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Intrapartaler Ultraschall

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Ultraschalldiagnostik in Geburtshilfe und Gynäkologie

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Zusammenfassung

Als »intrapartaler Ultraschall« wird die nichtinvasive sonographische Diagnostik unter der Geburt bezeichnet, die in den letzten Jahren eine zunehmende klinische Anwendung erfahren hat. Dieses Kapitel beschreibt den Einsatz der Sonographie zur Geburtsleitung und Operationsplanung, zur Prädiktion oder Erkennung von geburtshilflichen Komplikationen und zur Evaluation der Eröffnungs- und Austreibungsphase einschließlich der Diagnostik bei Notfällen. Hierzu zählen ferner die Beurteilung der Uteruswand einschließlich geburtsrelevanter Myome, die vorzeitige Plazentalösung und die Uterusruptur, die fetale Zustandsbeurteilung (Differenzierung eines suspekten CTG) sowie die Untersuchung des Fetus unter geburtsmechanischen Gesichtspunkten (Lage, Rotation, Höhenstand des vorangehenden Kopfes).

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Literatur

  • Akmal S, Kametas N, Tsoi E, Hargreaves C, Nicolaides KH (2003) Comparison of transvaginal digital examinationwith intrapartum sonography to determine fetal head position before instrumental delivery. Ultrasound Obstet Gynecol 21: 437–440

    Google Scholar 

  • Ananth CV, Kinzler WL (2012) Clinical features and diagnosis of placental abruption. UpToDate online. http://www.uptodate.com/contents/placentalabruption-clinical-features-and-diagnosis

  • Ananth CV, Oyelese Y, Prasad V, Getahun D, Smulian JC (2006) Evidence of placental abruption as a chronic process: associations with vaginal bleeding early in pregnancy and placental lesions. Eur J Obstet Gynecol Reprod Biol 128: 15–21

    Google Scholar 

  • Ananth CV, Lavery JA, Vintzileos AM, Skupski DW, Varner M, Saade G, Biggio J, Williams MA, Wapner RJ, Wright JD (2016) Severe placental abruption: clinical definition and associations with maternal complications. Am J Obstet Gynecol 214: 272.e1–9

    Google Scholar 

  • Antonio Sainz J, Borrero C, Aquise A, Garcia-Mejido JA, Gutierrez L, Fernandez-Palacin A (2016) Intrapartum translabial ultrasound with pushing used to predict the difficulty in vacuum-assisted delivery of fetuses in non-occiput posterior position. J Matern Fetal Neonatal Med 29: 3400–3405

    Google Scholar 

  • Armbrust R, Henrich W, Hinkson L, Grieser C, Siedentopf JP (2016) Correlation of intrapartum translabial ultrasound parameters with computed tomographic 3D reconstruction of the female pelvis. J Perinat Med 44: 567–571

    Google Scholar 

  • Arthuis CJ, Perrotin F, Patat F, Brunereau L, Simon EG (2016) Anatomical study of the relation between the symphysis and ischial spines by CT scan: improving the interpretation of intrapartum translabial ultrasound. Ultrasound Obstet Gynecol 48: 779–785

    Google Scholar 

  • Ball RH, Parer JT (1992) The physiologic mechanisms of variable decelerations. Am J Obstet Gynecol 166: 1683–1688

    Google Scholar 

  • Barbera AF, Imani F, Becker T, Lezotte DC, Hobbins JC (2009a) Anatomic relationship between the pubic symphysis and ischial spines and its clinical significance in the assessment of fetal head engagement and station during labor. Ultrasound Obstet Gynecol 33: 320–325

    Google Scholar 

  • Barbera AF, Pombar X, Perugino G, Lezotte DC, Hobbins JC (2009b) A new method to assess fetal head descent in labor with transperineal ultrasound. Ultrasound Obstet Gynecol 33: 313–319

    Google Scholar 

  • Blaas HG, Salvesen KA, Khnykin D, Jahnsen FL, Eik-Nes SH (2012) Prenatal sonographic assessment and perinatal course of ichthyosis prematurity syndrome. Ultrasound Obstet Gynecol 39: 473–477

