{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:54:30Z","timestamp":1785412470862,"version":"3.56.0"},"reference-count":14,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the clinical feasibility of different treatment methods for persistent occipitotransverse position and the influence on maternal and infant complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>During the trial of vaginal delivery from April 2020 to March 2023 in our hospital, the cervix was fully dilated and the presentation was located at +2 station. Ninety\u2010six pregnant women with fetal presentation at +4 station, occipitotransverse fetal position, maternal complications, abnormalities in the second stage of labor, and or fetal distress were divided into two groups: 65 patients with Kielland forceps vaginal delivery and 31 patients underwent emergency cesarean section. The delivery time, vaginal laceration rate, postpartum blood loss volume, puerperal infection rate, neonatal birth injury rate, and neonatal 1\u2009min Apgar scores were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The delivery outcomes and maternal and neonatal complications of 96 pregnant women were analyzed: the application of Kielland forceps delivery time was shorter, while the vaginal laceration rate, postpartum hemorrhage, puerperal infection rate were significantly lower than that of patients undergoing emergency cesarean section and the neonatal 1\u2009min Apgar score was higher than that of emergency cesarean section group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It was clinically appropriate to use Kielland forceps in vaginal delivery when the persistent occipitotransverse position was present and delivery needed to be expediated. Use of Kielland forceps can shorten the delivery time, improve the success rate of vaginal delivery and reduce the complications of mothers and infants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15977","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T06:18:54Z","timestamp":1716272334000},"page":"1302-1308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Correlative analysis of different treatments of persistent occipitotransverse position on the outcome for mother and infant"],"prefix":"10.1111","volume":"50","author":[{"given":"Chunxia","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengyan","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangyin","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoping","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Litao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4020-0178","authenticated-orcid":false,"given":"Jie","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The First People's Hospital of Longquanyi District  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13765"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.06.017"},{"key":"e_1_2_8_4_1","first-page":"264","article-title":"Identification and management of head position dystocia","volume":"5","author":"Hongbo Q","year":"2005","journal-title":"Chinese J Pract Gynecol Obstet"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14367"},{"key":"e_1_2_8_6_1","first-page":"93","volume-title":"Practical obstetrics and gynecology","author":"Xinghui L","year":"2020"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182695581"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003764"},{"key":"e_1_2_8_9_1","first-page":"860","volume-title":"Obstetrics and gynecology surgery","author":"Xinmin L","year":"2021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.08.026"},{"issue":"1","key":"e_1_2_8_11_1","first-page":"75","article-title":"The effect of vaginal trial time before cesarean section on postpartum hemorrhage","volume":"28","author":"Jingjing Y","year":"2016","journal-title":"Mod Pract Med"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003285"},{"key":"e_1_2_8_13_1","unstructured":"International Wound Infection Institute (IWII).Wound in\u2010[1]fection in clinical practice [EB\/OL]. (2022\u201003\u201020) [2022\u201007\u201016].https:\/\/www.woundsinternational.com"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000458524"},{"issue":"6","key":"e_1_2_8_15_1","first-page":"20","article-title":"Clinical observation of forceps assisted delivery and cesarean section during abnormal second stage of labor","volume":"24","author":"Na J","year":"2018","journal-title":"Chinese Med Dev Inform"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T00:02:15Z","timestamp":1722556935000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.15977"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,20]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/jog.15977"],"URL":"https:\/\/doi.org\/10.1111\/jog.15977","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,20]]},"assertion":[{"value":"2023-11-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}