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Can angle of progression in pregnant women before onset of labor predict mode of delivery?

Ultrasound Obstet Gynecol

September 2012

Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel, affiliated to Hebrew University and Hadassah School of Medicine, Jerusalem, Israel.

Objectives: The angle of progression (AOP), measured by transperineal ultrasound, has been used to assess fetal head descent during labor. Our aim was to assess whether, before onset of labor, parous women have a narrower AOP than do nulliparous women and if a narrow AOP is associated with a higher rate of Cesarean delivery.

Methods: In this prospective, observational study, we performed transperineal ultrasound in pregnant women not yet in labor at ≥ 39 weeks' gestation who delivered within 1 week of sonography.

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