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Created on : 02 Aug 2014
Modified on : 02 Aug 2014

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Bibliographical entry (without author) :

Use of uterine fundal pressure maneuver at vaginal delivery and risk of severe perineal laceration - Archives of Gynecology and Obstetrics - Vol. 281, 3 - ISBN: 0932-0067, 1432-0711 - p.579-580

Author(s) :

Hoogsteder, Philippus H. J.; Pijnenborg, Johanna M. A.

Year of publication :

2010

URL(s) :

http://link.springer.com/article/10.1007/s00404-00…
https://doi.org/10.1007/s00404-009-1229-3

Résumé (français)  :

Abstract (English)  :

Matsuo et al. [1] published a very interesting, retrospective cohort study about the use of uterine fundal pressure maneuver at vaginal delivery and the risk of severe perineal laceration. A total of 661 vaginal deliveries were evaluated, in 39 (5.9%) of these cases fundal pressure maneuver was applied.The authors concluded the use of uterine fundal pressure during the second stage of labor increased the risk of severe perineal laceration, defined as a third- or fourth degree perineal tear. The risk of severe perineal laceration was 28.1% in the group that received fundal pressure versus 3.7% in the non-fundal pressure group, odds ratio 7.81 (95% CI 3.33–18.3) and P < 0.001. Even adjusted for previously described confounders like, primiparity, length of labor, episiotomy and vacuum extraction there was a significant higher rate of severe laceration in the fundal pressure group [1, 2]. We compliment the authors for publishing these interesting data, since fundal pressure is frequently u

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Keywords :

➡ episiotomy

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Import 02/08/2014 — 02 Aug 2014