Choose your font:
 Mukta Malar
 Open Sans Condensed
 Source Sans Pro


[Valid RSS] RSS

Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
YouTube channel (tutorial)

Created on : 30 Jan 2018
Modified on : 30 Jan 2018

 Modify this record
Do not follow this link unless you know an editor’s password!

Share: Facebook logo   Tweeter logo   Easy

Bibliographical entry (without author) :

Asynclitism: a literature review of an often forgotten clinical condition. Pubmed. 2015

Author(s) :

Malvasi A., Barbera A, Di Vagno G, Gimovsky A, Berghella V, Ghi T, Di Renzo GC, Tinelli A.

Year of publication :


URL(s) :

Résumé (français)  :

Etude de l’asynclitisme et de son diagnostic car ce défaut de la présentation ou de la progression peut mener à la césarienne. Présent essentiellement dans les variétés traverses et postérieures.

conclusion :
Le diagnostic précis de l’asynclitisme, d’une manière objective, peut fournir une meilleure évaluation de la position de la tête fœtale qui aidera à l’application correcte de la ventouse et des forceps, permettant la prévention des accouchements par césarienne inutiles

Abstract (English)  :

Asynclitism is defined as the “oblique malpresentation of the fetal head in labor“. Asynclitism is a clinical diagnosis that may be difficult to make; it may be found during vaginal examination. It is significant because it may cause failure of progress operative or cesarean delivery. We reviewed all literature for asynclitism by performing an extensive electronic search of studies from 1959 to 2013. All studies were first reviewed by a single author and discussed with co-authors. The following studies were identified: 8 book chapters, 14 studies on asynclitism alone and 10 papers on both fetal occiput posterior position and asynclitism. The fetal head in a laboring patient may be associated with some degree of asynclitism; this is seen as usual way of the fetal head to adjust to maternal pelvic diameters. However, marked asynclitism is often detected in presence of a co-existing fetal head malposition, especially the transverse and occipital posterior positions. Digital diagnosis of asynclitism is enhanced by intrapartum ultrasound with transabdominal or transperineal approach. The accurate diagnosis of asynclitism, in an objective way, may provide a better assessment of the fetal head position that will help in the correct application of vacuum and forceps, allowing the prevention of unnecessary cesarean deliveries.

Sumário (português)  :

Comments :

Argument (français) :

étude de l’asynclitisme sans prise en compte de la mobilisation pour réduire les dystocies d’engagement, à régler par extraction et non par césarienne

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; instrumental delivery ; forceps delivery ; vacuum extraction (ventouse)

Author of this record :

Alison Passieux — 30 Jan 2018

Discussion (display only in English)
➡ Only identified users

 I have read the guidelines of discussions and I accept all terms (read guidelines)


New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact


This database is managed by Alliance francophone pour l'accouchement respecté (AFAR,
affiliated with Collectif interassociatif autour de la naissance (CIANE,
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting AFAR (see below)
(3) or joining the AFAR (or another society affiliated with CIANE).
Sign in or create an account to follow changes or become an editor.
Contact afar.association(arobase) for more information.

Valid CSS! Valid HTML!
Donating to AFAR (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth