Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
-
Romana Furrer
,
Leonhard Schäffer
Abstract
Aim:
This study aimed to evaluate maternal and fetal outcomes after uterine fundal pressure (UFP) in spontaneous and assisted vaginal deliveries.
Methods:
In a retrospective cohort study, 9743 singleton term deliveries with cephalic presentation were analyzed from 2004 to 2013. Spontaneous and assisted vaginal deliveries were analyzed separately with and without the application of UFP. Odds ratios were adjusted in a multivariate logistic regression analysis.
Results:
Prevalence of UFP was 8.9% in spontaneous and 12.1% in assisted vaginal deliveries. UFP was associated with a higher incidence of shoulder dystocia in both spontaneous (adjusted odds ratio [adj. OR] 2.44, confidence interval [CI] 95% 1.23–4.84) and assisted vaginal deliveries (adj. OR 6.88 CI 95% 3.50–13.53). Fetal acidosis (arterial umbilical pH<7.2) was seen more often after the application of UFP in spontaneous vaginal deliveries (adj. OR 3.18, CI 95% 2.64–3.82) and assisted vaginal deliveries (adj. OR 1.59 CI 95% 1.17–2.16). The incidence of 5′-Apgar<7 (adj. OR 2.19 CI 95% 1.04–4.6) and 10′-Apgar<7 (adj. OR 3.04 CI 95% 1.17–7.88) was also increased after the application of UFP in spontaneous deliveries. A higher incidence of anal sphincter tears (AST) (adj. OR 46.25 CI 95% 11.78–181.6) in the UFP group of spontaneous deliveries was observed.
Conclusions:
UFP is associated with increased occurrence of shoulder dystocia and fetal acidosis. In spontaneous deliveries, the risk for lower Apgar scores after 5 and 10 min is increased, as well as the risk for AST.
References
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The authors stated that there are no conflicts of interest regarding the publication of this article.
©2016 Walter de Gruyter GmbH, Berlin/Boston
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- Recommendation and Guidelines for Perinatal Practice
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- Cesarean delivery among women with prolonged labor induction
- Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
- Impact of maternal age on delivery outcomes following spontaneous labour at term
- Maternal characteristics of pregnancies with intrauterine fetal demise
- Evaluation of standardized, computerized Dawes/Redman heart-rate analysis based on different recording methods and in relation to fetal beat-to-beat heart rate variability
- Perinatal outcomes with isolated oligohydramnios at term pregnancy
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- Ultrasonographic assessment of cervical length in pregnancies scheduled for a cesarean delivery: prediction of early spontaneous onset of labor
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- Classification of stillbirths is an ongoing dilemma
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- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Frontmatter
- Editorials
- Editorial
- First 10 years of the International Academy of Perinatal Medicine – which lessons we have learned and what are future challenges
- Recommendation and Guidelines for Perinatal Practice
- Is intrauterine surgery justified? Report from the working group on ultrasound in obstetrics of the World Association of Perinatal Medicine (WAPM)
- Original articles - Obstetrics
- Examiner’s finger-mounted fetal tissue oximetry: a preliminary report on 30 cases
- Values of T/QRS ratio in pregnancies complicated by intrauterine growth restriction
- Cesarean delivery among women with prolonged labor induction
- Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
- Impact of maternal age on delivery outcomes following spontaneous labour at term
- Maternal characteristics of pregnancies with intrauterine fetal demise
- Evaluation of standardized, computerized Dawes/Redman heart-rate analysis based on different recording methods and in relation to fetal beat-to-beat heart rate variability
- Perinatal outcomes with isolated oligohydramnios at term pregnancy
- Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country
- Ultrasonographic assessment of cervical length in pregnancies scheduled for a cesarean delivery: prediction of early spontaneous onset of labor
- Characterization of visceral and subcutaneous adipose tissue transcriptome in pregnant women with and without spontaneous labor at term: implication of alternative splicing in the metabolic adaptations of adipose tissue to parturition
- Classification of stillbirths is an ongoing dilemma
- Out-of-hospital births in the United States 2009–2014
- Congress Calendar
- Congress Calendar
