Base de dados : MEDLINE
Pesquisa : G08.686.520 [Categoria DeCS]
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[PMID]:28743440
[Au] Autor:Bellussi F; Ghi T; Youssef A; Salsi G; Giorgetta F; Parma D; Simonazzi G; Pilu G
[Ad] Endereço:Departments of Obstetrics and Gynecology, University of Bologna, Policlinico S Orsola-Malpighi, Bologna, Italy. Electronic address: bellussi.federica@gmail.com.
[Ti] Título:The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations.
[So] Source:Am J Obstet Gynecol;217(6):633-641, 2017 12.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Fetal malpositions and cephalic malpresentations are well-recognized causes of failure to progress in labor. They frequently require operative delivery, and are associated with an increased probability of fetal and maternal complications. Traditional obstetrics emphasizes the role of digital examinations, but recent studies demonstrated that this approach is inaccurate and intrapartum ultrasound is far more precise. The objective of this review is to summarize the current body of literature and provide recommendations to identify malpositions and cephalic malpresentations with ultrasound. We propose a systematic approach consisting of a combination of transabdominal and transperineal scans and describe the findings that allow an accurate diagnosis of normal and abnormal position, flexion, and synclitism of the fetal head. The management of malpositions and cephalic malpresentation is currently a matter of debate, and individualized depending on the general clinical picture and expertise of the provider. Intrapartum sonography allows a precise diagnosis and therefore offers the best opportunity to design prospective studies with the aim of establishing evidence-based treatment. The article is accompanied by a video that demonstrates the sonographic technique and findings.
[Mh] Termos MeSH primário: Distocia/diagnóstico por imagem
Apresentação no Trabalho de Parto
Complicações do Trabalho de Parto/diagnóstico por imagem
[Mh] Termos MeSH secundário: Parto Obstétrico
Distocia/etiologia
Extração Obstétrica
Feminino
Seres Humanos
Gravidez
Ultrassonografia Pré-Natal
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180111
[Lr] Data última revisão:
180111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


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[PMID]:28471029
[Au] Autor:Tutschek B; Braun T; Chantraine F; Henrich W
[Ad] Endereço:Center for Fetal Medicine, Gladbachstrasse 95, 8044, Zürich, Switzerland.
[Ti] Título:Re: Prediction of delivery time in second stage of labor using transperineal ultrasound.
[So] Source:Ultrasound Obstet Gynecol;49(5):663-664, 2017 05.
[Is] ISSN:1469-0705
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Apresentação no Trabalho de Parto
Ultrassonografia Pré-Natal
[Mh] Termos MeSH secundário: Parto Obstétrico
Feminino
Seres Humanos
Segunda Fase do Trabalho de Parto
Períneo
Gravidez
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1002/uog.17424


  3 / 3133 MEDLINE  
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[PMID]:28457104
[Au] Autor:Peleg D; Azogui G; Heib S; Ben Shachar I
[Ad] Endereço:Department of Obstetrics and Gynecology, Ziv Medical Center, Safed, Israel.
[Ti] Título:Delivery of Transverse-Lie Twins in a 15 year old Syrian Mother.
[So] Source:Isr Med Assoc J;19(1):1, 2017 Jan.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Mh] Termos MeSH primário: Cesárea
Apresentação no Trabalho de Parto
Gravidez de Gêmeos
[Mh] Termos MeSH secundário: Adolescente
Raquianestesia
Feminino
Seres Humanos
Recém-Nascido
Israel
Gravidez
Síria
Transporte de Pacientes
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


