The frequency and reasons for vaginal examinations in labour

Shepherd, Ashley; Cheyne, Helen

doi:10.1016/j.wombi.2012.02.001

Cited by 56 publications

(49 citation statements)

References 21 publications

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“…When 4 hourly VEs criteria was applied, about 70% had more VEs than recommended. 15 A study found that the incidence of chorioamnionitis has increased from 2.7% to 6.0% when singleton births from 1995-2010 were analysed. 16 VE frequency is the only risk factor which can be controlled by healthcare providers.…”

Section: Late Onset Neonatal Sepsis (Lons)mentioning

confidence: 99%

Multiple vaginal examinations and early neonatal sepsis

Christopher

Goldy

Oral

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Early onset neonatal sepsis (EONS) is caused mainly by organisms present in the genital tract. Maternal risk factors increase the incidence of EONS. This study was done to find out the association between one such risk factor i.e., multiple vaginal examinations and EONS. Methods: Case control study. 114 patients with three or more vaginal examinations after rupture of membranes were taken as cases and 114 patients with less than three vaginal examinations after rupture of membranes were taken as controls. All these babies were followed up for the development of EONS. Results: Of the 114 cases, 6 babies developed EONS. None of the babies in the control group developed EONS. So, 3 or more vaginal examinations after rupture of membranes in labour is significantly associated with early onset neonatal sepsis with p-value of 0.01305. Conclusions: Multiple vaginal examinations after rupture of membranes is a risk factor for early onset neonatal sepsis.

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Section: Late Onset Neonatal Sepsis (Lons)mentioning

confidence: 99%

Multiple vaginal examinations and early neonatal sepsis

Christopher

Goldy

Oral

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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“…In our study, >90% of digital vaginal examinations could have been avoided (digital vaginal examination has to be performed in cases where the ultrasound images are deficient, for example if the cervical circumference is not visible). Vaginal digital examination is neither highly reproducible nor reliable for determining cervical dilation and is a cause of intense emotional distress for many women during pregnancy and labor . In addition, digital vaginal examination is painful, and it has been demonstrated that transperineal ultrasound is less bothersome …”

Section: Discussionmentioning

confidence: 99%

“…16,18 Making decisions highly reproducible nor reliable for determining cervical dilation and is a cause of intense emotional distress for many women during pregnancy and labor. 2,3,19 In addition, digital vaginal examination is painful, and it has been demonstrated that transperineal ultrasound is less bothersome. 9,10 Intrapartum ultrasound only requires a brief learning period, so it can be done by midwives or doctors depending on the protocols and responsibilities assumed in every clinic.…”

Section: Discussionmentioning

confidence: 99%

Use of intrapartum ultrasound in term pregnant women with contractions before hospital admission

Cuerva

García-Casarrubios

García-Calvo

et al. 2018

Acta Obstet Gynecol Scand

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Introduction The aim of this study was to test the hypothesis that transperineal ultrasound can be used to decide whether to admit a pregnant woman due to labor. Material and methods In this analytical cross‐sectional observational study, transperineal ultrasound was performed on pregnant women with intact membranes who came to the hospital due to contractions. A decision was made to admit women due to labor based on the ultrasound measurements. The ultrasound measurements were used to determine cervical dilation, the angle of progression, and fetal head position. The managing midwives were blinded to the results and made the final decision to admit the women based on digital vaginal examination. Results It was possible to decide whether a woman had to be admitted for delivery or discharged due to the latent phase of labor according to the ultrasound examination in 55 of the 57 cases (96.5%). In four of the 55 cases, the decision based on ultrasound differed from the midwife's decision (7.3%). There was strong agreement between the decision to admit the pregnant women based on ultrasound measurements and the digital vaginal examination (Cohen's kappa: 0.844). It was possible to measure cervical dilation with ultrasound in 52 of the 57 cases (91.2%). The intraclass correlation coefficient for the cervical dilation measurements was 0.736 (95% confidence interval 0.539‐0.848). Conclusions There was strong agreement between the ultrasound and digital vaginal examination results in the decision to admit singleton pregnant women at term due to labor. A large number of vaginal examinations could be avoided by using intrapartum ultrasound.

