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Methods This was a prospective observational study of pregnant women. After full cervical dilatation was determined by vaginal examination during labor, transperineal ultrasound was immediately performed and the head direction (HD), progression distance (PD), and angle of progression (AoP) were measured. The cases were divided into two groups: spontaneous vaginal delivery and operative delivery due to failure of progression. Differences between the groups were statistically analyzed using Student’s t-test and Fisher’s exact test. Results Of the 50 women, 42 had spontaneous vaginal deliveries and 8 had vacuum extractions. The spontaneous delivery group had significantly higher HD, PD, and AoP values than the vacuum extraction group. The areas under the receiver-operating characteristic curves for the prediction of spontaneous vaginal delivery were 0.850 for HD, 0.827 for PD, and 0.783 for AoP. The optimum cut-off points and positive predictive values were 83° and 92.9% for HD, 56 mm and 94.9% for PD, and 146° and 94.3% for AoP, respectively. Conclusion Transperineal ultrasound examination just after full cervical dilatation was determined was useful in predicting spontaneous vaginal delivery. 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Prediction of spontaneous vaginal delivery by transperineal ultrasound performed just after full cervical dilatation is determined
https://doi.org/10.20569/00003437
https://doi.org/10.20569/0000343798e4653c-65b2-428d-8afe-8b3120b811fd
名前 / ファイル | ライセンス | アクション |
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ihakukou1146.pdf (263.1 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-11-13 | |||||
タイトル | ||||||
タイトル | Prediction of spontaneous vaginal delivery by transperineal ultrasound performed just after full cervical dilatation is determined | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | transperineal ultrasound | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | labor | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | head direction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | progression distance | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | angle of progression | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.20569/00003437 | |||||
ID登録タイプ | JaLC | |||||
別タイトル | ||||||
その他のタイトル | 分娩第二期における経会陰超音波検査の有用性の検討 -子宮口全開大直後の分娩進行の評価による自然分娩の予測― | |||||
著者 |
Kameyama, Saeko
× Kameyama, Saeko× Sato, Akira× Miura, Hiroshi× Kumagai, Jin× Sato, Naoki× Shimizu, Dai× Makino, Kenichi× Terada, Yukihiro |
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内容記述(抄録) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Purpose To investigate whether transperineal ultrasound examination just after full cervical dilatation is determined can predict the mode of delivery. Methods This was a prospective observational study of pregnant women. After full cervical dilatation was determined by vaginal examination during labor, transperineal ultrasound was immediately performed and the head direction (HD), progression distance (PD), and angle of progression (AoP) were measured. The cases were divided into two groups: spontaneous vaginal delivery and operative delivery due to failure of progression. Differences between the groups were statistically analyzed using Student’s t-test and Fisher’s exact test. Results Of the 50 women, 42 had spontaneous vaginal deliveries and 8 had vacuum extractions. The spontaneous delivery group had significantly higher HD, PD, and AoP values than the vacuum extraction group. The areas under the receiver-operating characteristic curves for the prediction of spontaneous vaginal delivery were 0.850 for HD, 0.827 for PD, and 0.783 for AoP. The optimum cut-off points and positive predictive values were 83° and 92.9% for HD, 56 mm and 94.9% for PD, and 146° and 94.3% for AoP, respectively. Conclusion Transperineal ultrasound examination just after full cervical dilatation was determined was useful in predicting spontaneous vaginal delivery. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | info:doi/10.1007/s10396-015-0681-x | |||||
書誌情報 |
Journal of Medical Ultrasonics 巻 43, 号 2, p. 243-248, 発行日 2016 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 16132254 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11563281 | |||||
出版者 | ||||||
出版者 | Springer | |||||
著作権等 | ||||||
権利情報 | Springer | |||||
備考 | ||||||
秋田大学審査学位論文の著者稿, 学位名:博士(医学), 学位授与年月日:20160322, 学位授与番号:11401甲第1146号 |