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Intrapartum Translabial Ultrasound to Predict Successful Vaginal Birth in Ladies with Previous Caesarean Section


Affiliations
1 Assistant Lecturer, University Hospital, Minia, Egypt
2 Professor of OB/GYN Dept., University Hospital, Minia, Egypt
3 Professor of OB/GYN Dept., King Abdulaziz University Hospital, Jeddah, Saudi Arabia
     

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Objective: To evaluate the role of intrapartum translabial ultrasound to predict successful vaginal birth in ladies with previous caesarean section. Patients and Method: 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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  • Intrapartum Translabial Ultrasound to Predict Successful Vaginal Birth in Ladies with Previous Caesarean Section

Abstract Views: 83  |  PDF Views: 0

Authors

Ahmed Nageeb
Assistant Lecturer, University Hospital, Minia, Egypt
Mohammed Hani
Professor of OB/GYN Dept., University Hospital, Minia, Egypt
Ahmed Sameer
Professor of OB/GYN Dept., University Hospital, Minia, Egypt
Momen Hassan
Professor of OB/GYN Dept., University Hospital, Minia, Egypt
Hassan Abdul-Jabbar
Professor of OB/GYN Dept., King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Abstract


Objective: To evaluate the role of intrapartum translabial ultrasound to predict successful vaginal birth in ladies with previous caesarean section. Patients and Method: 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



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F195024