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Created on : 30 Jan 2018
Modified on : 30 Jan 2018

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Bibliographical entry (without author) :

Asynclitism: a literature review of an often forgotten clinical condition. Pubmed. 2015

Author(s) :

Malvasi A., Barbera A, Di Vagno G, Gimovsky A, Berghella V, Ghi T, Di Renzo GC, Tinelli A.

Year of publication :

2015

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/25283847
https://doi.org/10.3109/14767058.2014.972925

Résumé (français)  :

Etude de l’asynclitisme et de son diagnostic car ce défaut de la présentation ou de la progression peut mener à la césarienne. Présent essentiellement dans les variétés traverses et postérieures.

conclusion :
Le diagnostic précis de l’asynclitisme, d’une manière objective, peut fournir une meilleure évaluation de la position de la tête fœtale qui aidera à l’application correcte de la ventouse et des forceps, permettant la prévention des accouchements par césarienne inutiles

Abstract (English)  :

Asynclitism is defined as the “oblique malpresentation of the fetal head in labor“. Asynclitism is a clinical diagnosis that may be difficult to make; it may be found during vaginal examination. It is significant because it may cause failure of progress operative or cesarean delivery. We reviewed all literature for asynclitism by performing an extensive electronic search of studies from 1959 to 2013. All studies were first reviewed by a single author and discussed with co-authors. The following studies were identified: 8 book chapters, 14 studies on asynclitism alone and 10 papers on both fetal occiput posterior position and asynclitism. The fetal head in a laboring patient may be associated with some degree of asynclitism; this is seen as usual way of the fetal head to adjust to maternal pelvic diameters. However, marked asynclitism is often detected in presence of a co-existing fetal head malposition, especially the transverse and occipital posterior positions. Digital diagnosis of asynclitism is enhanced by intrapartum ultrasound with transabdominal or transperineal approach. The accurate diagnosis of asynclitism, in an objective way, may provide a better assessment of the fetal head position that will help in the correct application of vacuum and forceps, allowing the prevention of unnecessary cesarean deliveries.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

étude de l’asynclitisme sans prise en compte de la mobilisation pour réduire les dystocies d’engagement, à régler par extraction et non par césarienne

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; prevention ; instrumental delivery ; forceps delivery ; vacuum extraction (ventouse)

Author of this record :

Alison Passieux — 30 Jan 2018
➡ latest update : Marion Corbe — 30 Jan 2018