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

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Created on : 20 Aug 2018
Modified on : 03 Nov 2018

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Bibliographical entry (without author) :

Selective uterine fundal pressure maneuver during the second stage of the first twin delivery at near term. J Matern Fetal Neonatal Med. 2015

Author(s) :

Suzuki S

Year of publication :

2015

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/24809223
https://doi.org/10.3109/14767058.2014.921901

Résumé (français)  :

Abstract (English)  :

OBJECTIVE:
We examined the perinatal outcomes of twin deliveries following selective uterine fundal pressure maneuver (UFPM) during the second stage of the first twin delivery.

METHODS:
At our institute, if non-reassuring fetal heart rate and/or maternal exhaustion were observed during the second stage of the first twin, selective UFPM was performed following making sure of the position of the first twin’s buttocks by ultrasonography. We reviewed the obstetric records of all cases of trial of vaginal delivery of twins between 2002 and 2012.

RESULTS:
A total of 64 cases were evaluated for the statistical analyses. Of these, selective UFPM for the first twin was performed in 15 cases (24%). Although the cases requiring selective UFPM for the first twin was associated with an increased postpartum hemorrhage, there were no significant differences in neonatal outcomes between the two groups.

CONCLUSION:
There was no evidence that the selective UFPM is unsafe for both mother and two babies during the second stage of the first twin delivery.

Sumário (português)  :

Comments :

Argument (français) :

Il n’y avait pas de preuves permettant d’affirmer que l’expression abdominale sélective est sans danger pour la mère comme les bébés lors de l’expulsion de jumeaux à terme.

Argument (English):

There was no evidence that the selective uterine fundal pressure maneuver is unsafe for both mother and two babies during the second stage of the first twin delivery.

Argumento (português):

Não havia evidências que apoiassem a afirmação de que a expressão abdominal seletiva é segura tanto para a mãe quanto para os bebês quando expelem gêmeos a termo.

Keywords :

➡ fundal pressure

Author of this record :

Alison Passieux — 20 Aug 2018
➡ latest update : Bernard Bel — 03 Nov 2018