Ultrasound assessment of fetal head position during labor and delivery


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper presents a systems analysis of the data of modern Russian and foreign literature on ultrasound in labor and delivery. It assesses whether ultrasonography can be used during childbirth to diagnose the correct and incorrect positions of the fetal head. The authors describe the technique of ultrasonography and the ultrasound signs of anterior and posterior occipital presentations, the transverse position of the arrow-shaped suture, and extensor and asynclitic insertions of the fetal head. Ultrasound allows a more accurate diagnosis of the type and position of a fetus in labor and delivery. Ultrasound used during labor is an additional tool to diagnose complications associated with the incorrect position of the fetal head and permits the timely and correct determination of delivery tactics.

Full Text

Restricted Access

About the authors

Andrey M. Prikhodko

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov

Email: a_prikhodko@oparina4.ru
PhD, physician of the Maternity Department

Andrey Yu. Romanov

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov

Email: romanov1553@yandex.ru
clinical resident

Oleg R. Baev

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov; I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: o_baev@oparina4.ru
MD, head of Maternity Department, professor of the Department of Obstetrics, Gynecology, Perinatology, and Reproductology

References

  1. Erlik U., Wolman I. Intrapartum sonographic assessment of labor. J. Obstet. Gynaecol. India. 2013; 63(5): 297-300.
  2. Sherer D.M., Miodovnik M., Bradley K.S., Langer O. Intrapartum fetal head position I: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the active stage of labor. Ultrasound Obstet. Gynecol. 2002; 19(3): 258-63.
  3. Sherer D.M., Miodovnik M., Bradley K.S., Langer O. Intrapartum fetal head position II: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the second stage of labor. Ultrasound Obstet. Gynecol. 2002; 19(3): 264-8.
  4. Ghi T., Bellussi F., Azzarone C., Krsmanovic J., Franchi L., Youssef A. et al. The «occiput-spine angle»: a new sonographic index of fetal head deflexion during the first stage of labor. Am. J. Obstet. Gynecol. 2016; 215(1): 84. e1-7.
  5. Ghi T., Farina A., Pedrazzi A., Rizzo N., Pelusi G., Pilu G. Diagnosis of station and rotation of the fetal head in the second stage of labor with intrapartum translabial ultrasound. Ultrasound Obstet. Gynecol. 2009; 33(3): 331-6.
  6. Gizzo S., Andrisani A., Noventa M., Burul G., Di Gangi S., Anis O. et al. Intrapartum ultrasound assessment of fetal spine position. Biomed. Res. Int. 2014; 2014: 783598.
  7. Blasi I., DAmico R., Fenu V., Volpe A., Fuchs I., Henrich W. et al. Sonographic assessment of fetal spine and head position during the first and second stages of labor for the diagnosis of persistent occiput posterior position: a pilot study. Ultrasound Obstet. Gynecol. 2010; 35(2): 210-5.
  8. Akmal S., Tsoi E., Howard R., Osei E., Nicolaides K.H. Investigation of occiput posterior delivery by intrapartum sonography. Ultrasound Obstet. Gynecol. 2004; 24(4): 425-8.
  9. de la Torre L., Gonzalez-Quintero V.H., Mayor-Lynn K., Smarkusky L., Hoffman M.C., Saab A. et al. Significance of accidental extensions in the lower uterine segment during cesarean delivery. Am. J. Obstet. Gynecol. 2006; 194(5): e4-6.
  10. Wu J.M., Williams K.S., Hundley A.F., Connolly A., Visco A.G. Occiput posterior fetal head position increases the risk of anal sphincter injury in vacuum-assisted deliveries. Am. J. Obstet. Gynecol. 2005; 193(2): 525-8; discussion 528-9.
  11. Benavides L., Wu J.M., Hundley A.F., Ivester T.S., Visco A.G. The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries. Am. J. Obstet. Gynecol. 2005; 192(5): 1702-6.
