Title |
Study Protocol. IDUS – Instrumental delivery & ultrasound. A multi-centre randomised controlled trial of ultrasound assessment of the fetal head position versus standard care as an approach to prevent morbidity at instrumental delivery
|
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Published in |
BMC Pregnancy and Childbirth, September 2012
|
DOI | 10.1186/1471-2393-12-95 |
Pubmed ID | |
Authors |
Deirdre J Murphy, Gerard Burke, Alan A Montgomery, Meenakshi Ramphul, The IDUS StudyGroup |
Abstract |
Instrumental deliveries are commonly performed in the United Kingdom and Ireland, with rates of 12 - 17% in most centres. Knowing the exact position of the fetal head is a pre-requisite for safe instrumental delivery. Traditionally, diagnosis of the fetal head position is made on transvaginal digital examination by delineating the suture lines of the fetal skull and the fontanelles. However, the accuracy of transvaginal digital examination can be unreliable and varies between 20% and 75%. Failure to identify the correct fetal head position increases the likelihood of failed instrumental delivery with the additional morbidity of sequential use of instruments or second stage caesarean section. The use of ultrasound in determining the position of the fetal head has been explored but is not part of routine clinical practice. |
X Demographics
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United States | 1 | 100% |
Demographic breakdown
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Members of the public | 1 | 100% |
Mendeley readers
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Spain | 1 | 2% |
Unknown | 57 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 14 | 24% |
Student > Ph. D. Student | 10 | 17% |
Student > Bachelor | 5 | 9% |
Student > Doctoral Student | 4 | 7% |
Lecturer | 2 | 3% |
Other | 6 | 10% |
Unknown | 17 | 29% |
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Physics and Astronomy | 1 | 2% |
Other | 3 | 5% |
Unknown | 19 | 33% |