Management of Term Singleton Transverse Lie: A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 4
Abstract
Introduction: Transverse lie of the fetus is a position when the long axis of fetus is approximately perpendicular to the long axis of mother. Spontaneous delivery of a term fetus is impossible with a persistent transverse lie and, in general, the onset of labor is an indication for the lower segment cesarean section (LSCS). Materials and Methods: Authors studied the management of term singleton transverse lie. This was a prospective observational study of 100 consecutive patients with term singleton transverse lie presentation who underwent LSCS during the study period of 7 months from November 2014 to May 2015. The age of the patients ranged from 20- to 43-year-old and 28 patients were primigravidas and 32 had previous first LSCS. Results: Of the 100 patients, low transverse incision was employed in 91, high transverse incision in 8, and classical incision in 1 patient. Extension in the form of J or T was required in seven patients. Lateral inadvertent tears were seen in 11 women who underwent LSCS. Conclusion: Early diagnosis during the antenatal period and elective cesarean section should be the goals of proper management in a transverse lie presentation.
Authors and Affiliations
Sameena Sultana, Shagufta Rather, Sabia Rashid
Keywords
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