Safety and reliability of forceps delivery based on a 3-dimensional fetal head evaluation: a retrospective study
Aim: To evaluate the maternal-neonatal complications of a forceps delivery (FD) by using trapezoidal-Station (t-St), a 3-dimensional assessment of fetal head descent.Methods: This was a retrospective study of 1532 FDs conducted between 1985 and 2012. First, overall outcomes of FDs using t-St were an...
Gespeichert in:
| Veröffentlicht in: | Hypertension Research in Pregnancy 2017/11/30, Vol.5(2), pp.65-72 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 72 |
|---|---|
| container_issue | 2 |
| container_start_page | 65 |
| container_title | Hypertension Research in Pregnancy |
| container_volume | 5 |
| creator | Takahashi, Masaya Takeda, Jun Ono, Yoshihisa Nagai, Tomonori Seki, Hiroyuki Takeda, Satoru |
| description | Aim: To evaluate the maternal-neonatal complications of a forceps delivery (FD) by using trapezoidal-Station (t-St), a 3-dimensional assessment of fetal head descent.Methods: This was a retrospective study of 1532 FDs conducted between 1985 and 2012. First, overall outcomes of FDs using t-St were analyzed between years. Second, for FDs from 2007 to 2012, a more detailed analysis of complications was drawn, making comparisons between normal deliveries (NDs) and FDs, and between t-St+2 and t-St+3/lower.Results: Of the 1532 FD cases performed in 28 years, two cases (0.1%) failed. Comparison of ND and FD cases from 2007 to 2012 revealed no significant difference in incidence of 4th degree perineal laceration. No perinatal deaths or cerebral palsy were noted. Comparison of t-St+2 and t-St+3/lower revealed no significant differences in blood loss volume, umbilical cord arterial blood pH, incidence of 3rd/4th degree perineal lacerations (OR, 0.88; 95% CI, 0.35–2.23), or incidence of Apgar score |
| doi_str_mv | 10.14390/jsshp.HRP2017-016 |
| format | Article |
| fullrecord | <record><control><sourceid>jstage_cross</sourceid><recordid>TN_cdi_crossref_primary_10_14390_jsshp_HRP2017_016</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>article_jsshp_5_2_5_HRP2017_016_article_char_en</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-c31293e9d805e076c63ce7dad1fdb612f0bfe8267f71e00cf69234d2f6c1a8733</originalsourceid><addsrcrecordid>eNpNkNtqwzAMhs3YYKXrC-zKL5DOhzROdjdKd4DCxg7XRrHlNSVNgu0W8vYzbSm7kGRJ_n7ET8g9Z3Oey4o9bEPYDPPXzw_BuMoYL67IRPBSZVUl-fX5vahKdUtmIWwZY4LnjOflhAxf4DCOFDpLPbYN1E3bpL531PXe4BCoTeMD-pHWENDSvqNAZWabHXah6TtoaVJIeYNgKR6g3UNM88f0zWP0fRjQxKRAQ9zb8Y7cOGgDzs51Sn6eV9_L12z9_vK2fFpnJld5zIzkopJY2ZItkKnCFNKgsmC5s3XBhWO1w1IUyimOjBlXVELmVrjCcCiVlFMiTromXRA8Oj34Zgd-1Jzpo236aJs-26aTbQlanaBtiPCLFwR8bEyLZ2KhRYp_3GVvNuA1dvIPoBJ9Tw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Safety and reliability of forceps delivery based on a 3-dimensional fetal head evaluation: a retrospective study</title><source>J-STAGE Free</source><creator>Takahashi, Masaya ; Takeda, Jun ; Ono, Yoshihisa ; Nagai, Tomonori ; Seki, Hiroyuki ; Takeda, Satoru</creator><creatorcontrib>Takahashi, Masaya ; Takeda, Jun ; Ono, Yoshihisa ; Nagai, Tomonori ; Seki, Hiroyuki ; Takeda, Satoru</creatorcontrib><description>Aim: To evaluate the maternal-neonatal complications of a forceps delivery (FD) by using trapezoidal-Station (t-St), a 3-dimensional assessment of fetal head descent.Methods: This was a retrospective study of 1532 FDs conducted between 1985 and 2012. First, overall outcomes of FDs using t-St were analyzed between years. Second, for FDs from 2007 to 2012, a more detailed analysis of complications was drawn, making comparisons between normal deliveries (NDs) and FDs, and between t-St+2 and t-St+3/lower.Results: Of the 1532 FD cases performed in 28 years, two cases (0.1%) failed. Comparison of ND and FD cases from 2007 to 2012 revealed no significant difference in incidence of 4th degree perineal laceration. No perinatal deaths or cerebral palsy were noted. Comparison of t-St+2 and t-St+3/lower revealed no significant differences in blood loss volume, umbilical cord arterial blood pH, incidence of 3rd/4th degree perineal lacerations (OR, 0.88; 95% CI, 0.35–2.23), or incidence of Apgar score<7 at 1 (OR, 1.93; 95% CI, 0.59–6.27) and 5 minutes (OR, 2.80; 95% CI, 0.25–31.59).Conclusions: FDs using the 3-dimensional assessment were performed safely. The t-St may be an objective and precise assessment of fetal head descent, enabling safe management of FDs.