    Google Scholar 

  • Blasi I, D’Amico R, Fenu V, Volpe A, Fuchs I, Henrich W, Mazza V (2010) Sonographic assessment of fetal spine and head position during the first and second stages of labor for the diagnosis of persistent occiput posterior position: a pilot study. Ultrasound Obstet Gynecol 35: 210–215

    Google Scholar 

  • Buhimschi CS, Buhimschi IA, Malinow AM, Weiner CP (2003) Myometrial thickness during human labor and immediately post partum. Am J Obstet Gynecol 188: 553–559

    Google Scholar 

  • Chan YT, Ng KS, Yung WK, Lo TK, Lau WL, Leung WC (2015) Is intrapartum translabial ultrasound examination painless? J Matern Fetal Neonatal Med 29: 3276–3280

    Google Scholar 

  • Chescheir NC, Katz VL, Thorp JM, et al (1990) Elevated maternal serum alphafetoprotein concentration and fetal chromosomal abnormalities. Obstet Gynecol 76: 893–894

    Google Scholar 

  • Dawson WB, Dumas MD, Romano WM, Gagnon R, Gratton RJ, Mowbray RD (1996) Translabial ultrasonography and placenta previa: does measurement of the os-placenta distance predict outcome? J Ultrasound Med 15: 441–446

    Google Scholar 

  • Debska M, Kretowicz P, Debski R (2015) Intrapartum sonography - eccentricity or necessity? J Ultrason 15: 125–136

    Google Scholar 

  • de Laat MW, Franx A, Bots ML, Visser GH, Nikkels PG (2006) Umbilical coiling index in normal and complicated pregnancies. Obstet Gynecol 107: 1049–1055

    Google Scholar 

  • Duckelmann AM, Bamberg C, Michaelis SA, Lange J, Nonnenmacher A, Dudenhausen JW, Kalache KD (2010) Measurement of fetal head descent using the »angle of progression« on transperineal ultrasound imaging is reliable regardless of fetal head station or ultrasound expertise. Ultrasound Obstet Gynecol 35: 216–222

    Google Scholar 

  • Eggebo TM, Gjessing LK, Heien C, Smedvig E, Okland I, Romundstad P, Salvesen KA (2006) Prediction of labor and delivery by transperineal ultrasound in pregnancies with prelabor rupture of membranes at term. Ultrasound Obstet Gynecol 27: 387–391

    Google Scholar 

  • Eggebo TM, Okland I, Heien C, Gjessing LK, Romundstad P, Salvesen KA (2009) Can ultrasound measurements replace digitally assessed elements of the Bishop score? Acta Obstet Gynecol Scand 88: 325–331

    Google Scholar 

  • Fuchs I, Tutschek B, Henrich W (2008) Visualization of the fetal fontanels and skull sutures by three-dimensional translabial ultrasound during the second stage of labor. Ultrasound Obstet Gynecol 31: 484–486

    Google Scholar 

  • Gagnon R, Morin L, Bly S, Butt K, Cargil YM, (2010) SOGC clinical practice guideline: guidelines for the management of vasa previa. Int J Gynaecol Obstet 108: 85–89

    Google Scholar 

  • Ghi T, Farina A, Pedrazzi A, Rizzo N, Pelusi G, Pilu G (2009) Diagnosis of station and rotation of the fetal head in the second stage of labor with intrapartum translabial ultrasound. Ultrasound Obstet Gynecol 33: 331–336

    Google Scholar 

  • Ghi T, Maroni E, Youssef A, Cariello L, Salsi G, Arcangeli T, Frascà C, Rizzo N, Pilu G (2012) Intrapartum three-dimensional ultrasonographic imaging of face presentations: report of two cases. Ultrasound Obstet Gynecol 40: 17–18

    Google Scholar 

  • Ghi T, Maroni E, Youssef A, Morselli-Labate AM, Paccapelo A, Montaguti E, Rizzo N, Pilu G (2014) Sonographic pattern of fetal head descent: relationship with duration of active second stage of labor and occiput position at delivery. Ultrasound Obstet Gynecol 44: 82–89

    Google Scholar 

  • Ghi T, Bellussi F, Azzarone C, Krsmanovic J, Franchi L, Youssef A, Lenzi J, Fantini MP, Frusca T, Pilu G (2016) The »occiput-spine angle«: a new sonographic index of fetal head deflexion during the first stage of labor. Am J Obstet Gynecol 215: 84.e1–7

