Skip to main content
SpringerLink
Log in

General Intrapartum Sonography Setup and Use in Labor

  • Chapter
  • First Online:
Intrapartum Ultrasonography for Labor Management

  • 1194 Accesses

Abstract

We are currently witnessing a change in obstetrics. For more than 10 years, obstetric sonography has been the main diagnostic tool available to specialists. Currently, the prediction of conditions such as preeclampsia, preterm labor, or placental insufficiency within the context of intrauterine growth restriction is based on ultrasound use. It is logical to hypothesize that sonography could play a significant, expanded role in labor management and assistance, particularly in situations that require quick obstetric decisions based on clinical explorations that are subjective and have a considerable learning curve.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barber M, Gutierrez L, Plasencia W, Valle L, Garcia-Hernandez JA (2010) Role of ultrasound in the labor ward. J Matern Fetal Neonatal Med 30(3):241–243

    CAS  Google Scholar 

  2. Barbera AF, Pombar X, Perugino G, Lezotte DC, Hobbins JC (2009) A new method to assess fetal head descent in labor with transperineal ultrasound. Ultrasound Obstet Gynecol 33(3):313–319

    Article  PubMed  CAS  Google Scholar 

  3. Eggebo T, Salvesen K (2010) Ultrasound assessment of fetal head position. Ultrasound Obstet Gynecol 36:128–129

    Article  PubMed  CAS  Google Scholar 

  4. Ghi T, Contro E, Farina A, Nobile M, Pilu G (2010) Three-dimensional ultrasound in monitoring progression of labor: a reproducibility study. Ultrasound Obstet Gynecol 36(4):500–506

    Article  PubMed  CAS  Google Scholar 

  5. Vintzileos AM, Chavez MR, Kinzler WL (2010) Use of ultrasound in the labor and delivery. J Matern Fetal Neonatal Med 23(6):469–475

    Article  PubMed  Google Scholar 

  6. Sherer D, Miodovnik M, Bradley K, Langer O (2002) Intrapartum fetal head position II: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the second stage of labor. Ultrasound Obstet Gynecol 19(3):264–268

    Article  PubMed  CAS  Google Scholar 

  7. Sherer D, Miodovnik M, Bradley K, Langer O (2002) Intrapartum fetal head position I: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the active stage of labor. Ultrasound Obstet Gynecol 19(3):258–263

    Article  PubMed  CAS  Google Scholar 

  8. Akmal S, Tsoi E, Kametas N, Howard R, Nicolaides K (2002) Intrapartum sonography to determine fetal head position. J Matern Fetal Neonatal Med 12(3):172–177

    Article  PubMed  CAS  Google Scholar 

  9. Akmal S, Tsoi E, Nicolaides K (2004) Intrapartum sonography to determine fetal occipital position: ­interobserver agreement. Ultrasound Obstet Gynecol 24(4):421–424

    Article  PubMed  CAS  Google Scholar 

  10. Souka A, Haritos T, Basayiannis K, Noikokyri N, Antsaklis A (2003) Intrapartum ultrasound for the examination of the fetal head position in normal and obstructed labor. J Matern Fetal Neonatal Med 13(1):59–63

    Article  PubMed  CAS  Google Scholar 

  11. Kreiser D, Schiff E, Lipitz S, Kayam Z, Avraham A, Achiron R (2001) Determination of fetal occiput ­position by ultrasound during the second stage of labor. J Matern Fetal Med 10(4):283–286

    Article  PubMed  CAS  Google Scholar 

  12. Dupuis O, Ruimark S, Corinne D, Simone T, André D, René-Charles R (2005) Fetal head position during the second stage of labor: comparison of digital vaginal examination and transabdominal ultrasonographic examination. Eur J Obstet Gynecol Reprod Biol 123(2):193–197

    Article  PubMed  Google Scholar 

  13. Chou M, Kreiser D, Taslimi M, Druzin M, El-Sayed Y (2004) Vaginal versus ultrasound examination of fetal occiput position during the second stage of labor. Am J Obstet Gynecol 191(2):521–524

