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Federación Mexicana de Ginecología y Obstetricia, A.C.

2019, Number 08

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Ginecol Obstet Mex 2019; 87 (08)

Detection of position anomalies by suprapubic transabdominal ultrasound. Report of two cases

Villagómez-Mendoza EA, Yescas-Osorio IN, Toriz-Prado A

Language: Spanish
References: 14
Page: 549-554
PDF size: 364.03 Kb.


ABSTRACT

Background: The anomalies of the position are the cause of failure in the task of labor. The ultrasound during labor is a complementary tool to confirm the clinical findings in the vaginal examination and define the type of position abnormality.
Objective: to report on the use of ultrasound during abnormal labor, such as the detection of the position abnormality.
Clinical cases: Case 1: 24-year-old patient with 41 weeks of gestation (SDG) and premature rupture of membranes, entered the area of tochosurgery to complete the dilation and cervical neck, nevertheless worked and delivery for 120 minutes . A suprapubic transabdominal ultrasound was performed, finding a sign of strabismus, the resolution was by caesarean section and an occipito-posterior position anomaly was corroborated. Case 2: 29-year-old patient with 39 SDG and gestational hypertension, it is deduced from the labor, the cervical neck was dilated and for 120 minutes, there was no decrease of the cephalic pole, a variety of occipito place -transverse, suprapubic transabdominal ultrasound was performed, finding a sign of strabismus. The pregnancy ended by caesarean section and the evolution for the mother and her child was satisfactory.
Conclusions: Ultrasound is an effective study for the detection of position abnormalities, since it reduces maternal-fetal complications associated with extended labor. However, reporting the experience of only two cases could not be valid to support this assertion.


REFERENCES

  1. Bellussi F, et al. The use of intrapartum ultrasound to diagnose malpositions and cephalic malpresentations. Am J Obstet Gyneco 2017;217(6):633-41. http://dx.doi. org/10.1016/l.ajog.2017.07.025

  2. Malvasi A, et al. Intrapartum sonographic signs: new diagnostic tools in malposition and malrotation. J Matern Fetal Neonatal Med 2016;29(15):2408-13. http://doi.org/10.31 09/14767058.2015.1092137.

  3. Youssef A, et al. Fetal head–symphysis distance and mode of delivery in the second stage of labor. Acta Obstet Gynecol Scand 2014;93;(10):1011-1017. http://doi.org/10.1111/ aogs.12454

  4. Fouche J, et al. Ultrasound in monitoring of the second stage of labour. Gynecol Obstet Fertil 2012;40(11):658-665. http://doi.org/10.1016/j.gyobfe.2012.09.001

  5. FIGO Safe motherhood and newborn health (SMNH) Committee. Management of second stage of labor. Int J Gynecol Obstet 2012;119(2):111-6. http://doi.org/10.1016/j. ijgo.2012.08.002

  6. Gimovsky A, et al. Randomized controlled trial of prolonged second extending the time limit vs usual guidelines. Am J Obstet Gynecol 2016;214(3):3361. http://doi. org/10.1016/j.ajog.2015.12.042

  7. Ehsanipoor R, et al. Normal and abnormal labor progression. Dirección URL: . Senecal J, et al. Effect of fetal position on second-stage duration and labor outcome. Obstet Gynecol 2005;105(4):763-72. http://doi.org/10.1097/01.AOG.0000154889.47063.84

  8. Senecal J, et al. Effect of fetal position on second-stage duration and labor outcome. Obstet Gynecol 2005;105(4):763- 72. http://doi.org/10.1097/01.AOG.0000154889.47063.84

  9. Martino V, et al. Occipito-posterior fetal head position, maternal and neonatal outcome. Minerva Ginecol 2007;59(4):459-64.

  10. Ghi T, et al. Sonographic diagnosis of lateral asynclitism: a new subtype of fetal head malposition as a main determinant of early labor arrest. Ultrasound Obstet Gynecol 2015;45:229-231. http://doi.org/10.1002/uog.13385

  11. Ghi T, et al. The occiput-spine angle a new sonographic index of fetal head deflexion during the first stage of labor. Am J Obstet Gynecol 2016;215(1):84.e1-7. http://doi. org/10.1016/j.ajog.2016.02.020

  12. Ghi T, et al. Sonographic pattern of fetal head descent: relationship with duration of active second stage of labor and occiput position at delivery. Ultrasound Obstet Gynecol 2014;44:82-89. http://doi.org/10.1002/uog.13324

  13. Gilboa Y, et al. Head progression distance in prolonged second stage of labor: relationship with mode of delivery and fetal head station. Ultrasound Obstet Gynecol 2013;41:436- 441. http://doi.org/10.1002/uog.12378.

  14. Ghi T, et al. Intrapartum sonographic imaging of fetal head asynclitism. Ultrasound Obstet Gynecol 2012;39:238-240. http://doi.org/10.1002/uog.9034.




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