Comparative Study of Ultrasound with Transvaginal Finger Examination in Diagnosis of Abnormal Position and Presentation of Fetal Head
Open Access
- 8 September 2021
- journal article
- Published by Briefland in Zahedan Journal of Research in Medical Sciences
- Vol. In Press (In Press)
- https://doi.org/10.5812/zjrms.106566
Abstract
Background: Abnormal position and presentation are challenges for obstetricians in about 10% of all pregnancies. Objectives: The purpose of this study was to compare ultrasound with transvaginal finger examination in detecting abnormal position and presentation of fetal head. Methods: This was a cross-sectional study performed in Ali ibn-e Abitaleb Hospital of Zahedan in 2018. The women underwent vaginal finger examination in the first phase of delivery, and then trans-abdominal ultrasound was performed for pregnant women. All examinations and ultrasounds were performed by one person with the same ultrasound device. Data were analyzed with SPSS software. Results: In this study, 100 pregnant women were studied in the first phase of pregnancy. The mean age of the subjects was 24.7 ± 5.5 years old. Fetal head position was determined in 81 and 93% of women with vaginal examination and ultrasound, respectively. There was weak agreement (kappa = 0.416). Fetal presentation was determined by finger examination in 93% of cases and by ultrasound in 100% of cases. There was moderate agreement (kappa = 0.783). Conclusions: In general, the results of this study showed that there was no significant difference between ultrasound and finger examination in the presentation and position of fetal head.Keywords
This publication has 12 references indexed in Scilit:
- Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trialUltrasound in Obstetrics & Gynecology, 2015
- Transperineal ultrasonography for labor management: accuracy and reliabilityActa Obstetricia et Gynecologica Scandinavica, 2015
- Fetal Head Position during the First Stage of Labor: Comparison between Vaginal Examination and Transabdominal UltrasoundISRN Obstetrics and Gynecology, 2014
- Malpresentations - impact on mode of deliveryActa Obstetricia et Gynecologica Scandinavica, 2011
- Factors Influencing the Accuracy of Digital Examination for Determining Fetal Head Position during the First Stage of LaborJournal of Nippon Medical School, 2010
- Face and brow presentation: Independent risk factorsThe Journal of Maternal-Fetal & Neonatal Medicine, 2008
- Comparison of transvaginal sonography with digital examination and transabdominal sonography for the determination of fetal head position in the second stage of laborAmerican Journal of Obstetrics and Gynecology, 2005
- Vaginal versus ultrasound examination of fetal occiput position during the second stage of laborAmerican Journal of Obstetrics and Gynecology, 2004
- Persistent fetal occiput posterior position: obstetric outcomesObstetrics & Gynecology, 2003
- Intrapartum sonography to determine fetal head positionThe Journal of Maternal-Fetal & Neonatal Medicine, 2002