  4 / 3133 MEDLINE  
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[PMID]:28043183
[Au] Autor:Montaguti E; Rizzo N; Pilu G; Youssef A
[Ad] Endereço:a Department of Obstetrics and Gynecology , Sant'Orsola Malpighi University Hospital, University of Bologna , Bologna , Italy.
[Ti] Título:Automated 3D ultrasound measurement of the angle of progression in labor.
[So] Source:J Matern Fetal Neonatal Med;31(2):141-149, 2018 Jan.
[Is] ISSN:1476-4954
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the feasibility and reliability of an automated technique for the assessment of the angle of progression (AoP) in labor by using three-dimensional (3D) ultrasound. METHODS: AoP was assessed by using 3D transperineal ultrasound by two operators in 52 women in active labor to evaluate intra- and interobserver reproducibility. Furthermore, intermethod agreement between automated and manual techniques on 3D images, and between automated technique on 3D vs 2D images were evaluated. RESULTS: Automated measurements were feasible in all cases. Automated measurements were considered acceptable in 141 (90.4%) out of the 156 on the first assessments and in all 156 after repeating measurements for unacceptable evaluations. The automated technique on 3D images demonstrated good intra- and interobserver reproducibility. The 3D-automated technique showed a very good agreement with the 3D manual technique. Notably, AoP calculated with the 3D automated technique were significantly wider in comparison with those measured manually on 3D images (133 ± 17° vs 118 ± 21°, p = 0.013). CONCLUSIONS: The assessment of the angle of progression through 3D ultrasound is highly reproducible. However, automated software leads to a systematic overestimation of AoP in comparison with the standard manual technique thus hindering its use in clinical practice in its present form.
[Mh] Termos MeSH primário: Feto/diagnóstico por imagem
Imagem Tridimensional/métodos
Apresentação no Trabalho de Parto
Ultrassonografia Pré-Natal/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Meia-Idade
Gravidez
Reprodutibilidade dos Testes
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE
[do] DOI:10.1080/14767058.2016.1277701


  5 / 3133 MEDLINE  
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[PMID]:29016498
[Au] Autor:Panelli DM; Easter SR; Bibbo C; Robinson JN; Carusi DA
[Ad] Endereço:Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
[Ti] Título:Clinical Factors Associated With Presentation Change of the Second Twin After Vaginal Delivery of the First Twin.
[So] Source:Obstet Gynecol;130(5):1104-1111, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify clinical factors associated with a change from vertex to nonvertex presentation in the second twin after vaginal birth of the first. METHODS: We assembled a retrospective cohort of women with viable vertex-vertex twin pregnancies who delivered the presenting twin vaginally. Women whose second twin changed from vertex to nonvertex after vaginal birth of the first were classified as experiencing an intrapartum change in presentation. Characteristics associated with intrapartum presentation change in a univariate analysis with a P value ≤.10 were then evaluated in a multivariate logistic regression model. RESULTS: Four-hundred fifty women met inclusion criteria, of whom 55 (12%) had intrapartum presentation change of the second twin. Women experiencing intrapartum presentation change were more likely to be multiparous (69% compared with 47%, P<.01) and to have had a change in the presentation of the second twin between the most recent antepartum ultrasonogram and the ultrasonogram done on admission to labor and delivery (11% compared with 4%, P=.04). In an adjusted analysis, multiparity and gestational age less than 34 weeks were significantly associated with presentation change (adjusted odds ratio [OR] 2.9, 95% CI 1.5-5.6 and adjusted OR 2.6, 95% CI 1.1-5.9, respectively). Women with intrapartum presentation change were more likely to undergo cesarean delivery for their second twin (44% compared with 7%, P<.01) with an adjusted OR of 10.50 (95% CI 5.20-21.20) compared with those with stable intrapartum presentation. Twenty of the 24 (83%) cesarean deliveries performed in the intrapartum presentation change group were done for issues related to malpresentation. CONCLUSION: Multiparity and gestational age less than 34 weeks are associated with intrapartum presentation change of the second twin.
[Mh] Termos MeSH primário: Parto Obstétrico/métodos
Apresentação no Trabalho de Parto
Parto/fisiologia
Gravidez de Gêmeos/fisiologia
Gêmeos
[Mh] Termos MeSH secundário: Adulto
Cesárea/estatística & dados numéricos
Feminino
Idade Gestacional
Seres Humanos
Razão de Chances
Paridade
Gravidez
Estudos Retrospectivos
Ultrassonografia Pré-Natal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002329


