Use of the angle of progression on ultrasonography to predict spontaneous onset of labor within 7 days
-
Geum Joon Cho
und
Hai-Joong Kim
Abstract
Objective: To investigate the relationship between angle of progression (AoP) on ultrasonography at 37–40 weeks’ gestation and delivery within 7 days.
Methods: This prospective study was conducted between January 2013 and May 2013 at Korea University Guro Hospital, Korea. Nulliparous women between 37/0 and 40/3 weeks’ gestation with a singleton fetus, intact membrane, and cephalic presentation from January 2013 to May 2013 were enrolled. To evaluate the cervical parameters of cervical length and AoP, transvaginal and transperineal ultrasonography were performed, respectively. We then assessed the relationship between cervical parameters and onset of labor within 7 days by multivariate logistic regression analysis.
Results: Women who underwent spontaneous onset of labor within 7 days had a significantly shorter cervical length and AoP than those who underwent labor after 7 days. Logistic regression analysis showed that a larger AoP was an independent predictor of spontaneous labor within 7 days.
Conclusions: A larger AoP was significantly associated with spontaneous onset of labor within 7 days. These findings may be useful for counseling patients regarding the management of term pregnancies.
References
[1] Barbera AF, Pombar X, Perugino G, Lezotte DC, Hobbins JC. A new method to assess fetal head descent in labor with transperineal ultrasound. Ultrasound Obstet Gynecol. 2009;33:313–9.10.1002/uog.6329Suche in Google Scholar
[2] Berghella V, Bega G. Ultrasound evaluation of the cervix. In: Callen PW, editor. Ultrasonography in obstetrics and gynecology. 5th ed. Philadelphia, PA: Saunders Elsevier; 2008. p. 698–720.10.1016/B978-1-4160-3264-9.50022-7Suche in Google Scholar
[3] Berghella V, Tolosa JE, Kuhlman K, Weiner S, Bolognese RJ, Wapner RJ. Cervical ultrasonography compared with manual examination as a predictor of preterm delivery. Am J Obstet Gynecol. 1997;177:723–30.10.1016/S0002-9378(97)70259-XSuche in Google Scholar
[4] Bishop EH. Pelvic scoring for elective induction. Obstet Gynecol. 1964;24:266–8.Suche in Google Scholar
[5] Brieger GM, Ning XH, Dawkins RR, Ying KQ, Weng C, Chang AM, et al. Transvaginal sonographic assessment of cervical dynamics during the third trimester of normal pregnancy. Acta Obstet Gynecol Scand. 1997;76:118–22.10.3109/00016349709050065Suche in Google Scholar PubMed
[6] Dückelmann AM, Bamberg C, Michaelis SA, Lange J, Nonnenmacher A, Dudenhausen JW, et al. Measurement of fetal head descent using the ‘angle of progression’ on transperineal ultrasound imaging is reliable regardless of fetal head station or ultrasound expertise. Ultrasound Obstet Gynecol. 2010;35:216–22.10.1002/uog.7521Suche in Google Scholar PubMed
[7] Eggebø TM, Gjessing LK, Heien C, Smedvig E, Økland I, Romundstad P, et al. Prediction of labor and delivery by transperineal ultrasound in pregnancies with prelabor rupture of membranes at term. Ultrasound Obstet Gynecol. 2006;27:387–91.10.1002/uog.2744Suche in Google Scholar PubMed
[8] Ghi T, Contro E, Farina A, Nobile M, Pilu G. Three-dimensional ultrasound in monitoring progression of labor: a reproducibility study. Ultrasound Obstet Gynecol. 2010;36:500–6.10.1002/uog.7752Suche in Google Scholar PubMed
[9] Ghi T, Youssef A, Maroni E, Arcangeli T, De Musso F, Bellussi F, et al. Intrapartum transperineal ultrasound assessment of fetal head progression in active second stage of labor and mode of delivery. Ultrasound Obstet Gynecol. 2013;41:430–5.10.1002/uog.12379Suche in Google Scholar PubMed
[10] Molina FS, Terra R, Carrillo MP, Puertas A, Nicolaides KH. What is the most reliable ultrasound parameter for assessment of fetal head descent? Ultrasound Obstet Gynecol. 2010;36:493–9.10.1002/uog.7709Suche in Google Scholar PubMed
[11] Ramanathan G, Yu C, Osei E, Nicolaides KH. Ultrasound examination at 37 weeks’ gestation in the prediction of pregnancy outcome: the value of cervical assessment. Ultrasound Obstet Gynecol. 2003;22:598–603.10.1002/uog.913Suche in Google Scholar PubMed
[12] Rozenberg P, Goffinet F, Hessabi M. Comparison of the Bishop score, ultrasonographically measured cervical length, and fetal fibronectin assay in predicting time until delivery and type of delivery at term. Am J Obstet Gynecol. 2000;182:108–13.10.1016/S0002-9378(00)70498-4Suche in Google Scholar
[13] Strobel E, Sladkevicius P, Rovas L, De Smet F, Karlsson ED, Valentin L. Bishop score and ultrasound assessment of the cervix for prediction of time to onset of labor and time to delivery in prolonged pregnancy. Ultrasound Obstet Gynecol. 2006;28:298–305.10.1002/uog.2746Suche in Google Scholar PubMed
[14] Tutschek B, Braun T, Chantraine F, Henrich W. A study of progress of labour using intrapartum translabial ultrasound, assessing head station, direction, and angle of descent. Br J Obstet Gynecol. 2011;118:62–9.10.1111/j.1471-0528.2010.02775.xSuche in Google Scholar PubMed
[15] Vimercati A, Greco P, Lopalco P, Loizzi V, Scioscia M, Mei L, et al. The value of ultrasonographic examination of the uterine cervix in predicting post-term pregnancy. J Perinat Med. 2001;29:317–21.10.1515/JPM.2001.045Suche in Google Scholar PubMed
[16] Yost NP, Bloom SL, Twickler DM, Leveno KJ. Pitfalls in ultrasonic cervical length measurement for predicting preterm birth. Obstet Gynecol. 1999;93:510–6.Suche in Google Scholar
[17] Zilianti M, Azuaga A, Calderon F, Pages G, Mendoza G. Monitoring the effacement of the uterine cervix by transperineal sonography: a new perspective. J Ultrasound Med. 1995;14:719–24.10.7863/jum.1995.14.10.719Suche in Google Scholar PubMed
The authors stated that there are no conflicts of interest regarding the publication of this article.
