Abstract
Ultrasound is the first-line imaging modality for pregnant women and is increasingly used to document fetal head position and station within the maternal pelvis at various stages of labor [1–3]. Transperineal ultrasound during childbirth is also an established method to evaluate the labor progress and the success of vaginal operative deliveries [4–8]. Very recently, transperineal ultrasound was applied successfully as a visual biofeedback technique at the second stage of labor, resulting in increased pushing efficacy [9, 10]. However, specific bony structures of the maternal pelvis, such as the ischial spines, are not discernible by ultrasound. Therefore, additive imaging modalities are needed to visualize an engaged fetal head.
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References
Ghi T, Youssef A, Maroni E, Arcangeli T, De Musso F, Bellussi F, Nanni M, Giorgetta F, Morselli-Labate AM, Iammarino MT, et al. Intrapartum transperineal ultrasound assessment of fetal head progression in active second stage of labor and mode of delivery. Ultrasound Obstet Gynecol. 2013;41(4):430–5.
Popowski T, Porcher R, Fort J, Javoise S, Rozenberg P. Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial. Ultrasound Obstet Gynecol. 2015;46(5):520–5.
Ramphul M, Ooi PV, Burke G, Kennelly MM, Said SA, Montgomery AA, Murphy DJ. Instrumental delivery and ultrasound: a multicentre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery. BJOG. 2014;121(8):1029–38.
Barbera AF, Pombar X, Perugino G, Lezotte DC, Hobbins JC. A new method to assess fetal head descent in labor with transperineal ultrasound. Ultrasound Obstet Gynecol. 2009;33(3):313–9.
Cuerva MJ, Bamberg C, Tobias P, Gil MM, De La Calle M, Bartha JL. Use of intrapartum ultrasound in the prediction of complicated operative forceps delivery of fetuses in non-occiput posterior position. Ultrasound Obstet Gynecol. 2014;43(6):687–92.
Ghi T, Farina A, Pedrazzi A, Rizzo N, Pelusi G, Pilu G. Diagnosis of station and rotation of the fetal head in the second stage of labor with intrapartum translabial ultrasound. Ultrasound Obstet Gynecol. 2009;33(3):331–6.
Henrich W, Dudenhausen J, Fuchs I, Kamena A, Tutschek B. Intrapartum translabial ultrasound (ITU): sonographic landmarks and correlation with successful vacuum extraction. Ultrasound Obstet Gynecol. 2006;28(6):753–60.
Kalache KD, Duckelmann AM, Michaelis SA, Lange J, Cichon G, Dudenhausen JW. 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. 2009;33(3):326–30.
Bellussi F, Alcamisi L, Guizzardi G, Parma D, Pilu G. Traditionally vs sonographically coached pushing in second stage of labor: a pilot randomized controlled trial. Ultrasound Obstet Gynecol. 2018;52(1):87–90.
Gilboa Y, Frenkel TI, Schlesinger Y, Rousseau S, Hamiel D, Achiron R, Perlman S. Visual biofeedback using transperineal ultrasound in second stage of labor. Ultrasound Obstet Gynecol. 2018;52(1):91–6.
Liao JB, Buhimschi CS, Norwitz ER. Normal labor: mechanism and duration. Obstet Gynecol Clin N Am. 2005;32(2):145–64. vii
Knight D, Newnham JP, McKenna M, Evans S. A comparison of abdominal and vaginal examinations for the diagnosis of engagement of the fetal head. Aust N Z J Obstet Gynaecol. 1993;33(2):154–8.
Crichton D. A reliable method of establishing the level of the fetal head in obstetrics. S Afr Med J. 1974;48(18):784–7.
Buchmann E, Libhaber E. Interobserver agreement in intrapartum estimation of fetal head station. Int J Gynaecol Obstet. 2008;101(3):285–9.
Sherer DM, Abulafia O. Intrapartum assessment of fetal head engagement: comparison between transvaginal digital and transabdominal ultrasound determinations. Ultrasound Obstet Gynecol. 2003;21(5):430–6.
Iliescu DG, Adam G, Tudorache S, Antsaklis P, Cernea N. Quantification of fetal head direction using transperineal ultrasound: an easier approach. Ultrasound Obstet Gynecol. 2012;40(5):607–8.
Duckelmann AM, Bamberg C, Michaelis SA, Lange J, Nonnenmacher A, Dudenhausen JW, Kalache KD. 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. 2010;35(2):216–22.
