Obstetric Labor Complications
Conditions
Brief summary
Investigators will perform a multicentric randomized controlled trial comparing the effect of transabdominal and transperineal ultrasound in pregnant women in the second stage of labor, in whom it was decided an operative delivery. Our objective is to evaluate the impact of intrapartal ultrasound measurements, as an auxiliary to clinical evaluation, in the efficacy of an instrumental delivery.
Interventions
OTHERTransabdominal and transperineal ultrasound
Transabdominal ultrasound, for determining fetal head position, is performed with the pregnant women in supine position after bladder emptying, with the transducer placed transversely on the suprapubic region of the maternal abdomen. For the sonographic determination of the fetal descent we will perform a transperineal ultrasound achieved by placing the ultrasound transducer on the perineum in a mid sagittal position between the labia below the pubic symphysis.
Sponsors
University of Lisbon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* pregnant women at term, in labor (≥ 37 weeks of gestation dated by a first trimester ultrasound * live singleton pregnancy * fetus in a cephalic presentation * in the second stage of labor, after the decision to perform an instrumental delivery
Exclusion criteria
* fetal malformations * emergency situation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maternal and neonatal morbidity | 2 years | Severe postpartum hemorrhage, perineal trauma, prolonged hospital stay |
| Neonatal morbidity | 2 years | low 5-minute Apgar score, umbilical artery metabolic acidosis, birth trauma and neonatal intensive care unit admission |
Countries
Portugal
Outcome results
None listed