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Related Experiment Videos

Transverse lie.

G D Hankins1, T L Hammond, R R Snyder

  • 1Department of Obstetrics and Gynecology, Wilford Hall, United States Air Force Medical Center, Lackland Air Force Base, TX 78236-5300.

American Journal of Perinatology
|January 1, 1990
PubMed
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Transverse lie in pregnancy is linked to poorer fetal outcomes, including lower birth weight and increased birth trauma. Early intervention at 38 weeks is recommended to improve neonatal health.

Area of Science:

  • Obstetrics
  • Neonatal outcomes
  • Fetal positioning

Background:

  • Transverse lie, a malpresentation, poses risks to fetal and neonatal well-being.
  • Limited data exists on the specific adverse outcomes associated with transverse lie compared to other presentations.

Purpose of the Study:

  • To evaluate the impact of transverse lie on fetal and neonatal outcomes.
  • To compare outcomes of transverse lie with vertex and breech presentations.

Main Methods:

  • Matched case-control study design.
  • 14 mother-infant pairs with transverse lie were matched with 28 vertex and 28 breech presentation pairs.
  • Controls were matched for gestational age, delivery route, anesthesia, and labor presence.

Main Results:

Related Experiment Videos

  • Infants in transverse lie had significantly lower arterial pH (7.21 vs. 7.27) and higher rates of severe acidosis (3/14 vs. 0/56).
  • Lower birth weight (2798g vs. 3251g) and increased birth trauma/long-term effects were observed in the transverse lie group (5/14 vs. 1/28 breech, 2/28 vertex).

Conclusions:

  • Transverse lie is associated with significant adverse fetal and neonatal outcomes.
  • Active management, including external cephalic version and labor induction or cesarean delivery at 38 weeks, is recommended.