©2015 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- Academy’s Corner
- Obstetrical Doppler: the evidence today
- Review article
- Fetal complications due to intrahepatic cholestasis of pregnancy
- Original articles – Obstetrics
- Pre-pregnancy obesity compromises obstetric and neonatal outcomes
- Novel application of three-dimensional HDlive imaging in prenatal diagnosis from the first trimester
- Placental gene expression of inflammatory markers and growth factors – a case control study of obese and normal weight women
- Haemorrhagic and thrombotic complications in pregnant women with acquired and congenital cardiac disease
- Intrapartum ultrasound prior to Kristeller maneuver: an observational study
- Interinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six German hospitals
- Use of the angle of progression on ultrasonography to predict spontaneous onset of labor within 7 days
- Study of the relationship in pregnant women between hepatitis B markers and a placenta positive for hepatitis B surface antigen
- Sarcoidosis and pregnancy: obstetrical and neonatal outcomes in a population-based cohort of 7 million births
- Original articles – Fetus
- MR imaging of the fetal brain at 1.5T and 3.0T field strengths: comparing specific absorption rate (SAR) and image quality
- Sex differences in the fetal heart rate variability indices of twins
- Original articles – Newborn
- Correlation of neonatal weight with maternal serum levels of pregnancy-associated plasma protein-A during the first trimester of pregnancy: a retrospective study
- Antenatal testing in uncomplicated pregnancies: should testing be initiated after 40 or 41 weeks?
- Low total IgM values and high cytomegalovirus loads in the blood of newborns with symptomatic congenital cytomegalovirus infection
- Associated anomalies in congenital diaphragmatic hernia: perinatal characteristics and impact on postnatal survival
- The value of lipopolysaccharide binding protein for diagnosis of late-onset neonatal sepsis in very low birth weight infants
- Is there a stepwise increase in neonatal morbidities according to histological stage (or grade) of acute chorioamnionitis and funisitis?: effect of gestational age at delivery
- Commentary
- Thrombophilia testing in pregnancy: should we agree to disagree?
- Congress Calendar
- Congress Calendar
Artikel in diesem Heft
- Frontmatter
- Academy’s Corner
- Obstetrical Doppler: the evidence today
- Review article
- Fetal complications due to intrahepatic cholestasis of pregnancy
- Original articles – Obstetrics
- Pre-pregnancy obesity compromises obstetric and neonatal outcomes
- Novel application of three-dimensional HDlive imaging in prenatal diagnosis from the first trimester
- Placental gene expression of inflammatory markers and growth factors – a case control study of obese and normal weight women
- Haemorrhagic and thrombotic complications in pregnant women with acquired and congenital cardiac disease
- Intrapartum ultrasound prior to Kristeller maneuver: an observational study
- Interinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six German hospitals
- Use of the angle of progression on ultrasonography to predict spontaneous onset of labor within 7 days
- Study of the relationship in pregnant women between hepatitis B markers and a placenta positive for hepatitis B surface antigen
- Sarcoidosis and pregnancy: obstetrical and neonatal outcomes in a population-based cohort of 7 million births
- Original articles – Fetus
- MR imaging of the fetal brain at 1.5T and 3.0T field strengths: comparing specific absorption rate (SAR) and image quality
- Sex differences in the fetal heart rate variability indices of twins
- Original articles – Newborn
- Correlation of neonatal weight with maternal serum levels of pregnancy-associated plasma protein-A during the first trimester of pregnancy: a retrospective study
- Antenatal testing in uncomplicated pregnancies: should testing be initiated after 40 or 41 weeks?
- Low total IgM values and high cytomegalovirus loads in the blood of newborns with symptomatic congenital cytomegalovirus infection
- Associated anomalies in congenital diaphragmatic hernia: perinatal characteristics and impact on postnatal survival
- The value of lipopolysaccharide binding protein for diagnosis of late-onset neonatal sepsis in very low birth weight infants
- Is there a stepwise increase in neonatal morbidities according to histological stage (or grade) of acute chorioamnionitis and funisitis?: effect of gestational age at delivery
- Commentary
- Thrombophilia testing in pregnancy: should we agree to disagree?
- Congress Calendar
- Congress Calendar
