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Articles de revues sur le sujet « Head-perineum distance (HPD) »

Auteur : Grafiati

Publié le 7 juin 2025

Mis à jour le 2 août 2025

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1

Çelik, Hale Göksever, Engin Çelik, and Gökhan Yıldırım. "Prediction of vaginal delivery with transperineal ultrasound in women induced with dinoprostone beyond 40 weeks of gestation." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 8 (2018): 2998. http://dx.doi.org/10.18203/2320-1770.ijrcog20183290.

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Background: Digital cervical evaluation has been used to determine the likelihood of vaginal delivery which is considered by many women to be non-tolerable. Recently, transperineal ultrasound allowing direct visualization of the fetal skull has been using for the prediction of labor route. Authors aimed to study whether measurements on transperineal ultrasound are predictive for vaginal delivery in pregnant women induced with dinoprostone at 40.0-42.0 gestational weeks.Methods: A total of 55 pregnant women at 40.0-42.0 gestational weeks were enrolled in this prospective observational study. Al

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Horst, Wagner, Juliana Barros do Valle, Eduardo Duarte Pinto Godoy, and Jean Silva. "Fetal head-to-perineum distance as a predictor of successful vaginal delivery: a secondary analysis of intrapartum ultrasound data." Concilium 24, no. 14 (2024): 74–85. http://dx.doi.org/10.53660/clm-3840-23p06.

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Purpose: The primary aim of this secondary analysis is to assess the clinical utility of intrapartum ultrasound measurements of the fetal head-to-perineum distance (HPD) as a predictor for successful vaginal delivery.Methods: This secondary analysis was conducted on a cross-sectional study involving 33 pregnant women admitted for labor. HPD was measured using intrapartum ultrasound by certified sonographers. Additional variables such as age, BMI, and gestational age were also considered. Results: Our findings reveal a significant relationship between HPD and the occurrence of vaginal delivery.

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Kwan, Angel H. W., Piya Chaemsaithong, Wing Ting Tse, et al. "Feasibility, Reliability, and Agreement of Transperineal Ultrasound Measurement: Results from a Longitudinal Cohort Study." Fetal Diagnosis and Therapy 47, no. 10 (2020): 721–30. http://dx.doi.org/10.1159/000507549.

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<b><i>Objectives:</i></b> To evaluate the feasibility, reliability, and agreement of serial transperineal ultrasound (TPU) assessment of fetal head station (parasagittal angle of progression [psAOP], head-perineum distance [HPD], and head-symphysis distance [HSD]) and sonographic cervical dilatation (SCD), compared to fetal head station and cervical dilatation determined by vaginal examination, respectively. <b><i>Methods:</i></b> This was a prospective longitudinal study in singleton pregnancies undergoing induction of labor at term. Paired asse

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Role of intrapartum ultrasonography to predict mode of delivery/success rate of vaginal delivery." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 2 (2024): 23–28. https://doi.org/10.5281/zenodo.15371928.

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<strong>Abstract</strong> <strong>Objective:</strong> The study was conducted to find out the role of intrapartum trans-perineal ultrasound to predict vaginal delivery by measuring head-perineum distance and angle of progression along with other foetal parameters <strong>Materials and Methods:</strong> A prospective study was performed in 80 pregnant women at S.N Medical College, Agra over a period of one year. The study population included primigravid with singleton pregnancy with cephalic presentation with normal BMI in the first stage of labor at term pregnancy (≥ 37 weeks). Trans perine

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Ingeberg, Helene, Anna Miskova, and Diana Andzane. "Intrapartum ultrasound to predict vaginal labor: a prospective cohort study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (2017): 4778. http://dx.doi.org/10.18203/2320-1770.ijrcog20174986.

