Intrapartum transperineal ultrasound assessment of fetal head progression in active second stage of labor and mode of delivery

2013 ◽  
Vol 41 (4) ◽  
pp. 430-435 ◽  
Author(s):  
T. Ghi ◽  
A. Youssef ◽  
E. Maroni ◽  
T. Arcangeli ◽  
F. De Musso ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Transperineal Ultrasound ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Ultrasound Assessment

Angle of Progression on Ultrasound in the Second Stage of Labor and Spontaneous Vaginal Delivery

2017 ◽  
Vol 35 (04) ◽  
pp. 413-420 ◽  
Author(s):  
Caroline Rouse ◽  
David Cantonwine ◽  
Sarah Little ◽  
Thomas McElrath ◽  
Julian Robinson ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Prospective Observational Study ◽  
Mode Of Delivery ◽  
Transperineal Ultrasound ◽  
Survival Models ◽  
Spontaneous Vaginal Delivery ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Nulliparous Women ◽  
Angle Of Progression

Objective The objective of this study was to assess the association between the angle of progression (AoP) measured by transperineal ultrasound and mode of delivery and duration of the second stage. Study Design This is a prospective observational study of nulliparous women with a singleton gestation at term in which serial transperineal ultrasound examinations were obtained during the second stage of labor. Multivariable logistic regression and adjusted survival models were used for the analysis. Results A total of 137 patients were included in the analysis and median AoP for the study group was 153 degrees. The adjusted odds ratio (aOR) of requiring an operative delivery was 2.6 times higher for those patients who had an AoP < 153 degrees and the aOR of requiring a cesarean delivery was almost six times higher when compared with those patients who had an AoP ≥ 153 degrees (95% confidence interval [CI]: 1.0, 6.2; p = 0.04; aOR: 5.8, 95% CI: 1.2–28.3; p = 0.03, respectively). Those patients with an AoP < 153 degrees were at a higher hazard of staying pregnant longer (adjusted hazard ratio: 1.8, 95% CI: 1.2–2.8, p = 0.005). Conclusion The AoP has the potential to predict spontaneous vaginal delivery and the duration of the second stage of labor which may be useful in counseling patients and managing their labor.

Fetal head-symphysis distance and mode of delivery in the second stage of labor

2014 ◽  
Vol 93 (10) ◽  
pp. 1011-1017 ◽  
Author(s):  
Aly Youssef ◽  
Elisa Maroni ◽  
Luisa Cariello ◽  
Federica Bellussi ◽  
Elisa Montaguti ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage

Head progression distance in prolonged second stage of labor: relationship with mode of delivery and fetal head station

2013 ◽  
Vol 41 (4) ◽  
pp. 436-441 ◽  
Author(s):  
Y. Gilboa ◽  
Z. Kivilevitch ◽  
M. Spira ◽  
A. Kedem ◽  
E. Katorza ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Labor Relationship

814: Nulliparous women in the second stage of labor: changes in neonatal outcomes over the past 10 years stratified by mode of delivery

2015 ◽  
Vol 212 (1) ◽  
pp. S392
Author(s):  
Joseph Fitzwater ◽  
Nana-Ama Ankumah ◽  
Sukhkamal Campbell ◽  
Joseph Biggio ◽  
John Owen ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
The Past ◽  
Nulliparous Women
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