Die Messung des infrapubischen Winkels in der 3-D-Perineal-Sonografie und seine Beziehung zu geburtshilflichen Parametern

Abstract

3 D ultrasound technology enables us to identify and evaluate the interpubic gap and the infrapubic arc with a high inter-observer reproducibility. However, from our data, the infrapubic angle does not seem to influence the length of the 2nd stage of labor and the occurrence of levator defects.

Der Staffelstab wird weitergereicht

“…It can also be used to specifically detect uterine abnormalities [16] or dislocations of intrauterine devices [17]. With translabial/ transperineal 3D sonography, the female pelvic floor and corresponding pelvic floor defects can be easily detected [18][19][20].…”

“…Auch können Uterusanomalien [16] oder Dislokationen von Intrauterin-Pessaren [17] damit gezielt nachgewiesen werden. Mit der translabialen/transperinealen 3D-Sonografie können der weibliche Beckenboden und auch entsprechende Beckenbodendefekte gut erkannt werden [18][19][20].…”

The usefulness of ultrasound before induction of labor

“…94 The measurement of inter-pubic distance and the subpubic arch angle was made easier by the availability of three-dimensional transperineal ultrasound feature and was proven to be highly reproducible. 95 To quantify the SPA by three-dimensional ultrasound, a volume of the pelvic outlet including the body of the symphysis pubis is acquired (Figure 9). The hyperechogenic inferior pubic rami are then identified in the axial plane.…”