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2008 | 3 | 2 | 183-186
Tytuł artykułu

Possible feto-maternal clinical risk of the Kristeller’s expression

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this clinical case study is evaluation of possible intrapartal complication of the uncritical Kristeller’s expression. In this retrospective clinical study, data on seven parturients with significant maternal or fetal intrapartum complications during the second labor stage and Kristeller expression, associated with the maneuver, were analyzed. Data was obtained from patient files: history of delivery delivery room protocol and neonatal reports from two tertiary maternal wards. There were five uterine ruptures that were treated by laparotomy and uterine sutures. Atypical rupture location on the uterine fundus occurred in one case, isthmus rupture in three cases, and rupture of the scar left after a previous cesarean section as a potential risk factor for uterine rupture in one case. Complex uterine cervicoisthmic rupture with incomplete colporrhexis occurred during the delivery of a macrosomic child at an outpatient ward. In one case, unilateral fracture of the tenth and eleventh ribs resolved spontaneously without complications. One case of peripartum trauma, possibly associated with extensive expression was observed in one neonates: cutaneous and subcutaneous hematoma on the back with traumatic unilateral adrenal hemorrhage. Both newborns were monitored, successfully treated, and discharged from the hospital free from complications. In conclusion, in the obstetrics as a high risk profession, a very critical approach should be exercised on choosing this maneuver, which should be reserved for the rare and strictly indicated cases, thereby strictly following the professional rules to avoid generally unnecessary and unpleasant litigation and forensic expertise.
Słowa kluczowe
Wydawca

Czasopismo
Rocznik
Tom
3
Numer
2
Strony
183-186
Opis fizyczny
Daty
wydano
2008-06-01
online
2008-04-09
Twórcy
  • Department of Obstetrics and Gynecology, School of Medicine, Zagreb University, Sveti Duh Hospital, Zagreb, Croatia, dubravko.habek@os.t-com.hr
  • Department of Obstetrics and Gynecology Clinical Hospital Osijek, Osijek, Croatia
  • Praxis für Geburtshilfe und Gynäkologie, Frankfurt / Main, Deutschland, Austria
Bibliografia
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  • [9] Buhimschi C.S., Buhimschi I.A., Malinow A.M., Kopelman J.N., Weiner C.P., The effect of fundal pressure manoeuvre on intrauterine pressure in the second stage of labour., Brit. J. Obstet. Gynecol., 2002, 109, 520–526
  • [10] Greenhill J.P., Obstetrics. W.B., Saunders Company, Philadelphia-London, 1960, 974–976
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  • [13] Husslein P., Bernaschek G., Huber J.C., Kubista E., Leodolter S. (Eds.). Lehrbuch der Frauenheilkunde. Band 2: Geburtshilfe. Wilhelm Maudrich Verlag, Wien-Munchen-Bern, 2001, 191
  • [14] Gallo M., Llamas C., Solano F., Martinez J., Maternal position in labor and delivery: perinatal and maternal effects. U. Kurjak A., ur. Textbook of Perinatal medicine-London-New York: The Parthenon Publishing Group Ltd, 1998, 1761–1769
  • [15] Kline-Kaye V., Miller-Slade D., The use of fundal pressure during the second stage of labor.m J. Obstet. Gynecol. Neonatal. Nurs., 1990, 19, 511–517 http://dx.doi.org/10.1111/j.1552-6909.1990.tb01670.x[Crossref]
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  • [19] David M., Pachaly J., Vetter K., Die Episiotomie: Protektiv oder Risikofaktor beim schweren Dammris? Geburtsh Frauenheilk, 2005, 65, 604–611 http://dx.doi.org/10.1055/s-2005-865700[Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0008-z
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