INTRAPARTUM TRANSPERINEAL ULTRASOUND MEASUREMENT OF HEAD-PERINEUM DISTANCE

Gaziosmanpasa Research and Education Hospital70 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Transperineal Ultrasound Episiotomy

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 40 Years

Medical Language ↔ Plain English

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. -

Locations (1)

Sbü Gaziosmanpaşa Eah

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Association between head-perineum distance (HPD) measured by transperineal ultrasound and maternal outcomes

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.

Time frame: Onset of active labor - 1st week postpartum

Secondary Outcomes

Mode of delivery (vaginal delivery vs cesarean section)

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.

Time frame: during labor

Data from ClinicalTrials.gov

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