La presión fúndica uterina durante el segundo período del parto, conocida también como maniobra de Kristeller, involucra la aplicación de presión manual en el fondo uterino dirigida hacia el canal del parto, en un intento de asistir al parto vaginal espontáneo y evitar la prolongación del segundo período o la necesidad de un parto operatorio. Esta maniobra ha sido aplicada también usando un cinturón inflable. Aunque es ampliamente empleada, los métodos varían ampliamente y pese a fuertes opiniones contrarias o a su favor existen limitadas evidencias sobre su efectividad y seguridad, beneficios y amenazas [Más]
Vea también:
Buhimschi CS, Buhimschi IA, Malinow AM, Kopelman JN, Weiner CP. The effect of fundal pressure manoeuvre on intrauterine pressure in the second stage of labour. BJOG. 2002 May;109(5):520-6.
Verheijen EC, Raven JH, Hofmeyr GJ. Fundal pressure during the second stage of labour. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD006067. doi: 10.1002/14651858.CD006067.pub2.
Sartore A, De Seta F, Maso G, Ricci G, Alberico S, Borelli M, et al. The effects of uterine fundal pressure (Kristeller
maneuver) on pelvic floor function after vaginal delivery. Archives of Gynecology and Obstetrics. 2012;286:1135.
Moiety FMS, Azzam AZ. Fundal pressure during the second stage of labor in a tertiary obstetric center: a prospective
analysis. Journal of Obstetrics and Gynaecology Research. 2014;40(4):946–53.
Furrer R, Schaffer L, Kimmich N, Zimmermann R, Haslinger C. Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries. Journal of Perinatal Medicine. 2015;44(7):767–72.
Hofmeyr GJ, Singata M, Lawrie T, Vogel JP, Landoulsi S, Seuc AH, et al. A multicentre randomized controlled trial of
gentle assisted pushing in the upright posture (GAP) or upright posture alone compared with routine practice to reduce prolonged second stage of labour (the Gentle Assisted Pushing study): study protocol. Reproductive Health. 2015;12(1):114.
Sturzenegger K, Schaffer L, Zimmermann R, Haslinger C. Risk factors of uterine rupture with a special interest to
uterine fundal pressure. Journal of Perinatal Medicine. 2016 [Epub ahead of print]. [DOI: 10.1515/jpm-2016-0023; PUBMED: 27235667]
National Collaborating Centre for Women’s and Children’s Health. Intrapartum care for healthy women and babies. National Institute for Health and Care Excellence (accessed December 2016).
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