  6 / 3133 MEDLINE  
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[PMID]:28489924
[Au] Autor:Tempest N; McGuinness N; Lane S; Hapangama DK
[Ad] Endereço:Liverpool Women's Hospital NHS Foundation Trust, Liverpool, United Kingdom.
[Ti] Título:Neonatal and maternal outcomes of successful manual rotation to correct malposition of the fetal head; A retrospective and prospective observational study.
[So] Source:PLoS One;12(5):e0176861, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the neonatal and maternal outcomes associated with successful operative vaginal births assisted by manual rotation. DESIGN: Prospective and retrospective observational study. SETTING: Delivery suite in a tertiary referral teaching hospital in England. POPULATION: A cohort of 2,426 consecutive operative births, in the second stage of labour, complicated with malposition of the fetal head during 2006-2013. METHODS: 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). MAIN OUTCOME MEASURES: 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). RESULTS: 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. CONCLUSIONS: 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.
[Mh] Termos MeSH primário: Traumatismos do Nascimento/etiologia
Parto Obstétrico
Apresentação no Trabalho de Parto
Resultado da Gravidez
Versão Fetal/efeitos adversos
Versão Fetal/métodos
[Mh] Termos MeSH secundário: Adulto
Canal Anal/lesões
Inglaterra
Feminino
Seres Humanos
Recém-Nascido
Masculino
Gravidez
Estudos Prospectivos
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170511
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0176861


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[PMID]:28387916
[Au] Autor:Svelato A; Ragusa A; Alimondi P; Di Tommaso M; Marci R; Barbagallo V; Alampi RD; Calagna G; Perino A
[Ad] Endereço:Department of Obstetrics and Gynecology, Massa Carrara General Hospital, Massa Carrara, Italy. alessandrosvelato@virgilio.it.
[Ti] Título:Occiput-spine relationship: shoulders are more important than head.
[So] Source:Eur Rev Med Pharmacol Sci;21(6):1178-1183, 2017 Mar.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To understand the role of fetal spine position in determining a fetal head position at the time of birth and modality of delivery. PATIENTS AND METHODS: This was a multicenter prospective observational study. Fetal occiput and spine position were evaluated by intrapartum ultrasound. Eighty-six women were eligible for inclusion in the study. Occiput rotational movements and modality of delivery in relation to the fetal spine position were investigated. RESULTS: At the beginning of labor, fetal occiput was in a posterior position in 52.3% of cases and, in 81.5% of cases the spine was in an anterior transverse position. At birth, occiput and spine were both in an anterior position in 90.4% of cases. The rate of cesarean sections in the SP group was significantly higher than the rate in the SAT group (50% vs. 8%, p < 0.0007). Instead, the rate of vaginal deliveries without intervention in the SP group was significantly lower than the rate in the SA group (14% vs. 71%, p < 0.0001). CONCLUSIONS: Fetal spine position could have an important role in determining fetal occiput position at birth. Spine position might play a crucial role in the outcome of delivery.
[Mh] Termos MeSH primário: Feto
Cabeça
Apresentação no Trabalho de Parto
Ombro
Coluna Vertebral
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
Estudos Prospectivos
Ultrassonografia Pré-Natal
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE


  8 / 3133 MEDLINE  
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[PMID]:28369712
[Au] Autor:Georgieva A; Redman CWG; Papageorghiou AT
[Ad] Endereço:Nuffield Department of Obstetrics and Gynecology, University of Oxford, Women's Center, John Radcliffe Hospital, Oxford, UK.
[Ti] Título:Computerized data-driven interpretation of the intrapartum cardiotocogram: a cohort study.
[So] Source:Acta Obstet Gynecol Scand;96(7):883-891, 2017 Jul.
[Is] ISSN:1600-0412
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Continuous intrapartum fetal monitoring remains a significant clinical challenge. We propose using cohorts of routinely collected data. We aim to combine non-classical (data-driven) and classical cardiotocography features with clinical features into a system (OxSys), which generates automated alarms for the fetus at risk of intrapartum hypoxia. We hypothesize that OxSys can outperform clinical diagnosis of "fetal distress", when optimized and tested over large retrospective data sets. MATERIAL AND METHODS: We studied a cohort of 22 790 women in labor (≥36 weeks of gestation). Paired umbilical blood analyses were available. Perinatal outcomes were defined by objective criteria (normal; severe, moderate or mild compromise). We used the data retrospectively to develop a prototype of OxSys, by relating its alarms to perinatal outcome, and comparing its performance against standards achieved by bedside diagnosis. RESULTS: OxSys1.5 triggers an alarm if the initial trace is nonreactive or the decelerative capacity (a nonclassical cardiotocography feature), exceeds a threshold, adjusted for preeclampsia and thick meconium. There were 187 newborns with severe, 613 with moderate and 3197 with mild compromise; and 18 793 with normal outcome. OxSys1.5 increased the sensitivity for compromise detection: 43.3% vs. 38.0% for severe (p = 0.3) and 36.1% vs. 31.0% for moderate (p = 0.06); and reduced the false-positive rate (14.4% vs. 16.3%, p < 0.001). CONCLUSIONS: Large historic cohorts can be used to develop and optimize computerized cardiotocography monitoring, combining clinical and cardiotocography risk factors. Our simple prototype has demonstrated the principle of using such data to trigger alarms, and compares well with clinical judgment.
[Mh] Termos MeSH primário: Cardiotocografia/métodos
Sistemas de Apoio a Decisões Clínicas
Diagnóstico por Computador
Sofrimento Fetal/diagnóstico
Cuidado Pré-Natal
[Mh] Termos MeSH secundário: Estudos de Coortes
Feminino
Sangue Fetal/química
Sofrimento Fetal/prevenção & controle
Seres Humanos
Apresentação no Trabalho de Parto
Valor Preditivo dos Testes
Gravidez
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1111/aogs.13136


