Study protocol. IDUS - Instrumental delivery & ultrasound: a multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery.

Hdl Handle:
http://hdl.handle.net/10147/279315
Title:
Study protocol. IDUS - Instrumental delivery & ultrasound: a multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery.
Authors:
Murphy, Deirdre J; Burke, Gerard; Montgomery, Alan A; Ramphul, Meenakshi
Affiliation:
Academic Department of Obstetrics & Gynaecology, Trinity College Dublin & Coombe Women & Infant's University Hospital, Dublin, Ireland.
Citation:
Study protocol. IDUS - Instrumental delivery & ultrasound: a multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery. 2012, 12:95 BMC Pregnancy Childbirth
Journal:
BMC pregnancy and childbirth
Issue Date:
2012
URI:
http://hdl.handle.net/10147/279315
DOI:
10.1186/1471-2393-12-95
PubMed ID:
22970933
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490917/pdf/1471-2393-12-95.pdf; http://www.biomedcentral.com/1471-2393/12/95
Abstract:
Instrumental deliveries are commonly performed in the United Kingdom and Ireland, with rates of 12 - 17% in most centres. Knowing the exact position of the fetal head is a pre-requisite for safe instrumental delivery. Traditionally, diagnosis of the fetal head position is made on transvaginal digital examination by delineating the suture lines of the fetal skull and the fontanelles. However, the accuracy of transvaginal digital examination can be unreliable and varies between 20% and 75%. Failure to identify the correct fetal head position increases the likelihood of failed instrumental delivery with the additional morbidity of sequential use of instruments or second stage caesarean section. The use of ultrasound in determining the position of the fetal head has been explored but is not part of routine clinical practice.
Item Type:
Article
Language:
en
MeSH:
Extraction, Obstetrical; Female; Head; Humans; Labor Stage, Second; Palpation; Pregnancy; Pregnancy Outcome; Standard of Care; Ultrasonography, Prenatal
ISSN:
1471-2393

Full metadata record

DC FieldValue Language
dc.contributor.authorMurphy, Deirdre Jen_GB
dc.contributor.authorBurke, Gerarden_GB
dc.contributor.authorMontgomery, Alan Aen_GB
dc.contributor.authorRamphul, Meenakshien_GB
dc.date.accessioned2013-04-08T11:37:56Z-
dc.date.available2013-04-08T11:37:56Z-
dc.date.issued2012-
dc.identifier.citationStudy protocol. IDUS - Instrumental delivery & ultrasound: a multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery. 2012, 12:95 BMC Pregnancy Childbirthen_GB
dc.identifier.issn1471-2393-
dc.identifier.pmid22970933-
dc.identifier.doi10.1186/1471-2393-12-95-
dc.identifier.urihttp://hdl.handle.net/10147/279315-
dc.description.abstractInstrumental deliveries are commonly performed in the United Kingdom and Ireland, with rates of 12 - 17% in most centres. Knowing the exact position of the fetal head is a pre-requisite for safe instrumental delivery. Traditionally, diagnosis of the fetal head position is made on transvaginal digital examination by delineating the suture lines of the fetal skull and the fontanelles. However, the accuracy of transvaginal digital examination can be unreliable and varies between 20% and 75%. Failure to identify the correct fetal head position increases the likelihood of failed instrumental delivery with the additional morbidity of sequential use of instruments or second stage caesarean section. The use of ultrasound in determining the position of the fetal head has been explored but is not part of routine clinical practice.en_GB
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490917/pdf/1471-2393-12-95.pdfen_GB
dc.relation.urlhttp://www.biomedcentral.com/1471-2393/12/95en_GB
dc.rightsArchived with thanks to BMC pregnancy and childbirthen_GB
dc.subject.meshExtraction, Obstetrical-
dc.subject.meshFemale-
dc.subject.meshHead-
dc.subject.meshHumans-
dc.subject.meshLabor Stage, Second-
dc.subject.meshPalpation-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Outcome-
dc.subject.meshStandard of Care-
dc.subject.meshUltrasonography, Prenatal-
dc.titleStudy protocol. IDUS - Instrumental delivery & ultrasound: a multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery.en_GB
dc.typeArticleen
dc.contributor.departmentAcademic Department of Obstetrics & Gynaecology, Trinity College Dublin & Coombe Women & Infant's University Hospital, Dublin, Ireland.en_GB
dc.identifier.journalBMC pregnancy and childbirthen_GB
dc.description.provinceLeinsteren
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