Intrapartum ultrasound for the diagnosis of cephalic malpositions and malpresentations.


Journal

American journal of obstetrics & gynecology MFM
ISSN: 2589-9333
Titre abrégé: Am J Obstet Gynecol MFM
Pays: United States
ID NLM: 101746609

Informations de publication

Date de publication:
11 2021
Historique:
received: 18 03 2021
revised: 22 06 2021
accepted: 25 06 2021
pubmed: 25 7 2021
medline: 1 2 2022
entrez: 24 7 2021
Statut: ppublish

Résumé

Fetuses with malpresentation and malposition during labor represent important clinical challenges. Women with fetuses presenting with malpresentation or malposition are at risk of increased perinatal complications, such as cesarean delivery, failure of operative vaginal delivery, neonatal acidemia, and neonatal intensive care admission. Intrapartum ultrasound has been found to be more reliable than digital examination in assessing malpresentation and malposition. The use of intrapartum ultrasound to assess fetal position and presentation, in addition to fetal attitude, to predict and aid in decision making regarding delivery can help in improving management decision making. Cephalic malpresentation and malposition is a unique subset of fetal orientation and can benefit from intrapartum ultrasound identification and assessment for delivery.

Identifiants

pubmed: 34302995
pii: S2589-9333(21)00133-6
doi: 10.1016/j.ajogmf.2021.100438
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

100438

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Alexis C Gimovsky (AC)

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women & Infants Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, RI. Electronic address: agimovsky@wihri.org.

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Classifications MeSH