Ultrasound in labor: clinical practice guideline and recommendation by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation

Rizzo, Giuseppe; Ghi, T.; Henrich, Wolfgang; Tutschek, B.; Kamel, Rasha; Lees, C.; Mappa, Ilenia; Kovalenko, Mariya; Lau, WL; Eggebø, T. M.; Achiron, Reuven; Şen, Cihat

doi:10.1515/jpm-2022-0160

Cited by 26 publications

(20 citation statements)

References 68 publications

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“…To complete the third- and fourth-years of residency, simulation scenarios of abnormal 1st and 2nd trimesters, as well as advanced gynecological cases must be undertaken, practicing decision making and tests ordering in evidence based and cost-effective manner. Taking into consideration the increasing importance of intrapartum ultrasound, the evaluation of posterior cervical and maternal subpubic arch angles, as well as the head–perineum distance, the angle of progression and other advantageous parameters of ultrasound pelvimetry [ 24 ] should be included into the curiculum of the last year of residency.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Simulation for Training Trainees when the Luxury Becomes Essential: Opinion and Evidence Obtained during the Latvian Research Council Project Implementation

Vedmedovska

Ķīvīte‐Urtāne

Lisovaja

et al. 2022

AML

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Background. Simulation as a proxy tool for conditional clinical training became a powerful technique for introducing trainees to the ultrasound imaging world, allowing them to become a trained sonographer taking into consideration different rates of progress completing a specific task against the time and ensuring the long-lasting maintenance of the obtaining practical skills. Adding a costly, but effective high-fidelity simulator to the residency program justified the expense, demonstrating efficiency of training for improving the clinical performance and confidence of trainees. Materials and methods. A pilot study in Riga Maternity Hospital within the framework of the study “Role of metabolome, biomarkers and ultrasound parameters in successful labour induction” (Fundamental and Applied Research Programme lzp-2021/1-0300) was performed between March 1st 2022 and 31st April 2022. A virtual-reality simulator (Scantrainer, MedaphorTM, Cardiff, UK) was used with the teaching module for assessment of the uterine cervix. Five trainees in obstetrics and two young specialists included in the study. None of them had Fetal Medicine Foundation certificate of competence in the assessment of the uterine cervical lenght before. The time used on the simulator, the number of simulations and a mean confidence in cervical length assessment before and after simulation were recorded. Results. The study on assesment of uterine cervical lenght demonstrated statistically significant increase in confidence (p=0.008) and statistically significant decrease in time needed to complete correctly the same tasks for the trainees (p=0.008) that shows a positive learning curve over the time of training on ScanTrainer, Medaphor. Conclusions. The simple task allows to become a certified specialist in uterine cervical assessment in the short period of time. That support the productiveness of the simulation-based education. The training program should be updated taking into consideration simulation curriculum.

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Section: Discussionmentioning

confidence: 99%

Ultrasound Simulation for Training Trainees when the Luxury Becomes Essential: Opinion and Evidence Obtained during the Latvian Research Council Project Implementation

Vedmedovska

Ķīvīte‐Urtāne

Lisovaja

et al. 2022

AML

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“…Further in case of uterine atony that does not improve after the administrations of uterotonics, the insertion of a tamponade balloon (Bakri balloon) has proven its value (Figure 11). The use of ultrasound during the insertion is useful to avoid uterine lesions at the insertion, to check the correct position, to verify the filling and eventually the persistent accumulation of blood in the uterine cavity 41,42 …”

Section: Use Of Ultrasound In the Management Of Postpartum Hemorrhagementioning

confidence: 99%

“…The use of ultrasound during the insertion is useful to avoid uterine lesions at the insertion, to check the correct position, to verify the filling and eventually the persistent accumulation of blood in the uterine cavity. 41,42…”

Section: Use Of Ultrasound In the Management Of Postpartum Hemorrhagementioning

confidence: 99%

The role of ultrasound in the diagnosis and management of postpartum hemorrhage

Mappa

Patrizi

Maruotti

et al. 2023

J of Clinical Ultrasound

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Postpartum hemorrhage (PPH) is the leading cause of death or severe morbidity for the mother after delivery. As a consequence healthcare staff working in the delivery room should be trained to perform a prompt diagnosis and adequate management of PPH.Uneventful outcome is induced correct identification of the underlying cause of hemorrhage. Ultrasound is a promising technique for the prompt diagnosis of PPH etiology. Indeed, it is easily available, with relatively low cost, not using ionizing radiation, and can be used in different settings including the labor room, the operating theater and at the bedside of an affected women. In order to be effective Obstetricians should have an adequate knowledge of postpartum ultrasonography. In this article, we will review the sonographic findings occurring in PPH, in the differential diagnosis of the underlying cause of hemorrhage, that include retained placenta, morbidly adherent placenta, rupture of the uterus uterine, vascular anomalies of the uterine arteries and uterine inversion. We will also provide an algorithm to manage PPH according to the ultrasonographic findings.

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“…37 In 2022, World Association of Perinatal Medicine and the Perinatal Medicine Foundation also issued a guideline on ultrasound in labor. 38 The recommendations would be reflected in the guidelines of each country.…”

Section: Comparisons Of Index Usefulnessmentioning

confidence: 99%

The role of transperineal ultrasonography for perinatal management: A review

Kido

Barbera

Nagasaka

2023

J of Obstet and Gynaecol

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Background: Transperineal ultrasound (TPUS) has become an increasingly popular tool in obstetrics due to its objective, non-invasive, and real-time imaging capabilities. Aim: This review aims to describe the basic approaches, current utilization, and potential future applications of TPUS. Materials & Method: A comprehensive literature review on TPUS was conducted. In addition, discussions at academic meetings and congress focused on TPUS were also considered. Results: TPUS was initially used in prostate biopsies and is currently applied to evaluating fetal head descent in labor, with the angle of progression being the most widely used parameter. It is more tolerated than conventional invasive or expensive methods, such as digital vaginal examinations or MRIs. Additionally, TPUS can assess the internal rotation of the fetal head in the birth canal. Discussion: Compared to other imaging modalities like MRI and CT scans, TPUS is easier to perform and more cost-effective. It also provides real-time imaging, allowing for quick and accurate assessments. It also help clinicians make critical decisions regarding the mode of delivery and identify patients at high risk for fecal incontinence postpartum. With its many benefits, TPUS has the potential to become a standard tool in urogynecology and obstetrics. Conclusions: Transperineal ultrasound is a non-invasive imaging modality that is well-tolerated and easy to understand for patients and their family and help medical staff support the patients. Transperineal ultrasound can be applied in real-time monitoring of labor progress, helping predict the possibility of vaginal delivery during labor, and further research in this area is warranted.

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Ultrasound in labor: clinical practice guideline and recommendation by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation

Cited by 26 publications

References 68 publications

Ultrasound Simulation for Training Trainees when the Luxury Becomes Essential: Opinion and Evidence Obtained during the Latvian Research Council Project Implementation

Ultrasound Simulation for Training Trainees when the Luxury Becomes Essential: Opinion and Evidence Obtained during the Latvian Research Council Project Implementation

The role of ultrasound in the diagnosis and management of postpartum hemorrhage

The role of transperineal ultrasonography for perinatal management: A review

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