Transperineal ultrasound assessment of maternal pelvic floor at term and fetal head engagement

2020 ◽  
Vol 56 (6) ◽  
pp. 921-927 ◽  
Author(s):  
A. Youssef ◽  
E. Brunelli ◽  
E. Montaguti ◽  
G. Di Donna ◽  
M. G. Dodaro ◽  
...  
2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
D. Iliescu ◽  
S. Tudorache ◽  
R. Dragusin ◽  
O. Carbunaru ◽  
C. Patru ◽  
...  

The transperineal ultrasound (TPU) value of the angle of progression (AOP) during fetal head engagement, at station 0, is a critical cut-off for current obstetrical practice, especially when intrapartum instrumental interventions are required. Still, controversial measurements were reported in previous high resolution imagistic studies. Our TPU and direct “gold-standard” magnetic resonance (MRI) measurements confirm that station 0 corresponds to a 120° AOP, concordantly. Based on these findings, the fact that an AOP of 120° or greater was previously strongly associated with vaginal delivery may be due to the achievement of head engagement in labor.


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