</description><identifier>ISSN: 2187-5987</identifier><identifier>EISSN: 2187-9931</identifier><identifier>DOI: 10.14390/jsshp.HRP2017-016</identifier><language>eng</language><publisher>Japan Society for the Study of Hypertension in Pregnancy</publisher><subject>anal sphincter injury ; forceps delivery ; management of labor ; maternal and neonatal complications ; operative vaginal delivery</subject><ispartof>Hypertension Research in Pregnancy, 2017/11/30, Vol.5(2), pp.65-72</ispartof><rights>2017 Japan Society for the Study of Hypertension in Pregnancy</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-c31293e9d805e076c63ce7dad1fdb612f0bfe8267f71e00cf69234d2f6c1a8733</citedby><cites>FETCH-LOGICAL-c474t-c31293e9d805e076c63ce7dad1fdb612f0bfe8267f71e00cf69234d2f6c1a8733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1876,4009,27902,27903,27904</link.rule.ids></links><search><creatorcontrib>Takahashi, Masaya</creatorcontrib><creatorcontrib>Takeda, Jun</creatorcontrib><creatorcontrib>Ono, Yoshihisa</creatorcontrib><creatorcontrib>Nagai, Tomonori</creatorcontrib><creatorcontrib>Seki, Hiroyuki</creatorcontrib><creatorcontrib>Takeda, Satoru</creatorcontrib><title>Safety and reliability of forceps delivery based on a 3-dimensional fetal head evaluation: a retrospective study</title><title>Hypertension Research in Pregnancy</title><addtitle>Hypertens Res Pregnancy</addtitle><description>Aim: To evaluate the maternal-neonatal complications of a forceps delivery (FD) by using trapezoidal-Station (t-St), a 3-dimensional assessment of fetal head descent.Methods: This was a retrospective study of 1532 FDs conducted between 1985 and 2012. First, overall outcomes of FDs using t-St were analyzed between years. Second, for FDs from 2007 to 2012, a more detailed analysis of complications was drawn, making comparisons between normal deliveries (NDs) and FDs, and between t-St+2 and t-St+3/lower.Results: Of the 1532 FD cases performed in 28 years, two cases (0.1%) failed. Comparison of ND and FD cases from 2007 to 2012 revealed no significant difference in incidence of 4th degree perineal laceration. No perinatal deaths or cerebral palsy were noted. Comparison of t-St+2 and t-St+3/lower revealed no significant differences in blood loss volume, umbilical cord arterial blood pH, incidence of 3rd/4th degree perineal lacerations (OR, 0.88; 95% CI, 0.35–2.23), or incidence of Apgar score<7 at 1 (OR, 1.93; 95% CI, 0.59–6.27) and 5 minutes (OR, 2.80; 95% CI, 0.25–31.59).Conclusions: FDs using the 3-dimensional assessment were performed safely. The t-St may be an objective and precise assessment of fetal head descent, enabling safe management of FDs.</description><subject>anal sphincter injury</subject><subject>forceps delivery</subject><subject>management of labor</subject><subject>maternal and neonatal complications</subject><subject>operative vaginal delivery</subject><issn>2187-5987</issn><issn>2187-9931</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNpNkNtqwzAMhs3YYKXrC-zKL5DOhzROdjdKd4DCxg7XRrHlNSVNgu0W8vYzbSm7kGRJ_n7ET8g9Z3Oey4o9bEPYDPPXzw_BuMoYL67IRPBSZVUl-fX5vahKdUtmIWwZY4LnjOflhAxf4DCOFDpLPbYN1E3bpL531PXe4BCoTeMD-pHWENDSvqNAZWabHXah6TtoaVJIeYNgKR6g3UNM88f0zWP0fRjQxKRAQ9zb8Y7cOGgDzs51Sn6eV9_L12z9_vK2fFpnJld5zIzkopJY2ZItkKnCFNKgsmC5s3XBhWO1w1IUyimOjBlXVELmVrjCcCiVlFMiTromXRA8Oj34Zgd-1Jzpo236aJs-26aTbQlanaBtiPCLFwR8bEyLZ2KhRYp_3GVvNuA1dvIPoBJ9Tw</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Takahashi, Masaya</creator><creator>Takeda, Jun</creator><creator>Ono, Yoshihisa</creator><creator>Nagai, Tomonori</creator><creator>Seki, Hiroyuki</creator><creator>Takeda, Satoru</creator><general>Japan Society for the Study of Hypertension in Pregnancy</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2017</creationdate><title>Safety and reliability of forceps delivery based on a 3-dimensional fetal