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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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

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