Ultrasound in labor: a caregiver's perspective

Youssef, A.; Ghi, T.; Awad, Eslam; Maroni, E.; Rizzo, Nicola; Pilu, Gianluigi

doi:10.1002/uog.12267

Cited by 28 publications

(24 citation statements)

References 4 publications

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“…Very little is known, however, on the extent of use of ultrasound outside a research context. In a survey, which included more than 264 obstetricians, two thirds of the participants thought that the currently suggested ITU parameters are too complex to be applied in clinical practice [21] . The present study may play a very important role in overcoming that obstacle by automatically calculating the AoP once the operator obtains the midsagittal view.…”

Section: Discussionmentioning

confidence: 99%

“…This is thought to be partly due to the complexity of the technique and the currently suggested ITU parameters [21,22] . In a recent survey, we have found that up to two thirds of obstetricians considered the ITU parameters used for fetal head descent too complex for clinical application [21] . The latter obstacle may be overcome by the availability of reliable and accurate software, which automatically calculates the desired ITU parameters.…”

Section: Introductionmentioning

confidence: 99%

“…The introduction of ITU in routine clinical practice has proven to be challenging [21] . This is thought to be partly due to the complexity of the technique and the currently suggested ITU parameters [21,22] .…”

Section: Introductionmentioning

confidence: 99%

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Automated Measurement of the Angle of Progression in Labor: A Feasibility and Reliability Study

et al. 2016

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Objectives: The aim of this paper was to assess the feasibility and reliability of a new automated method for the measurement of the angle of progression (AoP) in labor. Methods: AoP was assessed using two-dimensional transperineal ultrasound by two operators in 52 women in active labor to evaluate intra- and interobserver reproducibility. The intermethod agreement between automated and manual techniques was analyzed by means of the intraclass correlation coefficient and Bland-Altman method. Results: Automated measurements were feasible in all cases. Automated assessments correctly depicted the pubic symphysis and fetal head in 133 (85.3%) out of 156 on first assessments and in all 156 after repeating measurements once in case of incorrect first evaluation. The automated technique showed good intra- and interobserver reproducibility and very good agreement with the manual technique. AoP measured by the automated method were significantly wider than those done by the manual technique (119 ± 20° vs. 130 ± 20°, p = 0.005). Conclusions: Automated assessment AoP is feasible and reproducible. However, measurements performed by the automated software are significantly different from those resulting from the previously published manual technique. In the light of our data, the automated technique does not seem ready yet for clinical use, and the AoP should be exclusively measured by the previously suggested manual technique.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Automated Measurement of the Angle of Progression in Labor: A Feasibility and Reliability Study

et al. 2016

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“…Despite an increasing number of studies on the subject, the application of this method in everyday clinical practice remains difficult, probably because of the technical difficulty in obtaining most of the sonographic parameters that have been suggested thus far 6,7 . However, Eggebø et al have proposed a measurement that is simply obtained, i.e.…”

Section: Ultrasound In Labor: Is It Time For a More Simplified Approach?mentioning

confidence: 99%

Ultrasound in labor: is it time for a more simplified approach?

Youssef

Bellussi

Maroni

et al. 2013

Ultrasound Obstet Gynecol

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“…Nowadays, labor wards are often equipped with portable ultrasound devices and caregivers can easily acquaint themselves with these new ultrasound parameters; in the questionnaire of Youssef et al,23.5% of caregivers were already using ultrasound to determine the descent of the fetal head 1 . Such interest shown by caregivers is encouraging.…”

Section: Ultrasound In Labor Monitoring: How To Define the Plane Of Imentioning

confidence: 99%