scholarly journals Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial

2015 ◽  
Vol 46 (5) ◽  
pp. 520-525 ◽  
Author(s):  
T. Popowski ◽  
R. Porcher ◽  
J. Fort ◽  
S. Javoise ◽  
P. Rozenberg
Keyword(s):  
Randomized Trial ◽  
Mode Of Delivery ◽  
Head Position ◽  
Fetal Head ◽  
Fetal Head Position

scholarly journals Fetal Head Position during the First Stage of Labor: Comparison between Vaginal Examination and Transabdominal Ultrasound

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Jyothi Shetty ◽  
Vinod Aahir ◽  
Deeksha Pandey ◽  
Prashanth Adiga ◽  
Asha Kamath
Keyword(s):  
Head Position ◽  
Transabdominal Ultrasound ◽  
Vaginal Examination ◽  
Fetal Head ◽  
Kappa Test ◽  
Tertiary Center ◽  
Correct Determination ◽  
Fetal Head Position ◽  
First Stage Of Labor

Introduction. Recent evidence indicates that clinical examination, for determination of fetal head position, is subjective and inaccurate. Present study was aimed to compare transabdominal ultrasound for fetal head position with vaginal examination during first stage of labor. Material and Methods. This prospective study was performed at a tertiary center during a two-year period. Before or after clinically indicated vaginal examinations, transverse suprapubic transabdominal real-time ultrasound fetal head position assessment was done. Frequencies of various ultrasound depicted fetal head positions were compared with position determined at vaginal examination. Results. In only 31.5% of patients, fetal head position determinations by vaginal examinations were consistent with those obtained by ultrasound. Cohen’s Kappa test of concordance indicated a poor concordance of 0.15. Accuracy of vaginal examination increased to 66% when fetal head position at vaginal examination was recorded correct if reported within +45° of the ultrasound assessment. Rate of agreement between the two assessment methods for consultants versus residents was 36% and 26%, respectively (P=0.17). Conclusion. We found that vaginal examination was associated with a high error rate in fetal head position determination. Data supports the idea that intrapartum transabdominal ultrasound enhances correct determination of fetal head position during first stage of labor.

scholarly journals EP23.10: Ultrasound‐assessed fetal head position at the start of the active phase of labour and prediction of duration of labour and mode of delivery

2019 ◽  
Vol 54 (S1) ◽  
pp. 387-387
Author(s):  
H. Hjartardóttir ◽  
R.T. Geirsson ◽  
S. Benediktsdóttir ◽  
S.H. Lund ◽  
T.M. Eggebø
Keyword(s):  
Mode Of Delivery ◽  
Active Phase ◽  
Head Position ◽  
Fetal Head ◽  
Fetal Head Position

OP11.05: New method for the determination of fetal head position during labor

2006 ◽  
Vol 28 (4) ◽  
pp. 484-484
Author(s):  
J. Nizard ◽  
Y. Paltieli ◽  
R. M. Lewinsky ◽  
R. Gonen ◽  
G. Ohel ◽  
...  
Keyword(s):  
Head Position ◽  
New Method ◽  
Fetal Head ◽  
Fetal Head Position

scholarly journals Ultrasonographic fetal head position to predict mode of delivery: a systematic review and bivariate meta-analysis

2012 ◽  
Vol 40 (1) ◽  
pp. 9-13 ◽  
Author(s):  
C. J. M. Verhoeven ◽  
M. E. P. F. Rückert ◽  
B. C. Opmeer ◽  
E. Pajkrt ◽  
B. W. J. Mol
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Mode Of Delivery ◽  
Head Position ◽  
Fetal Head ◽  
Fetal Head Position

scholarly journals Sonographic Evaluation of the Mechanism of Active Labor (SonoLabor Study): observational study protocol regarding the implementation of the sonopartogram

