Fetal Position and Presentation Abnormalities
Conditions
Keywords
fetal malposition, fetal left occiput position, fetal right occiput position
Brief summary
The project aims to find a relationship between the positioning of the foetus before and during birth and the results of obstetrics and to determine their incidence in the Polish population. The study will be conducted by combining the use of ultrasound diagnostics, midwives observations during childbirth, analysis of medical documentation and a questionnaire on the activity of examined women. The obtained results will be used to prepare guidelines for the birth in a particular foetus position.
Detailed description
The purpose of the examination is to describe the difficulties associated with delivery in a non-optimal position of the fetus. Initial observations show that such childbirth is perceived as difficult by both the women giving birth and the staff. The aim of the study is to describe the level of difficulty of this labor, expressed as the experience of the woman, as well as all the elements that may affect the difficulty of this labor, for example, slower or no progress in labor, disturbances in systolic function, injuries, the need to use epidural anesthesia, increased blood loss.
Interventions
OTHERn a
the participants are not subjected to any type of intervention
Sponsors
Foundation for St. Sophia Specialist Hospital in Warsaw
Żelazna Medical Centre, LLC
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* during childbirth, * in a single pregnancy,
Exclusion criteria
* pelvic position of the fetus * in whom labor is induced for reasons other than post-term pregnancy, * women who came to the hospital in the second stage of labor * severe diseases mother or foetus.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mode of delivery | immediately after delivery | Mode of delivery as measured by number of women who had a vaginal, instrumental or operational delivery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Uterine contractions | during birth | uterine contractions as measured by number of contractions and assessment of uterine contractile coordination |
| Labor progress | during birth | Labor progress as measured by assessment of the head insertion, advancement in the birth canal, |
| Epidural | immediately after delivery | as measured by epidural or not |
| Perineum injury | immediately after delivery | as measured by number and extent of injury |
| Duration of delivery | immediately after birth | the time of 1,2,3 and 4 stage of labor |
| Methods of placental separation | immediately after delivery | as measured by number of Duncan or SchultZ methods |
| Blood loss | immediately after delivery | postpartum blood loss (ml) |
| Difficulty of childbirth | immediately after delivery | difficulty of childbirth as measured by subjective assessment of the woman and the midwife |
| Episiotomy | immediately after delivery | as measured by episiotomy or not |
Countries
Poland
Contacts
Primary ContactMagdalena Witkiewicz, BA
Outcome results
None listed