Intrapartum ultrasound for assessment of cervical dilatation

Wassim A Hassan1, Sasha Taylor2, Christoph Lees3

  • 1Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Colchester Hospital, East Suffolk and North Essex Foundation Trust, Colchester, United Kingdom (Dr Hassan); Department of Surgery and Cancer, Imperial College London, London, United Kingdom (Dr Hassan).

Assessment of cervical dilatation by digital vaginal examination is commonly used during labor as one of the main indicators of labor progress. Despite consistent inaccuracies, this practice remains widely chosen among midwives and obstetricians. Several methods, including electromechanical and electromagnetic devices, have been trialed throughout the decades without being able to provide objective means of obtaining accurate measurements of cervical dilatation during labor. Intrapartum ultrasound in the form of transperineal or translabial applications has shown promising results in the assessment and monitoring of labor progress. Here, we described the validity of intrapartum ultrasound and its usefulness in the assessment of cervical dilatation during labor. Moreover, we highlighted the feasibility of ultrasound in obtaining these assessments.