The last step of a successful pregnancy is the safe delivery of the fetus. An important question is if the delivery should vaginal or operative. In addition to the use of conventional antenatal ultrasound, the use of intrapartum ultrasound to evaluate fetal head station, position, cervical ripening, and placental separation is promising. This review evaluates and summarizes the usefulness of in...

Interpretation and analysis of intrapartum fetal heart rate, enabling early detection of fetal acidosis, remains a challenging signal processing task. Recently, a variant of the wavelet-based multifractal analysis, based on p-exponents and p-leaders, which provides a rich framework for data regularity analysis, has been proposed. The present contribution aims at studying the benefits of using t...

Table II in the article shows thin meconium in trachea in 51.9% of the cases, whereas Table III shows thin meconium in trachea in 54.8% of the cases! Table IV shows that out of 9 babies who had intrapartum suctioning alone only one baby developed Meconium Aspiration Syndrome (MAS) (11.1%), while of those who received both intrapartum suctioning and endotracheal suctioning, 16.1% developed MAS t...

Informed consent is the heart of ethical research. For any consent to be ethically valid, it should meet certain critical criteria- disclosure and understanding of relevant information, decision making competency of the participants, voluntariness of the decision and documentation of the agreement. Meeting all these criteria to obtain ethically valid consent from laboring women while conducting...

PURPOSE This study aims to identify triggers of stillbirth in the study setting and to make suggestions to reduce the prevalence. METHOD A three-year retrospective case-control study of stillbirths at Ekiti State University Teaching Hospital. RESULTS The stillbirth rate was 33 per 1000 births. Based on Baird-Pattinson classification of the primary obstetric causes of stillbirth, adverse int...

Intrapartum ultrasound has become more popular over the last decade. It provides a more objective assessment of fetal head position and station than traditional digital vaginal examination, which is now known to be inaccurate. Correct identification of fetal head position is particularly useful before instrumental delivery, although it should not be used in the first stage of labour to predict ...

The ex utero intrapartum treatment is a rare surgical procedure performed in cases of expected postpartum fetal airway obstruction. The technique lies on a safe establishment of a patent airway during labor in anticipation of a critical respiratory event, without interrupting maternal-fetal circulation. Anesthetic management is substantially different from that regarding standard cesarean deliv...

The aim of this study was to determine the factors associated with intrapartum asphyxia in singleton deliveries beyond 37 weeks' gestation. We reviewed the obstetric records of Japanese singleton deliveries after 37 weeks' gestation managed at Japanese Red Cross Katsushika Maternity Hospital from 2005 through 2010. Forty-nine cases were diagnosed as intrapartum asphyxia on the basis of an Apgar...

BACKGROUND Of 136 million babies born annually, around 10 million require assistance to breathe. Each year 814,000 neonatal deaths result from intrapartum-related events in term babies (previously "birth asphyxia") and 1.03 million from complications of prematurity. No systematic assessment of mortality reduction from tactile stimulation or resuscitation has been published. OBJECTIVE To estim...