An ultrasound scan demonstrated a large collection of fluid within the fetal abdomen and confirmed the absence of fetal heart pulsations. Ultrasound guided trans-abdominal needle aspiration allowed 500 ml of meconium stained fluid to …

2021年5月27日 · Abdominal dystocia is a rare form of labor dystocia, likely caused by distention of the fetal abdomen. Fetal abdominal distention leading to dystocia may be caused by a multitude of fetal diagnoses including, but not limited to: intestinal obstruction, meconium peritonitis, colonic perforation, mega-cysts, polycystic kidneys, and ascites.

2007年5月10日 · Abdominal distension resulting in dystocia is caused by ascites, abdominal tumor, volvulus, bowel atresia and complex meconium peritonitis. Fortunately almost all of these are detected ultrasonographically.

We found that the incidence of shoulder dystocia was greatest in those women considered to be low risk (AGA)). Women noted to be AGA with an estimated AC of >/=35cm experienced an increased risk of shoulder dystocia, than those presumed high risk (LGA; EFW>90%).

Late meconium peritonitis can escape detection and should be thought of in cases of unexpected abdominal distension causing dystocia. The case of a 36 year-old primigravida is presented. After a normal anomaly scan at 22 weeks and a normal pregnancy, she went into labor at term.

Shoulder dystocia, an obstetric emergency, is defined as the need for ancillary maneuvers when gentle downward traction of the head is insufficient to affect the delivery of the fetal shoulders.

2019年12月12日 · Vaginal delivery was complicated by abdominal dystocia, which resolved by continuing expulsive efforts and gentle fetal traction. A 3300-g (P50–90) male infant was born with Apgar scores of 1-7-7 at 1, 5, and 10 minutes, respectively, and arterial and venous umbilical cord pH values of 7.23–7.33.

2019年12月12日 · In cases of meconial peritonitis or ascites, fetal abdominal puncture can be performed to reduce abdominal volume and therefore prevent or resolve abdominal dystocia.

The ROC curve identified an estimated fetal abdominal circumference of 360 mm to be the best predictor of shoulder dystocia: sensitivity of 81.8%, specificity of 47.5% (area under the ROC 0.698).

In conclusion, fetal abdominal dystocia is a rare event. In our case, the patient had a predictable, but unexpected outcome. We propose that objective data be used to decide mode of de-livery in the setting of fetal abdomi