Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor

Background: Fetal head circumference was suggested to play a role in determination of the mode of delivery in nulliparous women. Aim of the work: To determine the capability of intrapartum ultrasound measurement of head circumference to monitor second stage of labor progress in an accurate and obje...

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Autores principales:	Mohamed Tobar, Khattab Khattab, Ehab Elhelw, Abdelrahman Emam
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	intrapartum head circumference mode of delivery second stage of labor nullipara ultrasound Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/86d6da76d27c413cba902b72ea68ae8d
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spelling	oai:doaj.org-article:86d6da76d27c413cba902b72ea68ae8d2021-12-02T14:02:00ZIntrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor2636-41742682-378010.21608/ijma.2020.19041.1042https://doaj.org/article/86d6da76d27c413cba902b72ea68ae8d2020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_84119_0be77fba4f98b601770a552c12a1b68c.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Fetal head circumference was suggested to play a role in determination of the mode of delivery in nulliparous women. Aim of the work: To determine the capability of intrapartum ultrasound measurement of head circumference to monitor second stage of labor progress in an accurate and objective manner as well as its role as a predictor of successful normal vaginal birth. Patients and Methods:130 females who attended to the labor room and fulfil the inclusion criteria underwent ultrasonographic examination prior to the start of labor, and then followed up until delivery. Every woman was followed up by cervical dilatation, and head station every 4 hours. Woman was transferred to operating room when the cervix is fully dilated and head is engaged to determinate the duration of second stage. Fetal heart sounds were auscultated every 30 minutes and plotted on partogram. Shifting to cesarean section was considered when delivery failed to progress, delayed second stage or fetal bradycardia. Results: By using value of 37.0 for Intrapartum head circumference as a cut-off point, we observed a significant difference between both groups [smaller or larger than 37.0] regarding duration of the 2nd stage of labor [P=0.00] & Mode of delivery [P=0.00]. No statistical difference was observed regarding Maternal morbidity [P=0.374] or Neonatal outcome [P=0.412]. Conclusion: There was significant relation between intrapartum head circumference and length of second stage. Intrapartum fetal head circumference is a useful tool to expect the progress of delivery.Mohamed TobarKhattab KhattabEhab ElhelwAbdelrahman EmamAl-Azhar University, Faculty of Medicine (Damietta)articleintrapartum head circumferencemode of deliverysecond stage of labornulliparaultrasoundMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 469-474 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	intrapartum head circumference mode of delivery second stage of labor nullipara ultrasound Medicine (General) R5-920
spellingShingle	intrapartum head circumference mode of delivery second stage of labor nullipara ultrasound Medicine (General) R5-920 Mohamed Tobar Khattab Khattab Ehab Elhelw Abdelrahman Emam Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor
description	Background: Fetal head circumference was suggested to play a role in determination of the mode of delivery in nulliparous women. Aim of the work: To determine the capability of intrapartum ultrasound measurement of head circumference to monitor second stage of labor progress in an accurate and objective manner as well as its role as a predictor of successful normal vaginal birth. Patients and Methods:130 females who attended to the labor room and fulfil the inclusion criteria underwent ultrasonographic examination prior to the start of labor, and then followed up until delivery. Every woman was followed up by cervical dilatation, and head station every 4 hours. Woman was transferred to operating room when the cervix is fully dilated and head is engaged to determinate the duration of second stage. Fetal heart sounds were auscultated every 30 minutes and plotted on partogram. Shifting to cesarean section was considered when delivery failed to progress, delayed second stage or fetal bradycardia. Results: By using value of 37.0 for Intrapartum head circumference as a cut-off point, we observed a significant difference between both groups [smaller or larger than 37.0] regarding duration of the 2nd stage of labor [P=0.00] & Mode of delivery [P=0.00]. No statistical difference was observed regarding Maternal morbidity [P=0.374] or Neonatal outcome [P=0.412]. Conclusion: There was significant relation between intrapartum head circumference and length of second stage. Intrapartum fetal head circumference is a useful tool to expect the progress of delivery.
format	article
author	Mohamed Tobar Khattab Khattab Ehab Elhelw Abdelrahman Emam
author_facet	Mohamed Tobar Khattab Khattab Ehab Elhelw Abdelrahman Emam
author_sort	Mohamed Tobar
title	Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor
title_short	Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor
title_full	Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor
title_fullStr	Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor
title_full_unstemmed	Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor
title_sort	intrapartum ultrasound measurement of fetal head circumference for prediction of prolonged second stage of labor
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/86d6da76d27c413cba902b72ea68ae8d
work_keys_str_mv	AT mohamedtobar intrapartumultrasoundmeasurementoffetalheadcircumferenceforpredictionofprolongedsecondstageoflabor AT khattabkhattab intrapartumultrasoundmeasurementoffetalheadcircumferenceforpredictionofprolongedsecondstageoflabor AT ehabelhelw intrapartumultrasoundmeasurementoffetalheadcircumferenceforpredictionofprolongedsecondstageoflabor AT abdelrahmanemam intrapartumultrasoundmeasurementoffetalheadcircumferenceforpredictionofprolongedsecondstageoflabor
_version_	1718392092230680576

Intrapartum Ultrasound Measurement of Fetal Head Circumference for Prediction of Prolonged Second Stage of Labor

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