Ultrasound Assessment of Foetal Head–Perineum Distance Prior to Induction of Labour as a Predictor of Successful Vaginal Delivery

Ali, Jijisha; Hebbar, Shripad

doi:10.1007/s13224-018-1120-x

Cited by 15 publications

(9 citation statements)

References 16 publications

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“…Kim et al found maternal oral fluid therapy to facilitate the transfer of water to the fetus and increase fetal urine production [ 5 ]. Ali et al reported a significant increase in AFI after the intravenous infusion of one liter of fluid in amniorrhexis, although they failed to clarify the etiology of the hydration-associated increase [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of maternal intravenous hydration on amniotic fluid index in oligohydramnios

et al. 2022

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Objective Assessing amniotic fluid determines an important dimension of fetal health. Significant relationships of oligohydramnios, which occurs in 1–2% of pregnancies, with abnormal pregnancy outcomes such as intrauterine growth retardation (IUGR), fetal anomalies, umbilical cord compression, fetal distress, preterm childbirth, meconium-stained amniotic fluid, perinatal mortality and cesarean section necessitate the measurement of amniotic fluid volume in many prenatal fetal health assessments. Amniotic fluid volume may significantly fluctuate between different gestational ages. Reduced uteroplacental perfusion can cause oligohydramnios by decreasing fetal renal blood flow and urine output. The appropriate management of isolated term oligohydramnios (ITO) is controversial. This study was performed aimed to assess the effect of maternal intravenous hydration on amniotic fluid index in oligohydramnios. Result Forty-eight hours after completing fluid therapy, statistically significant differences were observed in the mean AFI in the intervention group (4.06 ± 0.33) and the control group (3.61 ± 0.35) (P < 0.0001) and also between the intervention group (0.532 ± 0.45) and the controls (−0.036 ± 0.18) (P < 0.0001). Conclusion The results of the present study suggested that maternal intravenous hydration significantly increases AFI in women with oligohydramnios.

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Section: Discussionmentioning

confidence: 99%

The effect of maternal intravenous hydration on amniotic fluid index in oligohydramnios

et al. 2022

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“…When compared to Bishop's score and cervical length, HPD was more predictable in every way. Saroyo et al, [13] from Indonesia offered a 43.5 cm HPD cut-off with 98 percent sensitivity and 80 percent specificity for predicting vaginal delivery, whereas Ali et al, [12] from Egypt used a 48 mm HPD cutoff. This gap might be explained by the ethnic variety of the inhabitants of the three nations (Egypt, India and Indonesia).…”

Section: Discussionmentioning

confidence: 99%

Head Perineum Distance Measurement as a Predictor of Delivery Outcome Using Transperineal Sonography

2022

Al-Azhar University Journal of Virus Researches and Studies

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Digital vaginal examination has been used to determine the possibility of vaginal delivery because many women find vaginal birth difficult. The use of transperineal ultrasonography, which allows direct visualisation of the fetal skull, to forecast the direction of labor has recently become popular. Ultrasound can assist obstetricians in advising patients and predicting the mode and outcome of labor. The aim of work to determine the role of transperineal ultrasonography in measuring the fetal head perineum distance as a predictor of labor course and outcome, with the objective of lowering complications for both the mother and the newborn as a result of prolonged labor.

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“…Fetal head perineal angle by TPUS is a reflection of the dynamics of head progression [25,26]. Kalache et al [1] confirmed that "angle of progression" is a simple US parameter using two objective US landmarks: the symphysis pubis and the leading bony edge of the fetal skull avoiding the ischial spines which are used during digital vaginal examination.…”

Section: Discussionmentioning

confidence: 99%

Transperineal ultrasound of fetal head progression in prolonged labor: women’s acceptance and ability to predict the mode of delivery

Solaiman

Atwa

Gad

2020

Egypt J Radiol Nucl Med

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Background Digital transvaginal examination of fetal head progression is subjective evaluation with many limitations. Using ultrasound (US) in the assessment of labor progression in prolonged labor is the current trend to predict the mode of delivery. The study intends to evaluate the women’s acceptance to the transperineal ultrasound (TPUS) compared with digital transvaginal examination, and its ability to predict the mode of delivery in prolonged labor. We included 28 pregnant ladies in a prolonged active phase of first or second stages of labor and followed them till delivery. TPUS was used to measure the fetal head–perineum distance (FHPD) and the angle of fetal head descent. Results Of the 28 participants, 53.5% of them delivered vaginally and 46.5% by Cesarean section (CS). All pregnant ladies described the TPUS as more convenient and less painful than digital vaginal examination. Cervical dilatation was negatively correlated with FHPD, and positively correlated with angle of fetal head descent. Both FHPD and angle of fetal head descent had a strong significant negative correlation. Using a cutoff value of 115° for the angle of fetal head descent, the positive predictive value (PPV) of vaginal delivery was 87%; using a cutoff value of 4.2 cm for FHPD, the PPV for vaginal delivery was 85%. Conclusion TPUS is more convenient, more accepted, and less painful than digital vaginal examination. Angle of head descent and FHPD are reliable predictors of the mode of delivery in prolonged labor.

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Ultrasound Assessment of Foetal Head–Perineum Distance Prior to Induction of Labour as a Predictor of Successful Vaginal Delivery

Cited by 15 publications

References 16 publications

The effect of maternal intravenous hydration on amniotic fluid index in oligohydramnios

The effect of maternal intravenous hydration on amniotic fluid index in oligohydramnios

Head Perineum Distance Measurement as a Predictor of Delivery Outcome Using Transperineal Sonography

Transperineal ultrasound of fetal head progression in prolonged labor: women’s acceptance and ability to predict the mode of delivery

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