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Background: Non-invasive transperineal ultrasound has been used to detect the descent of the fetal head using head-perineum distance (HPD) and angle of progression (AOP). The aim was to evaluate HPD and AOP as predictors of vaginal delivery in the first stage of labor.Methods: This was a prospective cohort study in Riga Maternity Hospital in Latvia from May till August 2016. The study included only nulliparous women with singleton pregnancies and cephalic presentation. Ultrasound was used to measure HPD and AOP. Data was collected on demographics, labor parameters and outcome.Results: Of 36 wo

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Kartal Gölcük, Esra, Burcu Dincgez, Gulten Ozgen, and Emın Ustunyurt. "The predictive role of serial transperineal sonography during the first stage of labor for cesarean section." Journal of Perinatal Medicine 53, no. 2 (2024): 132–39. https://doi.org/10.1515/jpm-2024-0450.

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Abstract Objectives Head to perineum distance (HPD) and angle of progression (AOP) are sonographic markers which have been investigated for the evaluation of labor progress. Here, we aimed to evaluate the predictive role of serially measured AOP and HPD during the first stage of labor in labor progress both in nulliparous and multiparous patients. Also, we firstly compared this role for labor progress. Methods This was a prospective longitudinal study including 299 patients. Patients were grouped as vaginal delivery (n=247) and cesarean section (n=52). Demographic and obstetric characteristics

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Mitta, Kyriaki, Ioannis Tsakiridis, Themistoklis Dagklis, et al. "Ultrasonographic Evaluation of the Second Stage of Labor according to the Mode of Delivery: A Prospective Study in Greece." Journal of Clinical Medicine 13, no. 4 (2024): 1068. http://dx.doi.org/10.3390/jcm13041068.

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Background and Objectives: Accurate diagnosis of labor progress is crucial for making well-informed decisions regarding timely and appropriate interventions to optimize outcomes for both the mother and the fetus. The aim of this study was to assess the progress of the second stage of labor using intrapartum ultrasound. Material and methods: This was a prospective study (December 2022–December 2023) conducted at the Third Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece. Maternal–fetal and labor characteristics

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Wiafe, Yaw A., Bill Whitehead, Heather Venables, and Alexander T. Odoi. "Sonographic parameters for diagnosing fetal head engagement during labour." Ultrasound 26, no. 1 (2018): 16–21. http://dx.doi.org/10.1177/1742271x18755080.

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The purpose of this study was to investigate the diagnostic performance of the head–perineum distance, angle of progression, and the head–symphysis distance as intrapartum ultrasound parameters in the determination of an engaged fetal head. Two hundred and one women in labour underwent both ultrasound and digital vaginal examination in the estimation of fetal head station. The transperineal ultrasound measured head–perineum distance, angle of progression, and head–symphysis distance for values correlating with digital vaginal examination head station. Using station 0 as the minimum level of he

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Choudhary, Neeraj, Savitri Verma, Sudha Gandhi, Anuradha Monga, Vimla Charan, and Asha Kumari. "Ultrasound assessment of foetal head-perineum distance prior to induction of labour as a predictor of successful vaginal delivery: a prospective study from a tertiary care hospital of Rajasthan." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 7 (2023): 2235–40. http://dx.doi.org/10.18203/2320-1770.ijrcog20231940.

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Background: Induction of labor (IOL) is one of the most frequent obstetric procedures require for various obstetrics indications in 13-20% of term. Traditionally success of induction has been determined by Bishop score, but this score is observer based and significant inter observer disagreements have been noted. Ultrasound can help obstetricians in counselling patients before induction of labour and explain the probability of successful induction. So in this study we did ultrasound assessment of foetal head-perineum distance prior to induction of labour as a predictor of successful vaginal de

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Cárdenas Mendoza, Génesis Jesmay, Mayrín María Martínez Pérez, Shiuna Lo Huang, and Jesús Veroes. "Ecografía transperineal intraparto en la progresión del trabajo de parto." Revista de Obstetricia y Ginecología de Venezuela 82, no. 01 (2022): 21–32. http://dx.doi.org/10.51288/00820105.

