Intrapartum ultrasound for the diagnosis of cephalic malpositions and malpresentations

Fetuses with malpresentation and malposition during labor represent important clinical challenges. Women with fetuses presenting with malpresentation or malposition are at risk of increased perinatal complications, such as cesarean delivery, failure of operative vaginal delivery, neonatal acidemia,...

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Published inAmerican journal of obstetrics & gynecology MFM Vol. 3; no. 6; p. 100438
Main Author Gimovsky, Alexis C.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2021
Subjects
asynclitism
Delivery, Obstetric
Female
Fetus
Humans
Infant, Newborn
intrapartum sonography
intrapartum ultrasound
Labor Presentation
malposition
malpresentation
Pregnancy
Ultrasonography
Ultrasonography, Prenatal
intrapartum ultrasound
asynclitism
intrapartum sonography
malposition
malpresentation
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Summary:Fetuses with malpresentation and malposition during labor represent important clinical challenges. Women with fetuses presenting with malpresentation or malposition are at risk of increased perinatal complications, such as cesarean delivery, failure of operative vaginal delivery, neonatal acidemia, and neonatal intensive care admission. Intrapartum ultrasound has been found to be more reliable than digital examination in assessing malpresentation and malposition. The use of intrapartum ultrasound to assess fetal position and presentation, in addition to fetal attitude, to predict and aid in decision making regarding delivery can help in improving management decision making. Cephalic malpresentation and malposition is a unique subset of fetal orientation and can benefit from intrapartum ultrasound identification and assessment for delivery.
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ISSN:2589-9333
2589-9333
DOI:10.1016/j.ajogmf.2021.100438