Objective:To evaluate clinical reliability compared to intrapartum ultrasound as a tool to diagnose occiput posterior position and to investigate the proportion of rotations occurring during labour. Patients and metho...Objective:To evaluate clinical reliability compared to intrapartum ultrasound as a tool to diagnose occiput posterior position and to investigate the proportion of rotations occurring during labour. Patients and methods:350 women in labor with a singleton fetus in a vertex position were prospectively studied using ultrasound and obstetrical examination. Outcome of labor was also monitored. Results:Reliability of clinical examination is 85,7%,initial occiput posterior position represented 40,2%and most rotated in an anterior position (84,8%) while only 0,6%of initial anterior positions delivered in occiput posterior position. Logistic regression did not allow to find significant predictor of occiput posterior position rotation. Discussion and conclusion:Clinical examination is relatively reliable for posterior position diagnosis and in most cases,initially occipitoposterior positions rotate anteriorly.展开更多
We report a case of pregnancy in a rudimentary horn that ruptured at 18 weeks. An emergency laparotomy was taken for acute abdomen and ruptured right rudimentary horn pregnancy was diagnosed. Excision of the rudimenta...We report a case of pregnancy in a rudimentary horn that ruptured at 18 weeks. An emergency laparotomy was taken for acute abdomen and ruptured right rudimentary horn pregnancy was diagnosed. Excision of the rudimentary horn and ipsilateral salpingectomy were carried out. The patient’ s postoperative course was uneventful, and she left the hospital 6 days later.展开更多
文摘Objective:To evaluate clinical reliability compared to intrapartum ultrasound as a tool to diagnose occiput posterior position and to investigate the proportion of rotations occurring during labour. Patients and methods:350 women in labor with a singleton fetus in a vertex position were prospectively studied using ultrasound and obstetrical examination. Outcome of labor was also monitored. Results:Reliability of clinical examination is 85,7%,initial occiput posterior position represented 40,2%and most rotated in an anterior position (84,8%) while only 0,6%of initial anterior positions delivered in occiput posterior position. Logistic regression did not allow to find significant predictor of occiput posterior position rotation. Discussion and conclusion:Clinical examination is relatively reliable for posterior position diagnosis and in most cases,initially occipitoposterior positions rotate anteriorly.
文摘We report a case of pregnancy in a rudimentary horn that ruptured at 18 weeks. An emergency laparotomy was taken for acute abdomen and ruptured right rudimentary horn pregnancy was diagnosed. Excision of the rudimentary horn and ipsilateral salpingectomy were carried out. The patient’ s postoperative course was uneventful, and she left the hospital 6 days later.