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[PMID]:28358979
[Au] Autor:Pattinson RC; Cuthbert A; Vannevel V
[Ad] Endereço:Department of Obstetrics and Gynaecology, University of Pretoria, Kalafong Hospital, Private Bag X396, Pretoria, Gauteng, South Africa, 0001.
[Ti] Título:Pelvimetry for fetal cephalic presentations at or near term for deciding on mode of delivery.
[So] Source:Cochrane Database Syst Rev;3:CD000161, 2017 03 30.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pelvimetry assesses the size of a woman's pelvis aiming to predict whether she will be able to give birth vaginally or not. This can be done by clinical examination, or by conventional X-rays, computerised tomography (CT) scanning, or magnetic resonance imaging (MRI). OBJECTIVES: To assess the effects of pelvimetry (performed antenatally or intrapartum) on the method of birth, on perinatal mortality and morbidity, and on maternal morbidity. This review concentrates exclusively on women whose fetuses have a cephalic presentation. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth Group's Trials Register (31 January 2017) and reference lists of retrieved studies. SELECTION CRITERIA: Randomised controlled trials (including quasi-randomised) assessing the use of pelvimetry versus no pelvimetry or assessing different types of pelvimetry in women with a cephalic presentation at or near term were included. Cluster trials were eligible for inclusion, but none were identified. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. We assessed the quality of the evidence using the GRADE approach. MAIN RESULTS: Five trials with a total of 1159 women were included. All used X-ray pelvimetry to assess the pelvis. X-ray pelvimetry versus no pelvimetry or clinical pelvimetry is the only comparison included in this review due to the lack of trials identified that examined other types of radiological pelvimetry or that compared clinical pelvimetry versus no pelvimetry.The included trials were generally at high risk of bias. There is an overall high risk of performance bias due to lack of blinding of women and staff. Two studies were also at high risk of selection bias. We used GRADEpro software to grade evidence for our selected outcomes; for caesarean section we rated the evidence low quality and all the other outcomes (perinatal mortality, wound sepsis, blood transfusion, scar dehiscence and admission to special care baby unit) as very low quality. Downgrading was due to risk of bias relating to lack of allocation concealment and blinding, and imprecision of effect estimates.Women undergoing X-ray pelvimetry were more likely to have a caesarean section (risk ratio (RR) 1.34, 95% confidence interval (CI) 1.19 to 1.52; 1159 women; 5 studies; low-quality evidence). There were no clear differences between groups for perinatal outcomes: perinatal mortality (RR 0.53, 95% CI 0.19 to 1.45; 1159 infants; 5 studies; very low-quality evidence), perinatal asphyxia (RR 0.66, 95% CI 0.39 to 1.10; 305 infants; 1 study), and admission to special care baby unit (RR 0.20, 95% CI 0.01 to 4.13; 288 infants; 1 study; very low-quality evidence). Other outcomes assessed were wound sepsis (RR 0.83, 95% CI 0.26 to 2.67; 288 women; 1 study; very low-quality evidence), blood transfusion (RR 1.00, 95% CI 0.39 to 2.59; 288 women; 1 study; very low-quality evidence), and scar dehiscence (RR 0.59, 95% CI 0.14 to 2.46; 390 women; 2 studies; very low-quality evidence). Again, no clear differences were found for these outcomes between the women who received X-ray pelvimetry and those who did not. Apgar score less than seven at five minutes was not reported in any study. AUTHORS' CONCLUSIONS: X-ray pelvimetry versus no pelvimetry or clinical pelvimetry is the only comparison included in this review due to the lack of trials identified that used other types or pelvimetry (other radiological examination or clinical pelvimetry versus no pelvimetry). There is not enough evidence to support the use of X-ray pelvimetry for deciding on mode of delivery in women whose fetuses have a cephalic presentation. Women who undergo an X-ray pelvimetry may be more likely to have a caesarean section.Further research should be directed towards defining whether there are specific clinical situations in which pelvimetry can be shown to be of value. Newer methods of pelvimetry (CT, MRI) should be subjected to randomised trials to assess their value. Further trials of X-ray pelvimetry in cephalic presentations would be of value if large enough to assess the effect on perinatal mortality.
[Mh] Termos MeSH primário: Parto Obstétrico/métodos
Apresentação no Trabalho de Parto
Pelvimetria/métodos
Nascimento a Termo
[Mh] Termos MeSH secundário: Índice de Apgar
Transfusão de Sangue/estatística & dados numéricos
Cesárea/estatística & dados numéricos
Feminino
Seres Humanos
Mortalidade Perinatal
Gravidez
Ensaios Clínicos Controlados Aleatórios como Assunto
Deiscência da Ferida Operatória/epidemiologia
Infecção da Ferida Cirúrgica/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD000161.pub2


