Measurement of the fetal occiput-spine angle during the first stage of labor as predictor of the progress and outcome of labor
| Autor: | Sahar M. Y. Elbaradie, Ayman N. Raslan, Ali Abdelhafeez Abdel-Latif, Ehab M. Soliman, Omar I Said, Mohamed Nabil, Ahmed M. Maged, Mohamed N Mohesen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Gestational Age Ultrasonography Prenatal Labor Presentation Young Adult 03 medical and health sciences 0302 clinical medicine Labor Stage Second Predictive Value of Tests Pregnancy medicine Humans Fetal head Prospective Studies 030212 general & internal medicine Stage (cooking) Prospective cohort study Fetus 030219 obstetrics & reproductive medicine Cesarean Section Obstetrics business.industry Incidence (epidemiology) Occipital bone Obstetrics and Gynecology Obstetric Labor Complications ROC Curve Oxytocin Occipital Bone Pediatrics Perinatology and Child Health Cervical Vertebrae Tears Female Labor Stage First business Head medicine.drug |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 32:2332-2337 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/14767058.2018.1432589 |
| Popis: | BACKGROUND Fetal head attitude has a substantial impact on labor progress and outcome. Fetal head deflexion is basically diagnosed by digital vaginal examination during labor. OBJECTIVES To assess the effect of the fetal occiput-spine angle (OSA) measured through transabdominal ultrasound during the first stage of labor on the progress and outcome of labor. MATERIAL AND METHODS A prospective cohort study conducted on 400 women with term uncomplicated singleton pregnancy with occipitoanterior position during active labor. The angle between two tangential lines to occipital bone and the vertebral body of the first cervical spine was measured during active labor. Follow up till delivery was done. The primary outcome parameter was the labor duration. Secondary outcomes included the mode of delivery, occurrence of maternal and fetal complications. RESULTS There was a significant longer duration of both first and second stage of labor among women with OSA |
| Databáze: | OpenAIRE |
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