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The Influence of Fetal Head Circumference and Fetal Weight Assessed by Intrapartum Ultrasound on Labor Outcome

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Last updated: 24 Dec 2024

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Abstract

Background: birth represents one of the most important of all the experiences of the human race. Despite the complexity and sophistication of modern obstetrics, it is important to remember the simple objective of every pregnancy, namely the delivery of healthy baby to healthy mother. During the last decade, assessment of prolonged second stage has been incorporated into the standard routine antepartum and intrapartum evaluation of labor.Objective: Theaimofthepresentstudywastodetermineiffetalheadcircumferenceandfetalweightcould predict the rate of caesarian section and vaginal deliveries in primigravidas women in labor.
Patients and methods: The study is a prospective cohort study that was conducted at Alexandria Police Hospital maternity labor ward from April 2018 to December 2018. One hundred pregnant parturient admitted to the labor ward of Alexandria Police Hospital for delivery were participated in this study according to specific inclusion criteria. Results: The present study assessed ultrasonographically the head circumference and fetal weight as predictive values on labor outcome. The receiver operator curve (ROC) showed that these were good predictors of mode of delivery (sensitivity of 85 % and specificity of 92.6 %).
Conclusion: The numerical data have a significant relation between intra partum head circumference and fetal weight relative to maternal pelvic diameter and the incidence of primary caesarian section, maternal and fetal complications. So measurement of intrapartum head circumference and fetal weight are good predictors of labor outcome.

DOI

10.21608/ejhm.2019.28678

Keywords

Fetal Head Circumference, Fetal Weight, Intrapartum Ultrasound

Authors

First Name

Isameel Talaat

Last Name

Elgarhy

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Noha Mohamed

Last Name

Sabry

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University

Email

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City

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Orcid

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First Name

Hossam Mohamed Mohamed

Last Name

Abdelkader

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University

Email

dr.hossam201010@gmail.com

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-

Orcid

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Volume

74

Article Issue

8

Related Issue

5084

Issue Date

2019-01-01

Receive Date

2019-03-13

Publish Date

2019-01-01

Page Start

1,785

Page End

1,790

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 74_Issue 8_Pages 1785-1790.pdf

PDF . 378.7kB

Link

https://ejhm.journals.ekb.eg/article_28678.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=28678

Order

13

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Influence of Fetal Head Circumference and Fetal Weight Assessed by Intrapartum Ultrasound on Labor Outcome

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Article

Created At

22 Jan 2023