Uterine rupture after the uterine fundal pressure maneuver

被引：14

作者：

Hasegawa, Junichi ^{[1
]}

Sekizawa, Akihiko ^{[2
]}

Ishiwata, Isamu ^{[3
]}

Ikeda, Tomoaki ^{[4
]}

Kinoshita, Katsuyuki ^{[5
]}

机构：

[1] Showa Univ, Sch Med, Dept Obstet & Gynecol, Shinagawa Ku, Tokyo 1428666, Japan

[2] Showa Univ, Sch Med, Dept Obstet & Gynecol, Tokyo 1428666, Japan

[3] Ishiwata Obstet & Gynecol Hosp, Ibaraki, Japan

[4] Mie Univ, Sch Med, Dept Obstet & Gynecol, Tsu, Mie, Japan

[5] Seijo Kinoshita Hosp, Tokyo, Japan

来源：

JOURNAL OF PERINATAL MEDICINE | 2015年 / 43卷 / 06期

关键词：

Amniotic fluid embolism; maternal death; postpartum bleeding; uterine fundal pressure; uterine rupture; AMNIOTIC-FLUID EMBOLISM; UNSCARRED UTERUS; 2ND-STAGE; LABOR;

D O I：

10.1515/jpm-2014-0284

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To clarify the incidence of uterine fundal pressure at delivery and its effect on uterine rupture. Study design: A questionnaire was sent to 2518 institutions in Japan. We received a response from 1430. Results: Of reporting institutions, 89.4% used fundal pressure in at least some of their deliveries. Among the 347,771 women who delivered vaginally in this study, 38,973 (11.2%) were delivered with the assistance of fundal pressure. There were six cases of uterine rupture associated with uterine fundal pressure, with one case resulting in maternal death secondary to amniotic fluid embolism. Conclusion: Since uterine fundal pressure may potentially cause serious injury to either the mother and/or neonates, the indications for application need to be clearly elucidated, and obstetric care providers also need comprehensive education and training.

引用

页码：785 / 788

页数：4

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