O32.1
Conditions
Interventions
Group 1: Correlation of conjugata vera obstetrica and fetal birth weight with the Need for assisted obstetric maneuvers in primiparae with breech presentation in quadrupedal position
What is the influ
Sponsors
Zentrum für Frauenheilkunde und Geburtshilfe Universitätsklinikum Frankfurt am Main
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: PATIENT REGISTRATION: - Mother's date of birth (month/year): (mm/yyyy) - Date of delivery (month/year): (mm/yyyy) - Birth book number BASIC DATA: - Gravidity (number) / parity (number) / abortion/interruption (number) / EUG (extrauterine pregnancy) (Z - Height (in cm): (number without decimal place) - Weight before SS (in kg): (number without decimal place) - BMI (before SS) - PREGNANCY: - Pelvic diagnosis ? CVO (in cm) - Condition after uterine surgery/sectio? (yes/no) - Diseases/complications during pregnancy? (Yes/no) Case yes: type of Disease/complication? ? Preeclampsia (yes/no) ? Gestational diabetes (yes/no). - GDM, insulin dependent (yes/no) - GDM, diet-controlled (yes/no) ? Preterm labor/cervical insufficiency (yes/no) ? Cervical insufficiency (cerclage, pressor insertion) (yes/no) ? Preterm labor indicators (rupture, prolapse, hemorrhage, opening of uterine orifice, Contractions) (yes/no) ? abnormal condition of uterus and female genital tract (U.bicornis, U.subseptus, fibroids, U.myomatosus, vagina subsepta, scars) (yes/no). ? Placental disorders(yes/no) If yes: what type of placental disorders? - Placenta praevia (yes/no). - Placental insufficiency, abruption,hemorrhage (yes/no). ? PPROM (premature rupture of membranes < SSW 37+0) (yes/no). ? SGA/IUGR (yes/no). ? Physical limitation (malformations, orthopedic problems, short stature, Heart defect) ? Blood coagulation (factor disorders, thrombosis, embolism, thrombocytopenia) ? (Systemic) pre-existing conditions (e.g., hyper-/hypotension, hyper-/hypothyroidism, Diabetes, anemia, obesity, neurodermatitis) (yes/no). ? chronic infections (hepatitis,HIV) (yes/no) ? Alcohol/drug abuse, methadone substitution ? Other diseases/complications (free field) (yes/no) ? If no: above fields visible but not editable. BIRTH: - Time of delivery: SSW [number+number] - e.g., "37+6" - TYPE of Breech ? complete breech = both legs bent upwards (yes/no) ? incomplete rear- foot- breech = one foot up, one foot down(yes/no) ? complete rear- foot- breech= both feet down (yes/no) ? baby "standing" in the uterus (yes/no) ? legs and head to the right/ left, belly or back down (yes/no) - Mode of delivery: ? Vaginal spontaneous delivery (yes/no) ? Primary sectio(yes/no) ? Secondary sectio (yes/no) ? Emergency sectio (yes/no) ? Sectio on request (yes/no) - Indicators for sectio ? disproportion, CVO <12cm, macrosomia (yes/no). ? maternal indication (pre-eclampsia, HELLP- syndrome, infection, hepatitis/ HIV, Thrombosis, severe other (syst.) disease) (yes/no). ? AIS, v.a. AIS, infection (yes/no). ? other fetal indications (yes/no). - Birth position ? Supine position (yes/no) ? quadrupedal position (yes/no) Standing (yes/no) - Head release maneuver (yes/no) If yes, what type of head release? ? Bracht handle (yes/no) ? Veit-Smellie hand grip (yes/no) ? Frank nudge (yes/no) - Arm release maneuver (yes/no) If yes, what type of head release? ? Bickenbach (yes/no) ? Classic arm release (yes/no) ? Lövset (yes/no) ? Müller (yes/no) ? Louwen maneuver (yes/no) - Path CTG (yes/no) - Birth duration (in minutes) ? Total duration of birth ? Duration of opening period (in minutes) Duration of expulsion period (in minutes) - Birth arrest (yes/no) If yes, what time of birth period? ? Opening period (yes/no) ? Expulsion period (yes/no) - Signs of infection during labor (fever, CRP, ß-hemolytic streptococci, varicella) (yes/no) - PDA (yes/no) - Premature rupture of membranes (yes/no) - Prolapse of body pa
Exclusion criteria
Exclusion criteria: missing patient's consent pathology in pregnancy gestational diabetes Uterine malformations Uterine surgery with caval opening Placental abnormalities Pelvic abnormalities Fetal growth retardation Transverse position Fetal malformations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main objective is to increase knowledge in the field of diagnostic or therapeutic pathways in women with a fetus in BEL. Evaluation criteria, expected effects, influencing factors and their statistical evaluation will be defined in the context of the hypotheses to be generated for future research projects. which will be answered on the basis of the data of this registry. | — |
Secondary
| Measure | Time frame |
|---|---|
| fetale Outcome | — |
Countries
Germany
Contacts
Public ContactFrank Louwen
Zentrum für Frauenheilkunde und GeburtshilfeUniversitätsklinikum Frankfurt
Outcome results
None listed