Assessment of the progress of labor by the use of intrapartum ultrasound

Khalil, Omar S.; Elbadawi, Elsayed; Abdelnaby, Mahmoud; Zayed, L.

doi:10.1016/j.ajme.2012.01.001

Cited by 10 publications

(11 citation statements)

References 26 publications

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“…In the current work transperineal ultrasound was done successfully, easily and with very short time for all women included in the study, and all women tolerated the procedure well without any discomfort, these results agreed with that reported by Khalil et al (1) and Barbera et al (10) Kalache et al (13)mentioned that the measurement of the angle of progression is a simple ultrasound technique as it depends on two easily depicted ultrasound markers, one maternal pelvic (pubic symphysis) and one fetal (leading body edge of fetal skull) structure. This approach definitely overcomes some of limitations associated with transperineal ultrasound imaging such as difficulty to visualize the ischial spines which are the reference point where fetal head descent is determined subjectively by digital vaginal examination, also Barbera et al (10) reported that head edema and caput formation will not affect the angle measured by ultrasound.…”

Section: Discussionsupporting

confidence: 94%

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Role of transperineal ultrasound measurements in women with prolonged second stage of labor as predictors of the mode of delivery

Amin

Eltomey

El-Dorf

2014

The Egyptian Journal of Radiology and Nuclear Medicine

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Aim of the work: To assess the clinical significance of transperineal ultrasound measurements, the angle of progression and the head progression distance in prediction of the mode of delivery in women with prolonged second stage of labor. Subjects and methods: 60 women with a live singleton fetus at full term who presented with prolonged second stage of labor were enrolled in our study. Transperineal ultrasound was used for determination of both angle of progression and head progression distance. We statistically analyzed the relationship between the ultrasound measurements and the different modes of delivery. Results: 32 women had spontaneous vaginal delivery, 13 women had assisted vaginal delivery using vacuum extraction and the remaining 15 women had a cesarean section. A statistically significant difference was found between the angle of progression and the mode of delivery, however there was no statistically significant difference between head progressive distance and different modes of delivery. The angle of head progression correlated with the mode of delivery using logistic regression analysis with a probability of 85.5% for an angle of 120°. Conclusion: Angle of progression measured by transperineal ultrasound, is an easy, simple, reliable, and noninvasive method for prediction of mode of delivery in women with prolonged second stage of labor rather than head progression distance.

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Section: Discussionsupporting

confidence: 94%

“…The simple objective of any pregnancy is the delivery of a healthy baby to a healthy mother (1). Adverse maternal and perinatal outcomes have been related to prolonged second stage of labor.…”

Section: Introductionmentioning

confidence: 99%

Role of transperineal ultrasound measurements in women with prolonged second stage of labor as predictors of the mode of delivery

Amin

Eltomey

El-Dorf

2014

The Egyptian Journal of Radiology and Nuclear Medicine

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“…In agreement with these results, the study of Khalil et al (12) , revealed that the mean was 24.8 years and median gravidity was 2 with a range from G1 to G7, and the mean gestational age ranging from 37 to 41 weeks and the mean was 39.3 week.…”

Section: Discussionsupporting

confidence: 75%

Intrapartum Sonography versus Digital Vaginal Examination in the First Stage of Labor for Prediction of the Progress of Labor

Abd-Alhady¹,

Elsayed²,

Sator³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background:The research and advances in obstetrics are performed to overcome abnormal vaginal deliveries. The obstetrician's skill using digital vaginal examination (DVE) remains a personal skill with limitations. Objective: Assessment of the ability of intrapartum ultrasound capability to observe the progression of normal labor in the first stage compared to DVE accurately and objectively. Patients and methods: This prospective cohort study, was conducted on 62 singleton pregnancies in their 38-40 weeks of pregnancy at Obstetrics and Gynecology ultrasound unit and Maternity Hospital, during a period between 2018 to 2020. All cases received clinical examination including, general, abdominal, and obstetrical examination and ultrasonography examination including, transvaginal, transabdominal, and transperineal. Result: The transvaginal ultrasound evaluated the rate of cervical dilatation at the first stage of labor and the length of the cervix showed a statistically significant negative correlation and statistically significant positive correlation between time of labor progress at first and cervical length. There was statistically significantly higher mean cervical dilatation by DVE than US findings (4. 58 & 4.29, respectively). Conclusion: Ultrasound usage possesses a potential role in predicting vaginal delivery success and helping the promotion of safe operative delivery.

