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- W2290938156 abstract "Context: Transverse lie at term may have adverse consequences on both the mother and the foetus. Evaluating transverse lie at term by ultrasonography may reduce these adverse consequences and improve both the maternal and fetal outcome. Objectives: To determine predisposing factors to persistent transverse lie at term using abdominal ultrasonography and the outcome of such pregnancies. Study- Design, Setting and Subjects: This was a cross-sectional study of pregnant women at term with persistent transverse lie referred to the Ultrasound Unit of the Federal Medical Centre, Lokoja, Nigeria. Results: Out of a total of 1296 scanned during the evaluation period, 42 (3.2%) had transverse lie at term. Five (11.9%) patients were primigravida and 37 (88.1%) multipara. No predisposing factors were seen on ultrasound in 25 women (59.5%). Placenta praevia was diagnosed in 11 (26.2%), lower segment fibroid in 5 (11.9%) and pelvic kidney in 1 (2.4%). Thirty nine patients (92.1%) were delivered by caesarean section (CS). Three (7.1%) spontaneously converted to longitudinal lie [1 Breech and 2 Cephalic]. All 3 were delivered per vaginam. There were no maternal deaths but there were 2 stillbirths. Conclusion: Majority of the patients had no predisposing factor seen on ultrasound and were largely multiparous women. Placenta praevia was the commonest predisposing factor found at ultrasonography. Caesarean section rate was very high, largely due to the fact that external cephalic version (ECV), which has been advocated as an alternative mode of delivery of infants lying transversely at term, is not currently practised in our centre. Key Words: Transverse Lie, Malpresentation, Ultrasound, Caesarean Section" @default.
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- W2290938156 date "2009-01-01" @default.
- W2290938156 modified "2023-09-26" @default.
- W2290938156 title "Evaluation of Transverse Lie at Term by Ultrasonography" @default.
- W2290938156 hasPublicationYear "2009" @default.
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