  12. Ben-Haroush A., Melamed N., Kaplan B., Yogev Y. Predictors of failed operative vaginal delivery: a single-center experience. Am. J. Obstet. Gynecol. 2007; 197(3): 308. e1-5.
  13. Badawi N., Kurinczuk J.J., Keogh J.M., Alessandri L.M., O’Sullivan F., Burton P.R. et al. Intrapartum risk factors for newborn encephalopathy: the Western Australian case-control study. BMJ. 1998; 317(7172): 1554-8.
  14. Kahrs B.H., Usman S., Ghi T., Youssef A., Torkildsen E.A., Lindtjorn E. et al. Sonographic prediction of outcome of vacuum deliveries: a multicenter, prospective cohort study. Am. J. Obstet. Gynecol. 2017; 217(1): 69. e1-69. e10.
  15. Bellussi F., Ghi T., Youssef A., Cataneo I., Saisi G., Simonazzi G. et al. Intrapartum ultrasound to differentiate flexion and deflexion in occipitoposterior rotation. Fetal Diagn. Ther. 2017; 42(4): 249-56.
  16. Malvasi A., Giacci F., Gustapane S., Sparic R., Barbera A., Tinelli A. Intrapartum sonographic signs: new diagnostic tools in malposition and malrotation. J. Matern. Fetal Neonatal Med. 2016; 29(15): 2408-13.
  17. Bashiri A., Burstein E., Bar-David J., Levy A., Mazor M. Face and brow presentation: independent risk factors. J. Matern. Fetal Neonatal Med. 2008; 21(6): 357-60.
  18. Gardberg M., Leonova Y., Laakkonen E. Malpresentations--impact on mode of delivery. Acta Obstet. Gynecol. Scand. 2011; 90(5): 540-2.
  19. Ghi T., Maroni E., Youssef A., Cariello L., Saisi G., Arcangeli T. et al. Intrapartum three-dimensional ultrasonographic imaging of face presentations: report of two cases. Ultrasound Obstet. Gynecol. 2012; 40(1): 117-8.
  20. Ghi T., Dall’Asta A., Kiener A., Volpe N., Suprani A., Frusca T. Intrapartum diagnosis of posterior asynclitism using two-dimensional transperineal ultrasound. Ultrasound Obstet. Gynecol. 2017; 49(6): 803-4.
  21. Malvasi A., Stark M., Ghi T., Farine D., Guido M., Tinelli A. Intrapartum sonography for fetal head asynclitism and transverse position: sonographic signs and comparison of diagnostic performance between transvaginal and digital examination. J Matern. Fetal Neonatal Med. 2012; 25(5): 508-12.
  22. Ghi T., Youssef A., Pilu G., Malvasi A., Ragusa A. Intrapartum sonographic imaging of fetal head asynclitism. Ultrasound Obstet. Gynecol. 2012; 39(2): 238-40.
  23. Malvasi A., Tinelli A. Intrapartum sonography asynclitism diagnosis by transperineal ultrasonography. J. Matern. Fetal Neonatal Med. 2018; 31(11): 1530-1.
  24. Malvasi A., Barbera A., Ghi T., Tinelli A. Lateral asynclitism: introduction of a new terminolgy associated to specific fetal position of the fetal head diagnosed by ultrasound in the second stage of labor. J. Matern. Fetal Neonatal Med. 2015; 28(15): 1839-41.
  25. Ghi T., Bellussi F., Pilu G. Sonographic diagnosis of lateral asynclitism: a new subtype of fetal head malposition as a main determinant of early labor arrest. Ultrasound Obstet. Gynecol. 2015; 45(2): 229-31.
  26. Bellussi F., Ghi T., Youssef A., Saisi G., Giorgetta F., Parma D. et al. The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations. Am. J. Obstet. Gynecol. 2017; 217(6): 633-41.
  27. Rozenberg P., Porcher R., Salomon L.J., Boirot F., Morin C., Ville Y. Comparison of the learning curves of digital examination and transabdominal sonography for the determination of fetal head position during labor. Ultrasound Obstet. Gynecol. 2008; 31(3): 332-7.
  28. Malvasi A., Montanari Vergallo G., Tinelli A., Marinelli E. “Can the intrapartum ultrasonography reduce the legal liability in distocic labor and delivery?” J. Matern. Fetal Neonatal Med. 2018; 31(8): 1108-9.
  29. Popowski T., Porcher R., Fort J., Javoise S., Rozenberg P. Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial. Ultrasound Obstet. Gynecol. 2015; 46(5): 520-5.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies