scholarly journals OC13.04: Intrapartum sonographic assessment of the fetal head position and flection in prolonged first stage of labour: prospective multicentre study

2020 ◽  
Vol 56 (S1) ◽  
pp. 37-38
Author(s):  
A. Dall'Asta ◽  
G. Rizzo ◽  
E. Pasquo ◽  
B. Masturzo ◽  
A. Bacigalupi ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Head Position ◽  
Fetal Head ◽  
Prospective Multicentre Study ◽  
Sonographic Assessment ◽  
Fetal Head Position

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

scholarly journals OC26.06: Ultrasonographic fetal head position to predict the outcome of delivery: a systematic review

2011 ◽  
Vol 38 (S1) ◽  
pp. 48-48
Author(s):  
C. J. Verhoeven ◽  
M. Rückert ◽  
B. C. Opmeer ◽  
E. Pajkrt ◽  
B. J. Mol
Keyword(s):  
Systematic Review ◽  
Head Position ◽  
Fetal Head ◽  
Fetal Head Position
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