    Google Scholar 

  • Gottschalk EM, Siedentopf JP, Schoenborn I, Gartenschlaeger S, Dudenhausen JW, Henrich W (2008) Prenatal sonographic and MRI findings in a pregnancy complicated by uterine sacculation: case report and review of the literature. Ultrasound Obstet Gynecol 32: 582–586

    Google Scholar 

  • Guise JM, Denman MA, Emeis C, Marshall N, Walker M, Fu R, Janik R, Nygren P, Eden KB, McDonagh M (2010) Vaginal birth after cesarean: new insights on maternal and neonatal outcomes. Obstet Gynecol 115: 1267–1278

    Google Scholar 

  • Hasegawa J, Matsuoka R, Ichizuka K, et al (2009a) Do fetal heart rate deceleration patterns during labor differ between various umbilical cord abnormalities? J Perinat Med 37: 276–280

    Google Scholar 

  • Hasegawa J, Matsuoka R, Ichizuka K, Mimura T, Sekizawa A, Farina A, Okai T (2009b) Ultrasound diagnosis and management of umbilical cord abnormalities. Taiwan J Obstet Gynecol 48: 23–27

    Google Scholar 

  • Henrich W, Tutschek B, Buhling KJ, Fuchs I, Dudenhausen JW (2005) Ultrasound finding and operative management of a uterine rupture during vaginal delivery after Cesarean section. Ultrasound Obstet Gynecol 25: 203–205

    Google Scholar 

  • Henrich W, Dudenhausen J, Fuchs I, Kämena A, Tutschek B (2006) Intrapartum translabial ultrasound (ITU): sonographic landmarks and correlation with successful vacuum extraction. Ultrasound Obstet Gynecol 28: 753–760

    Google Scholar 

  • Kalache KD, Duckelmann AM, Michaelis SA, Lange J, Cichon G, Dudenhausen JW (2009) Transperineal ultrasound imaging in prolonged second stage of labor with occipitoanterior presenting fetuses: how well does the ›angle of progression‹ predict the mode of delivery? Ultrasound Obstet Gynecol 33: 326–330

    Google Scholar 

  • Kanda E, Matsuda Y, Kamitomo M, Maeda T, Mihara K, Hatae M (2011) Prenatal diagnosis and management of vasa previa: a 6-year review. J Obstet Gynaecol Res 37: 1391–1396

    Google Scholar 

  • Klatsky PC, Tran ND, Caughey AB, Fujimoto VY (2008) Fibroids and reproductive outcomes: a systematic literature review from conception to delivery. Am J Obstet Gynecol 198: 357–366

    Google Scholar 

  • Li H, Gudmundsson S, Olofsson P (2006) Acute centralization of blood flow in compromised human fetuses evoked by uterine contractions. Early Hum Dev 82: 747–752

    Google Scholar 

  • Manning FA, Platt LD, Sipos L (1980) Antepartum fetal evaluation: development of a fetal biophysical profile. Am J Obstet Gynecol 136: 787–795

    Google Scholar 

  • Molina FS, Terra R, Carrillo MP, Puertas A, Nicolaides KH (2010) What is the most reliable ultrasound parameter for assessment of fetal head descent? Ultrasound Obstet Gynecol 36: 493–499

    Google Scholar 

  • Otsubo Y, Yoneyama Y, Suzuki S, Sawa R, Araki T (1999) Sonographic evaluation of umbilical cord insertion with umbilical coiling index. J Clin Ultrasound 27: 341–344

    Google Scholar 

  • Oyelese Y, Ananth CV (2006) Placental abruption. Obstet Gynecol 108: 1005–1016

    Google Scholar 

  • Peregrine E, O’Brien P, Jauniaux E (2007) Impact on delivery outcome of ultrasonographic fetal head position prior to induction of labor. Obstet Gynecol 109: 618–625

    Google Scholar 

  • Rasmussen S, Irgens LM, Dalaker K (1999) A history of placental dysfunction and risk of placental abruption. Paediatr Perinat Epidemiol 13: 9–21

    Google Scholar 

  • Robert JA, Sepulveda W (2003) Fetal exsanguination from ruptured vasa previa: still a catastrophic event in modern obstetrics. J Obstet Gynaecol 23: 574

