how to perform ultrasound in labor: assessment of fetal occiput position

Post on 07-May-2015

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Accompanying slides for the Ultrasound in Obstetrics and Gynecology article 'How to perform ultrasound in labor: assessment of fetal occiput position' by A. Youssef, T. Ghi and G. Pilu You can find the full article here: http://onlinelibrary.wiley.com/doi/10.1002/uog.12439/abstract

TRANSCRIPT

How to perform ultrasound in labor: the fetal occiput position

Aly Youssef, Tullio Ghi, Gianluigi Pilu

Department of Obstetrics and GynecologySant’Orsola-Malpighi University Hospital

University of BolognaItaly

• How to: determine the fetal occiput position in labor

• Indication: before performing instrumental delivery, delayed labor progress especially in advanced labor, suspected fetal malposition

• Machine settings: routine obstetric third trimester setting

The fetal spine position identification

1

The fetal spine position identification:posterior spine

spinespine

2

The fetal spine position identification:anterior spine

spinespine

3

THALAMITHALAMI

OCCIPUTOCCIPUT

MIDLINEMIDLINE

The fetal head: landmarks for occiput position identification

4

CEREBELLUMCEREBELLUM

OCCIPUTOCCIPUT

MIDLINEMIDLINE

The fetal head: landmarks for occiput position identification

5

orbits

The occiput posterior position

6

occiputcervical spine

The occiput anterior position

7

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