head evaluation: a retrospective study</title><author>Takahashi, Masaya ; Takeda, Jun ; Ono, Yoshihisa ; Nagai, Tomonori ; Seki, Hiroyuki ; Takeda, Satoru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-c31293e9d805e076c63ce7dad1fdb612f0bfe8267f71e00cf69234d2f6c1a8733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>anal sphincter injury</topic><topic>forceps delivery</topic><topic>management of labor</topic><topic>maternal and neonatal complications</topic><topic>operative vaginal delivery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takahashi, Masaya</creatorcontrib><creatorcontrib>Takeda, Jun</creatorcontrib><creatorcontrib>Ono, Yoshihisa</creatorcontrib><creatorcontrib>Nagai, Tomonori</creatorcontrib><creatorcontrib>Seki, Hiroyuki</creatorcontrib><creatorcontrib>Takeda, Satoru</creatorcontrib><collection>CrossRef</collection><jtitle>Hypertension Research in Pregnancy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takahashi, Masaya</au><au>Takeda, Jun</au><au>Ono, Yoshihisa</au><au>Nagai, Tomonori</au><au>Seki, Hiroyuki</au><au>Takeda, Satoru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety and reliability of forceps delivery based on a 3-dimensional fetal head evaluation: a retrospective study</atitle><jtitle>Hypertension Research in Pregnancy</jtitle><addtitle>Hypertens Res Pregnancy</addtitle><date>2017</date><risdate>2017</risdate><volume>5</volume><issue>2</issue><spage>65</spage><epage>72</epage><pages>65-72</pages><issn>2187-5987</issn><eissn>2187-9931</eissn><abstract>Aim: To evaluate the maternal-neonatal complications of a forceps delivery (FD) by using trapezoidal-Station (t-St), a 3-dimensional assessment of fetal head descent.Methods: This was a retrospective study of 1532 FDs conducted between 1985 and 2012. First, overall outcomes of FDs using t-St were analyzed between years. Second, for FDs from 2007 to 2012, a more detailed analysis of complications was drawn, making comparisons between normal deliveries (NDs) and FDs, and between t-St+2 and t-St+3/lower.Results: Of the 1532 FD cases performed in 28 years, two cases (0.1%) failed. Comparison of ND and FD cases from 2007 to 2012 revealed no significant difference in incidence of 4th degree perineal laceration. No perinatal deaths or cerebral palsy were noted. Comparison of t-St+2 and t-St+3/lower revealed no significant differences in blood loss volume, umbilical cord arterial blood pH, incidence of 3rd/4th degree perineal lacerations (OR, 0.88; 95% CI, 0.35–2.23), or incidence of Apgar score<7 at 1 (OR, 1.93; 95% CI, 0.59–6.27) and 5 minutes (OR, 2.80; 95% CI, 0.25–31.59).Conclusions: FDs using the 3-dimensional assessment were performed safely. The t-St may be an objective and precise assessment of fetal head descent, enabling safe management of FDs.</abstract><pub>Japan Society for the Study of Hypertension in Pregnancy</pub><doi>10.14390/jsshp.HRP2017-016</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2187-5987 |
| ispartof | Hypertension Research in Pregnancy, 2017/11/30, Vol.5(2), pp.65-72 |
| issn | 2187-5987 2187-9931 |
| language | eng |
| recordid | cdi_crossref_primary_10_14390_jsshp_HRP2017_016 |
| source | J-STAGE Free |
| subjects | anal sphincter injury forceps delivery management of labor maternal and neonatal complications operative vaginal delivery |
| title | Safety and reliability of forceps delivery based on a 3-dimensional fetal head evaluation: a retrospective study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T09%3A04%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstage_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Safety%20and%20reliability%20of%20forceps%20delivery%20based%20on%20a%203-dimensional%20fetal%20head%20evaluation:%20a%20retrospective%20study&rft.jtitle=Hypertension%20Research%20in%20Pregnancy&rft.au=Takahashi,%20Masaya&rft.date=2017&rft.volume=5&rft.issue=2&rft.spage=65&rft.epage=72&rft.pages=65-72&rft.issn=2187-5987&rft.eissn=2187-9931&rft_id=info:doi/10.14390/jsshp.HRP2017-016&rft_dat=%3Cjstage_cross%3Earticle_jsshp_5_2_5_HRP2017_016_article_char_en%3C/jstage_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |