Evaluation of the labour process with serial transperineal ultrasonography and prediction of the type of birth.

Abstract:

Objectives:The purpose of this study is to follow the birth process with transperineal ultrasonography (TPU) and predict the delivery method using angle of progression (AOP). Methods:The study included 134 patients. The AOP was examined with TPU in the lithotomy position applied at 4-h intervals, not at a time of straining or contractions. The relationship was examined between AOP and those who continued with vaginal delivery, and those who underwent caesarean section delivery. Results:A total of 122 (91%) patients had vaginal delivery and 12 (9%) patients had cesarean delivery. In patients giving vaginal delivery, progress in AOP was observed in every 4-h measurement, but not in patients with cesarean section. In the ROC analysis, if 70% sensitivity and 75% specificity with AOP degree >132.5°, the patient was expected to have vaginal delivery with a probability of 77.5% (95% CI 0.62-0.93; p=0.002). Conclusions:Rather than repeating digital examinations, the labour process can be monitored with serial TPU and the type of delivery can be predicted. There is a need for further studies for the measurement of AOP with TPU to become a part of clinical practice in the monitoring of the whole labour process.

journal_name

J Perinat Med

authors

Bulut AN,Ceyhan V

doi

10.1515/jpm-2020-0323

subject

Has Abstract

pub_date

2020-09-07 00:00:00

pages

36-42

issue

1

eissn

0300-5577

issn

1619-3997

pii

/j/jpme.ahead-of-print/jpm-2020-0323/jpm-2020-0323

journal_volume

49

pub_type

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