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“…2,3 Pemantauan persalinan meliputi kemajuan persalinan, keadaan janin, dan juga ibu dalam manajemen persalinan merupakan salah satu aspek penting. 4 Berdasar atas hasil penelitian kontraksi yang terlalu lama atau sangat kuat dan frekuensinya sering akan menimbulkan masalah seperti hipoksia janin. 5,6 Persalinan yang sudah memasuki fase aktif secara normal kontraktilitas uterus akan semakin meningkat yang meliputi frekuensi, durasi, dan intensitas.…”

Section: Pendahuluanunclassified

Sensitivitas, Spesifisitas dan Akurasi Pengukuran Kontraksi Uterus Kala I Fase Aktif Ibu Bersalin Menggunakan Tokodinamometer

Bainuan

Husin

Anwar

et al. 2018

mkb

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AbstrakPada umumnya pemeriksaan kontraksi uterus dilakukan dengan menekan fundus uteri, namun demikian cara tersebut menyebabkan ketidaknyamanan dan hanya dapat mengetahui frekuensi kontraksi sedangkan durasi dan intensitas kontraksi pengukurannya bersifat subjektif. Cara lain yang digunakan adalah menggunakan Kardiotokografi, namun harganya mahal danl lebih sulit untuk menginterpretasikan hasil. Tokodinamometer dapat digunakan untuk menilai kemajuan persalinan karena dapat dibaca langsung, sederhana, dan harga terjangkau sehingga dapat digunakan di komunitas. Penelitian ini bertujuan mengukur sensitivitas, spesifisitas, dan akurasi tokodinamometer dalam mengukur kontraksi uterus kala I fase aktif pada ibu bersalin. Rancangan penelitian merupakan studi observasional analitik dengan desain potong lintang. Sampel penelitian berjumlah 47 orang yang memenuhi kriteria inklusi di Rumah Sakit Khusus Ibu dan Anak Kota Bandung dengan teknik concecutive sampling. Pengambilan data dengan mengukur kontraksi uterus menggunakan tokodinamometer dan kardiotokografi (KTG) diukur secara bersamaan sebanyak 2 kali. Analisis menggunakan uji Wilcoxon dan uji diagnostik. Hasil penelitian didapatkan, frekuensi dan intensitas kontraksi uterus tidak terdapat perbedaan (p>0,05), sedangkan durasi kontraksi terdapat perbedaan bermakna (p<0,05) antara ibu bersalin kala I fase aktif yang diukur menggunakan tokodinamometer dan KTG. Tokodinamometer memiliki nilai sensitivitas (90,47 %), spesifisitas (78,26 %), dan akurasi (87,21 %). Simpulan, tokodinamometer dapat digunakan untuk pemantauan kontraksi uterus di komunitas. Kata kunci : Fase aktif, kontraksi uterus, tokodinamometerSensitivity, Specificity and Accuracy Measurement of Kala I Uterus Contraction Maternity Active Maternal Phase using Tocodynamometer Abstract Examination of uterine contractions is generally done by pressing the uterine fundus. This method can cause discomfort and can only know the frequency of contraction while the duration and intensity of contraction measurement is subjective so as to cause imprecise in making decisions early during labor. Labor monitoring should use cardiotocography, but it is expensive, more difficult to interpret results. Though contraction assessment is important to assess the progress of labor, so that needed tools that can be used in the community. This study aimed to analyze the sensitivity, specificity and accuracy of tocodynamometer in measuring uterine contraction in the first stage on the active phase of parturient. The research design is an analytic observational study with Cross sectional design. The sample of this research were 47 people who fulfill the inclusion criteria at RSKIA Bandung, with concecutive sampling technique. Intake of data by measuring uterine contractions using tocodynamometer and cardiotocography measured simultaneously as much as 2 times or according to mother condition. The analysis used the Wilcoxon's test, and the diagnostic test. The results showed that the frequency and intensity of uterine contractions did not ...

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The frequency and reasons for vaginal examinations in labour

Cited by 56 publications

References 21 publications

Multiple vaginal examinations and early neonatal sepsis

Multiple vaginal examinations and early neonatal sepsis

Use of intrapartum ultrasound in term pregnant women with contractions before hospital admission

Sensitivitas, Spesifisitas dan Akurasi Pengukuran Kontraksi Uterus Kala I Fase Aktif Ibu Bersalin Menggunakan Tokodinamometer

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