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“…12 Recent reports suggest that intrapartum ultrasound imaging may be of assistance in overcoming these problems by facilitating application of a series of evaluations for determination of fetal head position and progression during labor. [1][2][3][4][5][6] This would offer a better prediction of successful vaginal delivery.…”

Section: Intrapartum Ultrasound In Labormentioning

confidence: 99%

“…The prognosis for operative vaginal delivery can also be assessed by intrapartum ultrasonography. 2 Avoiding complicated vaginal delivery is the primary focal point of the current obstetric practice. Digital transvaginal examination, which is highly dependent on the clinician's ability and is still regarded 'gold standard' for obstetric practice, has several limitations.…”

Section: Intrapartum Ultrasonography For Prediction Of Vaginal Delivementioning

confidence: 99%

Intrapartum Ultrasonography for Prediction of Vaginal Delivery: Review

Eser¹,

Köşüş²,

Köşüş³

2016

Turkiye Klinikleri J Gynecol Obst

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A AB BS S T TR RA AC CT T Intrapartum ultrasound imaging is gaining popularity, with increased application due to its relative ease of use and direct on-site accessibility. Though its use was initially restricted to esoteric indications and routinely applied antepartum, sonography is now increasingly being used for more mundane intrapartum indications, for example illustration of the precise fetal head position, assessment of fetal head engagement and estimation of the fetal weight. Advance evaluation of the complex physiology of childbirth is now possible with intrapartum ultrasonography, including Doppler flow velocimetry. It is not, however, in current use for the purposes of pure clinical management, i.e. development of labor or the lack thereof. The increased rate of cesarean delivery is a worldwide problem. Medico-legal problems, however, can arise from difficult vaginal deliveries. Internationally, finding ways to reduce cesarean delivery rates is a clinical priority. This includes development of new techniques for encouraging normal vaginal delivery. Appropriate use of intrapartum sonography could contribute to reduction of cesarean delivery rates and help to protect patients and doctors from possible complications of difficult vaginal delivery. Detection of advancing cervical dilatation and descent of the fetal head, however, are two important aspects currently beyond the clinical scope of intrapartum ultrasound imaging. Determination of the descent of the fetal head will be the ultimate challenge of clinical applicability of intrapartum ultrasound imaging. The hope is that imaging ultrasound will ultimately permit us to assess these two vital clinical parameters, which have up until now proven indefinable. K Ke ey y W Wo or rd ds s: : Parturition; ultrasonography; labor, obstetric Ö ÖZ ZE ET T İntrapartum ultrasonografik görüntülemenin, uygulama kolaylığı, direkt erişilebilirliği ve artan uygulama alanları ile popülerliği artmaktadır. Sonografinin ilk uygulama alanları yalnızca özel bilgisi olanlar tarafından anlaşılabilen endikasyonlar ve antepartum uygulamalar ile sınırlı olsa da, son zamanlarda olağan intrapartum endikasyonlar için de kullanılmaktadır. Bu uygulamalar, fetal baş pozisyonunun gösterimi, fetal baş angajmanının değerlendirmesi ve fetal ağırlık tahminini içermektedir. Günümüzde intrapartum ultrasonografi ile doğumun karmaşık fizyolojisinin (doppler akım çalışmalarını içeren) ileri değerlendirmesi mümkün olmaktadır. Klinik yö-netimin tamamında kullanılmamakla birlikte doğum seyrini (veya olamayacağını) tahminde yardımcıdır. Artan sezaryenle doğum oranları dünya genelinde bir problemdir. Bir başka problem ise zor vajinal doğumdan kaynaklanan mediko-legal olayların artıyor olmasıdır. Tüm dünya ülkeleri sezaryen doğum oranlarını azaltmanın yollarını aramaktadır. Normal vajinal doğumu teşvik edecek yeni yöntemler geliştirmenin arayışı içindedirler. Intrapartum sonografi tekniği, sezaryen doğum oranını azaltmanın yanısıra hastaları ve doktorları zor vajinal doğumda oluşabilecek komplikasyonlar...

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Assessment of the progress of labor by the use of intrapartum ultrasound

Cited by 10 publications

References 26 publications

Role of transperineal ultrasound measurements in women with prolonged second stage of labor as predictors of the mode of delivery

Role of transperineal ultrasound measurements in women with prolonged second stage of labor as predictors of the mode of delivery

Intrapartum Sonography versus Digital Vaginal Examination in the First Stage of Labor for Prediction of the Progress of Labor

Intrapartum Ultrasonography for Prediction of Vaginal Delivery: Review

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