dc.creator | García-Jiménez, Rocío | es |
dc.creator | Valero, Irene | es |
dc.creator | Borrero González, Carlota | es |
dc.creator | García Mejido, José Antonio | es |
dc.creator | Fernández Palacín, Ana | es |
dc.creator | Sáinz Bueno, José Antonio | es |
dc.date.accessioned | 2024-05-16T15:00:40Z | |
dc.date.available | 2024-05-16T15:00:40Z | |
dc.date.issued | 2023-01-27 | |
dc.identifier.citation | García-Jiménez, R., Valero, I., Borrero González, C., García Mejido, J.A., Fernández Palacín, A. y Sáinz Bueno, J.A. (2023). Can intrapartum ultrasonography improve the placement of the vacuum cup in operative vaginal deliveries?. Tomography, 9 (1), 247-254. https://doi.org/10.3390/tomography9010019. | |
dc.identifier.issn | 2379-1381 | es |
dc.identifier.uri | https://hdl.handle.net/11441/158467 | |
dc.description.abstract | Although the fetal head position has traditionally been evaluated by digital examination
(DE), it has a failure rate ranging between 20 and 70%; hence, intrapartum transabdominal ultrasonography (TUS) has become relevant. We aimed to evaluate the utility of the TUS to identify the
fetal head positions in vacuum-assisted deliveries. We performed a prospective observational study
including 101 pregnant patients in active labor who required a vacuum-assisted delivery. The fetal
head position was assessed by a DE and a TUS prior to vacuum cup placement. After delivery, the
optimal vacuum cup placement was evaluated as the distance between the chignon and the flexion
point ≤2 cm. The general concordance rate between the DE and TUS was 72.2%, with the poorest
concordance rate for occiput posterior positions at 46.1%. In five cases (4.9%), it was not possible to
determine the fetal head position through the DE. The correlation was higher in low and medium
planes, with 77% and 68.1% concordance rates, respectively, while it was lower in high planes (60%).
In 90.1% of cases, the vacuum cup placement was optimal. Our findings show that intrapartum
transabdominal ultrasonography is a useful technique to identify the fetal head position allowing
optimal placement of the vacuum cup necessary for correct vacuum-assisted delivery. | es |
dc.format | application/pdf | es |
dc.format.extent | 8 p. | es |
dc.language.iso | eng | es |
dc.publisher | md | es |
dc.relation.ispartof | Tomography, 9 (1), 247-254. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Operative vaginal delivery | es |
dc.subject | Vacuum-assisted delivery | es |
dc.subject | Intrapartum ultrasonography | es |
dc.subject | Transabdominal intrapartum ultrasound | es |
dc.subject | Transperineal ultrasound | es |
dc.subject | Fetal head position | es |
dc.title | Can intrapartum ultrasonography improve the placement of the vacuum cup in operative vaginal deliveries? | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública | es |
dc.relation.publisherversion | https://www.mdpi.com/2379-139X/9/1/19 | es |
dc.identifier.doi | 10.3390/tomography9010019 | es |
dc.journaltitle | Tomography | es |
dc.publication.volumen | 9 | es |
dc.publication.issue | 1 | es |
dc.publication.initialPage | 247 | es |
dc.publication.endPage | 254 | es |