{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:29:49Z","timestamp":1791462589191,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,9,28]],"date-time":"2015-09-28T00:00:00Z","timestamp":1443398400000},"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 &amp; Gyne"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the influence of ultrasound determination of fetal head position on mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a pragmatic open\u2010label randomized controlled trial that included women with a singleton pregnancy in the vertex presentation at \u2265\u200937\u2009weeks' gestation, cervical dilation \u2265\u20098\u2009cm and who received epidural anesthesia. Women were assigned randomly to undergo either digital vaginal examination (<jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content> group) or both digital vaginal and ultrasound examinations (<jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> group) to determine fetal head position. When the ultrasound and digital vaginal findings were inconsistent in the <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> group, the ultrasound result was used for clinical management. The primary outcome assessed was operative delivery (Cesarean or instrumental vaginal delivery), and maternal and fetal morbidity were also assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> groups included 959 and 944 women, respectively. The overall rate of operative delivery was significantly higher in the <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> group than in the <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content> group: 33.7% <jats:italic>vs<\/jats:italic> 27.1%, respectively (relative risk (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>), 1.24 (95%\u2009<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.08\u20131.43)), as was the rate of Cesarean delivery: 7.8% <jats:italic>vs<\/jats:italic> 4.9%, respectively (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>, 1.60 (95%\u2009<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.12\u20132.28)). The rate of instrumental vaginal delivery was also higher, albeit not significantly: 25.8% in the <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> group <jats:italic>vs<\/jats:italic> 22.2% in the <jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content> group (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>, 1.16 (95%\u2009<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 0.99\u20131.37)). Neonatal outcomes did not differ between the two groups. When analysis was restricted to instrumental vaginal deliveries only, maternal and neonatal morbidity outcomes were similar in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Correction of fetal occiput position, determined initially by digital vaginal examination, using systematic ultrasound examination did not improve management of labor and increased the rate of operative delivery without decreasing maternal and neonatal morbidity. Copyright \u00a9 2015 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.14785","type":"journal-article","created":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T13:57:57Z","timestamp":1421157477000},"page":"520-525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":69,"title":["Influence of ultrasound determination of fetal head position on mode of delivery: a pragmatic randomized trial"],"prefix":"10.1002","volume":"46","author":[{"given":"T.","family":"Popowski","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Poissy\u2010St\u2010Germain Hospital  Poissy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Porcher","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Saint\u2010Louis Hospital, UMR\u2010S 717 Paris Diderot University and INSERM  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Fort","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poissy\u2010St\u2010Germain Hospital  Poissy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Javoise","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poissy\u2010St\u2010Germain Hospital  Poissy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Rozenberg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poissy\u2010St\u2010Germain Hospital  Poissy France"},{"name":"EA7285, Versailles Saint\u2010Quentin University (UVSQ)  France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,28]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)41670-4"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(15)31555-6"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200305000-00016"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.03.059"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000206217.07883.a2"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.01.029"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000281666.04924.be"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.10.4.283.286"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00656.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00656.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.103"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.01.029"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.04.009"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5267"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2011.08.038"},{"key":"e_1_2_5_17_1","volume-title":"Trait\u00e9 d'Obst\u00e9trique","author":"Cabrol D","year":"2003"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.13.1.59.63"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/jmf.12.3.172.177"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12810"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.011"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000158861.43593.49"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.14785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.14785","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.14785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T14:58:25Z","timestamp":1696517905000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.14785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,28]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1002\/uog.14785"],"URL":"https:\/\/doi.org\/10.1002\/uog.14785","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,28]]},"assertion":[{"value":"2014-10-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-01-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-09-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}