TY - JOUR T1 - Predictive Value of Intrapartum Transperineal Ultrasonography in Determining Delivery Mode: A Prospective Study TT - Doğum Şeklini Belirlemede İntrapartum Transperineal Ultrasonografinin Tahmin Değeri: Prospektif Bir Çalışma AU - Keyif, Betül AU - Teberik, Ceren AU - Göynümer, Fikret Gökhan AU - Başbuğ, Alper AU - Yurtçu, Engin PY - 2025 DA - June Y2 - 2025 DO - 10.18521/ktd.1632264 JF - Konuralp Medical Journal PB - Duzce University WT - DergiPark SN - 1309-3878 SP - 189 EP - 195 VL - 17 IS - 2 LA - en AB - Objective: This study aimed to evaluate the usefulness of intrapartum transperineal ultrasonographic (ITU) parameters in predicting delivery mode.Methods: This prospective study included 104 pregnant women in active labor with ruptured membranes at Düzce University Health Application and Research Center from April 2023 to April 2024. ITU measured the angle of progression (AoP), head-perineum distance (HPD), and midline angle (MLA). These parameters were compared with digital vaginal examinations and delivery outcomes.Results: Of the participants, 93 (89.4%) had spontaneous vaginal deliveries (SVD), 6 (5.7%) had operative vaginal deliveries (OVD), and 5 (4.8%) had cesarean sections (C/S). AoP1 and AoP2 were significantly higher in the SVD group compared to OVD and C/S groups (p KW - Intrapartum transperineal ultrasound KW - Predicting delivery mode KW - Angle of progression KW - Head-perineum distance N2 - Amaç: Bu çalışmanın amacı, intrapartum transperineal ultrasonografi (ITU) parametrelerinin doğum şeklini öngörmedeki etkinliğini değerlendirmektir.Yöntem: Bu prospektif çalışmaya, Nisan 2023 ile Nisan 2024 tarihleri arasında Düzce Üniversitesi Sağlık Uygulama ve Araştırma Merkezi'nde, aktif doğum eylemi içinde ve membranları rüptüre olmuş 104 gebe dahil edilmiştir. ITU ile ilerleme açısı (AoP), baş-perine mesafesi (HPD) ve orta hat açısı (MLA) ölçümleri yapıldı. Bu parametreler, dijital vajinal muayene bulguları ve doğum sonuçları ile karşılaştırıldı.Bulgular: Katılımcıların 93’ü (%89,4) spontan vajinal doğum (SVD), 6’sı (%5,7) operatif vajinal doğum (OVD) ve 5’i (%4,8) sezaryen (C/S) ile doğum yaptı. AoP1 ve AoP2 değerleri, SVD grubunda OVD ve C/S gruplarına kıyasla anlamlı derecede yüksekti (p CR - 1. Kissler K, Hurt KJ. The Pathophysiology of Labor Dystocia: Theme with Variations. Reprod Sci. 2023;30(3):729-42. CR - 2. Cornthwaite K, Draycott T, Winter C, Lenguerrand E, Hewitt P, Bahl R. Validation of a novel birth simulator for impacted fetal head at cesarean section: An observational simulation study. Acta Obstet Gynecol Scand. 2023;102(1):43-50. CR - 3. Hadad S, Oberman M, Ben-Arie A, Sacagiu M, Vaisbuch E, Levy R. Intrapartum ultrasound at the initiation of the active second stage of labor predicts spontaneous vaginal delivery. Am J Obstet Gynecol MFM. 2021;3(1):100249. CR - 4. Mohaghegh Z, Jahanfar S, Abedi P, El Aziz MAA. 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Artificial Intelligence, Intrapartum Ultrasound and Dystocic Delivery: AIDA (Artificial Intelligence Dystocia Algorithm), a Promising Helping Decision Support System. J Imaging. 2024;10(5). UR - https://doi.org/10.18521/ktd.1632264 L1 - https://dergipark.org.tr/en/download/article-file/4575449 ER -