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Asynclitism: Clinical and Intrapartum Diagnosis in Labor

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Intrapartum Ultrasonography for Labor Management

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Abstract

Even if in as seen in many delivery a moderate degrees of asynclitism is present very often, asynclitism is a clinical condition that may create mechanical dystocia during both the first and second stage of labor. Its recognition is of paramount importance to help the clinician in the management of labor and in his/her decision of route of delivery, vaginal, either spontaneous or operative, or cesarean.

Diagnosis of asynclitism by vaginal digital examination is very inaccurate and erroneous. The use of ultrasound in labor provides an objective information that will improve both maternal and fetal outcomes.

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Acknowledgments

The author wants to express his gratitude to Helen Macfarlane for the extensive and superb work in the production of the graphic representations. Further thank you to Elizabeth Figa for her contribution in structuring Table 17.1.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, School of Medicine, University of Colorado Denver, Aurora, CO, USA

    Antonino F. Barbera

  2. Department of Obstetrics and Gynecology, “Veris delli Ponti” Hospital, Scorrano, Lecce, Italy

    Andrea Tinelli

  3. International Translational Medicine and Biomodelling Research Group, Department of Applied Mathematics, Moscow Institute of Physics and Technology (State University), Dolgoprudny, Moscow, Russia

    Andrea Tinelli & Antonio Malvasi

  4. Laboratory of Human Physiology, Faculty of Biological and Medical Physics, Phystech BioMed School, Moscow Institute of Physics and Technology (State University), Moscow, Russia

    Andrea Tinelli & Antonio Malvasi

  5. Department of Obstetrics and Gynecology, Santa Maria Hospital, GVM Care & Research, Bari, Italy

    Antonio Malvasi

  6. Santa Maria della Misericordia University Hospital, University of Perugia, Perugia, Italy

    Antonio Malvasi

Authors
  1. Antonino F. Barbera
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  2. Andrea Tinelli
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  3. Antonio Malvasi
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Editor information

Editors and Affiliations

  1. Department of Obstetric and Gynecology, Santa Maria Hospital, GVM Care and Research, Bari, Italy

    Antonio Malvasi

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Barbera, A.F., Tinelli, A., Malvasi, A. (2021). Asynclitism: Clinical and Intrapartum Diagnosis in Labor. In: Malvasi, A. (eds) Intrapartum Ultrasonography for Labor Management. Springer, Cham. https://doi.org/10.1007/978-3-030-57595-3_17

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  • DOI: https://doi.org/10.1007/978-3-030-57595-3_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57594-6

  • Online ISBN: 978-3-030-57595-3

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