PMID- 31122528
OWN - NLM
STAT- MEDLINE
DCOM- 20191224
LR  - 20191224
IS  - 1875-6263 (Electronic)
IS  - 1028-4559 (Linking)
VI  - 58
IP  - 3
DP  - 2019 May
TI  - Safety of uterine fundal pressure maneuver during second stage of labor in a 
      tertiary perinatal medical center: A retrospective observational study.
PG  - 375-379
LID - S1028-4559(19)30075-0 [pii]
LID - 10.1016/j.tjog.2018.10.033 [doi]
AB  - OBJECTIVE: This study aimed to evaluate the conformity of the indications and 
      implementation status of uterine fundal pressure maneuver (UPFM) and to examine 
      its safety according to the Japan Society of Obstetrics and Gynecology (JSOG) 
      guidelines. MATERIALS AND METHODS: We selected all the patients (n = 265) who 
      were treated with UFPM between January 2015 and March 2017. We first evaluated 
      the conformity of the indications and implementation status of UFPM concerning 
      the guidelines for obstetrical practice in Japan, 2017. Second, we 
      retrospectively examined maternal and fetal adverse events (AEs) to determine the 
      safety of UFPM. RESULTS: In total, 265 patients underwent UFPM; of all the 
      UFPM-assisted deliveries, 189 patients (72%) were evaluated for conformity. Of 
      these 189 patients, 181 (95.7%) were confirmed to be compliant. Laceration of the 
      birth canal was the most frequently occurring maternal AE, followed by cervical 
      laceration. No cases of uterine rupture, severe AEs leading to an extended 
      hospital stay, and maternal deaths were observed. Although fetal AEs requiring 
      admission to neonatal intensive care unit (NICU) were recorded for 33 patients 
      (12.5%), all newborns developed normally without sequela. CONCLUSION: The 
      findings of this study may support the validity of the 2017 guidelines. Because 
      it is difficult to find evidence of the safety of use of UFPM, it is essential to 
      accumulate experiences and results learned in clinical practice to build a 
      consensus in the future using the current 2017 guidelines as a standard as done 
      in the current study.
CI  - Copyright (c) 2019. Published by Elsevier B.V.
FAU - Hayata, Eijiro
AU  - Hayata E
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Nakata, Masahiko
AU  - Nakata M
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan. Electronic address: masahiko.nakata@med.toho-u.ac.jp.
FAU - Takano, Mayumi
AU  - Takano M
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Umemura, Nahomi
AU  - Umemura N
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Nagasaki, Sumito
AU  - Nagasaki S
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Oji, Ayako
AU  - Oji A
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Maemura, Toshimitsu
AU  - Maemura T
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Katagiri, Yukiko
AU  - Katagiri Y
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
FAU - Morita, Mineto
AU  - Morita M
AD  - Department of Obstetrics and Gynecology, Toho University Omori Medical Center, 
      Japan.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - China (Republic : 1949- )
TA  - Taiwan J Obstet Gynecol
JT  - Taiwanese journal of obstetrics & gynecology
JID - 101213819
SB  - IM
MH  - Adult
MH  - Delivery, Obstetric/adverse effects/*methods/statistics & numerical data
MH  - Female
MH  - Guideline Adherence/*statistics & numerical data
MH  - Humans
MH  - Infant, Newborn
MH  - Japan
MH  - *Labor Stage, Second
MH  - Pregnancy
MH  - Pressure
MH  - Retrospective Studies
MH  - Tertiary Care Centers
OTO - NOTNLM
OT  - Kristeller maneuver
OT  - Maternal outcome
OT  - Neonatal outcome
OT  - The second stage of labor
OT  - Uterine fundal pressure
EDAT- 2019/05/28 06:00
MHDA- 2019/12/25 06:00
CRDT- 2019/05/25 06:00
PHST- 2018/10/04 00:00 [accepted]
PHST- 2019/05/25 06:00 [entrez]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2019/12/25 06:00 [medline]
AID - S1028-4559(19)30075-0 [pii]
AID - 10.1016/j.tjog.2018.10.033 [doi]
PST - ppublish
SO  - Taiwan J Obstet Gynecol. 2019 May;58(3):375-379. doi: 10.1016/j.tjog.2018.10.033.