    Google Scholar 

  • Sepulveda W, Rojas I, Robert JA, Schnapp C, Alcalde JL (2003) Prenatal detection of velamentous insertion of the umbilical cord: a prospective color Doppler ultrasound study. Ultrasound Obstet Gynecol 21: 564–569

    Google Scholar 

  • Sherer DM (2007) Intrapartum ultrasound. Ultrasound Obstet Gynecol 30: 123–139

    Google Scholar 

  • Strong TH Jr, Vega JS, Jarles DL, Feldman DB (1994) The umbilical coiling index. Am J Obstet Gynecol 170: 29–32

    Google Scholar 

  • Sutterlin MW, Seelbach-Gobel B, Oehler MK, Heupel M, Dietl J (1999) Doppler ultrasonographic evidence of intrapartum brain-sparing effect in fetuses with low oxygen saturation according to pulse oximetry. Am J Obstet Gynecol 181: 216–220

    Google Scholar 

  • Tikkanen M, Hamalainen E, Nuutila M, Paavonen J, Ylikorkala O, Hiilesmaa V (2007) Elevated maternal secondtrimester serum alpha-fetoprotein as a risk factor for placental abruption. Prenat Diagn 27: 240–243

    Google Scholar 

  • Tutschek B, Hecher K, Somville T, Bender HG (2004) Twin-to-twin transfusion syndrome complicated by spontaneous mid-trimester uterine rupture. J Perinat Med 32: 95–97

    Google Scholar 

  • Tutschek B, Bender HG, Henrich W (2005) Silent uterine rupture during vaginal delivery successfully managed conservatively. Ultrasound Obstet Gynecol 26: 199–200

    Google Scholar 

  • Tutschek B, Braun T, Chantraine F, Henrich W (2011) A study of progress of labour using intrapartum translabial ultrasound, assessing head station, direction, and angle of descent. BJOG 118: 62–69

    Google Scholar 

  • Tutschek B, Braun T, Chantraine F, Henrich W (2013) Quantification of fetal head direction and descent. Ultrasound Obstet Gynecol 41: 99–100

    Google Scholar 

  • Tutschek B, Braun T, Chantraine F, Henrich W (2017) Computed sonography and ultrasound to determine fetal head station. Ultrasound Obstet Gynecol 49: 279–280

    Google Scholar 

  • van Diik CC, Franx A, de Laat MW, Bruinse HW, Visser GH, Nikkels PG (2002) The umbilical coiling index in normal pregnancy. J Matern Fetal Neonatal Med 11: 280–283

    Google Scholar 

  • Wells CE, Cunningham FG (2013) Choosing the route of delivery after cesarean birth. UpToDate online. http://www.uptodate.com/contents/choosing-the-route-of-delivery-after-cesarean-birth

  • Yagel S, Anteby E, Lavy Y, Ben Chetrit A, Palti Z, Hochner-Celnikier D, Ron M (1992) Fetal middle cerebral artery blood flow during normal active labour and in labour with variable decelerations. Br J Obstet Gynaecol 99: 483–485

    Google Scholar 

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Authors and Affiliations

  1. Pränatal Zürich, Gladbachstrasse 95, 8044, Zürich, Deutschland

    Prof. Dr. med. B. Tutschek

  2. Campus Virchow Klinikum, Campus Mitte, Berlin, Kliniken für Geburtsmedizin Charité, Augustenburger Platz 1, 13353, Berlin, Deutschland

    Prof. Dr. med. W. Henrich

Authors
  1. Prof. Dr. med. B. Tutschek
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  2. Prof. Dr. med. W. Henrich
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Correspondence to B. Tutschek or W. Henrich .

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Editors and Affiliations

  1. Bonn, Deutschland

    Ulrich Gembruch

  2. Hamburg, Deutschland

    Kurt Hecher

  3. Salzburg, Austria

    Horst Steiner

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Tutschek, B., Henrich, W. (2018). Intrapartaler Ultraschall. In: Gembruch, U., Hecher, K., Steiner, H. (eds) Ultraschalldiagnostik in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53662-9_30

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  • DOI: https://doi.org/10.1007/978-3-662-53662-9_30

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53661-2

  • Online ISBN: 978-3-662-53662-9

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