The modified Mueller-Hillis maneuver in predicting abnormalities in second stage labor

Michael R. March, Charles Adair, Jean Claude Veille, David R. Burrus

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To assess prospectively the utility of a modification of the Mueller-Hillis maneuver in predicting abnormalities of the second stage of labor. Methods: The Mueller-Hillis maneuver was modified by limiting its use to the second stage of labor during a contraction. The maneuver was performed by one examiner; descent of 1 cm or more was deemed a positive maneuver. Descent less than 1 cm was deemed a negative maneuver. Labor outcomes were analyzed according to the results of this maneuver. Results: Seventy patients were enrolled in this study. Fifty-one (72.9%) had ≤ 1 cm descent maneuver and 19 (27.1%) had ≤ 1 cm descent. A descent ≤ 1 cm was significantly predictive of vaginal delivery (100%) and a descent ≤ 1 cm was significantly associated with an increased cesarean section rate (P = 0.001), prolonged second stage of labor (P = 0.001), abnormal position (P = 0.01) and higher station (P = 0.001). Conclusions: A positive modified Mueller-Hillis maneuver in second stage labor had a high predictive value for vaginal delivery, whereas a negative maneuver was significantly associated with high operative delivery rate, prolonged second stage labor and abnormal position. These results indicate that this modification of the Mueller-Hillis maneuver needs to be considered for its utility in second stage labor.

Original languageEnglish (US)
Pages (from-to)105-109
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume55
Issue number2
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

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Second Labor Stage
Cesarean Section

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

The modified Mueller-Hillis maneuver in predicting abnormalities in second stage labor. / March, Michael R.; Adair, Charles; Veille, Jean Claude; Burrus, David R.

In: International Journal of Gynecology and Obstetrics, Vol. 55, No. 2, 01.01.1996, p. 105-109.

Research output: Contribution to journalArticle

March, Michael R. ; Adair, Charles ; Veille, Jean Claude ; Burrus, David R. / The modified Mueller-Hillis maneuver in predicting abnormalities in second stage labor. In: International Journal of Gynecology and Obstetrics. 1996 ; Vol. 55, No. 2. pp. 105-109.
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