Journal of Perinatal Medicine最新文献_第5页

Atraumatic forceps-guided insertion of the cervical pessary: a new technique to prevent preterm birth in women with asymptomatic cervical shortening. 无创伤镊子引导下插入宫颈栓：预防无症状宫颈缩短妇女早产的新技术。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-16 Print Date: 2025-03-26 DOI: 10.1515/jpm-2024-0444

Murat Levent Dereli, Mehmet Obut, Sadullah Özkan, Sadun Sucu, Fahri Burçin Fıratlıgil, Dilara Kurt, Ahmet Kurt, Kemal Sarsmaz, Harun Egemen Tolunay, Ali Turhan Çağlar, Yaprak Engin Üstün

{"title":"Atraumatic forceps-guided insertion of the cervical pessary: a new technique to prevent preterm birth in women with asymptomatic cervical shortening.","authors":"Murat Levent Dereli, Mehmet Obut, Sadullah Özkan, Sadun Sucu, Fahri Burçin Fıratlıgil, Dilara Kurt, Ahmet Kurt, Kemal Sarsmaz, Harun Egemen Tolunay, Ali Turhan Çağlar, Yaprak Engin Üstün","doi":"10.1515/jpm-2024-0444","DOIUrl":"10.1515/jpm-2024-0444","url":null,"abstract":"Objectives: As previous studies on the use of a cervical pessary to prevent preterm birth (PTB) have produced conflicting results, we aimed to investigate the feasibility, acceptability and safety of a new technique for inserting a cervical pessary and compare it with the traditional technique in patients at high risk of PTB.Methods: Women at high risk of PTB treated with a cervical pessary between January 2018 and January 2021 were retrospectively evaluated. After applying exclusion criteria, a total of 68 eligible patients were identified and retrospectively analyzed. The primary outcome was spontaneous PTB before 34 weeks' gestation (WG).Results: Of 68 participants, 39 were treated with the traditional method (group 1) and 29 with the new insertion technique (group 2). The rate of spontaneous PTB before 34 WG was significantly lower in group 2 (p=0.020). Birthweight, APGAR scores and satisfaction with the method were significantly higher, while PTB before 37 WG was significantly lower in group 2 (p=0.043, 0.010, 0.009, 0.042 and 0.014, respectively). There were no significant differences in the rates of perinatal death (12.8 vs. 3.4 % in groups 1 and 2, respectively; p=0.229). The concomitant use of vaginal progesterone was required more frequently in group 1. According to the binary regression analysis, the new insertion technique resulted in a 5.42 and 3.97-fold protection against PTB before 34 and 37 WG.Conclusions: Our preliminary results show that our new technique of pessary insertion is more effective than the traditional method in preventing PTB due to cervical shortening.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"358-366"},"PeriodicalIF":1.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the safety and diagnostic utility of amniocentesis after 24 weeks of gestation: a retrospective analysis. 探索妊娠 24 周后羊膜腔穿刺术的安全性和诊断效用：回顾性分析。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-13 Print Date: 2025-03-26 DOI: 10.1515/jpm-2024-0434

Tanisha Gupta, Vatsla Dadhwal, Anubhuti Rana, Madhulika Kabra, Neerja Gupta, Rashmi Shukla, K Aparna Sharma

