[Delivering with Intelligence: Integrating Artificial Intelligence into Intrapartum Ultrasound]

Artificial Intelligence (AI) is revolutionizing the field of medicine, particularly in medical imaging. AI-powered systems excel in analyzing large datasets, identifying complex patterns and addressing diagnostic challenges. Radiology has been a pioneer in adopting these technologies, with notable successes in cardiology, oncology and obstetric imaging. In obstetrics, where ultrasound plays a central role in monitoring mostly pregnancy but also labor, AI holds substantial promise in automating critical measurements and reducing reliance on the operator. These include assessments such as fetal biometry, amniotic fluid index and nuchal translucency. Intrapartum ultrasound is emerging as a vital tool in evaluating labor progression, with parameters like the fetal head position, Angle of Progression (AoP) and Head-Perineum Distance (HPD) serving as established predictors of delivery outcomes. However, the accuracy of these assessments is often influenced by operator experience. To overcome this challenge, AI-based systems have been developed to standardize and automate the measurement of these parameters. At Kaplan Medical Center, we have developed a fully automated deep learning algorithm to analyze transperineal intrapartum ultrasound scans. This system identifies optimal frames and measures the AoP without manual intervention, yielding promising preliminary results. The ethical and thoughtful integration of AI into intrapartum ultrasound has the potential to improve diagnostic precision, reduce unnecessary interventions and ensure consistent, personalized care in labor and delivery settings.