Description
G. ADAM, C. DIROESCU, D. STĂNCULESCU
Objectives: The main objective of this study was to determine if the initial fetal head position ( occiput anterior or posterior) in labour can be used as an argument for vaginal or cesarean delivery and to assess it’s importance in labour management, in a low-setting maternity ward
Methods:30 patients in labor were included in this study, with gestational age over 37 weeks and estimated fetal weight over 2500 g, singleton pregnancy, cephalic presentation, empty urinary bladder. For these patients the ultrasound assessed parameters were : fetal head position at the beginning of labour and fetal head rotation during labour. The main difference from the main study we conducted in 2012 is that this study was conducted in a low setting setup and it only included primiparous pregnancies.
Results: All 9 patients starting from OTP (occiput transverse or posterior position) had a vaginal birth after an anterior rotation of the fetal head. None of the patients starting with an anterior fetal head position rotated posteriorly.
Conclusions: vaginal delivery in occiput anterior position was the result in both OTP and OP fetal head initial position. We only had 4 cesarean section due to labour dystocia, acute fetal distress and cephalopelvic dispropotion.
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