Gilboa Yinon, Kivilevitch Zvi, Kedem Alon, Spira Maya, Borkowski Tamar, Moran Orit, Katorza Eldad, Achiron Reuven
Sheba Medical Center, Department of Obstetrics and Gynecology, Sackler School of Medicine, Tel- Aviv University, Tel Aviv, Israel.
Aust N Z J Obstet Gynaecol. 2013 Oct;53(5):459-63. doi: 10.1111/ajo.12104. Epub 2013 Jun 26.
Data are scarce regarding the association between the presence of caput succedaneum and the mode of delivery.
To evaluate the presence and clinical significance of caput succedaneum thickness in prolonged second stage of labour.
We conducted a prospective study of women, beyond 37 weeks of gestation, during prolonged second stage of labour. Transperineal ultrasound was performed to assess the caput succedaneum thickness. The relationships between caput succedaneum thickness, feto-maternal characteristics, delivery mode and immediate post-natal outcomes were analysed.
Fifty-eight women, of whom 47 were nulliparas, in prolonged second stage of labour, were included in the study. The caput succedaneum thickness could be measured in all cases. Overall mean thickness was 21.9 (±4.9) mm (range 14-40 mm). No significant difference or correlation was found between caput succedaneum thickness, fetal head positions, modes of delivery, duration of second stage, head circumference or neonatal outcomes.
Caput succedaneum is measurable in all cases at prolonged second stage using transperineal sonography. Its presence and dimensions presented in our pilot study seem to have no implication on delivery mode and neonatal outcome.
关于头颅血肿的存在与分娩方式之间的关联，数据稀缺。
评估产程延长的第二产程中头颅血肿厚度的存在情况及其临床意义。
我们对妊娠37周以上、处于产程延长的第二产程的女性进行了一项前瞻性研究。采用经会阴超声评估头颅血肿厚度。分析了头颅血肿厚度、母婴特征、分娩方式及产后即刻结局之间的关系。
58名处于产程延长的第二产程的女性纳入研究，其中47名为初产妇。所有病例均能测量出头颅血肿厚度。总体平均厚度为21.9（±4.9）毫米（范围14 - 40毫米）。在头颅血肿厚度、胎儿头部位置、分娩方式、第二产程时长、头围或新生儿结局之间未发现显著差异或相关性。
在产程延长的第二产程中，所有病例均可通过经会阴超声测量出头颅血肿。我们的初步研究中其存在情况及大小似乎对分娩方式和新生儿结局并无影响。
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