Ultrasound during labor: techniques and practical application

Prikhodko A.M., Romanov A.Yu., Baev O.R.

1) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow, Russia; 2) Department of Obstetrics, Gynecology, Perinatology, and Reproductology, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University), Ministry of Health of the Russian Federation, Moscow, Russia
Objective. To describe ultrasound imaging techniques during labor and interpretation of ultrasound data to assess the progress of the fetal head through the birth canal as well as decision-making about further labor management tactics.
Materials and methods. The paper describes ultrasound imaging techniques during labor to assess the obstetric situation.
Results. Ultrasound imaging techniques, a procedure for measuring the angle of progression and distance of passage, direction of movement of the fetal head, distance to the perineum, to the inner surface of the symphysis pubis, the angle of rotation of the fetal head and pubic angle are described.
Conclusion. The echographic study allows accurate assessment of fetal head passage during labor. Ultrasound used during labor is an additional tool for diagnosing complications and choosing the labor management tactics.

Keywords

ultrasound during labor
labor management
progression angle
progression distance
direction of fetal head movement
distance to the perineum
distance to the inner surface of the symphysis pubis
head rotation angle
pubic a

References

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Reseived 04.12.2018

Accepted 22.02.2019

About the Authors

Prikhodko Andrey Mikchailovich, PhD, physician of the maternity department, assistant of the Department Obstetrics and Gynecology, Researcher of the Innovative Technologies Department of Obstetrics Institute, National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Healthcare of Russian Federation. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel. +7 (495) 438-30-47. E-mail: a_prikhodko@oparina4.ru
Romanov Andrey Yurievich, postgraduate student, specialist of R&D Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Healthcare of Russian Federation. 117997, Russia, Moscow, Ac. Oparina str. 4 Tel. +7 (903) 158-94-00. E-mail: romanov1553@yandex.ru
Professor
Baev Oleg Radomirovich, MD, Head of maternity department, National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Healthcare of the Russian Federation, Professor of the Department of Obstetrics, Gynecology, Perinatology, and Reproductology of I.N. Sechenov First Moscow State Medical University of Ministry of Healthcare of Russian Federation 117997, Russia, Moscow, Ac. Oparina str. 4 Tel: +7 (495) 438-11-88.E-mail: o_baev@oparina4.ru

For citation: Prikhodko A.M., Romanov A.YU., Baev O.R. Ultrasound during labor: techniques and practical application. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (6):151-4(in Russian)
https://dx.doi.org/10.18565/aig.2019.6.151-154

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