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Relationship between fetal head station established using an open magnetic resonance imaging scanner and the angle of progression determined by transperineal ultrasound.

Authors :
Bamberg C
Scheuermann S
Slowinski T
Dückelmann AM
Vogt M
Nguyen-Dobinsky TN
Streitparth F
Teichgräber U
Henrich W
Dudenhausen JW
Kalache KD
Source :
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology [Ultrasound Obstet Gynecol] 2011 Jun; Vol. 37 (6), pp. 712-6. Date of Electronic Publication: 2011 May 03.
Publication Year :
2011

Abstract

Objective: We investigated the correlation between the angle of progression measured by transperineal ultrasound and fetal head station measured by open magnetic resonance imaging (MRI), the gold standard, in pregnant women at full term.<br />Methods: Thirty-one pregnant women at full term with a fetus in the occipitoanterior position were enrolled. First, the distance between the leading part of the skull and the interspinal plane was obtained using an open MRI system with the patient in a supine position. Immediately after MRI, the angle of progression was obtained by transperineal ultrasound without changing the woman's posture.<br />Results: There was a significant correlation between the angle of progression determined by transperineal sonography and the distance between the presenting fetal part and the level of the maternal ischial spines (y = - 0.51x + 60.8, r(2) = 0.38, P < 0.001). None of the fetal heads was engaged at the time of MRI and ultrasound examinations.<br />Conclusions: The present study demonstrated a predictable relationship between the angle of progression obtained by transperineal ultrasound and the traditional scale used to quantify fetal head descent. Based on our results, station 0 would correspond to a 120° angle of progression. However, this correlation is based on statistical assumptions only and has to be proven in future studies.<br /> (Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.)

Details

Language :
English
ISSN :
1469-0705
Volume :
37
Issue :
6
Database :
MEDLINE
Journal :
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
Publication Type :
Academic Journal
Accession number :
21308830
Full Text :
https://doi.org/10.1002/uog.8944