Predictive Value of Intrapartum Transperineal Ultrasonography in Determining Delivery Mode: A Prospective Study

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dc.contributor.authorTeberik, Ceren
dc.contributor.authorKeyif, Betul
dc.contributor.authorYurtcu, Engin
dc.contributor.authorBasbug, Alper
dc.contributor.authorGoynumer, Fikret Gokhan
dc.date.accessioned2025-10-11T20:47:58Z
dc.date.available2025-10-11T20:47:58Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective: This study aimed to evaluate the usefulness of intrapartum transperineal ultrasonographic (ITU) parameters in predicting delivery mode. Method: This prospective study included 104 pregnant women inAactive labor with ruptured membranes at D & uuml;zce University Health Application and Research Center from April 2023 to April 2024. ITU measured the angle of progression (AoP), head-perineum distance (HPD), and midline angle (MLA). These parameters were compared with digital vaginal examinations and delivery outcomes. Results: Of the participants, 93 (89.4%) had spontaneous vaginal deliveries (SVD), 6 (5.7%) had operative vaginal deliveries (OVD), and 5 (4.8%) had cesarean sections (C/S). AoP1 and AoP2 were significantly higher in the SVD group compared to OVD and C/S groups (p<0.001). The Delta AoP was significantly lower in the OVD group (p=0.044). HPD1 and HPD2 were significantly higher in the C/S group (p=0.031 and p=0.041, Arespectively). MLA1 and MLA2 were significantly lower in the SVD group (p=0.002 and p=0.001, Arespectively). Conclusions: ITU is a valuable tool in predicting delivery mode. AoP, HPD, and MLA measurements provide objective and reliable data to assist clinicians in labor management. Further research with larger sample sizes is needed to validate these findings and establish standardized protocols for clinical use.en_US
dc.identifier.doi10.18521/ktd.1632264
dc.identifier.endpage195en_US
dc.identifier.issn1309-3878
dc.identifier.issue2en_US
dc.identifier.startpage189en_US
dc.identifier.trdizinid1321034en_US
dc.identifier.urihttps://doi.org/10.18521/ktd.1632264
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1321034
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21657
dc.identifier.volume17en_US
dc.identifier.wosWOS:001531309100001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherDuzce Univ, Fac Medicineen_US
dc.relation.ispartofKonuralp Tip Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectIntrapartum Transperineal Ultrasounden_US
dc.subjectPredicting Delivery Modeen_US
dc.subjectAngle of Progressionen_US
dc.subjectHead-Perineum Distanceen_US
dc.titlePredictive Value of Intrapartum Transperineal Ultrasonography in Determining Delivery Mode: A Prospective Studyen_US
dc.typeArticleen_US

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