The role of Intrapartum Translabial Ultrasound to Predict Successful Vaginal Birth In Ladies With Previous Caesarean Section | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 1, January 2020, Page 29-35 PDF (420.17 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221386 | ||||
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Authors | ||||
Ahmed Nageeb1; Mohammed Hani1; Ahmed Sameer1; Momen Hassan1; Hassan Abdul-Jabbar2 | ||||
1Department of Obstetrics and Gynecology, University Hospital, Minia, Egypt | ||||
2Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah. | ||||
Abstract | ||||
Objective: To evaluate the role of intrapartum translabial ultrasound to predict successful vaginal birth in ladies with previous caesarean section. Patients and methods: 200 pregnant women with previous caesarean section admitted during the active phase of the first stage of labor. Results: At a cut-off value 2.5mm the sensitivity of the progression distance was 89.3% and 71.4% specificity in prediction of vaginal delivery. Using 100.5 degree as a cut-off value for the angle of progression to identify patients who deliver vaginally gives 88.5% sensitivity and 74.3% specificity. Conclusion: Intrapartum translabial ultrasound is a useful tool to predict occurrence of vaginal delivery in women with previous caesarean. | ||||
Keywords | ||||
VBAC; intrapartum ultrasound; translabial ultrasound; progression distance; angle of progression | ||||
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