Eser, Ayla AçarKoş???us, AydinKöşüş, Nermin2025-10-242025-10-2420161300-03062146-9024https://doi.rog/10.5336/gynobstet.2014-41381https://search.trdizin.gov.tr/tr/yayin/detay/281965https://hdl.handle.net/20.500.12899/3209Intrapartum ultrasound imaging is gaining popularity, with increased application due to its relative ease of use and direct on-site accessibility. Though its use was initially restricted to esoteric indications and routinely applied antepartum, sonography is now increasingly being used for more mundane intrapartum indications, for example illustration of the precise fetal head position, assessment of fetal head engagement and estimation of the fetal weight. Advance evaluation of the complex physiology of childbirth is now possible with intrapartum ultrasonography, including Doppler flow velocimetry. It is not, however, in current use for the purposes of pure clinical management, i.e. development of labor or the lack thereof. The increased rate of cesarean delivery is a worldwide problem. Medico-legal problems, however, can arise from difficult vaginal deliveries. Internationally, finding ways to reduce cesarean delivery rates is a clinical priority. This includes development of new techniques for encouraging normal vaginal delivery. Appropriate use of intrapartum sonography could contribute to reduction of cesarean delivery rates and help to protect patients and doctors from possible complications of difficult vaginal delivery. Detection of advancing cervical dilatation and descent of the fetal head, however, are two important aspects currently beyond the clinical scope of intrapartum ultrasound imaging. Determination of the descent of the fetal head will be the ultimate challenge of clinical applicability of intrapartum ultrasound imaging. The hope is that imaging ultrasound will ultimately permit us to assess these two vital clinical parameters, which have up until now proven indefinable. © 2018 Elsevier B.V., All rights reserved.eninfo:eu-repo/semantics/openAccessLabor, obstetricParturitionUltrasonographyReview Article10.5336/gynobstet.2014-413812631461512-s2.0-84994544661N/A281965