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You may be eligible to participate in a pregnancy clinical study, and could be compensated for your time. Are you healthy and looking to help advance medical science? What is a clinical trial? Is participating in a clinical trial right for you? Learn more. This study set out to investigate whether antenatal ultrasound evaluation of the Fetal Head Circumference FHC could potentially possess a predictive role in determining women at increased risk for operative delivery or cesarean section.

When vaginal delivery poses a danger to the mother or newborn infant, operative delivery instrumental or cesarean section is indicated. Some specific indications for operative delivery include prolonged second-stage of labor, suspected compromise of the fetus, health-related disorders of the fetus or the mother that justify shortening of the second-stage of active labor and more.

In cases where cephalo-pelvic disproportion CPD is suspected or when instrumental delivery is not possible or fails, cesarean section plays a critical role. Studies trying to identify women at greatest risk of CPD have concluded that neither x ray, nor computed tomography or magnetic resonance imaging have a proven value in labor management or in predicting clinical outcomes. Previous studies assessing fetal factors that are associated with operative delivery have focused mainly on estimated fetal weight to predict macrosomia.

As weeks may possibly elapse between the time of last antenatal assessment and onset of labor, a further challenge is related to the timing of ultrasound assessment. Several studies have shown an association between increased Fetal Head Circumference FHC and prolonged second-stage of labor, instrumental delivery and cesarean section. However, FHC can only be acquired following delivery and has no predictive value for interventions in labor.