The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery
OBJECTIVE: We aimed to assess the accuracy of intrapartum transperineal ultrasonography that is non-invasive, easy to learn, rapid to perform, comfortable for pregnant women, and low-cost method to evaluate the progress of labor objectively. STUDY DESIGN: We evaluated two hundred-ten singleton pre...
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Medical Network
2021-08-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1031 |
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| author | Erdinc Saridogan Ozlem Moraloglu Tekin |
| author_facet | Erdinc Saridogan Ozlem Moraloglu Tekin |
| author_sort | Erdinc Saridogan |
| collection | DOAJ |
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OBJECTIVE: We aimed to assess the accuracy of intrapartum transperineal ultrasonography that is non-invasive, easy to learn, rapid to perform, comfortable for pregnant women, and low-cost method to evaluate the progress of labor objectively.
STUDY DESIGN: We evaluated two hundred-ten singleton pregnant women at term with cephalic presentation who went into active labor via intrapartum transperineal ultrasonography using the angle of progression and head-perineum distance. Maternal characteristics, conventional vaginal examination findings, mode of delivery, and neonatal results were noted. The data were compared using correlation and regression analysis.
RESULTS: The relationships between the descent of clinical fetal head station, the increase of angle of progression (p=0.001), and the decrease of head-perineum distance (p=0.001) were statistically significant. The receiver operating characteristics curve showed that measurement of angle of progression with <110.5 degrees (p=0.001) and measurement of head-perineum distance with >52.5 millimeters (p=0.001) were associated with emergent cesarean delivery. For the prediction of delivery mode, both angle of progression and head-perineum distance had high sensitivity and specificity.
CONCLUSIONS: Intrapartum transperineal ultrasonography parameters were in agreement with each other and conventional vaginal examination for determination of delivery mode. Head-perineum distance was a parity-dependent measurement whilst angle of progression was parity-independent.
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| format | Article |
| id | doaj-art-150098373edd4317a38740e15851a28e |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | Medical Network |
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| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-150098373edd4317a38740e15851a28e2025-02-11T21:12:58ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182021-08-0127210.21613/GORM.2020.1031The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of DeliveryErdinc Saridogan0Ozlem Moraloglu Tekin1Tunceli State HospitalUniversity of Health Sciences, Ankara City Hospital OBJECTIVE: We aimed to assess the accuracy of intrapartum transperineal ultrasonography that is non-invasive, easy to learn, rapid to perform, comfortable for pregnant women, and low-cost method to evaluate the progress of labor objectively. STUDY DESIGN: We evaluated two hundred-ten singleton pregnant women at term with cephalic presentation who went into active labor via intrapartum transperineal ultrasonography using the angle of progression and head-perineum distance. Maternal characteristics, conventional vaginal examination findings, mode of delivery, and neonatal results were noted. The data were compared using correlation and regression analysis. RESULTS: The relationships between the descent of clinical fetal head station, the increase of angle of progression (p=0.001), and the decrease of head-perineum distance (p=0.001) were statistically significant. The receiver operating characteristics curve showed that measurement of angle of progression with <110.5 degrees (p=0.001) and measurement of head-perineum distance with >52.5 millimeters (p=0.001) were associated with emergent cesarean delivery. For the prediction of delivery mode, both angle of progression and head-perineum distance had high sensitivity and specificity. CONCLUSIONS: Intrapartum transperineal ultrasonography parameters were in agreement with each other and conventional vaginal examination for determination of delivery mode. Head-perineum distance was a parity-dependent measurement whilst angle of progression was parity-independent. https://gorm.com.tr/index.php/GORM/article/view/1031Angle of progressionDeliveryHead-perineum distanceLaborTransperineal ultrasound |
| spellingShingle | Erdinc Saridogan Ozlem Moraloglu Tekin The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery Gynecology Obstetrics & Reproductive Medicine Angle of progression Delivery Head-perineum distance Labor Transperineal ultrasound |
| title | The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery |
| title_full | The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery |
| title_fullStr | The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery |
| title_full_unstemmed | The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery |
| title_short | The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery |
| title_sort | usefulness of intrapartum transperineal ultrasonography for the prediction of mode of delivery |
| topic | Angle of progression Delivery Head-perineum distance Labor Transperineal ultrasound |
| url | https://gorm.com.tr/index.php/GORM/article/view/1031 |
| work_keys_str_mv | AT erdincsaridogan theusefulnessofintrapartumtransperinealultrasonographyforthepredictionofmodeofdelivery AT ozlemmoraloglutekin theusefulnessofintrapartumtransperinealultrasonographyforthepredictionofmodeofdelivery AT erdincsaridogan usefulnessofintrapartumtransperinealultrasonographyforthepredictionofmodeofdelivery AT ozlemmoraloglutekin usefulnessofintrapartumtransperinealultrasonographyforthepredictionofmodeofdelivery |