{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:06:58Z","timestamp":1790294818735,"version":"4.1.0"},"reference-count":24,"publisher":"Walter de Gruyter GmbH","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To clarify the incidence of uterine fundal pressure at delivery and its effect on uterine rupture.<\/jats:p><jats:p>A questionnaire was sent to 2518 institutions in Japan. We received a response from 1430.<\/jats:p><jats:p>Of reporting institutions, 89.4% used fundal pressure in at least some of their deliveries. Among the 347,771 women who delivered vaginally in this study, 38,973 (11.2%) were delivered with the assistance of fundal pressure. There were six cases of uterine rupture associated with uterine fundal pressure, with one case resulting in maternal death secondary to amniotic fluid embolism.<\/jats:p><jats:p>Since uterine fundal pressure may potentially cause serious injury to either the mother and\/or neonates, the indications for application need to be clearly elucidated, and obstetric care providers also need comprehensive education and training.<\/jats:p>","DOI":"10.1515\/jpm-2014-0284","type":"journal-article","created":{"date-parts":[[2014,11,11]],"date-time":"2014-11-11T17:03:49Z","timestamp":1415725429000},"source":"Crossref","is-referenced-by-count":16,"title":["Uterine rupture after the uterine fundal pressure maneuver"],"prefix":"10.1515","volume":"43","author":[{"given":"Junichi","family":"Hasegawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Sekizawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isamu","family":"Ishiwata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuyuki","family":"Kinoshita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","reference":[{"key":"ref01","first-page":"320","article-title":"Api The effect of uterine fundal pressure on the duration of the second stage of labor : a randomized controlled trial","author":"Balcin","year":"2009","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref81","first-page":"108","article-title":"- associated rupture of an unscarred uterus in a primigravida","author":"Catanzarite","year":"2006","journal-title":"Oxytocin Obstet Gynecol"},{"key":"ref51","first-page":"7966","article-title":"Delayed diagnosis of an atypical rupture of an unscarred uterus due to assisted fundal pressure : a case report Cases","author":"Kurdoglu","year":"2009"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/S1028-4559(09)60219-9","article-title":"Uterine rupture due to traumatic assisted fundal pressure","author":"Wei","year":"2006","journal-title":"Taiwan Obstet Gynecol"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1111\/jog.12284","article-title":"pressure during the second stage of labor in a tertiary obstetric center : a prospective analysis","author":"Moiety","year":"2014","journal-title":"J Obstet Gynaecol Res"},{"key":"ref11","first-page":"2062","article-title":"Maternal rib fracture after manual uterine fundal pressure Rural Remote","volume":"12","author":"Matsubara","year":"2012","journal-title":"Health"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/ppe.12066","article-title":"Incidence risk factors and consequences of amniotic fluid embolism","volume":"27","author":"Kramer","year":"2013","journal-title":"Paediatr Epidemiol"},{"key":"ref41","first-page":"26","article-title":"pressure during the second stage of labor","author":"Simpson","year":"2001","journal-title":"Am"},{"key":"ref91","first-page":"123","article-title":"fluid embolism","author":"Clark","year":"2014","journal-title":"Obstet Gynecol"},{"key":"ref191","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/S1028-4559(09)60219-9","article-title":"Uterine rupture due to traumatic assisted fundal pressure","author":"Wei","year":"2006","journal-title":"Taiwan Obstet Gynecol"},{"key":"ref101","first-page":"1951","article-title":"fluid embolism in","volume":"20","author":"Hogberg","year":"1985","journal-title":"Gynecol Obstet Invest"},{"key":"ref131","first-page":"2062","article-title":"Maternal rib fracture after manual uterine fundal pressure Rural Remote","volume":"12","author":"Matsubara","year":"2012","journal-title":"Health"},{"key":"ref201","first-page":"108","article-title":"- associated rupture of an unscarred uterus in a primigravida","author":"Catanzarite","year":"2006","journal-title":"Oxytocin Obstet Gynecol"},{"key":"ref211","first-page":"123","article-title":"fluid embolism","author":"Clark","year":"2014","journal-title":"Obstet Gynecol"},{"key":"ref231","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/ppe.12066","article-title":"Incidence risk factors and consequences of amniotic fluid embolism","volume":"27","author":"Kramer","year":"2013","journal-title":"Paediatr Epidemiol"},{"key":"ref61","first-page":"1044","article-title":"WC Uterine rupture in an unscarred uterus after application of fundal pressure case report","author":"Pan","year":"2002","journal-title":"J Reprod Med"},{"key":"ref181","first-page":"1044","article-title":"WC Uterine rupture in an unscarred uterus after application of fundal pressure case report","author":"Pan","year":"2002","journal-title":"J Reprod Med"},{"key":"ref221","first-page":"1951","article-title":"fluid embolism in","volume":"20","author":"Hogberg","year":"1985","journal-title":"Gynecol Obstet Invest"},{"key":"ref141","first-page":"280","article-title":"Use of uterine fundal pressure maneuver at vaginal delivery and risk of severe perineal laceration","author":"Matsuo","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"ref121","first-page":"320","article-title":"Api The effect of uterine fundal pressure on the duration of the second stage of labor : a randomized controlled trial","author":"Balcin","year":"2009","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref161","first-page":"26","article-title":"pressure during the second stage of labor","author":"Simpson","year":"2001","journal-title":"Am"},{"key":"ref21","first-page":"280","article-title":"Use of uterine fundal pressure maneuver at vaginal delivery and risk of severe perineal laceration","author":"Matsuo","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1111\/jog.12284","article-title":"pressure during the second stage of labor in a tertiary obstetric center : a prospective analysis","author":"Moiety","year":"2014","journal-title":"J Obstet Gynaecol Res"},{"key":"ref171","first-page":"7966","article-title":"Delayed diagnosis of an atypical rupture of an unscarred uterus due to assisted fundal pressure : a case report Cases","author":"Kurdoglu","year":"2009"}],"container-title":["Journal of Perinatal 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