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Corresponding Author

rashad, maher

Document Type

Original Article

Abstract

Background; Unprompted vaginal labor with no obstetric interventions is the appropriate outcome for the majority of gestations. But some cases fail to develop in the 2nd-stage of labour and therefore need surgical delivery. Aim and objectives: The current work aimed to evaluate the role of ultrasound (US) in labour to determine embryonic head station, dilatation, location and viewpoint. Subjects and methods: This prospective observational investigation has been performed at the obstetrics and gynecology department, at Bab el-sharia, Al-azhar University Hospital on 85 women with singleton term (37 to 40-wks) gestations. The study was conducted in the Obstetrics and Gynecology department at Bab el-sharia, Al-azhar University Hospital. Result; The Cervical dilation distribution in the study group females according to ultrasonography and DVE examination and the agreement between them, there was high agreement 15(93.8%) between the two methods when the Cervical dilation was 4 cm. The intra-class correlation coefficient (ICC) for the 2 approaches US and Digital vaginal examinations regarding Cervical expansion presented a high connotation (ICC, 0.984 95% confidence interval [CI], 0.976-0.990) and the accord among DVE and US was Nearly ideal accordance (κ=0.801, P<0.001). Conclusion; intra-partum US was revealed to be a suitable tool for monitoring labour progress throughout the active phase between term cases. The accordance among DVE and US results was strong for cervical expansion, and reasonable for embryonic head station and head location. The majority of labouring cases revealed that US is less upsetting and favored it over DVE for labour assesses.

Keywords

vaginal delivery; Cervical dilation; Ultrasonography; intra-partum; embryonic head station and head position

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