Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study.
To evaluate the neonatal and maternal outcomes associated with successful operative vaginal births assisted by manual rotation.Prospective and retrospective observational study.Delivery suite in a tertiary referral teaching hospital in England.A cohort of 2,426 consecutive operative births, in the s...
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doaj-18d2d24b61c9407dbf51f33ef9487a212020-11-25T02:33:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01125e017686110.1371/journal.pone.0176861Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study.Nicola TempestNaomi McGuinnessSteven LaneDharani K HapangamaTo evaluate the neonatal and maternal outcomes associated with successful operative vaginal births assisted by manual rotation.Prospective and retrospective observational study.Delivery suite in a tertiary referral teaching hospital in England.A cohort of 2,426 consecutive operative births, in the second stage of labour, complicated with malposition of the fetal head during 2006-2013.Outcomes of all births successfully assisted by manual rotation followed by direct traction instruments were compared with other methods of operative birth for fetal malposition in the second stage of labour (rotational ventouse, Kielland forceps and caesarean section).Associated neonatal outcomes (admission to the special care baby unit, low cord pH, low Apgar and shoulder dystocia) and maternal outcomes (massive obstetric haemorrhage (blood loss of >1500ml) and obstetric anal sphincter injury).Births successfully assisted with manual rotation followed by direct traction instruments, resulted in 10% (36/346) of the babies being admitted to the Special Care Baby Unit, 4.9% (17/349) shoulder dystocia, 2% (7/349) massive obstetric haemorrhage and 1.7% (6/349) obstetric anal sphincter injury, similar to other methods of rotational births.Adverse neonatal and maternal outcomes associated with successful manual rotations followed by direct traction instruments were comparable to traditional methods of operative births. There is an urgent need to standardise the practice (guidance, training) and documentation of manual rotation followed by direct traction instrumental deliveries that will enable assessment of its efficacy and the absolute safety in achieving a vaginal birth.http://europepmc.org/articles/PMC5425190?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicola Tempest Naomi McGuinness Steven Lane Dharani K Hapangama |
spellingShingle |
Nicola Tempest Naomi McGuinness Steven Lane Dharani K Hapangama Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study. PLoS ONE |
author_facet |
Nicola Tempest Naomi McGuinness Steven Lane Dharani K Hapangama |
author_sort |
Nicola Tempest |
title |
Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study. |
title_short |
Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study. |
title_full |
Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study. |
title_fullStr |
Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study. |
title_full_unstemmed |
Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study. |
title_sort |
neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; a retrospective and prospective observational study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2017-01-01 |
description |
To evaluate the neonatal and maternal outcomes associated with successful operative vaginal births assisted by manual rotation.Prospective and retrospective observational study.Delivery suite in a tertiary referral teaching hospital in England.A cohort of 2,426 consecutive operative births, in the second stage of labour, complicated with malposition of the fetal head during 2006-2013.Outcomes of all births successfully assisted by manual rotation followed by direct traction instruments were compared with other methods of operative birth for fetal malposition in the second stage of labour (rotational ventouse, Kielland forceps and caesarean section).Associated neonatal outcomes (admission to the special care baby unit, low cord pH, low Apgar and shoulder dystocia) and maternal outcomes (massive obstetric haemorrhage (blood loss of >1500ml) and obstetric anal sphincter injury).Births successfully assisted with manual rotation followed by direct traction instruments, resulted in 10% (36/346) of the babies being admitted to the Special Care Baby Unit, 4.9% (17/349) shoulder dystocia, 2% (7/349) massive obstetric haemorrhage and 1.7% (6/349) obstetric anal sphincter injury, similar to other methods of rotational births.Adverse neonatal and maternal outcomes associated with successful manual rotations followed by direct traction instruments were comparable to traditional methods of operative births. There is an urgent need to standardise the practice (guidance, training) and documentation of manual rotation followed by direct traction instrumental deliveries that will enable assessment of its efficacy and the absolute safety in achieving a vaginal birth. |
url |
http://europepmc.org/articles/PMC5425190?pdf=render |
work_keys_str_mv |
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