Compound presentation resulting from the forward-roll technique of external cephalic version: a possible mechanism

Article Abstract:

Attempts by obstetricians to turn breech babies before labor to the head down position may be more successful if fetuses are rotated backward rather than forward. Researchers performed external cephalic version to correct a breech position in a 41-week pregnant woman. The fetus was rotated forward, and although the head came down, so did both hands and a foot. The infant was able to be delivered this way, with no adverse effect to infant or mother. A review of the medical literature revealed 14 cases of compound (head-foot) presentations. The forward rotation may allow the fetus's legs to extend, causing a compound presentation. A backward rotation may minimize the chance of the legs unfolding and the feet becoming trapped next to the head.

Management, Physiological aspects, Breech delivery, Breech birth, Version (Obstetrics), Labor, Complicated, Labor complications

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Accuracy of simulated cervical dilation and effacement measurements among practitioners

Article Abstract:

A study was undertaken to determine whether hard or soft cervical models produced more accurate assessments of cervical dilation and effacement when examined by practitioners of various experience levels. On the basis of the findings, it was recommended that beginning practitioners might benefit from learning on firm models before progressing to more realistic soft models.

United States, Science & research, Health Care and Social Assistance, Surgical Procedures, HEALTH SERVICES, Research, Surgery, Cervix diseases

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Should intravenous tocolysis be considered beyond 34 weeks' gestation?

Article Abstract:

Babies born prematurely at 34 weeks have a higher risk of respiratory distress syndrome than babies born at term. In a study of 291 babies, 17% born at 34 weeks developed respiratory distress syndrome compared to 4% of those born at term.

Risk factors, Diseases, Infants (Premature), Premature infants, Respiratory distress syndrome

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