Reverse Breech Extraction Versus Push Technique for Fetal Delivery When Fetal Head is Deeply Impacted in the Pelvis During CS on A Fully Dilated Cervix
试验速览
- 阶段
- 不适用
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Uterine incision extension
研究概览
简要总结
Management of impacted fetal head during second stage cesarean requires careful and gentle attention to various surgical steps for delivery of a fetus without adverse maternal and neonatal outcomes, mostly by an experienced surgeon as in such situations, the lower uterine segment may be over-distended and indistinguishable from the vagina. Therefore, the uterine incision may inadvertently be placed too low, or in the vagina.
Also, it may be difficult for the operating surgeon to maneuver his hand below the deeply engaged fetal head, which may be further compounded by the presence of molding and edema on the fetal head (caput succedaneum).
This prospective controlled study was conducted at labor ward of department of obstetrics and gynecology at Ain Shams University Maternity Hospital to compare between the two techniques. A total of 70 pregnant women were enrolled and divided into two equal groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •• Singleton pregnancies.
- •Cephalic presentation will undergo cesarean section in advanced labor with the fetal head deeply engaged in the pelvis defined as fully dilated cervix and vertex at or below zero station
排除标准
- •• Twins Pregnancies.
- •Breech or transverse presentation.
- •Woman has other obstetric indication to cs ex, fetal distress.
- •Woman has risk factor for bleeding ex, bleeding disorders
研究组 & 干预措施
Women allocated to this group will deliver by using reverse breech extraction technique.
干预措施: reverse breech extraction technique or push technique (Procedure)
Women allocated to this group will deliver by using Push technique.
干预措施: reverse breech extraction technique or push technique (Procedure)
结局指标
主要结局
Uterine incision extension
时间窗: intra-operative
uterine extensions will include angle extensions on lower segments and into the broad ligaments".
次要结局
未报告次要终点
研究者
Ebtihal Ahmed
principal investigator
Ain Shams University