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[Ultrasound in monitoring of the second stage of labour].

Authors :
Fouché CJ
Simon EG
Potin J
Perrotin F
Source :
Gynecologie, obstetrique & fertilite [Gynecol Obstet Fertil] 2012 Nov; Vol. 40 (11), pp. 658-65. Date of Electronic Publication: 2012 Oct 23.
Publication Year :
2012

Abstract

In the second stage of labor, fetal head rotation and fetal head position are determinant for the management of labor to attempt a vaginal delivery or a cesarean section. However, digital examination is highly subjective. Nowadays, delivery rooms are often equipped with compact and high performance ultrasound systems. The clinical examination can be easily completed by quantified and reproducible methods. Transabdominal ultrasonography is a well-known and efficient way to determine the fetal head position. Nevertheless, ultrasound approach to assess fetal head descent is less widespread. We can use translabial or transperineal way to evaluate fetal head position. We describe precisely two different types of methods: the linear methods (3 different types) and the angles of progression (4 different types of measurement). Among all those methods, the main pelvic landmarks are the symphysis pubis and the fetal skull. The angle of progression appears promising but the assessment was restricted to occipitoanterior fetal position cases. In the coming years, ultrasound will likely play a greater role in the management of labor.<br /> (Copyright © 2012 Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
1769-6682
Volume :
40
Issue :
11
Database :
MEDLINE
Journal :
Gynecologie, obstetrique & fertilite
Publication Type :
Academic Journal
Accession number :
23099031
Full Text :
https://doi.org/10.1016/j.gyobfe.2012.09.001