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8 Results Found

  • Review
  • Open Access
10 Citations
6,517 Views
16 Pages

Asynclitism and Its Ultrasonographic Rediscovery in Labor Room to Date: A Systematic Review

  • Antonio Malvasi,
  • Marina Vinciguerra,
  • Bruno Lamanna,
  • Eliano Cascardi,
  • Gianluca Raffaello Damiani,
  • Giuseppe Muzzupapa,
  • Ioannis Kosmas,
  • Renata Beck,
  • Maddalena Falagario and
  • Miriam Dellino
  • + 5 authors

30 November 2022

Asynclitism, the most feared malposition of the fetal head during labor, still represents to date an unresolved field of interest, remaining one of the most common causes of prolonged or obstructed labor, dystocia, assisted delivery, and cesarean sec...

  • Article
  • Open Access
7 Citations
3,534 Views
22 Pages

AIDA (Artificial Intelligence Dystocia Algorithm) in Prolonged Dystocic Labor: Focus on Asynclitism Degree

  • Antonio Malvasi,
  • Lorenzo E. Malgieri,
  • Ettore Cicinelli,
  • Antonella Vimercati,
  • Reuven Achiron,
  • Radmila Sparić,
  • Antonio D’Amato,
  • Giorgio Maria Baldini,
  • Miriam Dellino and
  • Andrea Tinelli
  • + 3 authors

Asynclitism, a misalignment of the fetal head with respect to the plane of passage through the birth canal, represents a significant obstetric challenge. High degrees of asynclitism are associated with labor dystocia, difficult operative delivery, an...

  • Article
  • Open Access
1 Citations
1,241 Views
29 Pages

The Contribution of AIDA (Artificial Intelligence Dystocia Algorithm) to Cesarean Section Within Robson Classification Group

  • Antonio Malvasi,
  • Lorenzo E. Malgieri,
  • Michael Stark,
  • Edoardo Di Naro,
  • Dan Farine,
  • Giorgio Maria Baldini,
  • Miriam Dellino,
  • Murat Yassa,
  • Andrea Tinelli and
  • Tommaso Difonzo
  • + 1 author

16 August 2025

Global cesarean section (CS) rates continue to rise, with the Robson classification widely used for analysis. However, Robson Group 2A patients (nulliparous women with induced labor) show disproportionately high CS rates that cannot be fully explaine...

  • Article
  • Open Access
9 Citations
2,827 Views
12 Pages

Prolonged Dystocic Labor in Neuraxial Analgesia and the Role of Enkephalin Neurotransmitters: An Experimental Study

  • Antonio Malvasi,
  • Ettore Cicinelli,
  • Giorgio Maria Baldini,
  • Antonella Vimercati,
  • Renata Beck,
  • Miriam Dellino,
  • Gianluca Raffaello Damiani,
  • Gerardo Cazzato,
  • Eliano Cascardi and
  • Andrea Tinelli

13 February 2023

The investigation studied the enkephalinergic neuro fibers (En) contained in the Lower Uterine Segment (LUS) during the prolonged dystocic labor (PDL) with Labor Neuraxial Analgesia (LNA). PDL is generally caused by fetal head malpositions in the Occ...

  • Article
  • Open Access
9 Citations
4,946 Views
17 Pages

Artificial Intelligence, Intrapartum Ultrasound and Dystocic Delivery: AIDA (Artificial Intelligence Dystocia Algorithm), a Promising Helping Decision Support System

  • Antonio Malvasi,
  • Lorenzo E. Malgieri,
  • Ettore Cicinelli,
  • Antonella Vimercati,
  • Antonio D’Amato,
  • Miriam Dellino,
  • Giuseppe Trojano,
  • Tommaso Difonzo,
  • Renata Beck and
  • Andrea Tinelli

The position of the fetal head during engagement and progression in the birth canal is the primary cause of dystocic labor and arrest of progression, often due to malposition and malrotation. The authors performed an investigation on pregnant women i...

  • Article
  • Open Access
6 Citations
3,133 Views
9 Pages

Dystocic Labor and Adrenergic and Noradrenergic Neurotransmitters: A Morphological Experimental Study

  • Antonio Malvasi,
  • Antonella Vimercati,
  • Ilaria Ricci,
  • Nico Picardi,
  • Ettore Cicinelli,
  • Ioannis Kosmas,
  • Giorgio Maria Baldini and
  • Andrea Tinelli

27 September 2022

Authors investigated the catecholaminergic neurotransmitters (chNs) quantitative modifications in pregnant uterine Lower Uterine Segment (LUS) during prolonged labor (PL) with the fetus in an occiput-posterior position (OPP), in occiput transverse po...

  • Article
  • Open Access
3 Citations
1,562 Views
22 Pages

Artificial Intelligence Dystocia Algorithm (AIDA) as a Decision Support System in Transverse Fetal Head Position

  • Antonio Malvasi,
  • Lorenzo E. Malgieri,
  • Tommaso Difonzo,
  • Reuven Achiron,
  • Andrea Tinelli,
  • Giorgio Maria Baldini,
  • Lorenzo Vasciaveo,
  • Renata Beck,
  • Ilenia Mappa and
  • Giuseppe Rizzo

Transverse fetal head position during labor is associated with increased rates of operative deliveries and cesarean sections. Traditional assessment methods rely on digital examination, which can be inaccurate in cases of prolonged labor. Intrapartum...

  • Perspective
  • Open Access
3 Citations
4,394 Views
11 Pages

Dystocia, Delivery, and Artificial Intelligence in Labor Management: Perspectives and Future Directions

  • Antonio Malvasi,
  • Lorenzo E. Malgieri,
  • Michael Stark and
  • Andrea Tinelli

25 October 2024

Labor management remains a critical issue in obstetrics, with dystocic labor presenting significant challenges in both management and outcomes. Recent advancements in intrapartum ultrasound have facilitated substantial progress in monitoring labor pr...