Uterine rupture after the uterine fundal pressure maneuver
-
Junichi Hasegawa
,
Akihiko Sekizawa
Abstract
Objective: To clarify the incidence of uterine fundal pressure at delivery and its effect on uterine rupture.
Study design: A questionnaire was sent to 2518 institutions in Japan. We received a response from 1430.
Results: Of reporting institutions, 89.4% used fundal pressure in at least some of their deliveries. Among the 347,771 women who delivered vaginally in this study, 38,973 (11.2%) were delivered with the assistance of fundal pressure. There were six cases of uterine rupture associated with uterine fundal pressure, with one case resulting in maternal death secondary to amniotic fluid embolism.
Conclusion: Since uterine fundal pressure may potentially cause serious injury to either the mother and/or neonates, the indications for application need to be clearly elucidated, and obstetric care providers also need comprehensive education and training.
Acknowledgments
We are grateful to all participants who answered the present questionnaire survey and all individuals who helped to conduct the present study.
Disclosure of interests: The authors did not receive any financial support for this study. None of the authors own stock from any company associated with the content of this manuscript or have any conflicts of interest to declare.
Contribution to authorship: Hasegawa J., Sekizawa A., and Kinoshita K. designed the research. Hasegawa J., Sekizawa A., Ikeda T., Ishiwata I., and Kinoshita K. collected the data. Hasegawa J. and Sekizawa A. analyzed and interpreted the data, and drafted the manuscript. Hasegawa J. performed the statistical analyses.
Detail of ethics approval: This study was approved by the ethics board of the Japan Association of Obstetricians and Gynecologists. The present study was a retrospective analysis based on a questionnaire survey.
Funding: None.
References
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The authors stated that there are no conflicts of interest regarding the publication of this article.
©2015 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- Editorial
- Maternal risk: assessment and management
- Original articles – Obstetrics
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- Short communications
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- Congress Calendar
- Congress Calendar
Artikel in diesem Heft
- Frontmatter
- Editorial
- Maternal risk: assessment and management
- Original articles – Obstetrics
- Ebola virus screening during pregnancy in West Africa: unintended consequences
- Strain at the internal cervical os assessed with quasi-static elastography is associated with the risk of spontaneous preterm delivery at ≤34 weeks of gestation
- Can routine laboratory parameters predict adverse pregnancy outcomes in intrahepatic cholestasis of pregnancy?
- Pulmonary edema in pregnancy and the puerperium: a cohort study of 53 cases
- Incidence and outcomes of women with Hodgkin’s lymphoma in pregnancy: a population-based study on 7.9 million births
- Differential utilization of expanded genetic screening tests in patients of reproductive ages from private and academic practices
- Association of maternal blood pressure in pregnancy with blood pressure of their offspring through adolescence
- Oxytocin utilization for labor induction in obese and lean women
- Breech delivery in the all fours position: a prospective observational comparative study with classic assistance
- Position at birth as an important factor for the occurrence of anal sphincter tears: a retrospective cohort study
- Emergency peripartum hysterectomy and risk factors by mode of delivery and obstetric history: a 10-year review from Helsinki University Central Hospital
- Delivery outcomes after day and night onset of labour
- Original articles – Fetus
- Perinatal outcome of congenital heart disease in a population with high consanguinity
- Complex and irregular heart rate dynamics in fetuses compromised by maternal anemia as a high-risk pregnancy
- Clinical application of fetal left modified myocardial performance index in the evaluation of fetal growth restriction
- First-trimester fetal growth discordance and development of preeclampsia in dichorionic twin pregnancies
- Original articles – Newborn
- Neonatal outcome in pregnant patients with antiphospholipid syndrome
- A longitudinal study of brainstem auditory response from birth to late term in late preterm babies and abnormal findings in high-risk babies
- Suctioning habits in the delivery room and the influence on postnatal adaptation – a video analysis
- Short communications
- Management of vasa previa during pregnancy
- Uterine rupture after the uterine fundal pressure maneuver
- Congress Calendar
- Congress Calendar