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047188
Author(s):  
Laurentiu Mihai Dira ◽  
Stefania Tudorache ◽  
Panagiotis Antsaklis ◽  
George Daskalakis ◽  
Dagklis Themistoklis ◽  
...  
Keyword(s):  
Observational Study ◽  
Study Protocol ◽  
Mode Of Delivery ◽  
Large Body ◽  
Objective Evaluation ◽  
Head Position ◽  
University Hospitals ◽  
Fetal Head ◽  
Informed Consent Form ◽  
Fetal Head Position

IntroductionOver the last decades, a large body of literature has shown that intrapartum clinical digital pelvic estimations of fetal head position, station and progression in the pelvic canal are less accurate, compared with ultrasound (US) scan. Given the increasing evidence regarding the advantages of using US to evaluate the mechanism of labour, our study protocol aims to develop sonopartograms for fetal cephalic presentations. They will allow for a more objective evaluation of labour progression than the traditional labour monitoring, which could enable more rapid decisions regarding the mode of delivery.Methods/analysisThis is a prospective observational study performed in three university hospitals, with an unselected population of women admitted in labour at term. Both clinical and US evaluations will be performed assessing fetal head position, descent and rotation. Specific US parameters regarding fetal head position, progression and rotation will be recorded to develop nomograms in a similar way that partograms were developed. The primary outcome is to develop nomograms for the longitudinal US assessment of labour in unselected nulliparous and multiparous women with fetal cephalic presentation. The secondary aims are to assess the sonopartogram differences in occiput anterior and posterior deliveries, to compare the labour trend from our research with the classic and other recent partogram models and to investigate the capability of the US labour monitoring to predict the outcome of spontaneous vaginal delivery.Ethics and disseminationAll protocols and the informed consent form comply with the Ministry of Health and the professional society ethics guidelines. University ethics committees approved the study protocol. The trial results will be published in peer-reviewed journals and at the conference presentations. The study will be implemented and reported in line with the Strengthening the Reporting of Observational Studies in Epidemiology statement.Trial registration numberClinicalTrials.gov Registry (NCT02326077).

The Comparison of Intrapartum Sonographic Signs and Digital Examination in Fetus with Cephalic Presentation

2020 ◽  
Vol 103 (11) ◽  
pp. 1178-1184
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Head Position ◽  
Vaginal Examination ◽  
Fetal Head ◽  
Cross Sectional ◽  
Percent Agreement ◽  
Anterior Position ◽  
Fetal Head Position ◽  
Digital Vaginal Examination

Objective: The agreement of fetal head position examined by digital vaginal examination (DVE) and intrapartum sonographic signs (ISS) in pregnant women during labor. Materials and Methods: A cross-sectional study was conducted. Two hundred eight-term singleton pregnant women attending labor at Ramathibodi Hospital, Thailand with the fetal cephalic presentation, cervical dilatation of 4 to 8 cm, station –2 or below and no contraindication for DVE were enrolled. The DVE evaluating fetal head position was performed by the third-year obstetrical residents. After DVE, ISS via transabdominal ultrasound for determining fetal head position was obtained immediately by the first researcher. The DVE report and the ultrasonographic images of ISS were recorded separately. The fetal head position based on ISS was designated by the second researcher blinded to the DVE result. The agreement of DVE and ISS for determining fetal head position was analyzed. Results: Two hundred eight pregnant women were analyzed. The fetal head position detected by DVE was consistent with that of ISS at 41.3% (p<0.001). The most percent agreement was observed in the fetus with left occiput anterior position at 72.7% (p<0.001). The lowest percent agreement was found in the direct occiput posterior at 14.3% (p=0.243). Parity, gestational age, current body mass index, epidural analgesia, cervical effacement, caput succedaneum, molding, and station did not significantly affect the discrepancy between DVE and ISS. Conclusion: The agreement between DVE and ISS for evaluating the fetal head position was low. The ISS might be considered for evaluating the fetal head position. Keywords: Fetal head position, Intrapartum sonographic sign, Digital vaginal examination

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