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Vaginal versus ultrasound examination of fetal occiput position during the second stage of labor.

Abstract：

OBJECTIVE:The purpose of this study was to determine whether ultrasonography is more accurate than vaginal examination in the determination of fetal occiput position in the second stage of labor. STUDY DESIGN:Eighty-eight patients in the second stage of labor were evaluated by vaginal examination and by combined transabdominal and transperineal ultrasound examination to determine occiput position. These predictions of position were compared with the actual delivery position at vaginal delivery after spontaneous restitution or at cesarean delivery. Different examiners performed the vaginal examinations and the ultrasound examinations. Each examiner was blinded to the determination of the other examiner. RESULTS:Vaginal examination determined fetal occiput position correctly 71.6% of the time; ultrasound examination determined fetal occiput position correctly 92.0% of the time (P=.018). CONCLUSION:Ultrasound examination is more accurate than vaginal examination in the diagnosis of fetal occiput position in the second stage of labor.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Chou MR,Kreiser D,Taslimi MM,Druzin ML,El-Sayed YY

doi

10.1016/j.ajog.2004.01.029

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

521-4

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002937804000766

journal_volume

191

pub_type

杂志文章

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