[Delivery management for the prevention of XXXX in case of identified risk factors].

@entity1 @entity6 @entity1266 @entity5300 @entity8455
OBJECTIVE: To determine the impact of (i) computed tomographic (CT) pelvimetry for the choice of the mode of delivery, (ii) cesarean, (iii) induction of labor, and of (iv) various delivery managements on the risk of @entity1266 in @entity8455 , with or without @entity6 , and in @entity1 with previous history of @entity1266 . METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted. RESULTS: In case of clinically suspected @entity8455 , a sonography should be performed to increase diagnostic performances and to assist in decision-making (Professional consensus). Because CT pelvimetry is associated with high false positive rates and increases cesarean deliveries, its use is not recommended to prevent @entity1266 in @entity8455 (Professional consensus). To avoid the neonatal complications of @entity1266 , mainly permanent @entity5300 , cesarean delivery is recommended in case of estimated fetal weight (EFW) greater than 4500g if associated with @entity6 (gradeC), and greater than 5000g in the absence of @entity6 (gradeC). The published data do not provide definitive evidences to recommend systematic labor induction in case of impending @entity8455 (Professional consensus). In case of favourable cervix and gestational age greater than 39 weeks of gestation, labor induction should be promoted (Professional consensus). Prophylactic McRoberts maneuver is not recommended to prevent @entity1266 in @entity8455 (gradeC). Because data are lacking, no recommendation is possible regarding the use of episiotomy. In @entity8455 and failure to progress in the second stage of labor, midpelvic and higher instrumental deliveries are not recommended and a cesarean delivery should be preferred (gradeC), if the fetal head is at or lower than a +2 station, cesarean delivery is not recommended and an instrumental delivery should be preferred (gradeC). Finally, cesarean delivery should be discussed when history of @entity1266 has been associated with severe neonatal or maternal complications (Professional consensus). CONCLUSION: To avoid @entity1266 and its complications, only two measures are proposed. Induction of labor is recommended in case of impending @entity8455 if the cervix is favourable and gestational age greater than 39 weeks of gestation (Professional consensus). Cesarean delivery is recommended before labor in case of (i) EFW greater than 4500g if associated with @entity6 (gradeC), (ii) EFW greater than 5000g in the absence of @entity6 (gradeC), and finally (iii) during labor, in @entity8455 and failure to progress in the second stage, when the fetal head is above a +2 station (gradeC). Finally, cesarean delivery should be discussed when history of @entity1266 has been associated with severe neonatal or maternal complications (Professional consensus).
