Tag: Eman Awad

Effect of Spontaneous Cephalic Version Techniques with Acoustic Stimulation on Maternal and Neonatal outcomes in Breech Presentation: A randomized clinical trial

Eman Awad, Ali Mobark, Yasser Khamis, Hamada Ahmed Hamada, Amal Yousef, Doaa Saeed


Eman Awad, Ali Mobark, Yasser Khamis, Hamada Ahmed Hamada, Amal Yousef, Doaa Saeed – Effect of Spontaneous Cephalic Version Techniques with Acoustic Stimulation on Maternal and Neonatal outcomes in Breech Presentation: A randomized clinical trial. Fizjoterapia Polska 2023; 23(3); 20-24

DOI: https://doi.org/10.56984/8ZG143703

Abstract
Aim. Breech presentation complicates 3-4% of all term deliveries. This trial aimed to study the effect of combining spontaneous cephalic version (SCV) techniques with acoustic stimulation on the position of breech fetuses and their subsequent impact on maternal and neonatal outcomes.
Materials and Methods. A randomized controlled trial was conducted involving 60 pregnant women at 32-34 weeks of gestation, all expecting a singleton fetus in complete breech presentation. They were assigned to two equal groups:
Group (A) consisted of intervention participants who performed SCV techniques in conjunction with acoustic stimulation from 34 weeks of gestation, along with routine antenatal care.
Group (B) comprised control participants who continued with their routine prenatal care up to delivery.
Results. The chi-square test indicated a statistically significant increase in the number of vaginal deliveries among participants in Group (A) due to the fetuses turning to a vertex position. Meanwhile, neonates from Group (B) demonstrated a statistically significant higher Apgar score value at the 1st minute of life compared to those in Group (A).
Conclusion. Spontaneous cephalic version techniques combined with acoustic stimulation are effective in repositioning a breech baby into a vertex position, thereby reducing the incidence of cesarean sections and associated morbidities for both mother and neonate.

Key words:
breech presentation, spontaneous cephalic version techniques, acoustic stimulation, vertex position

 

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Exercise on Maternal and Neonatal Outcomes in Obese Elderly Primigravida: A Randomized Clinical Trial

Eman Awad, Amir N Wadee, Heba Ali Abd EL-Ghaffaar, Hamada Ahmed Hamada

Eman Awad, Amir N Wadee, Heba Ali Abd EL-Ghaffaar, Hamada Ahmed Hamada – Exercise on Maternal and Neonatal Outcomes in Obese Elderly Primigravida: A Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 120-125

Abstract
Background. In obstetric practice, advanced maternal age such as in case of elderly primigravida is known to be associated with adverse maternal and fetal outcomes. Obesity is a commonly occurring risk factor with advancing maternal age. Exercise in pregnancy could prevent and limit adverse maternal and fetal morbidities. Further research was warranted to study the effect of exercise in this high risk group due to lack of research in this area. Objective. To investigate the effect of a specialized exercise program combined with diet conducted early in pregnancy on maternal and neonatal outcomes in obese elderly primigravida. Methods. Design: A randomized, clinical, controlled trial. Setting: The study was conducted at physical therapy Department of Bab El-Sharia University Hospital, Egypt, between May 2016 and May 2017. Participants: 80 obese elderly primigravida participants enrolled into experimental and control groups. Interventions: The experimental group participants were closely supervised to perform the exercise program starting from 14 weeks’ gestation till 37 weeks’ gestation with a moderate restricted diet and received advice specific to each trimester of pregnancy, while the control group participants were provided with specific instructions to perform the exercise program with the same diet and advice. Outcome measures: Primary outcome measure was the last BMI of each participant measured at 37 weeks of gestation while the secondary outcome measures were mode of delivery, neonatal weight and neonatal APGAR score. Results. Eighty obese elderly primigravida (control group n = 40; experimental group n = 40) were randomized. There were statistical significant differences between groups in last BMI, mode of delivery and neonates APGAR scores at 1st minute of life and 5th minute of life (p < 0.05). While, there was no statistical significant difference between groups in neonatal weight (p > 0.05). Conclusion: A specialized antenatal exercise program is very effective in decreasing maternal and neonatal complications in obese elderly primigravidae and their off springs.

Key words:
elderly primigravida, obesity, neonatal outcomes, maternal outcomes, exercise

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