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Objective: To determine the usefulness of intrapartum transperineal ultrasound in the progression of labor in patients admitted to the Concepción Palacios Maternity Parting Room Service, in the period May-August 2019. Methods: Prospective, descriptive and longitudinal study involving 98 patients. Transperineal ultrasound was performed every two hours during labor, evaluating cervical characteristics and changes in fetal head position and decline variety, linking them to clinical findings. Results: 219 ultrasounds were performed. At the begin, the ultrasound mean of the dilation was 5.94 x 1.70

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Usman, Mohammed, Oguntayo O. Adekunle, S. Bawa Umma, Abbas Iliyasu, and B. Igashi Joseph. "Comparison of Transperineal Ultrasound Cervical Length and Fetal Head- Perineum Distance Measurements with a Simplified Bishop Score in Predicting Induction of Labor Outcome: What is new?" Nigerian Journal of Basic and Clinical Sciences 20, no. 2 (2023): 171–76. http://dx.doi.org/10.4103/njbcs.njbcs_22_23.

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Context: The goal of Induction of labor (IOL) is to achieve vaginal delivery and reduce cesarean section. The Bishop score (BS) is the gold standard method to assess cervical status, but it is not flawless, leading to unnecessary interventions. Transperineal ultrasound measurements have been compared with the BS in predicting successful IOL. Yet the results are inconsistent. Aim: This study aimed to compare transperineal ultrasound measurements and a simplified BS in predicting IOL outcomes at Ahmadu Bello University Teaching Hospital (ABUTH) Zaria. Settings and Design: This was a cross-sectio

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Sanchez, Maëva, Paul Berveiller, Hélène Behal, et al. "Impact of body mass index on sonographic measurement of head perineum distance before operative vaginal delivery." International Journal of Gynecology & Obstetrics, May 12, 2024. http://dx.doi.org/10.1002/ijgo.15568.

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AbstractObjectiveTo evaluate the impact of body mass index (BMI) on sonographic measurement of head perineum distance (HPD) before operative vaginal delivery (OVD).MethodsThis was a single‐center retrospective cohort study (Lille, France) conducted from March 1, 2019 to October 31, 2020 including all singleton and OVD. HPD measurement was systematically performed without and with compression on the perineum soft tissues. The level of station was defined by vaginal examination and three maternal BMI groups were defined (normal BMI [<24.9 kg/m2] vs overweight [25–29.9 kg/m2] vs obese [≥30 kg/

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"Prediction of vaginal delivery by using intrapartum ultrasound – a prospective cohort study." Actual problems of modern medicine, no. 3 (2019). http://dx.doi.org/10.26565/2617-409x-2019-3-02.

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Non-invasive transperineal ultrasound is used to detect the descent of the fetal head by measuring head-perineum distance (HPD) and angle of progression (AP). The aim of the study was to evaluate HPD and AP as predictors of vaginal delivery in the first stage of labor. Methods: A prospective cohort study was made in Riga Maternity Hospital in Latvia in 2016. In the study were included nulliparous women with singleton pregnancies in cephalic presentation. HPD and AP were measured using transperineal ultrasoud. Demographic data, delivery parameters and birth outcomes were collected. Results: Of

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Fang, Jing, Wenwen Wang, Mo Liu, Ning Gu, and Yimin Dai. "The association among fetal head position, fetal head rotation and descent during the progress of labor: a clinical study of an ultrasound-based longitudinal cohort study in nulliparous women." Journal of Perinatal Medicine, December 4, 2024. https://doi.org/10.1515/jpm-2024-0459.

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Abstract Objectives To elucidate the effects of the timing of fetal head rotation on the labor progress and outcomes. Methods A paired ultrasound measurement was performed at each of the three stages of labor: latency stage, active stage, and full-cervical-dilatation stage. The measurements included fetal head position, head-perineum distance (HPD) and the angle of progression (AOP). Results A total of 46 pregnancy women were included and a total of 102 effective measurements were collected. The cases in occipital anterior position were all eutocia. The rate of cesarean section in the left tra

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Hassan, Wassan Nori Mohammed, Fatin Shallal, and Ali B. Roomi. "Prediction of Successful Induction of labor Using Ultrasonic Fetal Parameters." Current Womens Health Reviews 17 (January 5, 2021). http://dx.doi.org/10.2174/1573404817666210105151803.

