Occiput-spine relationship: shoulders are more important than head

Gloria Calagna, Antonino Perino, Antonio Ragusa, Alimondi, Alessandro Svelato, Antonino Perino, Tommaso, Tommaso, Marci, Alessandro Svelato, Maria Vittoria Barbagallo, Pietro Alimondi

Risultato della ricerca: Articlepeer review

2 Citazioni (Scopus)

Abstract

BACKGROUND:To understand the role of fetal spine position in determining a fetal head position at the time of birth and modality of delivery.PATIENTS AND METHODS:This was a multicenter prospective observational study. Fetal occiput and spine position were evaluated by intrapartum ultrasound. Eighty-six women were eligible for inclusion in the study. Occiput rotational movements and modality of delivery in relation to the fetal spine position were investigated.RESULTS:At the beginning of labor, fetal occiput was in a posterior position in 52.3% of cases and, in 81.5% of cases the spine was in an anterior transverse position. At birth, occiput and spine were both in an anterior position in 90.4% of cases. The rate of cesarean sections in the SP group was significantly higher than the rate in the SAT group (50% vs. 8%, p < 0.0007). Instead, the rate of vaginal deliveries without intervention in the SP group was significantly lower than the rate in the SA group (14% vs. 71%, p < 0.0001).CONCLUSIONS:Fetal spine position could have an important role in determining fetal occiput position at birth. Spine position might play a crucial role in the outcome of delivery.
Lingua originaleEnglish
pagine (da-a)1178-1183
Numero di pagine6
RivistaEUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
Volume21
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

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