Journal of gynecology obstetrics and human reproduction
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J Gynecol Obstet Hum Reprod · Mar 2018
Randomized Controlled Trial Multicenter StudyFactors affecting rotation of occiput posterior position during the first stage of labor.
Fetal occiput posterior (OP) positions account for 15 to 20% of cephalic presentations and are associated with poorer maternal and neonatal outcomes than occiput anterior (OA) positions. The aim of this study was to identify maternal, neonatal and obstetric factors associated with rotation from OP to OA position during the first stage of labor. ⋯ Oxytocin administration may affect rotation of OP positions during the first stage of labor. Further studies should be performed to assess the risks and benefits of its utilization for managing labor with a fetus in OP position.
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J Gynecol Obstet Hum Reprod · Mar 2018
Multicenter StudyFrench validation and adaptation of the Grobman nomogram for prediction of vaginal birth after cesarean delivery.
To validate Grobman nomogram for predicting vaginal birth after cesarean delivery (VBAC) in a French population and adapt it. ⋯ The nomogram to predict VBAC developed by Grobman et al. is validated in the French population. Adaptation to the French population, by excluding ethnicity, appeared to improve its performance. Impact of the nomogram use on the caesarean section rate has to be validated in a randomized control trial.