{"title":"Exploring the safety and diagnostic utility of amniocentesis after 24 weeks of gestation: a retrospective analysis.","authors":"Tanisha Gupta, Vatsla Dadhwal, Anubhuti Rana, Madhulika Kabra, Neerja Gupta, Rashmi Shukla, K Aparna Sharma","doi":"10.1515/jpm-2024-0434","DOIUrl":"10.1515/jpm-2024-0434","url":null,"abstract":"Objectives: This study aims to describe the indications, complications, yield, and safety of amniocentesis beyond 24 weeks for prenatal diagnostic procedures along with the associated maternal and fetal outcomes.Methods: A retrospective analysis was conducted on 60 pregnant women (with 61 fetuses) who underwent amniocentesis at or beyond 24 weeks from March 2021 to June 2023 at a tertiary care referral center. Data was collected from medical records and individual patient followups. Descriptive data was collected on patient demographics, amniocentesis indications, and the test results. The other outcomes analyzed were the procedure-related complications and pregnancy outcomes.Results: The mean gestational age at time of the procedure was 254/7 (241/7-331/7). The most common indication for late amniocentesis was abnormal sonographic findings (44/61, 72.13 %), with structural anomalies being the commonest (21/61, 34.44 %). There were no complications related to the procedure. Of the 60 women, 88.3 % (53/60) continued their pregnancies, while 11.66 % (7/60) opted for termination of pregnancy, and two patients had intrauterine fetal demise (2/61, 3.27 %). Genetic testing revealed abnormalities in 6.55 % (4/61) of cases. Of the 51 pregnancies, 39 delivered vaginally (76.47 %; 39/51) and 12 (23.52 %; 12/51) required caesarean sections. There were five neonatal and infant deaths due to heart defects (2), metabolic syndrome, congenital diaphragmatic hernia, and non-immune hydrops, respectively.Conclusions: Amniocentesis, done at a later gestation, is a safe and an effective tool for prenatal diagnosis and provides an opportunity to make a genetic diagnosis and further counseling.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"311-315"},"PeriodicalIF":1.7,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of the pregnancy and labour course in women who underwent COVID-19 during pregnancy. 妊娠期感染COVID-19妇女的妊娠和分娩过程特征

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-09 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0302

Elvira Shukenova, Meile Minkauskiene, Nurzhamal Dzhardemalieva, Lyailya Koshenova, Saule Ospanova

{"title":"Characteristics of the pregnancy and labour course in women who underwent COVID-19 during pregnancy.","authors":"Elvira Shukenova, Meile Minkauskiene, Nurzhamal Dzhardemalieva, Lyailya Koshenova, Saule Ospanova","doi":"10.1515/jpm-2024-0302","DOIUrl":"10.1515/jpm-2024-0302","url":null,"abstract":"Objectives: This study aims to analyze the impact of COVID-19 on pregnancy and labor, focusing on its effects on maternal and child health. The research explores the relationships between coronavirus infection and clinical and laboratory parameters, as well as the risks of pregnancy complications and adverse birth outcomes.Methods: The study involved 60 pregnant women diagnosed with COVID-19. A comprehensive evaluation of clinical and laboratory indicators was conducted, employing correlation, regression, logistic analyses to determine risk factors.Results: There was a strong inverse correlation between carbon dioxide levels and haematocrit (-0.76), and a direct correlation between blood pH and partial pressure of oxygen (0.73). COVID-19 was associated with increased risks of preterm labor (OR=1.82), stillbirth (OR=2.11), pre-eclampsia (OR=1.46), and foetal distress. Multivariate analysis revealed a 200 g reduction in neonatal birth weight and higher risks of hospitalisation (OR=1.8), postpartum hemorrhage (OR=2.3), and preterm delivery (OR=2.5). Comorbid conditions such as cardiovascular abnormalities, diabetes, obesity, thrombophilias exacerbated the risks of complications, including pre-eclampsia, neonatal respiratory distress syndrome, venous thromboembolism.Conclusions: COVID-19 infection increases the likelihood of pregnancy complications and adverse outcomes, especially in women with comorbidities. These findings highlight the need for preventive strategies and risk management protocols for pregnant women during future outbreaks, emphasizing the importance of further research in this field.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"205-212"},"PeriodicalIF":1.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The importance of the cerebro-placental ratio at term for predicting adverse perinatal outcomes in appropriate for gestational age fetuses. 足月脑胎盘比对预测适当胎龄胎儿不良围产期结局的重要性。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-09 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0427

Hannah Josten, Yvonne Heimann, Thomas Lehmann, Ekkehard Schleußner, Tanja Groten, Friederike Weschenfelder

