{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T12:56:37Z","timestamp":1773233797169,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,10,16]],"date-time":"2012-10-16T00:00:00Z","timestamp":1350345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006202","name":"Monte dei Paschi Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006202","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate whether Baby\u2010guard\u2014a new medical device with an ergonomic 3\u2010chamber inflatable abdominal belt\u2014can reduce complications associated with vaginal delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled single\u2010blind prospective study of 80 pregnant women delivering at term was conducted at San Giuseppe Hospital, Empoli, Italy. In the study group (n = 40), the abdominal belt was inflated to optimal therapeutic pressures. In the control group (n = 40), the abdominal belt was inflated to minimal, non\u2010therapeutic pressures. Factors relating to maternal, fetal, and labor complications during vaginal delivery were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the control group, women in the study group experienced a lower incidence of perineal and cervical lacerations (<jats:italic>P<\/jats:italic> &lt; 0.001); reduced use of the Kristeller maneuver (<jats:italic>P<\/jats:italic> &lt; 0.001); shorter duration of the second stage of labor (<jats:italic>P<\/jats:italic> &lt; 0.001); less psychologic and physical fatigue (<jats:italic>P<\/jats:italic> &lt; 0.001); fewer maternal requests for cesarean delivery during labor (<jats:italic>P<\/jats:italic> &lt; 0.001); fewer vacuum extractions (<jats:italic>P<\/jats:italic> &lt; 0.01); and fewer cesarean deliveries (<jats:italic>P<\/jats:italic> &lt; 0.02). No neonatal intensive care unit admissions were recorded in the study group versus 7 in the control group (<jats:italic>P<\/jats:italic> &lt; 0.012).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of the ergonomic 3\u2010chamber inflatable abdominal belt system reduced the incidence of risks associated with vaginal labor.<\/jats:p><jats:p>Clinical <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/trials.gov\">trials.gov<\/jats:ext-link> identifier: NCT01566331.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.07.025","type":"journal-article","created":{"date-parts":[[2012,10,16]],"date-time":"2012-10-16T19:45:34Z","timestamp":1350416734000},"page":"78-81","source":"Crossref","is-referenced-by-count":9,"title":["An inflatable ergonomic 3\u2010chamber fundal pressure belt to assist vaginal delivery"],"prefix":"10.1002","volume":"120","author":[{"given":"Luisa","family":"Acanfora","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michela","family":"Rampon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Filippeschi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Marchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Montisci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"Viel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erich","family":"Cosmi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,10,16]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1229-3"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-486X.2010.01527.x"},{"key":"e_1_2_6_4_2","first-page":"337","article-title":"Expressio Foetus","volume":"29","author":"Kristeller S.","year":"1867","journal-title":"Monatsschrift f\u00fcr Geburtskunde und Frauenkrankheiten. 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