For the infants, common injuries related to childbirth include bony fractures, small vessel hemorrhages, hematomas, and nerve injuries. Common injuries to the mother include damage to the pelvic floor and perineum. The maternal geometries were obtained from MRI data, and the fetal head geometries were based on laser scanning of a replica of a real fetal head.Ĭhildbirth is a complex and physically intense biomechanical process during which both the mother and the child are under risk of injury. The current study provides a detailed formulation of the curve of Carus, considering geometries of both the mother and the fetus. The goals of this study are: (1) propose a universal approach to derive the curve of Carus for the second stage of labor, from the point when the fetal head engages the pelvis to the point when the fetal head is fully delivered and (2) demonstrate its utility when considering various fetal head sizes. This status of curve of Carus simulation in the literature hinders the direct comparison of results across different studies and the advancement of computational techniques built upon previous research. However, no detailed procedure to geometrically define the curve of Carus can be found in existing computational studies. The curve of Carus is the well-recognized fetal descent trajectory with physiological significance. The straight descent trajectory has the advantage of being simpler and can serve as a reasonable approximation for relatively small fetal movements during labor, but it cannot be used to simulate the entire childbirth process. Two major types of fully prescribed fetal descent trajectories can be identified in the literature: straight descent trajectories and curve of Carus. Prescribed fetal descent trajectory is a key characteristic in childbirth simulations.
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