{"title":"The importance of the cerebro-placental ratio at term for predicting adverse perinatal outcomes in appropriate for gestational age fetuses.","authors":"Hannah Josten, Yvonne Heimann, Thomas Lehmann, Ekkehard Schleußner, Tanja Groten, Friederike Weschenfelder","doi":"10.1515/jpm-2024-0427","DOIUrl":"10.1515/jpm-2024-0427","url":null,"abstract":"Objectives: This study investigates the relationship between the cerebro-placental ratio (CPR) measured at 40+0 weeks' gestation and perinatal outcomes to determine a CPR cut-off that may justify induction of labor at term in appropriately grown fetuses (AGA). Although CPR is used for monitoring growth-restricted fetuses, its role in guiding labor induction decisions for AGA pregnancies at term remains unclear.Methods: A retrospective cohort study was conducted using data from 491 singleton pregnancies with intended vaginal deliveries between 2015 and 2021. CPR was assessed at the actual estimated date of delivery (40+0 weeks' gestation). Adverse pregnancy outcome (APO) as the primary endpoint was defined by admission to neonatal intensive care unit (NICU), umbilical cord blood pH<7.1, 5-min APGAR<7 or interventions-due-to-fetal-distress during labor (IDFD=vaginal-operative delivery or emergency caesarean section).Results: APO nearly doubled (adjOR 1.7; CI 1.007-2.905) when CPR was below our calculated cut-off of 1.269 (18.4 vs. 32.3 %, p=0.002) and NICU admissions (4.8 vs. 11.1 %, p=0.020) and IDFD (12.5 vs. 21.2 %, p=0.027) significantly increased. The positive predictive value for the presence of APO using our cut-off was 32.4 %, and the negative predictive value 81.6 %.Conclusions: Our data confirm a predictive value of a reduced CPR at term with impaired perinatal outcome. The cut-off of CPR<1.269 may guide decision-making regarding induction of labor. Further prospective studies are needed to confirm these findings.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"188-195"},"PeriodicalIF":1.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex differences in lung function of adolescents or young adults born prematurely or of very low birth weight: a systematic review. 过早出生或出生体重过低的青少年或年轻人肺功能的性别差异：一项系统综述。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-04 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0411

Eleanor Jeffreys, Allan Jenkinson, Oishi Sikdar, Grace Poole, Theodore Dassios, Anne Greenough

{"title":"Sex differences in lung function of adolescents or young adults born prematurely or of very low birth weight: a systematic review.","authors":"Eleanor Jeffreys, Allan Jenkinson, Oishi Sikdar, Grace Poole, Theodore Dassios, Anne Greenough","doi":"10.1515/jpm-2024-0411","DOIUrl":"10.1515/jpm-2024-0411","url":null,"abstract":"Introduction: Prematurely born males compared to females have greater respiratory morbidiy in childhood, but differences in adolescents and young adults are less clear.Content: A systematic review was undertaken to determine if there were sex differences in the lung function of prematurely born or very low birth weight born adolescents and adults.Summary: Seven of 1969 studies were included (766 infants). Three found no significant differences, but did not give raw lung function data. Four studies reported lung function data by sex. One found no significant differences and another only reported results for females, which were not lower than the controls. Another found males compared to females aged 16-19 years had lung function z scores indicating a more obstructive pattern [p<0.05]. The males, however, had significantly better exercise tolerance. The fourth reported worse lung function only in preterm born adult males.Outlook: Male compared to female individuals born prematurely had worse lung function in adulthood, but only in two of seven studies, both reported results from patients born in the era of routine surfactant use. Further research is required to more robustly determine the effect of sex on lung function in adults born prematurely.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"119-125"},"PeriodicalIF":1.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association among fetal head position, fetal head rotation and descent during the progress of labor: a clinical study of an ultrasound-based longitudinal cohort study in nulliparous women. 产程中胎头位置、胎头旋转和胎位下降的关系：一项基于超声的无产妇女纵向队列研究的临床研究。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-04 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0459

