دورية أكاديمية
أعرض في EDS

Sonographic Evaluation of the Mechanism of Active Labor (SonoLabor Study): observational study protocol regarding the implementation of the sonopartogram.

التفاصيل البيبلوغرافية
العنوان: Sonographic Evaluation of the Mechanism of Active Labor (SonoLabor Study): observational study protocol regarding the implementation of the sonopartogram.
المؤلفون: Dira LM; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Tudorache S; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Antsaklis P; Department of Obstetrics and Gynecology, University of Athens, Athens, Greece., Daskalakis G; Department of Obstetrics and Gynecology, University of Athens, Athens, Greece., Themistoklis D; Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Thessaloniki, Greece., Belciug S; Department of Computer Science, University of Craiova, Craiova, Romania., Stoean R; Department of Computer Science, University of Craiova, Craiova, Romania., Novac M; Department of Intensive Care and Anesthesiology, University of Medicine and Pharmacy Craiova, Craiova, Romania., Cara ML; Department of Public Health, University of Medicine and Pharmacy Craiova, Craiova, Romania monica-laura.cara@outlook.com., Dragusin R; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Florea M; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Patru C; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Zorila L; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Nagy R; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Ruican D; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania., Iliescu DG; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
المصدر: BMJ open [BMJ Open] 2021 Sep 07; Vol. 11 (9), pp. e047188. Date of Electronic Publication: 2021 Sep 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Fetus*/diagnostic imaging , Labor Presentation*, Delivery, Obstetric ; Female ; Humans ; Observational Studies as Topic ; Pregnancy ; Ultrasonography ; Ultrasonography, Prenatal
مستخلص: Introduction: Over the last decades, a large body of literature has shown that intrapartum clinical digital pelvic estimations of fetal head position, station and progression in the pelvic canal are less accurate, compared with ultrasound (US) scan. Given the increasing evidence regarding the advantages of using US to evaluate the mechanism of labour, our study protocol aims to develop sonopartograms for fetal cephalic presentations. They will allow for a more objective evaluation of labour progression than the traditional labour monitoring, which could enable more rapid decisions regarding the mode of delivery.
Methods/analysis: This is a prospective observational study performed in three university hospitals, with an unselected population of women admitted in labour at term. Both clinical and US evaluations will be performed assessing fetal head position, descent and rotation. Specific US parameters regarding fetal head position, progression and rotation will be recorded to develop nomograms in a similar way that partograms were developed. The primary outcome is to develop nomograms for the longitudinal US assessment of labour in unselected nulliparous and multiparous women with fetal cephalic presentation. The secondary aims are to assess the sonopartogram differences in occiput anterior and posterior deliveries, to compare the labour trend from our research with the classic and other recent partogram models and to investigate the capability of the US labour monitoring to predict the outcome of spontaneous vaginal delivery.
Ethics and Dissemination: All protocols and the informed consent form comply with the Ministry of Health and the professional society ethics guidelines. University ethics committees approved the study protocol. The trial results will be published in peer-reviewed journals and at the conference presentations. The study will be implemented and reported in line with the Strengthening the Reporting of Observational Studies in Epidemiology statement.
Trial Registration Number: ClinicalTrials.gov Registry (NCT02326077).
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: fetal medicine; maternal medicine; ultrasonography
سلسلة جزيئية: ClinicalTrials.gov NCT02326077
تواريخ الأحداث: Date Created: 20210908 Date Completed: 20210915 Latest Revision: 20240815
رمز التحديث: 20240815
مُعرف محوري في PubMed: PMC8424831
DOI: 10.1136/bmjopen-2020-047188
PMID: 34493509
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2020-047188