Intrapartum three‐dimensional ultrasonographic imaging of face presentations: report of two cases

Ghi, T.; Maroni, E.; Youssef, A.; Cariello, L.; Salsi, G.; Arcangeli, T.; Frascà, Clarissa; Rizzo, Nicola; Pilu, Gianluigi

doi:10.1002/uog.11077

Cited by 25 publications

(19 citation statements)

References 8 publications

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“…The fetal head attitude is the relationship of the fetal head to spine. Ultrasound has proved helpful in visual assessment of fetal head attitude ( LEVEL OF EVIDENCE: 2– ) and in the objective diagnosis of fetal head malpresentation in labor ( LEVEL OF EVIDENCE: 3 ).…”

Section: Guidelinesmentioning

confidence: 99%

ISUOG Practice Guidelines: intrapartum ultrasound

Ghi

Eggebø

Lees

et al. 2018

Ultrasound in Obstet & Gyne

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236

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The purpose of these Guidelines is to review the published techniques of ultrasound in labor and their practical applications, to summarize the level of evidence regarding the use of ultrasound in labor and to provide guidance to practitioners on when ultrasound in labor is clinically indicated and how the sonographic findings may affect labor management. We do not imply or suggest that ultrasound in labor is a necessary standard of care.

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Section: Guidelinesmentioning

confidence: 99%

ISUOG Practice Guidelines: intrapartum ultrasound

Ghi

Eggebø

Lees

et al. 2018

Ultrasound in Obstet & Gyne

Self Cite

236

180

View full text Add to dashboard Cite

show abstract

“…During the course of this study, we encountered only one such case with an anterior chin, which we have previously described [32] . In another report, the nose and mouth of the fetus were visualized by transperineal ultrasound [33] .…”

Section: Discussionmentioning

confidence: 99%

“…Most likely, in face presentation, the fetal orbits are very deep into the pelvis and even with OP rotation cannot be demonstrated by transabdominal sonography. In our experience, the key sonographic finding of face presentation is the extreme extension of the cervical spine [32] . However, clinical diagnosis in these cases is hardly a problem because recognizing facial parts with palpation is easy.…”

Section: Discussionmentioning

confidence: 99%

Intrapartum Ultrasound to Differentiate Flexion and Deflexion in Occipitoposterior Rotation

et al. 2017

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Objective: To evaluate the ability of intrapartum ultrasound to differentiate occipitoposterior (OP) rotation with normal flexion of the head from deflexion, to compare the accuracy of ultrasound with the digital examination, and to assess the outcome of labor according to the type of presentation. Patients and Methods: A retrospective study of patients with abnormal labor because of either prolongation and/or abnormal cardiotocography and OP rotation who underwent intrapartum sonography. Results: Normal flexion was inferred in 36/42 cases by a longitudinal sonographic view of the fetal face demonstrating the chin approaching the chest. In the remaining 6, deflexion was diagnosed by visualizing the chin separate and distant from the chest. In 3 of these cases, the orbits were at the same level of the pubis suggesting brow presentation. In the remaining 3 cases, the orbits were above the pubis, and sinciput presentation was inferred. Head deflexion was diagnosed more accurately with ultrasound than clinically and always required a cesarean section versus 36% of cases with OP flexed presentation (p = 0.0052). Conclusions: Fetuses with abnormal labor and OP rotation had deflexed presentations in 14% of cases and were never delivered vaginally. Sonography was far more accurate than the digital examination.

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“…In a Finnish study, Gardberg et al 1 found that 7/12 (58%) cases of face presentation were delivered by Cesarean section. Ultrasound characteristics of face presentations have been published previously, but 3D ultrasound was not used in the transperineal acquisitions 3,4 . Deep transverse occiput position (TOP) may lead to arrest of labor, and persistent TOP in the second stage of labor is defined as TOP that continues for an hour or more 5 .…”

Section: Face Presentation and Persistent Deep Mentum Transverse Posimentioning

confidence: 99%

Face presentation and persistent deep mentum transverse position diagnosed with three‐dimensional ultrasound

Eggebø

Eymundsdottir

Østborg

2015

Ultrasound in Obstet & Gyne

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Intrapartum three‐dimensional ultrasonographic imaging of face presentations: report of two cases

Cited by 25 publications

References 8 publications

ISUOG Practice Guidelines: intrapartum ultrasound

ISUOG Practice Guidelines: intrapartum ultrasound

Intrapartum Ultrasound to Differentiate Flexion and Deflexion in Occipitoposterior Rotation

Face presentation and persistent deep mentum transverse position diagnosed with three‐dimensional ultrasound

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