Jing Fang, Wenwen Wang, Mo Liu, Ning Gu, Yimin Dai

{"title":"The association among fetal head position, fetal head rotation and descent during the progress of labor: a clinical study of an ultrasound-based longitudinal cohort study in nulliparous women.","authors":"Jing Fang, Wenwen Wang, Mo Liu, Ning Gu, Yimin Dai","doi":"10.1515/jpm-2024-0459","DOIUrl":"10.1515/jpm-2024-0459","url":null,"abstract":"Objectives: To elucidate the effects of the timing of fetal head rotation on the labor progress and outcomes.Methods: A paired ultrasound measurement was performed at each of the three stages of labor: latency stage, active stage, and full-cervical-dilatation stage. The measurements included fetal head position, head-perineum distance (HPD) and the angle of progression (AOP).Results: A total of 46 pregnancy women were included and a total of 102 effective measurements were collected. The cases in occipital anterior position were all eutocia. The rate of cesarean section in the left transverse occipital group was the highest (15.7 %, 3/19). There were 13 cases (37.1 %) with fetal head rotation occur during active phase, changing from occipital transverse to anterior. Ten cases (28.6 %) rotated in the second stage of labor. The average rotation degree of occipital transverse to anterior position was 62.6°. When AoP <95°, 100 % of the women were occipital transverse; When AoP ≥125°, 66.7 % was occipital anterior. The rate of oxytocin utilization and epidural analgesia in the occipital posterior group was higher than that in the other groups (71.4 and 85.7 %, respectively).Conclusions: Occipital transverse is the most common fetal head position in the early stage of labor and fetal head rotation occurs mostly in the active phase and the second stage of labor. Sufficient time should be given in labor management for women that who tried vaginal delivery without contraindications.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"222-227"},"PeriodicalIF":1.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fetal hypoplastic left heart syndrome: key factors shaping prognosis. 胎儿左心发育不全综合征：影响预后的关键因素。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-04 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0417

Büşra Cambaztepe, Oya Demirci, Işıl Ayhan, Abdullah Alpınar, İlker K Yücel

{"title":"Fetal hypoplastic left heart syndrome: key factors shaping prognosis.","authors":"Büşra Cambaztepe, Oya Demirci, Işıl Ayhan, Abdullah Alpınar, İlker K Yücel","doi":"10.1515/jpm-2024-0417","DOIUrl":"10.1515/jpm-2024-0417","url":null,"abstract":"Objectives: The purpose of the study is to estimate factors affecting survival in prenatally diagnosed hypoplastic left heart syndrome (HLHS) and echocardiographic features predicting poor prognosis and early neonatal death.Methods: This study was designed as a retrospective cohort study. Cases of hypoplastic left heart syndrome diagnosed in the prenatal period between 2014 and 2023 were extracted from electronic medical records. Demographic data, echocardiographic features, results of genetic testing, pregnancy outcomes, and postnatal outcomes were analyzed.Results: Eighty-three prenatally diagnosed fetal HLHS cases were analyzed. Overall, survival during the study period was 26.5 %, and survival among live births was 35.4 %. Survival analysis has shown that the majority of deaths occurred during the neonatal period. Out of 62 live births, 47 had Norwood procedures, six had balloon procedures and three had hybrid procedures. Eleven out of 47 who had the Norwood procedures went on to have a Glenn operation, and only three had full Fontan palliation. The presence of additional extra-cardiac anomaly, need for extracorporeal membrane oxygenation (ECMO), bidirectional flow at pulmonary veins on color Doppler, and low birth weight are associated with survival and early neonatal death. Tricuspid regurgitation, restrictive foramen ovale, and fetal growth restriction (FGR) are not associated with survival. HLHS evolved from critical aortic stenosis has better survival rates.Conclusions: Extra-cardiac anomaly, need for ECMO, bidirectional flow at pulmonary veins, and low birth weight were negatively associated with survival and early neonatal death. The survival rate was higher among HLHS cases that had evolved from critical aortic stenosis.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"228-233"},"PeriodicalIF":1.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Faculty retention in academic OB/GYN: comprehensive strategies and future directions. 学术妇产科的师资保留：综合策略和未来方向。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 DOI: 10.1515/jpm-2024-0513

Ivica Zalud

引用次数: 0

Sonographic visualization and measurement of the fetal optic chiasm and optic tract and association with the cavum septum pellucidum. 胎儿视交叉、视束及其与透明隔腔的关系的超声显示和测量。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0393

Sevim Tuncer Can, Hakan Golbasi, Burak Bayraktar, Ceren Saglam, Ibrahim Omeroglu, Raziye Torun, Ilker Ucar, Ilknur Gumus Toka, Atalay Ekin

