Manipulación digital de la presentación fetal + Sims materna hacia el dorso fetal en presentaciones occipitoposteriores persistentes.

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Bibliographic Details
Title:	Manipulación digital de la presentación fetal + Sims materna hacia el dorso fetal en presentaciones occipitoposteriores persistentes.
Alternate Title:	Efficacy of digital manipulation of the fetal presentation with maternal Sims in persistent occipitoposterior presentations.
Authors:	Gil, Gloria M. Alcaide¹ yoyimatl@hotmail.com
Source:	Matronas Profesion. 2022, Vol. 23 Issue 2, p60-67. 8p.
Subjects:	STATISTICS, HUMAN research subjects, FETAL version (Obstetrics), RESEARCH methodology, WOMEN, FISHER exact test, MANN Whitney U Test, INFORMED consent (Medical law), MATHEMATICAL variables, T-test (Statistics), FETAL presentation, PARITY (Obstetrics), CHI-squared test, DESCRIPTIVE statistics, STATISTICAL sampling, LABOR (Obstetrics), APGAR score, DATA analysis, ODDS ratio, LONGITUDINAL method
Abstract (English):	Objective: To determine the efficacy of digital manipulation of the fetal presentation together with the Sims position towards the fetal dorsum in the rotation of the occiput posterior (OP) presentations to occiput anterior (OA). Subjects/material and method: Women in active labor, with at least 7 cm of dilation, ruptured bursa, OP presentation and signing consent. A quasi experimental, single-center, prospective and convenience sampling study was carried out. The variables were: parity, presentation, epidural, time in Sims, fetal presentation at the end of delivery, type of delivery, Apgar test and pH. For the analysis of the effectiveness of the intervention and the comparison of the characteristics, the chi-square or Fisher test was used; the Student's f test or the Mann-Whitney test was used for continuous variables according to whether or not they followed a normal distribution, and the Pearson correlation or Spearman's Rho was used to evaluate the association between continuous variables. The incident factors in the success of the intervention were analyzed using logistic linear regression, and the results were expressed in terms of odds ratio (OR). Results: With a sample of 30 women, fetuses rotated to occiput anterior (OA) in 83.3 % of cases and only 16.66 % they finished in occiput posterior (OP). Of the deliveries that rotated to OA, 84.00 % were eutocic. There were no cae-sarean sections in the OA termination group. The five deliveries that ended in OP were caesarean sections. There were no differences in terms of Apgar test or pH between both groups. Conclusions: In the study sample, the combined use of both techniques provides a high turnover rate from OP to OA, with the obstetrics and neonatal benefits that this entails, anda drastic reduction in caesarean sections. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: Conocer la eficacia de la manipulación digital de la presentación fetal junto a la posición de Sims materna hacia el dorso fetal en la rotación de las presentaciones occipitoposteriores (OP) a occipitoanteriores (OA). Sujetos/material y método: Gestantes a término en trabajo de parto, desde 7 cm de dilatación, amniorrexis, presentación OP en el parto (OPP) y firma de consentimiento. Se realizó un estudio cuasiexperimental, unicentro, prospectivo y de muestreo por conveniencia. Las variables fueron: paridad, presentación, epidural, tiempo en Sims, presentación a la finalización del parto, tipo de parto, test de Apgar y pH. Para el análisis de la efectividad de la intervención y de la comparativa de las características utilizamos la prueba de chi-cuadrado o Fisher; el test de la t de Student o de Mann-Whitney para las variables continuas, según siguiesen o no una distribución normal, y la correlación de Pearson o Rho de Spearman para evaluar la asociación entre variables continuas. Los factores incidentes en el éxito de la intervención se analizaron mediante regresión lineal logística y los resultados se expresaron en términos de odds ratio (OR). Resultados: Con una muestra de 30 mujeres, los resultados fueron de un 83,3 % de finalización del parto en OA y de un 16,66 % en OP. De los partos que rotaron a OA, el 84,00 % fueron eutócicos. No hubo cesáreas en el grupo de finalización en OA. Los 5 partos que finalizaron en OP fueron cesáreas. No hubo diferencias en cuanto al test de Apgar y el pH entre ambos grupos. Conclusiones: En la muestra del estudio, el uso combinado de ambas técnicas proporciona una elevada tasa de rotación de OPP a OA, con los beneficios obstétricos y neonatales que ello conlleva, y una reducción drástica de las cesáreas. ©2022 Ediciones Mayo, S.A. Todos los derechos reservados. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: To determine the efficacy of digital manipulation of the fetal presentation together with the Sims position towards the fetal dorsum in the rotation of the occiput posterior (OP) presentations to occiput anterior (OA). Subjects/material and method: Women in active labor, with at least 7 cm of dilation, ruptured bursa, OP presentation and signing consent. A quasi experimental, single-center, prospective and convenience sampling study was carried out. The variables were: parity, presentation, epidural, time in Sims, fetal presentation at the end of delivery, type of delivery, Apgar test and pH. For the analysis of the effectiveness of the intervention and the comparison of the characteristics, the chi-square or Fisher test was used; the Student's f test or the Mann-Whitney test was used for continuous variables according to whether or not they followed a normal distribution, and the Pearson correlation or Spearman's Rho was used to evaluate the association between continuous variables. The incident factors in the success of the intervention were analyzed using logistic linear regression, and the results were expressed in terms of odds ratio (OR). Results: With a sample of 30 women, fetuses rotated to occiput anterior (OA) in 83.3 % of cases and only 16.66 % they finished in occiput posterior (OP). Of the deliveries that rotated to OA, 84.00 % were eutocic. There were no cae-sarean sections in the OA termination group. The five deliveries that ended in OP were caesarean sections. There were no differences in terms of Apgar test or pH between both groups. Conclusions: In the study sample, the combined use of both techniques provides a high turnover rate from OP to OA, with the obstetrics and neonatal benefits that this entails, anda drastic reduction in caesarean sections. [ABSTRACT FROM AUTHOR]
ISSN:	15780740