{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:50:00Z","timestamp":1784699400036,"version":"3.55.0"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T00:00:00Z","timestamp":1363132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet & Gyne"],"published-print":{"date-parts":[[2013,4]]},"abstract":"ABSTRACT<\/jats:title>Objective<\/jats:title>To evaluate the clinical significance of fetal head progression distance (HPD<\/jats:styled-content>), measured by transperineal ultrasound, during prolonged second stage of labor.<\/jats:p><\/jats:sec>Methods<\/jats:title>In this prospective study, a single operator, who was blinded to the results of the digital examination, assessed using transperineal ultrasound women at \u2265\u200937 weeks of gestation with failure to progress in the second stage of labor. Patients had an empty urinary bladder and the examination was performed during maternal pushing. HPD<\/jats:styled-content> was defined as the length of the line perpendicular to the infrapubic line that would connect it to the lowest part of the fetal bony skull. We analyzed associations between HPD<\/jats:styled-content> and digital examination of fetal head station, fetomaternal characteristics, mode of delivery and perinatal outcome.<\/jats:p><\/jats:sec>Results<\/jats:title>Sixty\u2010five patients in prolonged second stage of labor participated in the study. The overall mean HPD<\/jats:styled-content> was 6.50 (\u00b1\u20091.35; 95% CI<\/jats:styled-content>, 6.16\u20136.83) cm. No correlation was found between HPD<\/jats:styled-content> and head position or mode of delivery, but HPD<\/jats:styled-content> was positively correlated with fetal head station and neonatal head circumference measured after delivery. Logistic regression and receiver\u2013operating characteristics curve analysis demonstrated no significant predictive value of HPD<\/jats:styled-content> with respect to mode of delivery.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Although HPD<\/jats:styled-content> in prolonged second stage of labor could not predict mode of delivery, it may have a role as an ancillary tool for fetal head station assessment. Copyright \u00a9 2013 ISUOG. Published by John Wiley & Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.12378","type":"journal-article","created":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T10:36:33Z","timestamp":1359369393000},"page":"436-441","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Head progression distance in prolonged second stage of labor: relationship with mode of delivery and fetal head station"],"prefix":"10.1002","volume":"41","author":[{"given":"Y.","family":"Gilboa","sequence":"first","affiliation":[{"name":"Chaim Sheba Medical Center, Department of Obstetrics and Gynecology, Ramat Gan, Israel, affiliated with the Sackler School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Kivilevitch","sequence":"additional","affiliation":[{"name":"Chaim Sheba Medical Center, Department of Obstetrics and Gynecology, Ramat Gan, Israel, 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University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Moran","sequence":"additional","affiliation":[{"name":"Chaim Sheba Medical Center, Department of Obstetrics and Gynecology, Ramat Gan, Israel, affiliated with the Sackler School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Achiron","sequence":"additional","affiliation":[{"name":"Chaim Sheba Medical Center, Department of Obstetrics and Gynecology, Ramat Gan, Israel, affiliated with the Sackler School of Medicine Tel\u2010Aviv University Tel Aviv 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