Transperineal Ultrasound and the Place of Sonopartograph in Travay Follow-up in Term Pregnancy

Not Applicable

Completed

• Conditions: Intrapartum; Transperineal Ultrasound
• Interventions: Other: transperineal ultrasound

• Registration Number: NCT06177080
• Lead Sponsor: Sanliurfa Mehmet Akif Inan Education and Research Hospital

Brief Summary

Investigators aimed to determine the progression of the descent angle and head symphysis distance measured by intrapartum transperineal ultrasound as an alternative to vaginal examination and bishop score, according to time and cervical dilatation and to draw a sonopartograph as a new indicator also aimed to evaluate the success of the use of transperineal ultrasound in the active phase of labor in predicting prolonged labor, duration and mode of of delivery.

Detailed Description

Descent angle and head symphysis distances by transperineal ultrasound of pregnant women who are in the active phase of labor was measured hourly in the first phase of the active phase (the period from 4 cm to full dilation of the cervical opening); every 15 minutes in the second phase of the active phase (time from full dilation to delivery of the baby) Cervical dilatation and head levels were noted by simultaneous digital vaginal examination. The physician who performed the imaging and the physician who made the vajinal examination worked independently of each other and did not see each other's results.

Study Timeline

• Study Start: 2021-12-01
• Primary Completion: 2022-07-01
• Study Completion: 2022-07-01
• Status Verified: 2023-12
• Study First Submitted: 2023-12-11
• Study First Submitted QC: 2023-12-11
• Last Update Submitted: 2023-12-11
• Study First Posted: 2023-12-20
• Last Update Posted: 2023-12-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• multiparous pregnancy
• active phase in labor
• vertex position

Exclusion Criteria

• multiple pregnancy
• BMI over 35
• preterm labor
• congenital anomalies

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Definitions of active phase angle of progression, head symphysis distance and examination findings	transperineal ultrasound	Definitions of active phase AOP and HSD and examination findings measured in each period according to the type of birth

Primary Outcome Measures

Name	Time	Method
Transperineal ultrasound instead of digital vaginal examination	7 months	use of transperineal ultrasound in the active phase of labor in predicting prolonged labor, duration and mode of delivery.

Trial Locations

Locations (1)

Nefise Nazlı YENIGUL; 🇹🇷 Bursa, Turkey