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Ultrasonography on the labour ward

Published:December 14, 2022DOI:https://doi.org/10.1016/j.ogrm.2022.11.004

      Abstract

      The role of fetal ultrasonography in the antepartum period is well established. Its utility on the labour ward - either intra-partum, just prior to labour or post-partum - is less clear however. Its current application on the labour ward ranges from simple determination of fetal position to the more complex assessment/prediction of labour progress to appraising fetal physiological responses to intrapartum stress. Unfortunately, established guidelines for the appropriate implementation of these techniques appear to be lacking. Here, we review the current evidence-base for the clinical application of ultrasound on the labour ward and suggest future research directions.

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      Further reading

        • Barbera A.F.
        • Pombar X.
        A new method to assess fetal head descent in labor with transperineal ultrasound.
        Ultrasound Obstet Gynecol. 2009; 33: 313-319
        • Dall'Asta A.
        • Ghi T.
        • Rizzo G.
        • et al.
        Cerebroplacental ratio assessment in early labor in uncomplicated term pregnancy and prediction of adverse perinatal outcome: prospective multicenter study.
        Ultrasound Obstet Gynecol. 2019 Apr; 53: 481-487
        • Dall'Asta A.
        • Kumar S.
        Prelabor and intrapartum Doppler ultrasound to predict fetal compromise.
        Am J Obstet Gynecol MFM. 2021 Nov; 3100479
        • Dückelmann A.M.
        • Michaelis S.A.
        • Bamberg C.
        • Dudenhausen J.W.
        • Kalache K.D.
        Impact of intrapartal ultrasound to assess fetal head position and station on the type of obstetrical interventions at full cervical dilatation.
        J Matern Fetal Neonatal Med. 2012 May; 25: 484-488
        • Eggebø T.M.
        • Hassan W.A.
        • Salvesen K.Å.
        • Lindtjørn E.
        • Lees C.C.
        Sonographic prediction of vaginal delivery in prolonged labor: a two-center study.
        Ultrasound Obstet Gynecol. 2014 Feb; 43: 195-201
        • Farrell T.
        • Chien P.F.
        • Gordon A.
        Intrapartum umbilical artery Doppler velocimetry as a predictor of adverse perinatal outcome: a systematic review.
        Br J Obstet Gynaecol. 1999 Aug; 106: 783-792
        • ISUOG
        ISUOG Practice Guidelines: intrapartum ultrasound.
        Ultrasound Obstet Gynecol. 2018; 52: 128-139
        • Khalil A.
        • Morales-Rosello J.
        • Khan N.
        • et al.
        Is cerebroplacental ratio a marker of impaired fetal growth velocity and adverse pregnancy outcome?.
        Am J Obstet Gynecol. 2017 Jun; 216 (606.e1–606.e10)
        • Nassr A.A.
        • Hessami K.
        • Berghella V.
        • et al.
        Angle of progression measured using transperineal ultrasound for prediction of uncomplicated operative vaginal delivery: systematic review and meta-analysis.
        Ultrasound Obstet Gynecol. 2022 Sep; 60: 338-345
        • Okereafor A.
        • Allsop J.
        • Counsell S.J.
        • et al.
        Patterns of brain injury in neonates exposed to perinatal sentinel events.
        Pediatrics. 2008 May; 121: 906-914