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Background: Induction of labor (IOL) is a common obstetrical procedure. Bishop's score was the single predictor element used by practitioners to assess the risk of failure, which led to an increase in cesarean sections (CS). Ultrasound (US) examination was proposed since the variability limitations of Bishop score warranted alternative assessment tools. Objective: This study verifies how the US and other maternal parameters are used in the transperineal approach as an indication and as a predictor of successful induction. Material and methods: A prospective clinical study of 100 participants w

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di Pasquo, Elvira, Ruben Ramirez Zegarra, Ariane J. O. Kiener, et al. "Usefulness of an Intrapartum Ultrasound Simulator (IUSim™) for Midwife Training: Results from an RCT." Fetal Diagnosis and Therapy, December 9, 2020, 1–8. http://dx.doi.org/10.1159/000512047.

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<b><i>Introduction:</i></b> We conducted a randomized study to determine whether a training session on a dedicated simulator (IUSim™) would facilitate the midwives in learning the technique of transperineal intrapartum ultrasound. <b><i>Methods:</i></b> Following a 30-min multimedia presentation including images and videos on how to obtain and measure the angle of progression (AoP) and the head-perineum distance (HPD), 6 midwives with no prior experience in intrapartum ultrasound were randomly split into 2 groups: 3 of them were assigned to the “

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Pan, Wan-Lin, Li-Li Chen, and Meei-Ling Gau. "Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis." BMC Pregnancy and Childbirth 22, no. 1 (2022). http://dx.doi.org/10.1186/s12884-022-04938-y.

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Abstract Background The World Health Organization in recent years has emphasized reducing the possibility of unnecessary interventions in natural childbirth, but little is known about the accuracy of non-invasive methods when assessing the progress of labor. This paper presents a literature review to assess strategies that support non-invasive methods for labor during the first stage. It evaluates the available evidence to provide the most suitable assessments and predictions that objectively identify the progress of low-risk labor during the first stage of labor. Methods A search for relevant

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Saridogan, Erdinc, and Ozlem Moraloglu Tekin. "The Usefulness of Intrapartum Transperineal Ultrasonography for the Prediction of Mode of Delivery." Gynecology Obstetrics & Reproductive Medicine, June 24, 2020, 1. http://dx.doi.org/10.21613/gorm.2020.1031.

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<p><strong>OBJECTIVE:</strong> We aimed to assess the accuracy of intrapartum transperineal ultrasonography that is non-invasive, easy to learn, rapid to perform, comfortable for pregnant women, and low-cost method to evaluate the progress of labor objectively.</p><p><strong>STUDY DESIGN:</strong> We evaluated two hundred-ten singleton pregnant women at term with cephalic presentation who went into active labor via intrapartum transperineal ultrasonography using the angle of progression and head-perineum distance. Maternal characteristics, conventional

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Ramirez Zegarra, R., A. Dall'Asta, E. Di Pasquo, et al. "Does sonographic assessment of fetal head flexion in occiput posterior fetuses at start of second stage of labor predict persistent occiput posterior position?: prospective study." Ultrasound in Obstetrics & Gynecology, August 23, 2023. http://dx.doi.org/10.1002/uog.27461.

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ABSTRACTObjectivesTo evaluate the relationship between the flexion of the fetal head quantified by means of the chin‐to‐chest angle (CCA) in fetuses in OP position at the beginning of the second stage of labor, and persistent OP position at birth.MethodsSingle‐center, prospective, observational study conducted at the University Hospital of Parma, Italy. We included singleton pregnancies at term with fetuses in OP position at the beginning of the second stage of labor. The fetal head position, station by means of angle of progression and head‐to‐perineum distance; and attitude by means of CCA w

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