal and cervical laceration and should thus be avoided. 11 In order to improve prenatal care and delivery and adapt obstetric practices to current recommendations, the Brazilian Ministry of Health has been adopting several public policies: the National Prenatal and Birth Program (PHPN) by means of the Ordinance GM No. 569, of June 1, 2000; 12 the guarantee of right to an accompanying person during labor, childbirth and immediate puerperium (Law 11,108, of April 7, 2005) 13 and the so-called Stork Network (Rede Cegonha, Ordinance No.…”

Section: Introductionmentioning

confidence: 99%

Practices and obstetric interventions in women from a state in the Northeast of Brazil

Prado

Mendes

Gurgel

et al. 2017

Rev. Assoc. Med. Bras.

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Section: Introductionmentioning

confidence: 99%

Practices and obstetric interventions in women from a state in the Northeast of Brazil

Prado

Mendes

Gurgel

et al. 2017

Rev. Assoc. Med. Bras.

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show abstract

“…In another study, it was stated that there was an increase in the elongation of the episiotomy incision and cervical laceration in the fundal pressure group. 16 Likewise, many studies in the literature have revealed that fundal pressure applied in the second stage of labor increases the risk of perineal laceration. 15,18,27 Upon reviewing other studies in the literature, parallelism was observed between the studies in terms of deepening in the episiotomy incision and cervical laceration in the fundal pressure group.…”

Section: Discussionmentioning

confidence: 99%

Effect of uterine fundal pressure applied in the second stage of labor on birth outcomes and neonatal oxygen saturation

Akpınar

Çapık

2022

J of Obstet and Gynaecol

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Aim To examine the effect of fundal pressure applied in the second stage of labor on birth outcomes and neonatal O2 saturation. Methods The study is of a descriptive and comparative type. Research data were collected in the obstetrics clinic of a Maternity Hospital between August 15, 2019 and February 15, 2020. The study sample consisted of 160 pregnant women who met the research criteria (80 pregnant women who received fundal pressure, 80 pregnant women who did not receive fundal pressure). Results The duration of the second and third stages of labor was found to be shorter in the nonfundal pressure group (t = −3.422, p = 0.001; t = 2.195, p = 0.030). When the groups were compared, the formation of perineal trauma and second‐degree laceration, episiotomy requirement, elongation of the episiotomy incision and cervical laceration rate were found to be significantly higher in the fundal pressure group χ2 = 10.794 p = 0.001; χ2 = 8.403 p = 0.004; χ2 = 10.014, p = 0.002; χ2 = 16.579 p = 0.000; χ2 = 16.276 p = 0.000). The 1st and 5th min Apgar scores of the newborns were lower in the fundal pressure group (t = −6.377, p = 0.000; t = −3.581, p = 0.001). The 1st, 5th, 10th, and 15th min oxygen saturation of the newborns were determined to be significantly lower in the fundal pressure group (t = −4.753, p = 0.000; t = −2.427, p = 0.016; t = −2.604, p = 0.010; t = −2.492, p = 0.014). Conclusion According to the study results, it was determined that the uterine fundal pressure has a negative effect on birth outcomes and neonatal oxygen saturation. Adverse effects of fundal pressure application should be revealed in different aspects.

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“…Immediate or delayed maternal complications include extensive vaginal lacerations, cervical tears, obstetric anal sphincter injuries. [7][8][9] In nulliparous women, fundal pressure is associated with more than double the risk of levator ani muscle avulsion. 10) Dyspareunia, increased pelvic pain and de novo stress urinary incontinence have also been described.…”

Section: Reported Pitfalls Of Fundal Pressurementioning

confidence: 99%

Critical appraisal of the role of applying uterine fundal pressure in labour: First, do no harm

Papadakis

2019

Hypertens Res Pregnancy

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Fundal pressure during labour is a frequently used manoeuvre for expediting delivery in cases of fetal distress, dystocia and maternal exhaustion. It is often underreported and therefore challenging to accurately estimate its prevalence. It remains a highly controversial topic, having been abandoned in many countries due to its potentially harmful consequences. Still, some health care professionals consider it safe and effective in life-threatening obstetric emergencies. Our objective was to evaluate the evidence behind the merits and drawbacks of its implementation into clinical practice. Methods: This is a critical review based on utilising high-quality references on whether it is justifiable to insist on using fundal pressure in contemporary obstetrics. Results: Fundal pressure is understudied with significant variations worldwide. Reports documenting of any substantial benefit are sparse in the literature. Nevertheless, there is a clear association with various adverse outcomes. An increasing number of experts suggest that fundal pressure should be relinquished. Conclusions: Unless future randomised controlled trials change our views on traditional methods for shortening labour when needed, practitioners should be extra vigilant in avoiding dubious techniques, as deviation from national guidelines could jeopardise aspirations for optimal intrapartum care. In the time being, fundal pressure should be limited for research purposes only within well-designed studies.

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The effect of Kristeller maneuver on maternal and neonatal outcome

Cited by 10 publications

References 0 publications

Practices and obstetric interventions in women from a state in the Northeast of Brazil

Practices and obstetric interventions in women from a state in the Northeast of Brazil

Effect of uterine fundal pressure applied in the second stage of labor on birth outcomes and neonatal oxygen saturation

Critical appraisal of the role of applying uterine fundal pressure in labour: First, do no harm

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