Maternal and fetal outcome after fundal uterine pressure (Kristeller maneuver) in spontaneous and assisted vaginal deliveries

Objective: Fundal uterine pressure (FUP) is used by many obstetricians although data about its safety remain insufficient. The aim of this study was to evaluate maternal and fetal outcome after FUP in vaginal deliveries. Methods: Singleton term deliveries with cephalic presentation were analyzed from 2004 – 2013. To minimize selection bias, FUP during spontaneous and assisted vaginal deliveries (vacuum or forceps) was analyzed separately. Odds ratios were adjusted in a multivariate logistic regression analysis. Results: 9743 vaginal deliveries were analyzed. FUP was applied in 8.9% of spontaneous deliveries (n =…