As a high risk department with strong professionalism and pertinence, obstetrics is a very big challenge for nursing work. The delivery room is the first line of obstetric work. Ultrasound in the delivery room is one of the new requirements for standardized manaement of modern obstetrics. The application of ultrasound in the delivery room is expanding, such as the new indicators of ultrasonic labor assessment, ultrasound-guided anesthesia puncture and intubation, ultrasound assessment of volume load and cardiac function, etc.
Ultrasound is the first choice in obstetrics because it has no trauma, no teratogenicity and no radiation to the fetus, with clear images, accurate diagnosis and high safety.
Routine prenatal ultrasound including determine whether the fetus is alive, embryo number, tire, presentation and quickened measuring amount, observe the placenta umbilical cord, double top diameter, 6, or abdomen diameter and femur length, the combined use of double top diameter, 6, femur comprehensively estimated fetal weight and the size of gestational age, the serious fatal malformation fetus rough screening and so on.
In recent years, ultrasound has gradually entered the monitoring of the delivery process. Compared with the traditional vaginal examination, it can make the monitoring of the labor process more objective and accurate, more conducive to guiding the management of the labor process, choosing the appropriate delivery mode, implementing the appropriate midwifery operation, so as to ensure the safety of mother and child.
Intrapartum ultrasound is suitable for all delivery pregnant women, for pregnant women without regular prenatal examination or emergency labor, intrapartum ultrasound is very important!
Especially suitable for:
1. Assess the status of the fetus and fetal appendages during labor
2. When the first stage of labor is prolonged or stagnant
3. Slow progress or stagnation of the second stage of labor
4. Before vaginal delivery
5. When the fetal orientation is abnormal and needs to be evaluated
The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines state that:
Compared with clinical palpation, intrapartal ultrasound is objective and more accurate and reproducible in judging the position and direction of fetal head and predicting the stagnation of labor, and can predict the outcome of vaginal delivery to a certain extent, and reduce maternal and infant mortality in obstetrics and gynecology.
The picture shows an examination of a parturient with a handheld ultrasound
At present, the traditional digital vaginal examination is still used to evaluate the progress of labor. Vaginal digital examination is subjective and greatly depends on experience and feeling. During internal examination, some pregnant women feel very uncomfortable, and it is difficult to cooperate when pain, which increases the fear and easily causes infection. Digital examination is more limited if vaginal bleeding is present. At present, the traditional digital vaginal examination is still used to evaluate the progress of labor. Vaginal digital examination is subjective and greatly depends on experience and feeling. During internal examination, some pregnant women feel very uncomfortable, and it is difficult to cooperate when pain, which increases the fear and easily causes infection. Digital examination is more limited if vaginal bleeding is present.
The process of labor is a dynamic process of development and change. Ultrasound examination can minimize the error, accurately and objectively evaluate the process of labor, and achieve early prediction, early detection and early intervention for the abnormal progress of labor and the pathological conditions of dynamic changes in the process of labor.
Application of ultrasonography during labor
Evaluation of cervical dilatation
Fetal head descent position was assessed
Head up posture assessment
Fetal orientation assessment
Fetal umbilical cord monitoring
Assessment of uterine status
The timely detection of placental abruption
Assessment for Fetal Distress
Discrimination of the types of placental retention during the third stage of labor and
Curettage was performed under ultrasound monitoring
……
Blood flow was measured by handheld ultrasound
As a complementary tool in obstetrics, ultrasonography is widely used during labor, which can complement and improve the skills of clinicians and midwives, help improve clinical practice, and reduce maternal and infant mortality.
Chison SonoEye handheld ultrasound portable and compact, plug and use, very convenient and fast, perfect probe support, professional obstetric preset value, software package, and B/C/D/M mode can meet the needs of obstetric examination.
Fetal femur length was measured by handheld ultrasound
Maternal and child health is an important cornerstone of national health, Chison Medical helps healthy China, refined the field of obstetrics and gynecology, the fist product SonoEye handheld ultrasound, is to “clear, smart, smart, safe” five advantages, protect the life and health of women and children anytime and anywhere.
Welcome to contact us for more professional medical products and knowledge.
Contact Details
Icy Yi
Amain Technology Co., Ltd.
Mob/WhatsApp: 008617360198769
E-mail: amain006@amaintech.com
Linkedin: 008617360198769
Tel.: 00862863918480
Post time: Nov-03-2022
