Use of 2D and multislice transperineal ultrasonography to describe the degree of perineal laceration following vaginal delivery

Medical Journal of Indonesia

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Title Use of 2D and multislice transperineal ultrasonography to describe the degree of perineal laceration following vaginal delivery
 
Creator Santoso, Budi I.; Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Djusad, Suskhan; Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Hakim, Surahman; Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Moegni, Fernandi; Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Meutia, Alfa P.; Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Priyantini, Tyas; Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
 
Subject 2D or multislice transperineal ultrasonography; perineal laceration; pill-rolling test; vaginal delivery
 
Description Background: Perineal tear is the most common complication after vaginal delivery. Pill-rolling test is a widely used clinical evaluation method to determine the degree of perineal tear. However, the evaluation results of anal sphincter complex (ASC) differ between clinical examination and 2D/multislice transperineal ultrasonography (TPUS). This study aims to describe measurement variation between these modalities.Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2015 to May 2016. Subjects were primiparous women after vaginal delivery. Clinical examination using pill-rolling test was performed to determine the degree of perineal laceration. Suture was conducted accordingly. The subjects were subjected to 2D/multislice TPUS 72 hours after delivery to evaluate the integrity of internal and external anal sphincters. Data were collected and analyzed to determine compatibility between these examinations.Results: Among 70 prospective primiparous women, five were excluded due to unavailability to undergo 2D/multislice TPUS 72 hours after delivery. The mean duration to perform 2D/multislice TPUS was 4.5 minutes, and pain was tolerable during the examination. The compatibility values of clinical examination with 2D and multislice TPUS were 0.98 and 0.93, respectively, with Cohen’s kappa of 0.92 (95% CI 0.81–1.00) and 0.79 (95% CI 0.58–0.99), respectively.Conclusion: Clinical examination is compatible with 2D/multislice TPUS for determining the degree of perineal tear after vaginal delivery.
 
Publisher Faculty of Medicine Universitas Indonesia
 
Contributor
 
Date 2018-09-09
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://mji.ui.ac.id/journal/index.php/mji/article/view/1908
10.13181/mji.v27i2.1908
 
Source Medical Journal of Indonesia; Vol 27, No 2 (2018): June; 108–13
2252-8083
0853-1773
10.13181/mji.v27i2
 
Language eng
 
Relation http://mji.ui.ac.id/journal/index.php/mji/article/view/1908/1234
 
Rights Copyright (c) 2018 Budi I. Santoso, Suskhan Djusad, Surahman Hakim, Fernandi Moegni, Alfa P. Meutia, Tyas Priyantini
http://creativecommons.org/licenses/by-nc/4.0
 

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