Clinical Significance of Deliveries With Uterine Fundal Pressure Maneuver at a Single Perinatal Center in Japan

Abstract

Background: We examined the patient characteristics and obstetrical outcomes of deliveries with uterine fundal pressure maneuver (UFPM) to identify their clinical significance at a single perinatal center in Japan.

Methods: Subjects were women with vertex singleton pregnancy who delivered at Japanese Red Cross Katsushika Maternity Hospital between April 2008 and September 2012.

Results: A total of 6,317 cases were evaluated for the statistical analyses. Of these, UFPM was performed in 634 cases (10.0%). Using multiple logistic regression, UFPM was independently associated with nulliparity (P < 0.001), presence of oligohydramnios (P = 0.023), non-reassuring fetal status (P < 0.001), oxytocin use (P < 0.001), vacuum extraction (P < 0.001), Cesarean delivery (P = 0.021), postpartum hemorrhage (P < 0.001), mid-lateral episiotomy (P < 0.001), third-degree perineal laceration (P = 0.0042) and cervical laceration (P = 0.022).

Conclusion: UFPM remains a controversial maneuver. Therefore, the physician should make the decision about the appropriate use of UFPM based on the patients individual clinical circumstances.




doi: http://dx.doi.org/10.4021/jcgo87w