TY - JOUR
T1 - Caput succedaneum thickness in prolonged second stage of labour
T2 - A clinical evaluation
AU - Gilboa, Yinon
AU - Kivilevitch, Zvi
AU - Kedem, Alon
AU - Spira, Maya
AU - Borkowski, Tamar
AU - Moran, Orit
AU - Katorza, Eldad
AU - Achiron, Reuven
PY - 2013/10
Y1 - 2013/10
N2 - Background Data are scarce regarding the association between the presence of caput succedaneum and the mode of delivery. Aims To evaluate the presence and clinical significance of caput succedaneum thickness in prolonged second stage of labour. Materials and Methods We conducted a prospective study of women, beyond 37 weeks of gestation, during prolonged second stage of labour. Transperineal ultrasound was performed to assess the caput succedaneum thickness. The relationships between caput succedaneum thickness, feto-maternal characteristics, delivery mode and immediate post-natal outcomes were analysed. Results Fifty-eight women, of whom 47 were nulliparas, in prolonged second stage of labour, were included in the study. The caput succedaneum thickness could be measured in all cases. Overall mean thickness was 21.9 (±4.9) mm (range 14-40 mm). No significant difference or correlation was found between caput succedaneum thickness, fetal head positions, modes of delivery, duration of second stage, head circumference or neonatal outcomes. Conclusions Caput succedaneum is measurable in all cases at prolonged second stage using transperineal sonography. Its presence and dimensions presented in our pilot study seem to have no implication on delivery mode and neonatal outcome.
AB - Background Data are scarce regarding the association between the presence of caput succedaneum and the mode of delivery. Aims To evaluate the presence and clinical significance of caput succedaneum thickness in prolonged second stage of labour. Materials and Methods We conducted a prospective study of women, beyond 37 weeks of gestation, during prolonged second stage of labour. Transperineal ultrasound was performed to assess the caput succedaneum thickness. The relationships between caput succedaneum thickness, feto-maternal characteristics, delivery mode and immediate post-natal outcomes were analysed. Results Fifty-eight women, of whom 47 were nulliparas, in prolonged second stage of labour, were included in the study. The caput succedaneum thickness could be measured in all cases. Overall mean thickness was 21.9 (±4.9) mm (range 14-40 mm). No significant difference or correlation was found between caput succedaneum thickness, fetal head positions, modes of delivery, duration of second stage, head circumference or neonatal outcomes. Conclusions Caput succedaneum is measurable in all cases at prolonged second stage using transperineal sonography. Its presence and dimensions presented in our pilot study seem to have no implication on delivery mode and neonatal outcome.
KW - caput succedaneum thickness
KW - second stage of labour
KW - transperineal ultrasound
UR - http://www.scopus.com/inward/record.url?scp=84885189122&partnerID=8YFLogxK
U2 - 10.1111/ajo.12104
DO - 10.1111/ajo.12104
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:84885189122
VL - 53
SP - 459
EP - 463
JO - Australian and New Zealand Journal of Obstetrics and Gynaecology
JF - Australian and New Zealand Journal of Obstetrics and Gynaecology
SN - 0004-8666
IS - 5
ER -