EP19.22: Ultrasound in labour and delivery

2024

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DOI 10.1002/uog.28805
Data confidence 70 medium
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Abstract

To provide an overview of current publications and the overall applicability of ultrasound in the delivery room, taking into account all stages of labour. And also provide data analysis to assess the effectiveness of the use of ultrasound in a continuous mode, in obstetrics and gynecology. The review provided includes an analysis of scientific articles published in the Medline, PubMed and Cyberleninka databases published over the past 5 years. Several recent studies using both two- and three-dimensional ultrasound have now described objective measures of progression of the fetal head during labour. In instrumental deliveries an important determinant of a successful and safe use of vacuum and forceps is the correct determination of the fetal head position and appropriate application of the instrument. In the field of evidence-based medicine, there is still limited research into its various possible uses during childbirth, but it is expected that further research may lead to improved maternal and newborn health care during childbirth. However, ultrasound studies have shown that digital examination before instrumental delivery fails to identify the correct fetal position in a high proportion of cases. The use of ultrasound is of crucial importance in performing a safe operative delivery and can help in the prediction of whether a vaginal delivery would be successful.