Role of transperineal ultrasound measurements in women with prolonged second stage of labor as predictors of the mode of delivery

Amin, Mohamed A.; Eltomey, Mohamed Adel; El-Dorf, Ayman

doi:10.1016/j.ejrnm.2014.05.017

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…They found a high predictive value of a wide "angle of progression" and spontaneous vaginal delivery. Amin et al [14] stated that "angle of progression" ≥ 120°w as correlated with an 85.5% probability of vaginal delivery. Malik and Singh [15] estimated an angle of progression ≥ 116°as a predictive of vaginal delivery in the late first and second stages.…”

Section: Discussionmentioning

confidence: 99%

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Transperineal ultrasound of fetal head progression in prolonged labor: women’s acceptance and ability to predict the mode of delivery

Solaiman

Atwa

Gad

2020

Egypt J Radiol Nucl Med

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Background Digital transvaginal examination of fetal head progression is subjective evaluation with many limitations. Using ultrasound (US) in the assessment of labor progression in prolonged labor is the current trend to predict the mode of delivery. The study intends to evaluate the women’s acceptance to the transperineal ultrasound (TPUS) compared with digital transvaginal examination, and its ability to predict the mode of delivery in prolonged labor. We included 28 pregnant ladies in a prolonged active phase of first or second stages of labor and followed them till delivery. TPUS was used to measure the fetal head–perineum distance (FHPD) and the angle of fetal head descent. Results Of the 28 participants, 53.5% of them delivered vaginally and 46.5% by Cesarean section (CS). All pregnant ladies described the TPUS as more convenient and less painful than digital vaginal examination. Cervical dilatation was negatively correlated with FHPD, and positively correlated with angle of fetal head descent. Both FHPD and angle of fetal head descent had a strong significant negative correlation. Using a cutoff value of 115° for the angle of fetal head descent, the positive predictive value (PPV) of vaginal delivery was 87%; using a cutoff value of 4.2 cm for FHPD, the PPV for vaginal delivery was 85%. Conclusion TPUS is more convenient, more accepted, and less painful than digital vaginal examination. Angle of head descent and FHPD are reliable predictors of the mode of delivery in prolonged labor.

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Section: Discussionmentioning

confidence: 99%

“…They were instructed to lie in the lithotomy position. Taking US measures were avoided during uterine contractions [14].…”

Section: Techniquementioning

confidence: 99%

Transperineal ultrasound of fetal head progression in prolonged labor: women’s acceptance and ability to predict the mode of delivery

Solaiman

Atwa

Gad

2020

Egypt J Radiol Nucl Med

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“…Many studies had been conducted to assess the correlation between AOP and successful vaginal delivery, and their results were very near to Barbera et al [12,13].…”

Section: Introductionmentioning

confidence: 85%

Prediction of labor outcome by measuring the angle of progression using two dimensional trans-perineal Ultrasound: A prospective cohort study

Abdelhalim¹,

Abolmakarem²,

Hassan³

2021

World J. Adv. Res. Rev.

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Background: Failure of descent due to fetal malposition is one of the most common indications for performing surgical deliveries. It has recently been suggested that trans-perineal intra-partum ultrasonography may be useful in assessing fetal head engagement, position and station as well as it’s reliable, cheap, painless and effective tool. Measuring the ‘angle of progression’ could assist in the obstetrician’s decision regarding mode of delivery. Objectives: The primary outcome is to use the AOP to develop a predictive model for the probability of successful vaginal delivery. Secondary outcomes including assessment of possibly successful VBAC in previous one CS women. Methods: We recruited 500 women in labor. For each woman, a (TPU) was performed to measure the AOP in late first and second stages of labor. We compared AOP between women who delivered fetuses through vaginal route to those who delivered by CS. Results: Through 467 women included in the study, AOP was significantly Higher in spontaneous vaginal delivery group (with cut off 123°±8.5°) as compared with women delivered by vacuum or by CS (113°±10.5°) (P=0.003). The VBAC as another secodary outcome seems to be insignificant. Conclusions: TPU is safe, non-invasive and easily preformed technique which is useful to predict labor outcomes.

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“… 1 2 3 4 5 6 7 8 The technique is also gaining popularity in pelvic floor studies and incontinence imaging. 9 10 11 We undertook this study to describe the findings on TPUS in normal children and subsequently to perform TPUS in children with ambiguous genitalia and compare these findings with conventional genitogram.…”

Section: Introductionmentioning

confidence: 99%

Role of Transperineal Ultrasound (TPUS) in Children with Ambiguous Genitalia

Rangarajan

Jana

Wadgera

et al. 2021

Indian Journal of Radiology and Imaging

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Objectives Accurate delineation of anatomy in children with ambiguous genitalia early in life is important. This commonly involves conventional fluoroscopic genitogram (traumatic to the child) and magnetic resonance imaging (MRI) examination (involves sedation). In this study, our objectives were twofold: (1) to describe the findings on transperineal ultrasound (TPUS) in normal children and (2) to describe the findings on TPUS in children with ambiguous genitalia and correlate them with conventional genitogram. Materials and Methods TPUS was prospectively performed in 10 children without genital ambiguity (5 girls and 5 boys). Subsequently, 15 consecutive children having disorders of sex differentiation (DSDs) with genital ambiguity underwent TPUS. The presence or absence of müllerian structures was documented. Of these patients, 14 also underwent conventional genitogram as a part of routine evaluation. The gold standard was established either by comparison with surgical findings (in patients who underwent surgery) or by comparison with a combination of findings on genitogram and transabdominal ultrasound in patients who did not undergo surgery. Results In all normal children, lower urogenital tracts could be clearly delineated on TPUS. Out of the 15 children with ambiguous genitalia, TPUS could establish the presence/absence of müllerian structures in 14. This was concordant with findings on conventional genitogram/surgery. In one patient, müllerian structure was missed on TPUS but demonstrated on genitogram. In two children, TPUS showed the müllerian structure, which was not seen on genitogram. When both the controls and the cases were combined, TPUS had an accuracy of 95% and specificity of 100% in the detection of müllerian structures. Conclusion TPUS is feasible and accurate in demonstration of lower urogenital tract anatomy in children with DSDs having ambiguous genitalia. It can be performed without sedation, and is suitable for use as a screening modality in children with ambiguous genitalia.

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Role of transperineal ultrasound measurements in women with prolonged second stage of labor as predictors of the mode of delivery

Cited by 4 publications

References 14 publications

Transperineal ultrasound of fetal head progression in prolonged labor: women’s acceptance and ability to predict the mode of delivery

Transperineal ultrasound of fetal head progression in prolonged labor: women’s acceptance and ability to predict the mode of delivery

Prediction of labor outcome by measuring the angle of progression using two dimensional trans-perineal Ultrasound: A prospective cohort study

Role of Transperineal Ultrasound (TPUS) in Children with Ambiguous Genitalia

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