Episiotomy, Transperineal Ultrasound
Conditions
Keywords
transperineal ultrasound, delivery, ultrasound, intrapartum, episiotomy
Brief summary
Intrapartum ultrasonography has been used as a current alternative method to vaginal examination. In this study, the role of head-perineum distance (HPD) measured by transperineal ultrasonography (TPU) at the beginning of the active phase in predicting maternal outcomes related to delivery was investigated and compared with simultaneous vaginal examination.
Interventions
None listed
Sponsors
Gaziosmanpasa Research and Education Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
Patients aged 18 and over, with full-term, primiparous, cephalic presentation fetus, singleton pregnancy, and active labor initiation. -
Exclusion criteria
Patients with a body mass index of 30 or higher, those who have undergone median episiotomy, those under 18 or over 40 years of age; those with malpresentation, placental placement anomalies, cord prolapse, twin pregnancy; and those with pregnancy-related or pre-existing hemorrhoidal diseases, anal fissures, abscesses, fistulas, rectal prolapse, and anal incontinence are not suitable candidates. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Association between head-perineum distance (HPD) measured by transperineal ultrasound and maternal outcomes | Onset of active labor - 1st week postpartum | we investigated the association between HPD measured at the onset of the active phase of labour and delivery-related maternal outcomes, with a primary focus on perineal trauma. As secondary objectives, we explored the relationships of HPD with contemporaneous VE findings, mode of delivery, induction of labour, sociocultural indicators and other maternal complications. We hypothesized that HPD at active phase onset is significantly associated with delivery-related maternal outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mode of delivery (vaginal delivery vs cesarean section) | during labor | A correlation was investigated between the head-perineal distance measured at the onset of active labor and the mode of delivery. The study concluded that an increased head-perineal distance was associated with an increased likelihood of cesarean delivery. |
Countries
Turkey (Türkiye)
Outcome results
None listed