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  1. Article ; Online: Reply.

    Kasbaoui, Sidi / Severac, François / Sananes, Nicolas

    American journal of obstetrics and gynecology

    2017  

    Language English
    Publishing date 2017-09-14
    Publishing country United States
    Document type Letter
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2017.09.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reply.

    Sananès, Nicolas / Kasbaoui, Sidi / Severac, François

    American journal of obstetrics and gynecology

    2017  Volume 217, Issue 3, Page(s) 382

    Language English
    Publishing date 2017-09
    Publishing country United States
    Document type Letter
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2017.05.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Predicting the difficulty of operative vaginal delivery by ultrasound measurement of fetal head station.

    Kasbaoui, Sidi / Séverac, François / Aïssi, Germain / Gaudineau, Adrien / Lecointre, Lise / Akladios, Chérif / Favre, Romain / Langer, Bruno / Sananès, Nicolas

    American journal of obstetrics and gynecology

    2017  Volume 216, Issue 5, Page(s) 507.e1–507.e9

    Abstract: Background: Clinical assessment of fetal head station is difficult and subjective; it is mandatory before attempting operative vaginal delivery.: Objective: The principal objective of our study was to assess whether measurement of the perineum-to- ... ...

    Abstract Background: Clinical assessment of fetal head station is difficult and subjective; it is mandatory before attempting operative vaginal delivery.
    Objective: The principal objective of our study was to assess whether measurement of the perineum-to-skull ultrasound distance was predictive of a difficult operative vaginal delivery. Secondary objectives included evaluation of the interobserver reproducibility of perineum-to-skull ultrasound distance and comparison of this measurement and digital examination in predicting a difficult operative delivery.
    Study design: This was a prospective cohort study including all cases of operative vaginal deliveries in singleton pregnancies in cephalic presentation >34 weeks' gestation, from 2012 through 2015. All data were entered prospectively in a medical record system specially devised to meet the requirements of this study.
    Results: Of the 659 patients in whom perineum-to-skull ultrasound distance was measured prior to operative vaginal delivery, 120 (18%) met the composite criterion for a difficult extraction. Perineum-to-skull ultrasound distance measurement of ≥40 mm was significantly associated with the occurrence of a difficult extraction based on the composite criterion, after adjustment for parity, presentation type, and fetal macrosomia (odds ratio, 2.38; 95% confidence interval, 1.51-3.74; P = .0002). The intraclass correlation coefficient between the perineum-to-skull ultrasound distance measured by the first operator and that measured by the second operator was 0.96 (95% confidence interval, 0.95-0.97; P < .0001). Based on the receiver operating characteristic curve analyses, perineum-to-skull ultrasound distance was a more accurate predictor of difficult operative delivery than digital vaginal examination (P = .036).
    Conclusion: Measurement of the perineum-fetal skull ultrasound distance is a reproducible and predictive index of the difficulty of instrumental extraction. Ultrasound is a useful supplementary tool to the usual clinical findings.
    MeSH term(s) Adult ; Birth Weight ; Cohort Studies ; Female ; Fetus ; Head/diagnostic imaging ; Humans ; Labor Presentation ; Likelihood Functions ; Obstetrical Forceps ; Parity ; Perineum/diagnostic imaging ; Predictive Value of Tests ; Pregnancy ; Ultrasonography, Prenatal ; Vacuum Extraction, Obstetrical
    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2017.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Um I Zs.152: Show issues Location:
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