Your browser doesn't support javascript.
loading
Intrapartum ultrasound in maternal lateral versus semi-recumbent posture. A repeated measures study.
Cuerva, Marcos Javier; Rodriguez, Elena; Perez De Aguado, Marta; Gil, Maria Del Mar; Rolle, Valeria; Lopez, Francisco; Bartha, José Luis.
Afiliación
  • Cuerva MJ; Hospital Universitario La Paz, Department of Obstetrics, Madrid, Spain; School of medicine. Universidad Autónoma de Madrid, Spain. Electronic address: marcos.cuerva@uam.es.
  • Rodriguez E; Hospital Universitario La Paz, Department of Obstetrics, Madrid, Spain.
  • Perez De Aguado M; Hospital Universitario La Paz, Department of Obstetrics, Madrid, Spain.
  • Gil MDM; Hospital Universitario de Torrejón, Department of Obstetrics and Gynecology, Spain; School of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain.
  • Rolle V; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Spain.
  • Lopez F; Hospital Universitario La Paz, Department of Obstetrics, Madrid, Spain.
  • Bartha JL; Hospital Universitario La Paz, Department of Obstetrics, Madrid, Spain; School of medicine. Universidad Autónoma de Madrid, Spain.
Eur J Obstet Gynecol Reprod Biol ; 285: 46-49, 2023 Jun.
Article en En | MEDLINE | ID: mdl-37044018
OBJECTIVE: This study aimed to assess whether intrapartum ultrasound (ITU) measurements in maternal lateral posture are superimposable to ITU measurements in semi-recumbent position. STUDY DESIGN: A single-center, repeated measures design was used. Women in the second stage of labor were randomized to ITU first in semi-recumbent followed by ITU in side-lying posture without and with contraction, or inversely. The angle of progression (AOP) and the head-perineum distance (HPD) between contractions (AOP1 and HPD1) and with contraction (AOP2 and HPD2) were measured in each maternal posture. The differences between AOP1 and AOP2 (dAOP), and between HPD1 and HPD2 (dHPD) were calculated. RESULTS AND CONCLUSIONS: Forty-two women participated in the study. A generalized estimating equation model showed that AOP1 (-3.00°; 95 % CI -5.77 to -0.23; p = 0.03) and AOP2 (-4.14°; 95 % CI -7.20 to -1.08; p = 0.008) were lower in semi-recumbent compared to maternal lateral posture. HPD1 (+1.43 mm; 95 % CI 0.05-2.81; p = 0.042) and HPD2 (+1.53 mm; 95 % CI 0.17-2.89; p = 0.03) were higher in semi-recumbent position. Differences in the ITU measurements in maternal lateral posture compared to semi-recumbent position are small. Monitoring the second stage of labor with ITU in lateral maternal posture is possible.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trabajo de Parto / Parto Tipo de estudio: Clinical_trials / Diagnostic_studies / Prognostic_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Año: 2023 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trabajo de Parto / Parto Tipo de estudio: Clinical_trials / Diagnostic_studies / Prognostic_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Año: 2023 Tipo del documento: Article Pais de publicación: Irlanda