RT Journal Article
T1 Intrapartum transperineal ultrasound used to predict cases of complicated operative (vacuum and forceps) deliveries in nulliparous women
A1 Sainz, Jose A.
A1 Garcia-Mejido, Jose A.
A1 Aquise, Adriana
A1 Bonomi, Maria J.
A1 Borrero, Carlota
A1 De La Fuente, Paloma
A1 Fernandez-Palacin, Ana
K1 Angle of progression
K1 forceps
K1 intrapartum ultrasound
K1 labor
K1 operative delivery
K1 progression distance
K1 translabial ultrasound
K1 transperineal ultrasound
K1 vacuum
K1 Fetal head station
K1 Translabial ultrasound
K1 Assisted delivery
K1 Vaginal delivery
K1 Cesarean-section
K1 Risk-factors
K1 Labor
K1 2nd-stage
K1 Progression
K1 Angle
AB IntroductionThe objective of this study was to investigate the predictive value of intrapartum transperineal ultrasound in the identification of complicated operative (vacuum or forceps) deliveries in nulliparous women.Material and methodsProspective observational study of nulliparous women with an indication for operative delivery who underwent intrapartum transperineal ultrasound before fetal extraction. Managing obstetricians were blinded to the ultrasound data. Intrapartum transperineal ultrasound was performed immediately before blade application, both at rest and concurrently with contractions and active pushing. Operative delivery was classified as complicated when one or more of the following situations occurred: three or more tractions; a third-/fourth-degree perineal tear; significant bleeding during the episiotomy repair; major tear or significant traumatic neonatal lesion.ResultsA total of 143 nulliparous women were included in the study (82 vacuum-assisted deliveries and 61 forceps-assisted deliveries), with 20 fetuses in occiput posterior position. Forty-seven operative deliveries were classified as complicated deliveries (28 vacuum-assisted deliveries, 19 forceps-assisted deliveries). No differences in obstetric, intrapartum or neonatal characteristics were observed between the study groups, with the following exceptions: birthweight (3229482 uncomplicated deliveries vs. 3623 +/- 406 complicated deliveries; p
PB Wiley
SN 0001-6349
YR 2017
FD 2017-12-01
LK http://hdl.handle.net/10668/18982
UL http://hdl.handle.net/10668/18982
LA en
DS RISalud
RD Apr 9, 2025