超声波造影对监测分娩进展是否有价值?

Khaled Salama, Mohammed Elnory, Ali A. Bendary, Ahmed Mohammed
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摘要

背景:初产妇及其胎儿在很大程度上依赖于熟练的分娩进展管理。阴道检查(VE)是测量宫颈扩张和胎头位置的黄金标准。本研究旨在探讨经会阴超声波检查(TPUS)在跟踪产程方面的作用。研究方法这项前瞻性观察研究共纳入了 36 名初产妇。所有产妇都至少年满 18 岁,在妊娠 37 至 41 周期间怀有单胎。在进行经阴道超声波检查(TPUS)后,医生记录了产妇的宫颈扩张情况、胎头下降情况和胎儿的头部位置。VE 的结果与这些测量结果进行了比较。参与者的平均年龄为 33 岁零 7.4 个月。平均体重指数为 27.31.3 kg/m2。平均胎龄为 39 周零 1 天。用 VE 测量的胎头位置与用 US 测量的胎头-会阴距离之间存在有利的联系(P0.001)。用 VE 测量的胎头位置与用 US 测量的胎头-会阴距离之间存在有利的联系(p0.001)。与男性相比,女性更愿意接受 TPUS(66.7%,而 VE 为 38.9%,P 0.001),并对 TPUS 感到满意。总之,TPUS 作为一种安全且用户友好的方法,在跟踪初产妇的产程发展方面显示出了潜力。我们的研究结果表明,在分娩过程中的许多时间点,TPUS 测量与传统的阴道检查有很好的相关性。
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Is sonopartogram of value in monitoring the progress of labor?observational study
Background: The First-time mothers and their unborn babies rely heavily on skilled management of labour progression. Vaginal exams (VE) are the gold standard for gauging cervical dilation and foetal head position. The purpose of this research was to examine how useful transperineal ultrasonography (TPUS) is for tracking labour. Methods: Thirty-six first-time mothers were included in this prospective observational research. All of the women were at least 18 years old and carrying a single baby during 37 to 41 weeks' gestation. After doing a transvaginal ultrasound (TPUS), the doctor took notes on the mother's cervical dilatation, the foetal head descent, and the head position of the baby. The results of the VE were compared to these measures. The average age of the participants was determined to be 33 years and 7.4 months. The average body mass index was 27.31.3 kg/m2. The average gestational age was 39 weeks and 1 day. There was a favourable connection between the foetal head station as measured by VE and the Head-perineum distance as measured by US (p0.001). There was a favourable connection between the foetal head station as measured by VE and the Head-perineum distance as measured by US (p0.001). Women were more likely to comply with and be satisfied with TPUS (66.7% vs. 38.9% with VE, p 0.001) than males were with VE. In conclusion, TPUS shows potential as a safe and user-friendly method for tracking the development of labour in first-time mothers. Our results show that TPUS measures correlate well with traditional vaginal checks at many time points during childbirth.
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