TY - JOUR
T1 - Sonographic evaluation of fetal head extension and maternal pelvis in cases of breech presentation
AU - Rojansky, Nathan
AU - Tanos, Vasilios
AU - Lewin, Aby
AU - Weinstein, Daniel
PY - 1994
Y1 - 1994
N2 - Background. To investigate whether sonographic examination of the fetal head extension, pelvic adequacy and fetal position, could replace the traditional x‐ray method in the evaluation of t he breech in labor. Methods. Seventy‐two parturients admitted in labor with a breech presentation were prospectively evaluated by a newly proposed ultrasonographic approach. The head extension, obstetric conjugate and fetal attitude obtained were further compared 10 the gold standard radiologic measurements. Results. A highly significant correlation between ultrasonic and x‐ray measurements for the fetal head extension (r = 0.8696; p<0.00011. obstetric conjugate (r = 0.8931 p<0.0001), as well as high reliability (95.5%)) in diagnosing the breech variant by ultrasound have been found. Conclusions. Ultrasonic evaluation of breech presentation, as performed by the proposed method. is simple, easy to perform aid compares well with the standard radiologic studies. It is suggested that modern ultrasonic technique. which carries no risk of ionizing radiation, may replace traditional x‐ray examination of the breech in labor. 1994 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted
AB - Background. To investigate whether sonographic examination of the fetal head extension, pelvic adequacy and fetal position, could replace the traditional x‐ray method in the evaluation of t he breech in labor. Methods. Seventy‐two parturients admitted in labor with a breech presentation were prospectively evaluated by a newly proposed ultrasonographic approach. The head extension, obstetric conjugate and fetal attitude obtained were further compared 10 the gold standard radiologic measurements. Results. A highly significant correlation between ultrasonic and x‐ray measurements for the fetal head extension (r = 0.8696; p<0.00011. obstetric conjugate (r = 0.8931 p<0.0001), as well as high reliability (95.5%)) in diagnosing the breech variant by ultrasound have been found. Conclusions. Ultrasonic evaluation of breech presentation, as performed by the proposed method. is simple, easy to perform aid compares well with the standard radiologic studies. It is suggested that modern ultrasonic technique. which carries no risk of ionizing radiation, may replace traditional x‐ray examination of the breech in labor. 1994 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted
KW - breech delivery
KW - fetal head extension
KW - obstetric conjugate
KW - ultrasonic diagnosis
UR - http://www.scopus.com/inward/record.url?scp=0028050135&partnerID=8YFLogxK
U2 - 10.3109/00016349409013452
DO - 10.3109/00016349409013452
M3 - Article
C2 - 7941983
AN - SCOPUS:0028050135
SN - 0001-6349
VL - 73
SP - 607
EP - 611
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
IS - 8
ER -