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Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility

INTRODUCTION: Vaginal examination (VE) is known to be subjective in interpretation and is considered uncomfortable by many women. Intrapartum ultrasound aims to be more objective and less invasive. The purpose of this study was to evaluate the acceptability of introducing intrapartum ultrasound to b...

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Autores principales: Van Adrichem, Adrielle, Faes, Ellen, Kinget, Kristof, Jacquemyn, Yves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995279/
https://www.ncbi.nlm.nih.gov/pubmed/29922095
http://dx.doi.org/10.2147/IJWH.S155865
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author Van Adrichem, Adrielle
Faes, Ellen
Kinget, Kristof
Jacquemyn, Yves
author_facet Van Adrichem, Adrielle
Faes, Ellen
Kinget, Kristof
Jacquemyn, Yves
author_sort Van Adrichem, Adrielle
collection PubMed
description INTRODUCTION: Vaginal examination (VE) is known to be subjective in interpretation and is considered uncomfortable by many women. Intrapartum ultrasound aims to be more objective and less invasive. The purpose of this study was to evaluate the acceptability of introducing intrapartum ultrasound to both midwives and parturients. Furthermore, we wanted to evaluate the reproducibility of different measurements when introduced de novo among operators without prior ultrasound experience. SUBJECTS AND METHODS: This study determined intra- and interobserver variability of intrapartum ultrasound in nulliparous women in labor. Ultrasound examinations were performed independently by a midwife and a gynecologist. The symphysis–head distance (SHD) and the angle of progression (AOP) were measured by translabial ultrasound. Structured questionnaires were given to midwives and parturients. Intraclass correlation coefficient (ICC) and limits of agreement (LA) were calculated to evaluate variability. RESULTS: A total of 33 patients were included; of whom, 28 filled in the questionnaire. A total of 19 midwives working on a delivery ward were asked to respond to the questionnaire, and 13 returned the forms. Midwives clearly continued to prefer VE over ultrasound, the majority evaluated translabial ultrasound as easy to use, but some declared to be unable to use it. The majority of patients, 71%, preferred ultrasound over VE. Reproducibility of intrapartum trans-labial ultrasound was good; ICC for interobserver variability was 0.603 (p=0.001) for SHD, and ICC for intraobserver variability was 0.844 (p<0.001) and 0.914 (p<0.001) for SHD and AOP, respectively. CONCLUSION: Patients prefer ultrasound over VE; midwives tend to stick to trusted VE. Reproducibility of intrapartum ultrasound in non-experienced operators is good.
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spelling pubmed-59952792018-06-19 Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility Van Adrichem, Adrielle Faes, Ellen Kinget, Kristof Jacquemyn, Yves Int J Womens Health Original Research INTRODUCTION: Vaginal examination (VE) is known to be subjective in interpretation and is considered uncomfortable by many women. Intrapartum ultrasound aims to be more objective and less invasive. The purpose of this study was to evaluate the acceptability of introducing intrapartum ultrasound to both midwives and parturients. Furthermore, we wanted to evaluate the reproducibility of different measurements when introduced de novo among operators without prior ultrasound experience. SUBJECTS AND METHODS: This study determined intra- and interobserver variability of intrapartum ultrasound in nulliparous women in labor. Ultrasound examinations were performed independently by a midwife and a gynecologist. The symphysis–head distance (SHD) and the angle of progression (AOP) were measured by translabial ultrasound. Structured questionnaires were given to midwives and parturients. Intraclass correlation coefficient (ICC) and limits of agreement (LA) were calculated to evaluate variability. RESULTS: A total of 33 patients were included; of whom, 28 filled in the questionnaire. A total of 19 midwives working on a delivery ward were asked to respond to the questionnaire, and 13 returned the forms. Midwives clearly continued to prefer VE over ultrasound, the majority evaluated translabial ultrasound as easy to use, but some declared to be unable to use it. The majority of patients, 71%, preferred ultrasound over VE. Reproducibility of intrapartum trans-labial ultrasound was good; ICC for interobserver variability was 0.603 (p=0.001) for SHD, and ICC for intraobserver variability was 0.844 (p<0.001) and 0.914 (p<0.001) for SHD and AOP, respectively. CONCLUSION: Patients prefer ultrasound over VE; midwives tend to stick to trusted VE. Reproducibility of intrapartum ultrasound in non-experienced operators is good. Dove Medical Press 2018-06-06 /pmc/articles/PMC5995279/ /pubmed/29922095 http://dx.doi.org/10.2147/IJWH.S155865 Text en © 2018 Van Adrichem et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Van Adrichem, Adrielle
Faes, Ellen
Kinget, Kristof
Jacquemyn, Yves
Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
title Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
title_full Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
title_fullStr Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
title_full_unstemmed Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
title_short Intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
title_sort intrapartum ultrasound: viewpoint of midwives and parturient women and reproducibility
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995279/
https://www.ncbi.nlm.nih.gov/pubmed/29922095
http://dx.doi.org/10.2147/IJWH.S155865
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