Ghi T, Contro E, Farina A, Nobile M, Pilu G. Three-dimensional ultrasound in monitoring progression of labor: a reproducibility study. Ultrasound Obstet Gynecol. 2010;36(4):500–6.
Molina FS, Terra R, Carrillo MP, Puertas A, Nicolaides KH. What is the most reliable ultrasound parameter for assessment of fetal head descent? Ultrasound Obstet Gynecol. 2010;36(4):493–9.
Estroff JA. The growing role of MR imaging in the fetus. Pediatr Radiol. 2009;39(Suppl 2):S209–10.
Zaretsky MV, McIntire DD, Twickler DM. Feasibility of the fetal anatomic and maternal pelvic survey by magnetic resonance imaging at term. Am J Obstet Gynecol. 2003;189(4):997–1001.
Chen MM, Coakley FV, Kaimal A, Laros RK Jr. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation. Obstet Gynecol. 2008;112(2 Pt 1):333–40.
Clements H, Duncan KR, Fielding K, Gowland PA, Johnson IR, Baker PN. Infants exposed to MRI in utero have a normal paediatric assessment at 9 months of age. Br J Radiol. 2000;73(866):190–4.
Kawabata I, Takahashi Y, Iwagaki S, Tamaya T. MRI during pregnancy. J Perinat Med. 2003;31(6):449–58.
Kok RD, de Vries MM, Heerschap A, van den Berg PP. Absence of harmful effects of magnetic resonance exposure at 1.5 T in utero during the third trimester of pregnancy: a follow-up study. Magn Reson Imaging. 2004;22(6):851–4.
Bangard C, Paszek J, Berg F, Eyl G, Kessler J, Lackner K, Gossmann A. MR imaging of claustrophobic patients in an open 1.0T scanner: motion artifacts and patient acceptability compared with closed bore magnets. Eur J Radiol. 2007;64(1):152–7.
Hailey D. Open magnetic resonance imaging (MRI) scanners. Issues Emerg Health Technol. 2006;92:1–4.
Bamberg C, Rademacher G, Guttler F, Teichgraber U, Cremer M, Buhrer C, Spies C, Hinkson L, Henrich W, Kalache KD, et al. Human birth observed in real-time open magnetic resonance imaging. Am J Obstet Gynecol. 2012;206(6):505.e1–6.
Bamberg C, Deprest J, Sindhwani N, Teichgraberg U, Guttler F, Dudenhausen JW, Kalache KD, Henrich W. Evaluating fetal head dimension changes during labor using open magnetic resonance imaging. J Perinat Med. 2017;45(3):305–8.
Sindhwani N, Bamberg C, Famaey N, Callewaert G, Dudenhausen JW, Teichgraber U, Deprest J. In vivo evidence of significant levator ani muscle stretch on MR images of a live childbirth. Am J Obstet Gynecol. 2017;217(2):194.e1–8.
Bamberg C, Scheuermann S, Fotopoulou C, Slowinski T, Duckelmann AM, Teichgraber U, Streitparth F, Henrich W, Dudenhausen JW, Kalache KD. Angle of progression measurements of fetal head at term: a systematic comparison between open magnetic resonance imaging and transperineal ultrasound. Am J Obstet Gynecol. 2012;206(2):161.e1–5.
Bamberg C, Scheuermann S, Slowinski T, Duckelmann AM, Vogt M, Nguyen-Dobinsky TN, Streitparth F, Teichgraber U, Henrich W, Dudenhausen JW, et al. Relationship between fetal head station established using an open magnetic resonance imaging scanner and the angle of progression determined by transperineal ultrasound. Ultrasound Obstet Gynecol. 2011;37(6):712–6.
Barbera AF, Imani F, Becker T, Lezotte DC, Hobbins JC. 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. 2009;33(3):320–5.
Tutschek B, Braun T, Chantraine F, Henrich W. A study of progress of labour using intrapartum translabial ultrasound, assessing head station, direction, and angle of descent. BJOG. 2010;118(1):62–9.
Iliescu D, Tudorache S, Dragusin R, Carbunaru O, Patru C, Florea M, Gheonea IA. The angle of progression at station 0 and in magnetic resonance and transperineal ultrasound assessment. Case Rep Obstet Gynecol. 2015;2015:748327.
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Bamberg, C. (2021). Comparison of Intrapartum Ultrasound and MRI for Detection of Station 0 in Labor. In: Malvasi, A. (eds) Intrapartum Ultrasonography for Labor Management. Springer, Cham. https://doi.org/10.1007/978-3-030-57595-3_25
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DOI: https://doi.org/10.1007/978-3-030-57595-3_25
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