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https://ciane.net/id=556

Criado em : 08 Mar 2004
Alterado em : 02 Dec 2007

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Nota bibliográfica (sem autor) :

Rotational versus nonrotational forceps: maternal and neonatal outcomes. Am J Obstet Gynecol. 1999 Nov;181(5 Pt 1):1185-7.

Autores :

Feldman DM, Borgida AF, Sauer F, Rodis JF.

Ano de publicação :

1999

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: Our purpose was to evaluate maternal and neonatal morbidity associated with rotations performed with Leff forceps in comparison with nonrotational forceps deliveries.

STUDY DESIGN: A review of 267 rotational and nonrotational forceps deliveries from August 1996 through February 1998 was performed. Multiple maternal and neonatal outcome measures were compared and results were analyzed by chi(2) with the Fisher exact test and the Student t test.

RESULTS: One hundred sixty-three traditional low-forceps or outlet forceps deliveries were compared with 104 rotational forceps deliveries performed with Leff forceps. There were no significant differences between the 2 groups in maternal age, gestational age, gravidity, parity, total labor duration, birth weight, and Apgar scores. There were significantly lower rates of episiotomy, third- and fourth-degree lacerations, and sulcus lacerations in the rotation group, and the second stage of labor was also shorter. The neonatal intensive care unit admission rate was higher in the rotation group; however, none of the admissions were directly related to the mode of delivery.

CONCLUSION: Rotational deliveries performed with Leff forceps are associated with less maternal morbidity and shorter second stage of labor than are deliveries performed with traditional forceps. Leff forceps are a safe option for rotation of the persistent occipitoposterior fetal position.

Sumário (português)  :

Resumen (español)  :

Comentários :

Argument (français) :

L’utilisation de forceps de Leff (rotationnels) est avantageuse, notamment pour ce qui est du taux d’épisiotomies et de déchirures.

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

➡ medicina baseada em evidências ; rasgaduras ; idade materna ; episiotomia ; extracção instrumental ; forceps ; morbidade

Autor da esta ficha :

Cécile Loup — 08 Mar 2004