{"title":"Sonographic visualization and measurement of the fetal optic chiasm and optic tract and association with the cavum septum pellucidum.","authors":"Sevim Tuncer Can, Hakan Golbasi, Burak Bayraktar, Ceren Saglam, Ibrahim Omeroglu, Raziye Torun, Ilker Ucar, Ilknur Gumus Toka, Atalay Ekin","doi":"10.1515/jpm-2024-0393","DOIUrl":"10.1515/jpm-2024-0393","url":null,"abstract":"Objectives: To assess the sonographic visualization of the fetal optic chiasm (OC) and optic tracts (OTs), establish mid-trimester reference values, and assess the relationship between OC and OT dimensions and cavum septum pellucidum (CSP) measurements.Methods: This prospective cross-sectional study included 154 morphologically normal fetuses between 19 and 23 weeks of gestation. The diameters of the fetal OC and OTs were measured using two-dimensional transabdominal ultrasound in a transventricular axial section angled approximately 20-40° caudally. CSP length as well as anterior, middle, and posterior widths were measured by placing the cursor on the inner surfaces in the transventricular section. The average CSP width was included in the analysis.Results: The OC and OTs were successfully visualized in 109 fetuses and included in the analysis. Visualization success in transabdominal axial sections at 19-23 weeks was 70.8 %, with high intraobserver and interobserver reproducibility. Additionally, visualization rates were higher in advanced gestational weeks and in fetuses with breech presentation (p=0.007 and p=0.017, respectively). OC and OT dimensions were positively correlated with CSP length and width, biparietal diameter (BPD), head circumference (HC), and gestational age (p<0.05, for all).Conclusions: The OC and OTs were successfully visualized transabdominally in axial sections with high intraobserver and interobserver reproducibility. Additionally, OC and OT dimensions were positively correlated with gestational age, as well as with BPD, HC, and CSP measurements.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"213-221"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The predictive role of serial transperineal sonography during the first stage of labor for cesarean section. 连续经会阴超声在剖宫产第一产程的预测作用。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0450

Esra Kartal Gölcük, Burcu Dincgez, Gulten Ozgen, Emın Ustunyurt

{"title":"The predictive role of serial transperineal sonography during the first stage of labor for cesarean section.","authors":"Esra Kartal Gölcük, Burcu Dincgez, Gulten Ozgen, Emın Ustunyurt","doi":"10.1515/jpm-2024-0450","DOIUrl":"10.1515/jpm-2024-0450","url":null,"abstract":"Objectives: Head to perineum distance (HPD) and angle of progression (AOP) are sonographic markers which have been investigated for the evaluation of labor progress. Here, we aimed to evaluate the predictive role of serially measured AOP and HPD during the first stage of labor in labor progress both in nulliparous and multiparous patients. Also, we firstly compared this role for labor progress.Methods: This was a prospective longitudinal study including 299 patients. Patients were grouped as vaginal delivery (n=247) and cesarean section (n=52). Demographic and obstetric characteristics, HPD and AOP values, and vaginal examination findings were recorded and compared between groups.Results: Slower changes in HPD and AOP values were detected in cesarean group. A HPD >38 mm predicted cesarean section with 86.9 % sensitivity and 59.2 % specificity (AUC=0.782, p<0.001) whereas AOP ≤117° predicted cesarean section with 93.5 % sensitivity and 65.1 % specificity in all patients (AUC=0.877, p<0.001). A HPD >37 mm predicted cesarean section with 84.2 % sensitivity and 55.2 % specificity (AUC=0.763, p<0.001) while AOP ≤110° predicted it with 82.7 % sensitivity and 73.3 % specificity in nulliparous patients (AUC=0.862, p<0.001). In multiparous patients, HPD>39 mm predicted cesarean section with 95.5 % sensitivity and 62.5 % specificity (AUC=0.824, p<0.001) and AOP ≤109° predicted cesarean section with 87.9 % sensitivity and 78.2 % specificity (AUC=0.909, p<0.001). AOP had superior predictive role than HPD in both nulliparous and multiparous groups (p<0.001 for both).Conclusions: We suggest that differences in labor progress could be determined by using serial intrapartum sonography. However, more research is needed for the implementation of sonopartogram to the clinical obstetric practice.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":"53 2","pages":"132-139"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0