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P06.02: Performance of distance of progression PD in predicting Caesarean delivery in first stage of labour in relation to cervical dilatation
Author(s) -
Elbarbary N.A.,
Zayed L.,
Youssef A.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.19667
Subject(s) - medicine , receiver operating characteristic , cervical dilatation , vaginal delivery , prospective cohort study , area under the curve , observational study , obstetrics , gynecology , pregnancy , surgery , cervix , biology , cancer , genetics
PD is used to assess fetal head descent in labor. Our aim was to assess its performance predicting CD in relation to degree of cervical dilatation, in both static & with uterine contraction & maternal pushing. Methods We included women in active first stage of labor for whom we obtained PD at rest & at uterine contraction with maternal bearing down using 2D ultrasound, then vaginal examination was performed & degree of cervical dilatation recorded. PD were compared between women with Caesarean delivery(CD) and those with vaginal delivery. Receiver–operating characteristics (ROC) curves were constructed to assess the accuracy in the prediction of CD. Furthur classification was done to compare PD performance measured with cervical dilatation ≤5cm & >5cm. Results 119 women were included in the study. 90(76%) delivered vaginally while 29 had CD (24%). Conclusion