Assessment of fetal head engagement with transperineal ultrasound: Searching for the cutoff level

Desurmont, S; l’Aulnoit, Agathe Houzé de; Brabant, G.; L'aulnoit, D. Houze De

doi:10.1016/j.jogoh.2018.05.003

Cited by 7 publications

(8 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This diagnosis is essential before trying an operable vaginal delivery. [15] The HPD was judged to be 30-40 mm 95 times, 40-50 mm 7 times, and 30 mm 18 times when the clinical diagnostic of engagement (station zero) was acquired in this study. Desurmont et al [15] used a 57mm cutoff threshold for engagement, which had 75.0 percent sensitivity, 75.9% specificity, 50.3 percent positive predictive value, and 90.3 percent negative predictive value.…”

Section: Discussionmentioning

confidence: 89%

Head Perineum Distance Measurement as a Predictor of Delivery Outcome Using Transperineal Sonography

2022

Al-Azhar University Journal of Virus Researches and Studies

View full text Add to dashboard Cite

Digital vaginal examination has been used to determine the possibility of vaginal delivery because many women find vaginal birth difficult. The use of transperineal ultrasonography, which allows direct visualisation of the fetal skull, to forecast the direction of labor has recently become popular. Ultrasound can assist obstetricians in advising patients and predicting the mode and outcome of labor. The aim of work to determine the role of transperineal ultrasonography in measuring the fetal head perineum distance as a predictor of labor course and outcome, with the objective of lowering complications for both the mother and the newborn as a result of prolonged labor.

show abstract

Section: Discussionmentioning

confidence: 89%

Head Perineum Distance Measurement as a Predictor of Delivery Outcome Using Transperineal Sonography

2022

Al-Azhar University Journal of Virus Researches and Studies

View full text Add to dashboard Cite

show abstract

“…Several studies (22)(23)(24)(25) have evaluated the clinical application of ultrasound in detecting progression angle and predicting labor outcome, and it has been discovered that the AoP has a strong relationship with the type of delivery and that the difference in vaginal progression between vaginal delivery and cesarean section has been objectively demonstrated by ultrasound evaluation of the fetus (19)(20)(21)(22)(23)(24)(25)(26)(27). Chan et al (28), for example, found that out of 143 women, 116 had a successful instrumental birth and 27 had a cesarean surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Recent research on trans-perineal ultrasonography assessment of fetal head descent in labor showed no explicit values for the angle of advancement were supplied, the scientists projected that the ultrasonography technique would provide a more intuitive assessment of the placement of the baby's head because of the tiny variations in taste (20).…”

Section: Key Pointmentioning

confidence: 99%

Angle of progression with trans-perineal ultrasound and delivery type in labor’s second stage; a cross-sectional study in Isfahan, Iran

2021

View full text Add to dashboard Cite

Introduction: Numerous studies have shown that clinical evaluation in labor is not very accurate, therefore ultrasound is one of the instruments that can give us a more objective assessment than the clinical evaluation. Objectives: In this study, we investigate the magnitude of the angle of progression (AoP) at the second stage of labor in fetuses with cephalic presentation and its relation to spontaneous vaginal delivery. Patients and Methods: In this cross-sectional study, we measured the AoP using trans-perineal sonography in the 2nd stage of the labor and compared AoP in normal vaginal delivery (NVD), cesarean and NVD with vacuum groups on 80 pregnant women. We also investigated the correlation between AoP and induction time and duration of the second stage of labor. Results: In 80 study patients, 54 (67.5 %) had normal vaginal deliveries, 21 (26.2 %) had cesarean section and 5 (6.2%) had NVD with a vacuum. There was a statistically significant difference between NVD, cesarean section, and NVD with vacuum in terms of the AoP (P<0.01). There was a statistically significant correlation between AoP and induction time, duration of 2nd stage of labor and Apgar scores (P<0.05). Conclusion: Higher progression angle is associated with shorter induction time and 2nd stage of labor, higher neonatal Apgar scores and a higher chance of spontaneous vaginal delivery which makes it an appropriate index for predicting pregnancy outcomes.

show abstract

“…After the obstetric evaluation, on the basis of the CTG recording, each trainee was asked to develop the safest and fastest strategy to allow the woman to give birth, guaranteeing the safety of the fetus. The correct obstetric evaluation was: no asynclitism, level of presentation part + 1 (fetal station), Demelin sign positive [11], occiput-anterior position.…”

Section: Scenario Designmentioning

confidence: 99%

Simulation training program for vacuum application to improve technical skills in vacuum-assisted vaginal delivery

Mannella

Giordano

Guevara

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Objective evaluation of technical skills of the operators during the obstetrical device application for operative vaginal delivery, named kiwi-cup in a simulation training program. Methods Thirty-five residents in obstetrics and gynecology of the University of Pisa, Italy were recruited and evaluated with an assessment scale on technical skills from 0 to 55 points. They performed various operative vaginal delivery simulations with kiwi-cup and were evaluated at time 0 by a tutor. After 8 weeks, simulation training was repeated and trainees were re-evaluated by the same tutor. Results after 8 weeks from the first simulation session, trainees have been shown to increase technical skills (46.27 ± 4.6 with p-value < 0.0001), the successful application rate (85.71% with p-value 0.0161).) and to reduce the time to complete the procedure (86.2 ± 29.9 s with p-value < 0.0001). Conclusion simulation training on operational vaginal delivery significantly increases technical skills, improves successful rate, and reduces the time taken to complete the procedure. Clinical trial registration Not applicable.

show abstract

Assessment of fetal head engagement with transperineal ultrasound: Searching for the cutoff level

Cited by 7 publications

References 18 publications

Head Perineum Distance Measurement as a Predictor of Delivery Outcome Using Transperineal Sonography

Head Perineum Distance Measurement as a Predictor of Delivery Outcome Using Transperineal Sonography

Angle of progression with trans-perineal ultrasound and delivery type in labor’s second stage; a cross-sectional study in Isfahan, Iran

Simulation training program for vacuum application to improve technical skills in vacuum-assisted vaginal delivery

Contact Info

Product

Resources

About