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https://www.birthinjurysafety.org/birth-injuries/labor-and-delivery-complications/fundal-pressure.html
Fundal Pressure is a technique used widely in second-stage labor to shorten labor and assist in vaginal delivery. Fundal Pressure can cause serious injuries to a newborn. Complications including: Shoulder Dystocia, Uterine rupture, Fractures, and more.
https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/care-during-childbirth/care-during-labour-2nd-stage/who-recommendation-fundal-pressure-facilitate-childbirth
Oct 20, 2017 · Evidence on the effect of fundal pressure on soft tissue damage (vagina, perineum or uterus) is very uncertain, mainly due to sparse data. Low-certainty evidence suggests that applying fundal pressure may make little or no difference to episiotomy rates compared with no fundal pressure (1 trial, 317 women, RR 1.18, 95% CI 0.92–1.50).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2815298/
Sep 23, 2009 · A total of 661 vaginal deliveries were evaluated, in 39 (5.9%) of these cases fundal pressure maneuver was applied. The authors concluded the use of uterine fundal pressure during the second stage of labor increased the risk of severe perineal laceration, defined as a third- …Author: Philippus H. J. Hoogsteder, Johanna M. A. Pijnenborg
https://wellroundedmama.blogspot.com/2015/05/fundal-pressure-outdated-technique.html
fundal pressure in labor, fundal pressure, Kristeller maneuver, fundal pressure and shoulder dystocia, pushing on the top of the uterus, fundal pressure to speed up labor The Well-Rounded Mama: Fundal Pressure: An Outdated Technique
https://www.sciencedirect.com/science/article/pii/S1028455919300750
Uterine fundal pressure maneuver (UFPM) is widely performed during the second stage of labor to expedite delivery or to increase the expulsive force of the uterus in situations requiring urgent delivery, either alone or in combination with other methods such as vacuum extraction and forceps delivery . The efficacy of UFPM is widely recognized empirically.Author: Eijiro Hayata, Masahiko Nakata, Mayumi Takano, Nahomi Umemura, Sumito Nagasaki, Ayako Oji, Toshimits...
https://www.cochrane.org/CD006067/PREG_fundal-pressure-during-second-stage-labour-improving-maternal-and-fetal-outcomes
Mar 07, 2017 · Fundal pressure during the second stage of labour (also known as the 'Kristeller manoeuvre') involves application of manual pressure to the uppermost part of the uterus directed towards the birth canal, in an attempt to assist spontaneous vaginal birth and avoid prolonged second stage or the need for operative birth. Fundal pressure has also been applied using an inflatable belt.
https://www.uptodate.com/contents/management-of-normal-labor-and-delivery#!
In 1997, the World Health Organization defined normal birth as "spontaneous in onset, low-risk at the start of labor and remaining so throughout labor and delivery. The infant is born spontaneously in the vertex position between 37 and 42 completed weeks of pregnancy. After birth, mother and infant ...
https://www.researchgate.net/publication/228104391_The_effects_of_uterine_fundal_pressure_Kristeller_maneuver_on_pelvic_floor_function_after_vaginal_delivery
Owing to the lack of evidence supporting the use of uterine fundal pressure maneuver in vaginal delivery, the role of the maneuver is undetermined and remains controversial. The aim of this study was to identify the prone factor of the use of uterine fundal pressure maneuver and to evaluate its obstetrical outcomes.
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