Use of Ultrasound to Monitor Labor Progress Compared to Traditional Internal Exams in Pregnant Women

What this Trial Is About

This research aims to find out if using ultrasound during labor can reduce infections compared to the usual internal vaginal examinations. It focuses on pregnant women in labor, studying whether non-invasive ultrasound monitoring can lead to fewer cases of clinical chorioamnionitis, a type of infection. Secondary goals include looking at overall birth outcomes and how satisfied mothers are with their care. Participants are randomly assigned to one of two groups. One group is monitored during labor using ultrasound measurements such as Angle of Progression, Head Perineum Distance, Midline Angle, and Cervix Dilatation every 3 to 4 hours until delivery. The other group receives the traditional care of internal vaginal examinations at similar intervals. This comparison helps assess whether ultrasound alone can safely guide labor progress. During the study, researchers track signs of infection like fever, rapid heart rates, uterine tenderness, and amniotic fluid odor from admission until delivery. They also collect information on delivery type, newborn health, and maternal satisfaction. Assessments include measuring maternal age, weight, height, pregnancy weeks, previous pregnancies, and neonatal weight shortly after birth. The study follows participants through labor and up to six weeks after delivery, including monitoring antibiotic use and blood loss.

Intrapartum Ultrasound in Labor: Sonography Only, Few Internal Examinations