Prediction of vaginal delivery with transperineal ultrasound in women induced with dinoprostone beyond 40 weeks of gestation

Authors

  • Hale Göksever Çelik Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Saglik Bilimleri University, Istanbul/Turkey
  • Engin Çelik Department of Obstetrics and Gynecology, Faculty of Medicine, Istanbul University, Istanbul/Turkey
  • Gökhan Yıldırım Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Saglik Bilimleri University, Istanbul/Turkey

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20183290

Keywords:

Angle of progression of fetal head, Head-perineum distance, Head-pubis distance, Transperineal ultrasound, Vaginal delivery

Abstract

Background: Digital cervical evaluation has been used to determine the likelihood of vaginal delivery which is considered by many women to be non-tolerable. Recently, transperineal ultrasound allowing direct visualization of the fetal skull has been using for the prediction of labor route. Authors aimed to study whether measurements on transperineal ultrasound are predictive for vaginal delivery in pregnant women induced with dinoprostone at 40.0-42.0 gestational weeks.

Methods: A total of 55 pregnant women at 40.0-42.0 gestational weeks were enrolled in this prospective observational study. All participated women were examined before the induction with dinoprostone to measure the head-perineum distance (HPD), the head-pubis distance and the angle of progression of fetal head (AOP).

Results: The greater AOP, the shorter HPD and the head-pubis distance were associated with vaginal delivery in the nulliparous women. The HPD and the head-pubis distance were shorter, whereas the AOP was greater in the multiparous women giving birth by vaginal route.

Conclusions: Transperineal ultrasound can be applied at the beginning of labor to predict whether vaginal delivery will occur or not. As shown in our study, the pregnant women with shorter HPD and wider AOP might have a high possibility to achieve vaginal delivery.

References

Lewin D, Sadoul G, Beuret T. Measuring the height of a cephalic presentation: an objective assessment of station. Eur J Obstet Gynecol Reprod Biol. 1977;7:369-72.

Eggebo TM, Wilhelm-Benartzi C, Hassan WA, Hassan WA, Usman S, Salvesen KA, et al. A model to predict vaginal delivery in nulliparous women based on maternal characteristics and intrapartum ultrasound. Am J Obstet Gynecol. 2015;213:362. e1-6.

Barbera AF, Pombar X, Peragino G, Lezotte DC, Hobbins JC. A new method to assess fetal head descent in labor with transperineal ultrasound. Ultrasound Obstet Gynecol. 2009;33:313-19.

Shaikh F, Shaikh S, Shaikh N. Outcome of primigravida with high head at term. J Pak Med Assos. 2014;64:1012-14.

Bahadori F, Ayatollahi H, Naghavi-Behzad M, Khalkhali H, Naseri Z. Predicting factors on cervical ripening and response to induction in women pregnant over 37 weeks. Med Ultrason. 2013;15:191-8.

Meijer-Hoogeveen M, Roos C, Arabin B, Stoutenbeek P, Visser GH. Transvaginal ultrasound measurement of cervical length in the supine and upright positions versus Bishop score in predicting successful induction of labor at term. Ulrasound Obstet Gynecol. 2009;33:213-20.

Benediktsdottir S, Eggebo TM, Salvesen KA. Agreement between transperineal ultrasound measurements and digital examinations of cervical dilatation during labor. BMC Pregn Childbirth. 2015;15:273.

Hennemann J, Kennes LN, Maass N, Najjari L. Evaluation of established and new reference lines for the standardization of transperineal ultrasound. Ultrasound Obstet Gynecol. 2014;44:610-6.

Ciaciura-Jarno M, Cnota W, Wojtowicz D, Niesluchowska-Hoxha A, Ruci A, Kierach R, et al. Evaluation of selected ultrasonography parameters in the second stage of labor in prediction mode of delivery. Ginekol Pol. 2016;87:448-53.

Sainz JA, Borrero C, Fernandez-Palacin A, et al. Intrapartum transperineal ultrasound as a predictor of instrumentation difficulty with vacuum-assisted delivery in primiparous women. J Matern Fetal Neonatal Med. 2015;28:2041-47.

Sainz JA, Borrero C, Aquise A, Aquise A, Valdivieso P, Pastor L, et al. Utility of intrapartum transperineal ultrasound to predict cases of failure in vacuum extraction attempt and need of cesarean section to complete delivery. J Matern Fetal Neonatal Med. 2016;29:1348-52.

Albrich SB, Shek K, Krahn U, Dietz HP. Measurement of subpubic arch angle by three-dimensional transperineal ultrasound and impact on vaginal delivery. Ultrasound Obstet Gynecol. 2015;46:496-500.

Torkildsen EA, Salvesen KA, Eggebo TM. Prediction of delivery mode with transperineal ultrasound in women with prolonged first stage of labor. Ultrasound Obstet Gynecol. 2011;37:702-8.

Bamberg C, Scheuermann S, Slowinski T, Dückelmann AM, Vogt M, Nguyen-Dobinsky TN, et al. Relationship between fetal head station established using an open magnetic resonance imaging scanner and the angle of progression determined by transperineal ultrasound. Ultrasound Obstet Gynecol. 2011;37:712-16.

Chan YT, Ng VK, Yung WK, Lo TK, Leung WC, Lau WL. Relationship between intraprtum transperineal ultrasound measurement of angle of progression and head-perineum distance with correlation to conventional clinical parameters of labor progress and time to delivery. J Matern Fetal Neonatal Med. 2015;28:1476-81.

Marsoosi V, Pirjani R, Mansouri B, Eslamian L, Jamal A, Heidari R, et al. Role of ‘angle of progression’ in prediction of delivery mode. J Obstet Gynecol Res. 2015;41:1693-9.

Yuce T, Kalafat E, Koc A. Transperineal ultrasonography for labor management: accuracy and reliability. Acta Obstet Gynecol Scand. 2015;94:760-5.

Eggebo TM, Hassan WA, Salvesen KA, Lindtjorn E, Lees CC. Sonographic prediction of vaginal delivery in prolonged labor: a two-center study. Ultrasound Obstet Gynecol. 2014;43:195-201.

Alvarez-Colomo C, Gobernado-Tejedor JA. The validity of ultrasonography in predicting the outcomes of labour induction. Arch Gynecol Obstet. 2016;293:311-16.

Downloads

Published

2018-07-26

Issue

Section

Original Research Articles