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Intrapartum Ultrasound at the Initiation of the Active Second Stage of Labor Predicts Spontaneous Vaginal Delivery. by HADAD, Shira; OBERMAN, Maya; BEN ARIE, Alon; SACAGIU, Miri; VAISBUCH, Edi; LEVY, Roni is a Medicine article available to read on EtoBox.

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## Background: Longer duration of active pushing during labor is associated with a higher rate of operative delivery and an increased risk of maternal and neonatal complications. although immediate pushing at complete dilatation is associated with lower rates of chorioamnionitis and postpartum hemorrhage, it is also associated with a longer duration of pushing. ## Objective: This study aimed to evaluate whether fetal head station and position, as assessed by ultrasound at the beginning of the pushing process, can predict the mode of delivery and duration of pushing in nulliparous women. ## Study design: This prospective observational study included nulliparous women with neuraxial analgesia and complete cervical dilatation. the following sonographic parameters were assessed just before the beginning of the pushing process, at rest, and while pushing during contraction: head position, angle of progression, head-perineum distance, and head-symphysis distance. the change between rest and pushing was designated as delta angle of progression, delta head-perineum distance, and delta head-symphysis distance. the sonographic measurements and fetal head station assessed by vaginal examinati

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Author

HADAD, Shira; OBERMAN, Maya; BEN ARIE, Alon; SACAGIU, Miri; VAISBUCH, Edi; LEVY, Roni

Publisher

Elsevier ; Elsevier BV (ISSN 2589-9333)

Published

2020

Language

EN

Field

Medicine (Health Sciences)