    Article  PubMed  Google Scholar 

  14. Zahalka N, Sadan O, Malinger G, Liberati M, Boaz M, Glezerman M et al (2005) Comparison of transvaginal sonography with digital examination and transabdominal sonography for the determination of fetal head position in the second stage of labor. Am J Obstet Gynecol 193(2):381–386

    Article  PubMed  Google Scholar 

  15. Agarwal U, Bricker L, Alfirevic Z (2011) The use of 3D ultrasound for the prediction of success of vaginal birth prior to instrumental delivery. Arch Dis Child Fetal Neonatal Ed 96:Fa85

    Google Scholar 

  16. Dückelmann AM, Michaelis SA, Bamberg C, Dudenhausen JW, Kalache KD (2011) 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 25(5):484–488

    Article  PubMed  Google Scholar 

  17. Rayburn W, Siemers K, Legino L, Nabity M, Anderson J, Patil K (1989) Dystocia in late labor: determining fetal position by clinical and ultrasonic techniques. Am J Perinatol 6(3):316–319

    Article  PubMed  CAS  Google Scholar 

  18. Wong G, Mok Y, Wong S (2007) Transabdominal ultrasound assessment of the fetal head and the accuracy of vacuum cup application. Int J Gynaecol Obstet 98(2):120–123

    Article  PubMed  CAS  Google Scholar 

  19. Akmal S, Kametas N, Tsoi E, Hargreaves C, Nicolaides K (2003) Comparison of transvaginal digital examination with intrapartum sonography to determine fetal head position before instrumental delivery. Ultrasound Obstet Gynecol 21(5):437–440

    Article  PubMed  CAS  Google Scholar 

  20. Fuchs I, Tutschek B, Henrich W (2008) Visualization of the fetal fontanels and skull by three-dimensional translabial ultrasound during the second stage of labor. Ultrasound Obstet Gynecol 31:484–486

    Article  PubMed  CAS  Google Scholar 

  21. Sherer D, Abulafia O (2003) Intrapartum assessment of fetal head engagement: comparison between ­transvaginal digital and transabdominal ultrasound determinations. Ultrasound Obstet Gynecol 21(5):430–436

    Article  PubMed  CAS  Google Scholar 

  22. Molina F, Nicolaides K (2010) Ultrasound in labor and delivery. Fetal Diagn Ther 27:61–67

    Article  PubMed  Google Scholar 

  23. Dupuis O, Silveira R, Zentner A, Dittmar A, Gaucherand P, Cucherat M, Redarce T, Rudigoz RC (2005) Birth simulator: reliability of transvaginal assessment of fetal head station as defined by the American College of Obstetricians and Gynecologists classification. Am J Obstet Gynecol 192:868–874

    Article  PubMed  Google Scholar 

  24. Torkildsen EA, Salvesen KÅ, Eggebø TM (2011) Prediction of delivery mode with transperineal ultrasound in women with prolonged first stage of labor. Ultrasound Obstet Gynecol 37(6):702–708

    Article  PubMed  CAS  Google Scholar 

  25. Kalache K, Dückelmann A, Michaelis S, Lange J, Cichon G, Dudenhausen J (2009) Transperineal ultrasound imaging in prolonged second stage of labor with occipitoanterior presenting fetuses: how well does the ‘angle of progression’ predict the mode of delivery? Ultrasound Obstet Gynecol 33(3):326–330

    Article  PubMed  CAS  Google Scholar 

  26. Barbera A, Imani F, Becker T, Lezotte D, Hobbins J (2009) Anatomic relationship between the pubic symphysis and ischial spines and its clinical significance in the assessment of fetal head engagement and station during labor. Ultrasound Obstet Gynecol 33(3):320–325

    Article  PubMed  CAS  Google Scholar 

  27. Henrich W, Dudenhausen J, Fuchs I, Kämena A, Tutschek B (2006) Intrapartum translabial ultrasound (ITU): sonographic landmarks and correlation with successful vacuum extraction. Ultrasoxund Obstet Gynecol 28(6):753–760