  10 / 3133 MEDLINE  
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[PMID]:28343556
[Au] Autor:Roberge S; Dubé E; Blouin S; Chaillet N
[Ad] Endereço:Department of Obstetrics, Gynecology, and Reproduction, Université Laval, Quebec City, QC.
[Ti] Título:Reporting Caesarean Delivery in Quebec Using the Robson Classification System.
[So] Source:J Obstet Gynaecol Can;39(3):152-156, 2017 03.
[Is] ISSN:1701-2163
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The increasing rates of Caesarean sections throughout the world is preoccupant, and a good understanding of which groups of women contribute the most to the CS rate represents an important question in public health. Therefore, we sought to report the CS rate according to the Robson's classification system in the Quebec population. METHOD: We performed a secondary analysis of the QUARISMA database, including all deliveries after 24 weeks' gestation from 32 maternity wards in the province of Quebec between 2008 and 2011 (n = 184 952 deliveries). CS rates were reported according to the modified Robson criteria from The Society of Obstetricians and Gynaecologists of Canada with the relative contribution to the total number of CSs. RESULTS: We observed a global CS rate of 22.9%. Women with previous CS and a fetus in cephalic presentation at term accounted for 35% of all Caesarean deliveries. Nulliparous women with cephalic presentation at term accounted for 30% of all CSs. Among nulliparous women with cephalic presentation, women with spontaneous labour contributed to 12% of all CSs, whereas women with an induction of labour contributed to 16% of all CSs. Non-cephalic fetal presentation accounted for 19% of all CSs. Other indications accounted for the remaining 16% of CSs. CONCLUSION: Most CSs are performed for multiparous women with previous CS; nulliparous women with a cephalic presentation at term, especially those undergoing labour induction; and non-cephalic fetal presentation.
[Mh] Termos MeSH primário: Apresentação Pélvica/cirurgia
Recesariana/estatística & dados numéricos
Cesárea/estatística & dados numéricos
Trabalho de Parto Induzido/estatística & dados numéricos
[Mh] Termos MeSH secundário: Apresentação Pélvica/epidemiologia
Cesárea/classificação
Recesariana/classificação
Bases de Dados Factuais
Feminino
Seres Humanos
Apresentação no Trabalho de Parto
Paridade
Gravidez
Quebeque
Nascimento a Termo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde