{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T11:04:19Z","timestamp":1743505459923,"version":"3.37.3"},"reference-count":37,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: revisar los conceptos que subyacen al trabajo de parto con feto en presentaci\u00f3n pelviana, su semiolog\u00eda y las maniobras obst\u00e9tricas que facilitan un resultado materno perinatal exitoso. Materiales y m\u00e9todos: a partir de un caso hipot\u00e9tico que ambienta de manera pr\u00e1ctica el tema, se crea un documento explicativo construido a partir de una revisi\u00f3n narrativa, en donde se examinan los preceptos relacionados con el diagn\u00f3stico, el mecanismo del parto en presentaci\u00f3n pelviana y el manejo intraparto de la gestante, con \u00e9nfasis en la adecuada ejecuci\u00f3n de las maniobras que facilitan la extracci\u00f3n fetal.\u00a0Resultados: el parto en presentaci\u00f3n pelviana debe ser atendido por v\u00eda vaginal cuando se encuentra en periodo expulsivo con un encajamiento cumplido. Para su diagn\u00f3stico y atenci\u00f3n es esencial hacer una adecuada identificaci\u00f3n de la presentaci\u00f3n, as\u00ed como conocer su fisiolog\u00eda, la indicaci\u00f3n y adecuada ejecuci\u00f3n de las maniobras obst\u00e9tricas que facilitan un parto sin complicaciones. Conclusiones: el mecanismo del parto en presentaci\u00f3n pelviana es complejo y requiere, cuando no hay otra alternativa para la atenci\u00f3n, que tanto el obstetra como el m\u00e9dico general conozcan su fisiolog\u00eda y las m\u00faltiples maniobras obst\u00e9tricas que facilitan obtener buen resultado materno perinatal.<\/jats:p>","DOI":"10.18597\/rcog.3345","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T10:11:24Z","timestamp":1580724684000},"page":"253-265","source":"Crossref","is-referenced-by-count":1,"title":["Atenci\u00f3n del parto con feto en presentaci\u00f3n pelviana: revisi\u00f3n de la semiolog\u00eda, el mecanismo y la atenci\u00f3n del parto"],"prefix":"10.18597","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5355-729X","authenticated-orcid":false,"given":"Carlos Fernando","family":"Grillo-Ardila","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro Antonio","family":"Bautista-Charry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3638-2093","authenticated-orcid":false,"given":"Mariana","family":"Diosa-Restrepo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"ref0","unstructured":"The Royal Women's Hospital, Victoria Australia. Management of breech presentation, Clinical Guideline. 2012. Disponible en: https:\/\/www.thewomens.org.au\/health-professionals\/clinicalresources\/clinical-guidelines-gps\/ ."},{"key":"ref1","unstructured":"\u00d1\u00e1\u00f1ez H, Ruiz A, \u00c1ngel E, Bautista A, Sabogal J. Distocias. En: \u00d1\u00e1\u00f1ez H, Ruiz A (eds.). Texto de obstetricia y perinatolog\u00eda. Bogot\u00e1: Lito Camargo; 1999. p. 105-121."},{"key":"ref2","unstructured":"Botella-Llusia J, Clavero-N\u00fanez J. Distocias de los elementos del parto. Presentaci\u00f3n pod\u00e1lica. Clasificaci\u00f3n y nomenclatura. En: Tratado de ginecolog\u00eda, Tomo II, Patolog\u00eda obst\u00e9trica. 12 ed. Barcelona, Editorial Cient\u00edfica M\u00e9dica; 1981. p. 575-599."},{"key":"ref3","unstructured":"Arias F, editor. Abnormal Labor and delivery. En: Practical Guide to High-risk Pregnancy. 2 ed. Mosby Year Book; 1993. p. 402."},{"key":"ref4","unstructured":"Royal College of Obstetricians & Gynaecologists. Management of Breech Presentation, Clinical Guideline. UK 2017. Disponible en: https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/gtg20b\/."},{"key":"ref5","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynecologists. Management of Breech Presentation at Term, Clinical Guideline. 2016. Disponible en: https:\/\/www.ranzcog.edu.au\/RANZCOG_SITE\/media\/RANZCOG-MEDIA\/Women%27s%20Health\/Statement%20and%20guidelines\/Clinical-Obstetrics\/Management-of-breech-presentation-at-term-(CObs-11)-Review-July-2016pdfBreechPresentation-InTheAntenatalPeriodAndBreechDeliveryClinical-GuidelinesForTheManagementOf.pdf."},{"key":"ref6","unstructured":"Royal Cornwall Hospital. Clinical Guideline for the Management of a Breech Presentation in the Ante Natal Period, External Cephalic Version (ECV) and Breech Presentation in Labour, UK 20212. Disponible en: http:\/\/www.rcht.nhs.uk\/DocumentsLibrary\/RoyalCornwallHospitalsTrust\/Clinical\/MidwiferyAndObstetricsBreechPresentationInTheAntenatalPeriodAndBreechDeliveryClinical-GuidelinesForTheManagementOf.pdf."},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Fianu S, V\u00e1clav\u00ednkov\u00e1 V. The site of placental attachment as a factor in the aetiology of breech presentation. Acta Obstet Gynecol Scand. 1978;57(4):371-2. https:\/\/doi.org\/10.3109\/00016347809154033","DOI":"10.3109\/00016347809154033"},{"key":"ref8","unstructured":"Cabero-Roura L. Patolog\u00eda del parto (III): Presentaciones anormales. El parto de nalgas. Conducta obst\u00e9trica. En: Cabero-Roura L, Saldivar-Rodr\u00edguez D, Cabrill-Rodr\u00edguez E. Obstetricia y medicina Maternofetal. Madrid: Editorial M\u00e9dica Panamericana; 2007. p. 994."},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Duffy CR, Moore JL, Saleem S, Tshefu A, Bose CL, Chomba E, et al. Malpresentation in low- and middleincome countries: Associations with perinatal and maternal outcomes in the Global Network. Acta Obstet Gynecol Scand. 2019; 98(3):300-8. https:\/\/doi.org\/10.1111\/aogs.13502.","DOI":"10.1111\/aogs.13502"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Kozuki N, Katz J, Khatry SK, Tielsch JM, LeClerq SC, Mullany LC. Risk and burden of adverse intrapartumrelated outcomes associated with non-cephalic and multiple birth in rural Nepal: A prospective cohort study. BMJ Open. 2017;7(4):e013099. http:\/\/dx.doi.org\/10.1136\/bmjopen-2016-013099","DOI":"10.1136\/bmjopen-2016-013099"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Dohbit JS, Foumane P, Tochie JN, Mamoudou F, Temgoua MN, Tankeu R, et al. Maternal and neonatal outcomes of vaginal breech delivery for singleton term pregnancies in a carefully selected Cameroonian population: A cohort study. BMJ Open. 2017;7(11):e017198. https:\/\/doi.org\/10.1136\/bmjopen-2017-017198.","DOI":"10.1136\/bmjopen-2017-017198"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Fonseca A, Silva R, Rato I, Neves AR, Peixoto C, Ferraz Z, et al. Breech presentation: Vaginal versus cesarean delivery, which intervention leads to the best outcomes? Acta Med Port. 2017;30(6):479-84. https:\/\/doi.org\/10.20344\/amp.7920.","DOI":"10.20344\/amp.7920"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Lai S, Flatley C, Kumar S. Perinatal risk factors for low and moderate Five-minute Apgar scores at term. Eur J Obstet Gynecol Reprod Biol. 2017;210:251-6. https:\/\/doi.org\/10.1016\/j.ejogrb.2017.01.008.","DOI":"10.1016\/j.ejogrb.2017.01.008"},{"key":"ref14","unstructured":"Mid Essex Hospital Ser vices. Management of breech birth 4.0. UK 2014. (Visitado 2018, dic 29). Disponible en: http:\/\/www.meht.nhs.uk\/search\/?q=breech."},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Yeoh SGJ, Rolnik DL, Regan JA, Lee PYA. Experience and confidence in vaginal breech and twin deliveries among obstetric trainees and new specialists in Australia and New Zealand. Aust N Z J Obstet Gynaecol. 2019;59(4):545-9. https:\/\/doi.org\/10.1111\/ajo.12931.","DOI":"10.1111\/ajo.12931"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Petrovska K, Sheehan A, Homer CSE. The fact and the fiction: A prospective study of internet forum discussions on vaginal breech birth. Women Birth. 2017;30(2):e96-e102. https:\/\/doi.org\/10.1016\/j.wombi.2016.09.012.","DOI":"10.1016\/j.wombi.2016.09.012"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Interim Update ACOG Committee Opinion No. 745. American College of Obstetricians and Gynecologists. Mode of term singleton breech deliver y. Obstet Gynecol. 2018;e60-E63. https:\/\/doi.org\/10.1097\/AOG.0000000000002755","DOI":"10.1097\/AOG.0000000000002755"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Hofmeyr GJ, Kulier R. External cephalic version for breech presentation atterm. Cochrane Database Syst Rev. 2012;10:CD000083. https:\/\/doi.org\/10.1002\/14651858.CD000083.pub2.","DOI":"10.1002\/14651858.CD000083.pub2"},{"key":"ref19","unstructured":"Auckland District Health Board, National Women's Hospital, Auckland New Zealand. Breech birth. Clinical Guideline. 2012. Disponible en: http:\/\/nationalwomenshealth.adhb.govt.nz\/healthprofessionals\/policies-and-guidelines"},{"key":"ref20","unstructured":"Nottingham University Hospital. Guideline for the management of singleton breech presentation in pregnancy and labour. UK 2012. Disponible en: https:\/\/www.nuh.nhs.uk\/download.cfm?doc=docm93jijm4n1050.pdf&ver=11159"},{"key":"ref21","unstructured":"East Cheshire Hospital. Breech presentation. Clinical Guideline. UK 2013. Disponible en: http:\/\/www.eastcheshire.nhs.uk\/About-TheTrust\/policies\/M\/Maternity%20Breech%20Presentation%201907.pdf"},{"key":"ref22","unstructured":"Le\u00f3n J. El parto en presentaci\u00f3n pelviana. En: Tratado de Obstetricia. Tomo I. Buenos Aires: Editorial Cient\u00edfica Argentina; 1956. p. 1066-1115."},{"key":"ref23","unstructured":"Peralta Cay\u00f3n R. Presentaci\u00f3n de pelvis y de hombros. En: Obstetricia y Cl\u00ednica Obst\u00e9trica. Bogot\u00e1: Imprenta Antares; 1956. P. 697-753."},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"Kotaska A, Menticoglou S, Gagnon R. Maternal Fetal Medicine Committee. Vaginal deliver y of breech presentation. J Obstet Gynaecol Can. 2009;31(6):557-66. https:\/\/doi.org\/10.1016\/S1701-2163(16)34221-9","DOI":"10.1016\/S1701-2163(16)34221-9"},{"key":"ref25","doi-asserted-by":"publisher","unstructured":"Louwen F, Daviss BA, Johnson KC, Reitter A. Does breech delivery in an upright position instead of on the back improve outcomes and avoid cesareans? Int J Gynaecol Obstet. 2017;136(2):151-61. https:\/\/doi.org\/10.1002\/ijgo.12033.","DOI":"10.1002\/ijgo.12033"},{"key":"ref26","doi-asserted-by":"publisher","unstructured":"Rabe H, Diaz-Rossello JL, Duley L, Dowswell T. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database of Systematic Reviews. 2012; Issue 8. Art. CD003248. https:\/\/doi.org\/10.1002\/14651858.CD003248.pub3.","DOI":"10.1002\/14651858.CD003248.pub3"},{"key":"ref27","unstructured":"Currea-Guerrero S. La adaptaci\u00f3n neonatal inmediata: la reanimaci\u00f3n neonatal. Bogot\u00e1: Universidad Nacional de Colombia; 2004."},{"key":"ref28","unstructured":"Mu\u00f1oz-Arbat J. Extracci\u00f3n manual del feto y versi\u00f3n. En: Nubiola P, Z\u00e1rate E, editores. Tratado de Obstetricia. Barcelona: Editorial Labor; 1951. p. 963-1020."},{"key":"ref29","unstructured":"Lee J, Greenhill JP, Carrera O, Peralta A, Carrasco R. Anormalidades por parte del feto presentaci\u00f3n de nalgas. En: Principios y pr\u00e1ctica de obstetricia. Tomo II. M\u00e9xico: Uni\u00f3n Tipogr\u00e1fica - Editorial Hispano Americana; 1947. p. 790-830."},{"key":"ref30","unstructured":"Dexus Trias de Bes S, Carrera Macia JM. Parto pod\u00e1lico operatorio. En: Tratado de Obstetricia Dexeus. Volumen III: Tratado y atlas de Operatoria Obst\u00e9trica. 2 ed. Barcelona: Salvat Editores; 1988."},{"key":"ref31","unstructured":"Schwarcz RL, Duverges CA, Diaz G, Fescina RH. Obstetricia. El parto en las distintas presentaciones. 5 ed. Buenos Aires: El Ateneo; 1997. p. 450."},{"key":"ref32","unstructured":"UMVF - Universit\u00e9 M\u00e9dicale Virtuelle Francophone. Manoeuvres obst\u00e9tricales. Comit\u00e9 \u00e9ditorial de l'UVMaF 2013-2014. p. 4-29."},{"key":"ref33","unstructured":"Feliz B\u00e1ez CA. Presentaci\u00f3n p\u00e9lvica. Manual de maniobras y procedimientos en Obstetricia. Bogot\u00e1: McGraw-Hill; 2005. p. 235-245."},{"key":"ref34","doi-asserted-by":"publisher","unstructured":"Dunn PM. Erich Bracht (1882-1969) of Berlin and his \"breech\" manoeuvre. Arch Dis Child Fetal Neonatal Ed. 2003;88(1):F76-7. https:\/\/doi.org\/10.1136\/fn.88.1.f76","DOI":"10.1136\/fn.88.1.F76"},{"key":"ref35","doi-asserted-by":"publisher","unstructured":"Lovset J. Shoulder delivery by breech presentation. J Obstete Gynaecol. 1973;44:696-704. https:\/\/doi.org\/10.1111\/j.1471-0528.1937.tb14687.x","DOI":"10.1111\/j.1471-0528.1937.tb14687.x"},{"key":"ref36","unstructured":"Pschyrembel W. Presentaci\u00f3n de la extremidad p\u00e9lvica. En: Obstetricia pr\u00e1ctica. 3 ed. Buenos Aires: Editorial Labor; 1978. p. 135-164."}],"container-title":["Revista Colombiana de Obstetricia y Ginecolog\u00eda"],"original-title":[],"link":[{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/3345\/3550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/3345\/3550","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T16:12:44Z","timestamp":1581005564000},"score":1,"resource":{"primary":{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/view\/3345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,30]]},"references-count":37,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,12,30]]}},"URL":"https:\/\/doi.org\/10.18597\/rcog.3345","relation":{},"ISSN":["2463-0225","0034-7434"],"issn-type":[{"type":"electronic","value":"2463-0225"},{"type":"print","value":"0034-7434"}],"subject":[],"published":{"date-parts":[[2019,12,30]]}}}