Prediction of Delivery Mode by Transperineal Ultrasound during the Active Phase of the First Stage Labor

Yuxin WEI; Shuwen LIANG; Chun CHEN; Xiuling LI; Shu ZHU; Fang YAN

doi:10.12259/j.issn.2095-610X.S20220908

Volume 43 Issue 9

Sep. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(9): 38-42

Yuxin WEI, Shuwen LIANG, Chun CHEN, Xiuling LI, Shu ZHU, Fang YAN. Prediction of Delivery Mode by Transperineal Ultrasound during the Active Phase of the First Stage Labor[J]. Journal of Kunming Medical University, 2022, 43(9): 38-42. doi: 10.12259/j.issn.2095-610X.S20220908

Citation:

Yuxin WEI, Shuwen LIANG, Chun CHEN, Xiuling LI, Shu ZHU, Fang YAN. Prediction of Delivery Mode by Transperineal Ultrasound during the Active Phase of the First Stage Labor[J]. Journal of Kunming Medical University, 2022, 43(9): 38-42. doi: 10.12259/j.issn.2095-610X.S20220908

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Prediction of Delivery Mode by Transperineal Ultrasound during the Active Phase of the First Stage Labor

doi: 10.12259/j.issn.2095-610X.S20220908

Dept. of Obstetrics，The 1st People’s Hospital of Yunnan & Affiliated Hospital of Medical School, Kunming University of Science and Technology，Kunming Yunnan 650032，China

Received Date: 2022-05-07
Available Online: 2022-09-07
Publish Date: 2022-09-29

Abstract

Abstract

Objective To investigate the value of angle of progression progression （AOP）, fetal head descent distance （PD） and fetal head to pubic symphysis （HSD） in predicting the mode of delivery during the active phase of the first stage of labor. Methods The AOP, PD and HSD were measured at the active phase of the first stage of labor. The difference of these parameters was compared between the vaginal delivery group and the cesarean section group. Results The AOP and PD in vaginal delivery group were significantly higher than those in cesarean delivery group （141.09° ±9.87° vs 122.84° ±10.70° , 4.28 cm ± 0.48 cm vs 3.18 cm ± 0.83 cm）, while HSD in vaginal delivery group were significantly lower than that in cesarean delivery group （1.42 cm ± 0.40 cm vs 2.18 cm ± 0.64 cm）（P < 0.001）. The AUC of AOP, PD and HSD for predicting vaginal delivery was 0.892, 0.875 and 0.840, respectively, with statistical significance （P < 0.001）. Conclusion The measurement of AOP, PD and HSD in the active phase of the first stage of labor has the predictive value for the mode of delivery in nulliparous women.
- Ultrasound,
- Labor,
- Delivery mode,
- AOP,
- PD,
- HSD

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References(19)

References

[1]	Dupuis O,Silveira R,Zentner A,et al. Birth simulator:Reliability of transvaginal assessment of fetal head station as defined by the American college of obstetricians and gynecologists classification[J]. Am J Obstet Gynecol,2005,192(3):868-874. doi: 10.1016/j.ajog.2004.09.028
[2]	Wiafe Y A,Whitehead B,Venables H,et al. The effectiveness of intrapartum ultrasonography in assessing cervical dilatation,head station and position:A systematic review and Meta-analysis[J]. Ultrasound,2016,24(4):222-232. doi: 10.1177/1742271X16673124
[3]	Ghi T,Eggebø T,Lees C,et al. ISUOG Practice guidelines:Intrapartum ultrasound[J]. Ultrasound Obstet Gynecol,2018,52(1):128-139. doi: 10.1002/uog.19072
[4]	Barbera A F,Pombar X,Perugino G,et al. A new method to assess fetal head descent in labor with transperineal ultrasound[J]. Ultrasound Obstet Gynecol,2009,33(3):313-319.
[5]	Bamberg C,Scheuermann S,Slowinski T,et al. Relationship between fetal head station established using an open magnetic resonance imaging scanner and the angle of progression determined by transperineal ultrasound[J]. Ultrasound Obstet Gynecol,2011,37(6):712-716. doi: 10.1002/uog.8944
[6]	Kahrs B H,Usman S,Ghi T,et al. Sonographic prediction of outcome of vacuum deliveries:A multicenter,prospective cohort study[J]. Am J Obstet Gynecol,2017,217(1):69.e1-69.e10. doi: 10.1016/j.ajog.2017.03.009
[7]	Wiafe Y A,Whitehead B,Venables H,et al. Sonographic parameters for diagnosing fetal head engagement during labour[J]. Ultrasound,2018,26(1):16-21. doi: 10.1177/1742271X18755080
[8]	Eggebø T M,Hassan W A,Salvesen K Å,et al. Sonographic prediction of vaginal delivery in prolonged labor:A two- center study[J]. Ultrasound Obstet Gynecol,2014,43(2):195-201. doi: 10.1002/uog.13210
[9]	Torkildsen E A,Salvesen K A,Eggebo T M. Prediction of delivery mode with transperineal ultrasound in women with prolonged first stage of labour[J]. Ultrasound Obstet Gynecol,2011,37(6):702-708. doi: 10.1002/uog.8951
[10]	Kohls F,Brodowski L,Kuehnle E,et al. Intrapartum translabial ultrasound:A systematic analysis of the fetal head station in the first stage of labor[J]. Z Geburtshilfe Neonatol,2018,222(1):19-24. doi: 10.1055/s-0043-122242
[11]	Chor C M,Poon L,Leung T Y. Prediction of labor outcome using serial transperineal ultrasound in the first stage of labor[J]. J Matern Fetal Neonatal Med,2019,32(1):31-37. doi: 10.1080/14767058.2017.1369946
[12]	Dall'Asta A,Angeli L,Masturzo B,et al. Prediction of spontaneous vaginal delivery in nulliparous women with a prolonged second stage of labor:The value of intrapartum ultrasound[J]. Am J Obstet Gynecol,2019,221(6):642.
[13]	Yonetani N,Yamamoto R,Murata M,et al. Prediction of time to delivery by transperineal ultrasound in second stage of labor[J]. Ultrasound Obstet Gynecol,2017,49(2):246-251. doi: 10.1002/uog.15944
[14]	Kasbaoui S,Séverac F,Aïssi G,et al. Predicting the difficulty of operative vaginal delivery by ultrasound measurement of fetal head station[J]. Am J Obstet Gynecol,2017,216(5):507.
[15]	Sainz J A,García-Mejido J A,Aquise A,et al. A simple model to predict the complicated operative vaginal deliveries using vacuum or forceps[J]. Am J Obstet Gynecol,2019,220(2):193.e1-193.e12. doi: 10.1016/j.ajog.2018.10.035
[16]	Bibbo C,Rouse C E,Cantonwine D E,et al. Angle of progression on ultrasound in the second stage of labor and spontaneous vaginal delivery[J]. Am J Perinatol,2018,35(4):413-420.
[17]	Ghi T,Contro E,Farina A,et al. Three-dimensional ultrasound in monitoring progression of labor:A reproducibility study[J]. Ultrasound Obstet Gynecol,2010,36(4):500-506. doi: 10.1002/uog.7752
[18]	田雪叶,韩蓁,全萌,等. 经会阴三维超声监测产程进展各参数的可重复性研究[J]. 西安交通大学学报:医学版,2018,39(6):5.
[19]	中华医学会妇产科学分会产科学组. 新产程标准及处理的专家共识(2014)[J]. 中华妇产科杂志,2014,49(7):486. doi: 10.3760/cma.j.issn.0529-567x.2014.07.002

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