Ultrasonographic fetal head position to predict mode of delivery: a systematic review and bivariate meta-analysis

IntroductionOver the last decades, a large body of literature has shown that intrapartum clinical digital pelvic estimations of fetal head position, station and progression in the pelvic canal are less accurate, compared with ultrasound (US) scan. Given the increasing evidence regarding the advantages of using US to evaluate the mechanism of labour, our study protocol aims to develop sonopartograms for fetal cephalic presentations. They will allow for a more objective evaluation of labour progression than the traditional labour monitoring, which could enable more rapid decisions regarding the mode of delivery.Methods/analysisThis is a prospective observational study performed in three university hospitals, with an unselected population of women admitted in labour at term. Both clinical and US evaluations will be performed assessing fetal head position, descent and rotation. Specific US parameters regarding fetal head position, progression and rotation will be recorded to develop nomograms in a similar way that partograms were developed. The primary outcome is to develop nomograms for the longitudinal US assessment of labour in unselected nulliparous and multiparous women with fetal cephalic presentation. The secondary aims are to assess the sonopartogram differences in occiput anterior and posterior deliveries, to compare the labour trend from our research with the classic and other recent partogram models and to investigate the capability of the US labour monitoring to predict the outcome of spontaneous vaginal delivery.Ethics and disseminationAll protocols and the informed consent form comply with the Ministry of Health and the professional society ethics guidelines. University ethics committees approved the study protocol. The trial results will be published in peer-reviewed journals and at the conference presentations. The study will be implemented and reported in line with the Strengthening the Reporting of Observational Studies in Epidemiology statement.Trial registration numberClinicalTrials.gov Registry (NCT02326077).

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The Comparison of Intrapartum Sonographic Signs and Digital Examination in Fetus with Cephalic Presentation

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2020.11.10949 ◽

2020 ◽

Vol 103 (11) ◽

pp. 1178-1184

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

Head Position ◽

Vaginal Examination ◽

Fetal Head ◽

Cross Sectional ◽

Percent Agreement ◽

Anterior Position ◽

Fetal Head Position ◽

Digital Vaginal Examination

Objective: The agreement of fetal head position examined by digital vaginal examination (DVE) and intrapartum sonographic signs (ISS) in pregnant women during labor. Materials and Methods: A cross-sectional study was conducted. Two hundred eight-term singleton pregnant women attending labor at Ramathibodi Hospital, Thailand with the fetal cephalic presentation, cervical dilatation of 4 to 8 cm, station –2 or below and no contraindication for DVE were enrolled. The DVE evaluating fetal head position was performed by the third-year obstetrical residents. After DVE, ISS via transabdominal ultrasound for determining fetal head position was obtained immediately by the first researcher. The DVE report and the ultrasonographic images of ISS were recorded separately. The fetal head position based on ISS was designated by the second researcher blinded to the DVE result. The agreement of DVE and ISS for determining fetal head position was analyzed. Results: Two hundred eight pregnant women were analyzed. The fetal head position detected by DVE was consistent with that of ISS at 41.3% (p<0.001). The most percent agreement was observed in the fetus with left occiput anterior position at 72.7% (p<0.001). The lowest percent agreement was found in the direct occiput posterior at 14.3% (p=0.243). Parity, gestational age, current body mass index, epidural analgesia, cervical effacement, caput succedaneum, molding, and station did not significantly affect the discrepancy between DVE and ISS. Conclusion: The agreement between DVE and ISS for evaluating the fetal head position was low. The ISS might be considered for evaluating the fetal head position. Keywords: Fetal head position, Intrapartum sonographic sign, Digital vaginal examination

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The association of mode of delivery and dyspareunia: a systematic review and meta-analysis

Journal of Obstetrics and Gynaecology ◽

10.1080/01443615.2021.1916802 ◽

2021 ◽

pp. 1-9

Author(s):

Nahid Marvi ◽

Hamid Heidarian Miri ◽

Elham Hooshmand ◽

Sedigheh Abdollahpour ◽

Maryam Zamani

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Mode Of Delivery

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Paper 25: The Impact of Occiput Posterior Fetal Head Position on the Risk of Anal Sphincter Injury in Forceps-Assisted Vaginal Deliveries

Journal of Pelvic Medicine and Surgery ◽

10.1097/01.spv.0000134086.77830.0a ◽

2004 ◽

Vol 10 ◽

pp. S10

Author(s):

L Benavides ◽

J M. Wu ◽

A F. Hundley ◽

T S. Ivester ◽

A G. Visco

Keyword(s):

Anal Sphincter ◽

Head Position ◽

Fetal Head ◽

Sphincter Injury ◽

Anal Sphincter Injury ◽

Vaginal Deliveries ◽

The Impact ◽

Fetal Head Position

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Impact of ultrasound guided training in the diagnosis of the fetal head position during labor: A prospective observational study

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/j.ejogrb.2020.11.053 ◽

2021 ◽

Vol 256 ◽

pp. 308-313

Author(s):

Ruben Ramirez Zegarra ◽

Elvira di Pasquo ◽

Andrea Dall’Asta ◽

Monica Minopoli ◽

Giulia Armano ◽

...

Keyword(s):

Observational Study ◽

Prospective Observational Study ◽

Head Position ◽

Ultrasound Guided ◽

Fetal Head ◽

Fetal Head Position

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Interpersonal psychotherapy for perinatal women: a systematic review and meta-analysis protocol

Systematic Reviews ◽

10.1186/s13643-019-1158-6 ◽

2019 ◽

Vol 8 (1) ◽

Cited By ~ 2

Author(s):

Katherine S. Bright ◽

Elyse M. Charrois ◽

Muhammad Kashif Mughal ◽

Abdul Wajid ◽

Deborah McNeil ◽

...

Keyword(s):

Systematic Review ◽

Full Text ◽

Data Extraction ◽

Meta Analysis ◽

Mode Of Delivery ◽

Well Being ◽

Interpersonal Psychotherapy ◽

Controlled Trials ◽

Cochrane Central Register ◽

Perinatal Women

Abstract Background Interpersonal psychotherapy (IPT) is an intervention that has established efficacy in the prevention and treatment of depressive disorders. Previous systematic reviews have not evaluated the effectiveness of IPT on symptoms of stress, anxiety, depression, quality of life, relationship satisfaction/quality, social supports, and an improved psychological sense of well-being. There is limited data regarding factors that moderate and mediate the effectiveness of IPT including the timing of the intervention or the mode of delivery of IPT intervention. The objective of this systematic review and meta-analysis is to evaluate the effectiveness, feasibility, and acceptability of IPT interventions to treat perinatal psychological distress and to summarize the evidence on predictors, mediators, and moderators of IPT. Methods We will include peer-reviewed studies that recruited perinatal women. The search strategy will involve the following databases: MEDLINE (Ovid), EMBASE (Ovid), PsycINFO (Ovid), Cochrane Central Register of Controlled Trials (Ovid), CINAHL with Full Text (EBSCO), Social Work Abstracts (EBSCO), SocINDEX with Full Text (EBSCO), Academic Search Complete (EBSCO), Family & Society Studies Worldwide (EBSCO), Family Studies Abstracts (EBSCO), and Scopus. Study inclusion criteria include (1) randomized controlled trials, quasi-experimental studies, and pre-post studies that evaluated the effectiveness of IPT; (2) qualitative studies that evaluated feasibility and acceptability of IPT; (3) study sample included and analyzed perinatal women; and (4) publication language was English. Using pilot-tested screening and data extraction forms, two reviewers will independently review studies in three steps: (1) abstract/title screening, (2) full-text screening of potentially accepted studies, and (3) data extraction of accepted studies. Disagreements will be resolved by a third reviewer. Studies will be aggregated for meta-synthesis and meta-analysis should the data allow for this. Two independent reviewers will grade methodological quality. Discussion Findings from this review will inform future development and implementation of IPT intervention research for perinatal women. Identifying key factors of successful IPT interventions will inform intervention design and adaptation of IPT interventions to increase the likelihood that perinatal women will engage in and benefit from IPT interventions. This review will also identify key considerations for increasing the effectiveness of IPT interventions during the perinatal period. Systematic review registration PROSPERO CRD42019114292

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