    Article  PubMed  CAS  Google Scholar 

  28. Dietz H, Lanzarone V (2005) Measuring engagement of the fetal head: validity and reproducibility of a new ultrasound technique. Ultrasound Obstet Gynecol 25(2):165–168

    Article  PubMed  CAS  Google Scholar 

  29. Dückelmann AM, Bamberg C, Michaelis SA, Lange J, Nonnenmacher A, Dudenhausen JW, Kalache KD (2010) Measurement of fetal head descent using the ‘angle of progression’ on transperineal ultrasound imaging is reliable regardless of fetal head station or ultrasound expertise. Ultrasound Obstet Gynecol 35(2):216–222

    Article  PubMed  Google Scholar 

  30. Ghi T, Farina A, Pedrazzi A, Rizzo N, Pelusi G, Pilu G (2009) Diagnosis of station and rotation of the fetal head in the second stage of labor with intrapartum translabial ultrasound. Ultrasound Obstet Gynecol 33(3):331–336

    Article  PubMed  CAS  Google Scholar 

  31. Molina FS, Terra R, Carrillo MP, Puertas A, Nicolaides KH (2010) What is the most reliable ultrasound parameter for assessment of fetal head descent? Ultrasound Obstet Gynecol 36(4):493–499

    Article  PubMed  CAS  Google Scholar 

  32. Dietz H, Bennet M (2002) Can we predict the course of labour? Aust N Z J Obstet Gynaecol 42:S16

    Google Scholar 

  33. Senécal J, Xiong X, Fraser W (2005) Effect of fetal position on second-stage duration and labor outcome. Obstet Gynecol 105(4):763–772

    Article  PubMed  Google Scholar 

  34. Dietz H, Lanzarone V, Simpson J (2006) Predicting operative delivery. Ultrasound Obstet Gynecol 27(4):409–415

    Article  PubMed  CAS  Google Scholar 

  35. Dietz H, Lanzarone V (2004) Predicting delivery mode. Ultrasound Obstet Gynecol 24:220

    Google Scholar 

  36. Akmal S, Tsoi E, Howard R, Osei E, Nicolaides K (2004) Investigation of occiput posterior delivery by intrapartum sonography. Ultrasound Obstet Gynecol 24(4):425–428

    Article  PubMed  CAS  Google Scholar 

  37. Heazell A, Raouf S, Bhatti N, Smewing S (2004) A prospective study of the use of ultrasound scanning on the delivery suite. Ultrasound Obstet Gynecol 24(3):285

    Article  Google Scholar 

  38. Sen S, Majumdar A (2006) Is there any role of ultrasound in the labor ward and delivery suite? Ultrasound Obstet Gynecol 26(4):586

    Article  Google Scholar 

  39. Shipp T, Bromley B, Benacerraf B (2000) The prognostic significance of hyperextension of the fetal head detected antenatally with ultrasound. Ultrasound Obstet Gynecol 15(5):391–396

    Article  PubMed  CAS  Google Scholar 

  40. Sherer D (2007) Intrapartum ultrasound. Ultrasound Obstet Gynecol 30(2):123–139

    Article  PubMed  CAS  Google Scholar 

  41. McEwing R (2007) Prenatal diagnosis of placenta accreta: a new sonographic marker? Ultrasound Obstet Gynecol 30(4):554

    Article  Google Scholar 

  42. Deans R, Dietz H (2006) Ultrasound of the post-partum uterus. Aust N Z J Obstet Gynaecol 46(4):345–349

    Article  PubMed  Google Scholar 

  43. Verhoeven CJ, Rückert ME, Opmeer BC, Pajkrt E, Mol BW (2012) Ultrasonographic fetal head position to predict mode of delivery: a systematic review and bivariate meta-analysis. Ultrasound Obstet Gynecol 40(1):9–13

    Article  PubMed  CAS  Google Scholar 

  44. Janbu T, Nesheim B (1987) Uterine artery blood velocities during contractions in pregnancy and labour related to intrauterine pressure. Br J Obstet Gynecol 94:1150–1155

    Article  CAS  Google Scholar 

  45. Kassanos D, Siristatidis C, Vitoratos N, Salamalekis E, Creatsas G (2003) The clinical significance of Doppler findings in fetal middle cerebral artery during labor. Eur J Obstet Gynecol Reprod Biol 109(1):45–50

    Article  PubMed  Google Scholar 

  46. Fleischer A, Anyaegbunam A, Schulman H, Farmakides G, Randolph G (1987) Uterine and umbilical artery velocimetry during normal labor. Am J Obstet Gynecol 157(1):40–43

    PubMed  CAS  Google Scholar 

  47. Krapp M, Denzel S, Katalinic A, Berg C, Smrcek J, Geipel A et al (2002) Normal values of fetal ductus venosus blood flow waveforms during the first stage of labor. Ultrasound Obstet Gynecol 19:556–561

    Article  PubMed  CAS  Google Scholar 

  48. Qin Y, Wang C, Lau T, Rogers M (2000) Color ultrasonography: a useful technique in the identification of nuchal cord during labor. Ultrasound Obstet Gynecol 15(5):413–417

    Article  PubMed  CAS  Google Scholar 

  49. Ghi T, Youssef A, Pilu G, Malvasi A, Ragusa A (2012) Intrapartum sonographic imaging of fetal head asynclitism. Ultrasound Obstet Gynecol 39(2):238–240

    Article  PubMed  CAS  Google Scholar 

  50. Ville Y (2006) From obstetrics ultrasound to ultrasonographic obstetrics. Ultrasound Obstet Gynecol 27(1):1–5

    Article  PubMed  CAS  Google Scholar 

  51. Ugwumadu A (2002) The role of ultrasound on the labor ward. Ultrasound Obstet Gynecol 19(3):222–224

    Article  PubMed  CAS  Google Scholar 

  52. Sherer D, Onyeije C, Bernstein P, Kovacs P, Manning F (1999) Utilization of real-time ultrasound on labor and delivery in an active academic teaching hospital. Am J Perinatol 16(6):303–307

    Article  PubMed  CAS  Google Scholar 

  53. Yeo L, Romero R (2009) Sonographic evaluation in the second stage of labor to improve the assessment of labor progress and its outcome. Ultrasound Obstet Gynecol 33(3):253–258

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Prenatal Diagnosis and Fetal Therapy Unit, Department of Obstetrics and Gynecology, Insular and Maternal Universitary Hospitalary Complex (CHUIMIC), Las Palmas of Grand Canary, Spain

    Miguel Angel Barber M.D., Ph.D., Margarita Medina M.D., Azahar Romero M.D. & Jose A. Garcia-Hernandez M.D., Ph.D.

  2. Department of Obstetrics and Gynecology, Canaries University Hospital Maternity Ward, Avenida maritima del sur sn., Las Palmas de Gran Canaria, Spain, 35005

    Miguel Angel Barber M.D., Ph.D.

  3. Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, San Cecilio University Hospital (HUSC), Granada, Spain

    Francisca S. Molina M.D., Ph.D.

Authors
  1. Miguel Angel Barber M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francisca S. Molina M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Margarita Medina M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Azahar Romero M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jose A. Garcia-Hernandez M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Miguel Angel Barber M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. , Department of Obstetric and Gynecology, Santa Maria Hospital, C. so . A. De Gasperi 314-A, Bari, 70125, Italy

    Antonio Malvasi

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Barber, M.A., Molina, F.S., Medina, M., Romero, A., Garcia-Hernandez, J.A. (2012). General Intrapartum Sonography Setup and Use in Labor. In: Malvasi, A. (eds) Intrapartum Ultrasonography for Labor Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29939-1_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-29939-1_2

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29938-4

  • Online ISBN: 978-3-642-29939-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation