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Intrapartum assessment of caput succedaneum by transperineal ultrasound: a two-centre pilot study.

Hassan, Wassim A; Eggebo, Torbjorn M; Salvesen, Kjell LU ; Lindtjorn, Elsa and Lees, Christoph (2015) In Australian and New Zealand Journal of Obstetrics and Gynaecology 55(4). p.401-403
Abstract
Digital assessments of caput succedaneum are subjective; however, caput succedaneum can also be expressed as ultrasound measured skin-skull distance (SSD). In this study, we aimed to compare the clinical and ultrasound assessment of caput succedaneum (caput) in nulliparous women in the first stage of labour. Furthermore, we aimed to investigate the repeatability of ultrasound measurements. We observed a significant but low correlation between clinical and ultrasound assessments (Kappa value 0.29; P < 0.01). Interobserver repeatability for SSD showed an intraclass correlation coefficient of 0.96 (95% CI, 0.93-0.98). The mean difference for the caput measurements was -0.4 mm (95% CI, -0.85 to 0.05), and limits of agreement were -3.44 to... (More)
Digital assessments of caput succedaneum are subjective; however, caput succedaneum can also be expressed as ultrasound measured skin-skull distance (SSD). In this study, we aimed to compare the clinical and ultrasound assessment of caput succedaneum (caput) in nulliparous women in the first stage of labour. Furthermore, we aimed to investigate the repeatability of ultrasound measurements. We observed a significant but low correlation between clinical and ultrasound assessments (Kappa value 0.29; P < 0.01). Interobserver repeatability for SSD showed an intraclass correlation coefficient of 0.96 (95% CI, 0.93-0.98). The mean difference for the caput measurements was -0.4 mm (95% CI, -0.85 to 0.05), and limits of agreement were -3.44 to 2.64 mm. We conclude that ultrasound measured SSD is an objective expression of caput with significant correlation with clinical assessment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Australian and New Zealand Journal of Obstetrics and Gynaecology
volume
55
issue
4
pages
401 - 403
publisher
Wiley-Blackwell
external identifiers
  • pmid:26201530
  • wos:000359017400019
  • scopus:84938750302
ISSN
1479-828X
DOI
10.1111/ajo.12342
language
English
LU publication?
yes
id
29741213-1794-4308-9bda-bfee8f4eeec5 (old id 7721357)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26201530?dopt=Abstract
date added to LUP
2015-08-10 15:58:04
date last changed
2017-01-01 03:21:35
@article{29741213-1794-4308-9bda-bfee8f4eeec5,
  abstract     = {Digital assessments of caput succedaneum are subjective; however, caput succedaneum can also be expressed as ultrasound measured skin-skull distance (SSD). In this study, we aimed to compare the clinical and ultrasound assessment of caput succedaneum (caput) in nulliparous women in the first stage of labour. Furthermore, we aimed to investigate the repeatability of ultrasound measurements. We observed a significant but low correlation between clinical and ultrasound assessments (Kappa value 0.29; P &lt; 0.01). Interobserver repeatability for SSD showed an intraclass correlation coefficient of 0.96 (95% CI, 0.93-0.98). The mean difference for the caput measurements was -0.4 mm (95% CI, -0.85 to 0.05), and limits of agreement were -3.44 to 2.64 mm. We conclude that ultrasound measured SSD is an objective expression of caput with significant correlation with clinical assessment.},
  author       = {Hassan, Wassim A and Eggebo, Torbjorn M and Salvesen, Kjell and Lindtjorn, Elsa and Lees, Christoph},
  issn         = {1479-828X},
  language     = {eng},
  number       = {4},
  pages        = {401--403},
  publisher    = {Wiley-Blackwell},
  series       = {Australian and New Zealand Journal of Obstetrics and Gynaecology},
  title        = {Intrapartum assessment of caput succedaneum by transperineal ultrasound: a two-centre pilot study.},
  url          = {http://dx.doi.org/10.1111/ajo.12342},
  volume       = {55},
  year         = {2015},
}