WorldWideScience

Sample records for symphysiotomy

  1. [Symphysiotomy to relieve shoulder dystocia

    NARCIS (Netherlands)

    Mourad, S.M.; Nieuwenhof, H.P. van de; Biert, J.; Heidema, W.M.; Bekker, M.N.

    2014-01-01

    Symphysiotomy to manage shoulder dystocia is seldom used in the western world. For this reason, in well-resourced countries knowledge of its recuperation rate and the management of physical discomfort in the post-partum period is scarce. We describe two cases of symphysiotomy for shoulder dystocia.

  2. [Symphysiotomy to relieve shoulder dystocia].

    Science.gov (United States)

    Mourad, Selma M; van de Nieuwenhof, Hedwig P; Biert, Jan; Heidema, Wieteke M; Bekker, Mireille N

    2014-01-01

    Symphysiotomy to manage shoulder dystocia is seldom used in the western world. For this reason, in well-resourced countries knowledge of its recuperation rate and the management of physical discomfort in the post-partum period is scarce. We describe two cases of symphysiotomy for shoulder dystocia. Both babies did very well in the postpartum period. The short-term 6-week and 6-month follow-up of both mothers is described. Short-term maternal complications were minor and based on prolonged immobilization. In accordance with the international literature, the short-term and long-term follow-up after symphysiotomy for shoulder dystocia was good and there were no major maternal or neonatal complications. We therefore wish to advocate symphysiotomy as a good and safe option to deliver a baby in cases of severe shoulder dystocia, when all other manoeuvres fail.

  3. Postoperative care of symphysiotomy performed for severe shoulder dystocia with fetal demise

    Directory of Open Access Journals (Sweden)

    Joy Anderson

    2017-04-01

    Précis: Symphysiotomy for severe shoulder dystocia is rarely utilized in the United States. We describe a case of symphysiotomy done for severe shoulder dystocia at an outside institution, and the patient's subsequent care at our institution.

  4. Radiographic findings after pubic symphysiotomy: mean time to follow-up of 41.6 years.

    LENUS (Irish Health Repository)

    Galbraith, John G

    2014-01-01

    Pubic symphysiotomy is a rarely performed procedure in which the pubic symphysis is divided to facilitate vaginal delivery in cases of obstructed labor. Recently, many obstetricians have shown renewed interest in this procedure. The purpose of this paper is to report the long-term radiographic findings for patients who had undergone pubic symphysiotomy compared with the radiographic appearance of a group of age-matched and parity-matched controls.

  5. Symphysiotomy for obstructed labour: a systematic review and meta-analysis.

    Science.gov (United States)

    Wilson, A; Truchanowicz, E G; Elmoghazy, D; MacArthur, C; Coomarasamy, A

    2016-08-01

    Obstructed labour is a major cause of maternal mortality. Caesarean section can be associated with risks, particularly in low- and middle-income countries, where it is not always readily available. Symphysiotomy can be an alternative treatment for obstructed labour and requires fewer resources. However, there is uncertainty about the safety and effectiveness of this procedure. To compare symphysiotomy and caesarean section for obstructed labour. MEDLINE, EMBASE, Cochrane library, CINAHL, African Index Medicus, Reproductive Health Library and Science Citation Index (from inception to November 2015) without language restriction. Studies comparing symphysiotomy and caesarean section in all settings, with maternal and perinatal mortality as key outcomes. Quality of the included studies was assessed using the STROBE checklist and the Newcastle Ottawa scale. Relative risks (RR) were pooled using the random effects model. Heterogeneity was assessed using I(2) tests. Seven studies (n = 1266 women), all of which were set in low- and middle-income countries (as per the World Bank definition) and compared symphysiotomy and caesarean section were identified. Meta-analyses showed no significant difference in maternal (RR 0.48, 95% CI 0.13-1.76; P = 0.27) or perinatal (RR 1.12, 95% CI 0.64-1.96; P = 0.69) mortality with symphysiotomy when compared with caesarean section. There was a reduction in infection (RR 0.30, 95% CI 0.14-0.62) but an increase in fistulae (RR 4.19, 95% CI 1.07-16.39) and stress incontinence with symphysiotomy (RR 10.04, 95% CI 3.23-31.21). There was no difference in key outcomes of maternal and perinatal mortality with symphysiotomy when compared with caesarean section. Symphysiotomy could be an alternative to caesarean section when resources are limited. © 2016 The Authors. BJOG An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.

  6. Postoperative care of symphysiotomy performed for severe shoulder dystocia with fetal demise

    OpenAIRE

    Anderson, Joy; Hampton, R. Moss; Lugo, Jonathan

    2017-01-01

    Background: Shoulder dystocia is an obstetric emergency which occurs in 0.2–3% of all births ACOG Committee on Practice Bulletins-Obstetrics and The American College of Obstetrician and Gynecologists (2002) . Symphysiotomy is a treatment option reserved primarily for developing countries where mortality rates of Cesarean delivery are 1–2% Monjok et al. (2013) . Case: A G3P2002 with a history of two prior vaginal deliveries had a term delivery complicated by a severe shoulder dystocia. She ...

  7. Obstructed Labour in Resource-poor Settings: The Need for Revival ...

    African Journals Online (AJOL)

    This paper highlights our experiences with symphysiotomy in a rural Roman Catholic hospital providing evidence on the safety of symphysiotomy and the need for its revival and reinstatement in the obstetric arsenal in Nigeria and similar countries in sub-Saharan Africa where maternal mortality as a result of prolonged and ...

  8. Problems of the pelvic passageway

    International Nuclear Information System (INIS)

    Langnickel, D.

    1987-01-01

    In this book, measurements by clinical, X-ray, ultrasound, CT and MRI pelvimetry are presented. Fetopelvic scores for vertex and breech presentations can facilitate delivery planning. Management of labor, dystocia and relative fetopelvic disproportion are outlined, as well as features distinguishing primigravid from multigravid labor. The book also deals with trial of labor, forceps and vacuum extraction, and their effects on fetal and maternal outcome. Many other aspects, such as shoulder dystocia, hypoxia, symphysiotomy, premature rupture of membranes, episiotomies, cervical scores and the use of cervical dilators, are discussed in detail

  9. Problems of the pelvic passageway

    Energy Technology Data Exchange (ETDEWEB)

    Langnickel, D.

    1987-01-01

    In this book, measurements by clinical, X-ray, ultrasound, CT and MRI pelvimetry are presented. Fetopelvic scores for vertex and breech presentations can facilitate delivery planning. Management of labor, dystocia and relative fetopelvic disproportion are outlined, as well as features distinguishing primigravid from multigravid labor. The book also deals with trial of labor, forceps and vacuum extraction, and their effects on fetal and maternal outcome. Many other aspects, such as shoulder dystocia, hypoxia, symphysiotomy, premature rupture of membranes, episiotomies, cervical scores and the use of cervical dilators, are discussed in detail.