Introduction. Recent evidence indicates that clinical examination, for determination of fetal head position, is subjective and inaccurate. Present study was aimed to compare transabdominal ultrasound for fetal head position with vaginal examination during first stage of labor. Material and Methods. This prospective study was performed at a tertiary center during a two-year period. Before or aft...

Introduction: The progress of active labor by transvaginal examination is a subjective evaluation of the obstetrician with many limitations. The current trend in obstetrics is to avoid vaginal deliveries. There are many scientific proposals to monitor the progress of the active labor using ultrasound in laboring patients. Aim: To clinically assess the active labor and compare with ultrasound to...

The last step of a successful pregnancy is the safe delivery of the fetus. An important question is if the delivery should vaginal or operative. In addition to the use of conventional antenatal ultrasound, the use of intrapartum ultrasound to evaluate fetal head station, position, cervical ripening, and placental separation is promising. This review evaluates and summarizes the usefulness of in...

The objective was to introduce a new system for transvaginal removal of ovarian cyst and to evaluate its feasibility. With a new transvaginal system, ultrasound-assisted culdotomy, and laparoscopy supported cystectomy if vaginal procedure failed. The authors conducted a retrospective review in which 35 cases using new vaginal ovarian cystectomy were compared with 40 cases of laparoscopic cystec...

BACKGROUND Female pelvic organ prolapse is a common condition that often leads to surgical intervention to alleviate symptoms. The relationship between symptoms of prolapse and pelvic organ descent however, remains unclear. AIM To determine the correlation between the symptom of a vaginal lump and objective measures of female pelvic organ descent. METHODS Women seen at a tertiary urogynaeco...

The paper focuses on anatomical varieties of developmental anomalies of female vagina’s outlet, emphasizing the role of their early recognition in preventing retrograde menstruation by surgical treatment at the beginning of puberty. Three different types of vaginal outlet obstruction are described: imperforate hymen from the group of hymen misdevelopment, transversal vaginal septum from the gro...

Objective: To investigate the accuracy of intrapartum digital vaginal examination in assessing fetal head position during active labour, and to compare accuracy of intrapartum digital vaginal examination for fetal head position between specialist trainee doctors and specialist obstetricians. Methods: A total of 100 patients at term with normal singleton cephalic-presenting fetuses were recruite...

Objectives: Determining the necessity of cesarean section (C/S) due to failure of induction of labor (IOL) is essential to avoid fetus distress. In this study, the performance of the Bishop score and trans-vaginal ultrasound measurements were compared to predict successful IOL, and the most useful cut-off points were estimated. Methods: Nulliparous women with gestation age of > 37 weeks with a ...