Intrapartum ultrasound for the management of the active pushing phase

Abstract

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Intrapartum ultrasound and mother acceptance: A study with informed consent and questionnaire

“…Youssef et al [26] find that both 2D an 3D US are useful to assess fetal head-symphysis distance (HSD) in active labor. Gilboa et al [27] , [28] investigate the effect of TU and of visual biofeedback on the parturient during second stage labour; they find that visual biofeedback improves women’s pushing. Bellussi et al [29] in their work also underline the usefulness of visual biofeedback through TU, to improve pushing during the active second stage of labor in nulliparous women.…”

Intrapartum transperineal ultrasound: angle of progression to evaluate and predict the mode of delivery and labor progression

“…Consequently, notable advancements have been made in the development of diverse intrapartum ultrasound methods to address the limitations that are associated with DVE [ 12 , 13 ]. Moreover, intrapartum transperineal ultrasound (ITU) allows mothers to actively participate in the labor process by visualizing the ultrasound screen, thereby alleviating maternal anxiety and enabling positive visual biofeedback, in addition to measurement [ 14 ]. The evaluation of fetal head descent incorporates various methods such as angle of progression (AOP), progression distance, head-symphysis distance, fetal head direction, head-perineum distance (HPD), and midline angle [ 8 ].…”

Reply

“…also questioned whether the second stage is the ideal time for visual biofeedback. The notion of using biofeedback for prelabor coaching was suggested by Gilboa and Perlman 6 and is supported by research on the effectiveness of prelabor coaching 7 . However, it is our belief that, even though prelabor coaching via visual biofeedback has merit regarding study design and the effectiveness of coaching, it has limited potential in real‐world obstetrics.…”