Comparison of perinatal outcomes of XXXX alleviated by different type and sequence of manoeuvres: a retrospective review.

@entity174 @entity1266 @entity2241 @entity2685
OBJECTIVE: To evaluate the different types and sequences of manoeuvres to overcome @entity1266 and the rates of associated @entity2241 . DESIGN: Retrospective review. SETTING: A university hospital. POPULATION: Pregnancies complicated with @entity1266 from 1995 to 2009. METHODS: Cases were identified from the hospital electronic delivery records. MAIN OUTCOME MEASURES: The success rate between McRoberts' manoeuvre, rotational methods and posterior arm delivery, and the incidences of @entity2685 ( @entity2685 ), @entity174 ( @entity174 ) and @entity174 ( @entity174 ) according to the types and sequences of manoeuvres applied to overcome @entity1266 . RESULTS: Among 205 cases identified, McRoberts' manoeuvre was successful initially in 25% of cases, of which 7.8% suffered from @entity2685 and 3.9% suffered from @entity174 , but none had @entity174 . In the failed cases, subsequent rotational methods and posterior arm delivery were similarly successful (72.0 versus 63.6%), whereas the former was associated with less @entity2685 (4.4 versus 21.4%) and @entity174 (1.1 versus 7.1%) despite similar risk of @entity174 (5.6 versus 7.1%). The rotational methods were not associated with a higher @entity2241 risk compared with McRoberts' manoeuvre. The remaining cases were managed by applying the third yet untried manoeuvre, and posterior arm delivery and rotational methods had similar success (77.1 versus 62.5%). The cumulative success rates after the second and the third manoeuvres were 79.0 and 94.6%, respectively. CONCLUSION: Following the failure of McRoberts' manoeuvre, subsequent application of rotational methods and posterior arm delivery have similarly high success rates but the former may be associated with @entity2241 .
