The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations
| Autor: | Federica Bellussi, Giuliana Simonazzi, F. Giorgetta, Gianluigi Pilu, Tullio Ghi, Dila Parma, Ginevra Salsi, Aly Youssef |
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| Přispěvatelé: | Bellussi, Federica, Ghi, Tullio, Youssef, Aly, Salsi, Ginevra, Giorgetta, Francesca, Parma, Dila, Simonazzi, Giuliana, Pilu, Gianluigi |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Face Presentation Persistent occiput posterior Asynclitism Ultrasonography Prenatal Labor Presentation Fetal Attitude Deep transverse arrest 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy medicine Face presentation Fetal head 030212 general & internal medicine Fetal malposition Fetal attitude Obstetric Labor Complication 030219 obstetrics & reproductive medicine Obstructed labor Obstetrics business.industry Parturition Obstetrics and Gynecology Extraction Obstetrical Delivery Obstetric medicine.disease Dystocia Labor Sinciput presentation Brow presentation Surgery Obstetric labor complication Position (obstetrics) Fetal Malpresentation Fetal malpresentation Dysfunctional labor Instrumental delivery Female business Human |
| Zdroj: | American Journal of Obstetrics and Gynecology. 217:633-641 |
| ISSN: | 0002-9378 |
| Popis: | Fetal malpositions and cephalic malpresentations are well-recognized causes of failure to progress in labor. They frequently require operative delivery, and are associated with an increased probability of fetal and maternal complications. Traditional obstetrics emphasizes the role of digital examinations, but recent studies demonstrated that this approach is inaccurate and intrapartum ultrasound is far more precise. The objective of this review is to summarize the current body of literature and provide recommendations to identify malpositions and cephalic malpresentations with ultrasound. We propose a systematic approach consisting of a combination of transabdominal and transperineal scans and describe the findings that allow an accurate diagnosis of normal and abnormal position, flexion, and synclitism of the fetal head. The management of malpositions and cephalic malpresentation is currently a matter of debate, and individualized depending on the general clinical picture and expertise of the provider. Intrapartum sonography allows a precise diagnosis and therefore offers the best opportunity to design prospective studies with the aim of establishing evidence-based treatment. The article is accompanied by a video that demonstrates the sonographic technique and findings. |
| Databáze: | OpenAIRE |
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