Manual rotation to reduce caesarean delivery in persistent occiput posterior or transverse position
作者： Brian L. Shaffer , Yvonne W. Cheng , Juan E. Vargas , Aaron B. Caughey
DOI: 10.3109/14767051003710276
关键词: Confidence interval 、 Pregnancy 、 Chorioamnionitis 、 Medicine 、 Gynecology 、 Occiput posterior 、 Logistic regression 、 Position (obstetrics) 、 Retrospective cohort study 、 Odds ratio
摘要: Objective. To examine mode of delivery and perinatal outcomes in women with occiput posterior (OP) or transverse (OT) position the second stage labour a trial manual rotation compared to expectant management.Methods. A retrospective cohort study was designed morbidity who underwent (n = 731) management (n = 2527) during fetus OP/OT position. Chi-square test used compare categorical multivariable logistic regression models were control for potential confounders.Results. Compared management, less likely have: caesarean (CD) [adjusted odds ratio (aOR) 0.12; 95% confidence interval (CI) 0.09–0.16], severe perineal laceration [aOR 0.64; (0.47–0.88)], postpartum haemorrhage 0.75; (0.62–0.98)], chorioamnionitis 0.68; (0.50–0.92)]. The number rotations attempted ...
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