Opportunities for infrared thermometry in predicting obstetric perineal rupture
Aim: to assess an opportunity of using infrared thermometry in predicting obstetric perineal tear.Materials and Methods. There was conducted a prospective analysis of 40 childbirth cases recorded in 2019-2020. There were stratified 2 study groups: Group 1 included 30 women without perineal injuries;...
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| Format: | Article |
| Language: | Russian |
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IRBIS LLC
2020-11-01
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| Series: | Акушерство, гинекология и репродукция |
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| Online Access: | https://www.gynecology.su/jour/article/view/833 |
| _version_ | 1797884099514335232 |
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| author | A. M. Ziganshin V. A. Mudrov A. Yu. Mironenko V. A. Kulavskiy |
| author_facet | A. M. Ziganshin V. A. Mudrov A. Yu. Mironenko V. A. Kulavskiy |
| author_sort | A. M. Ziganshin |
| collection | DOAJ |
| description | Aim: to assess an opportunity of using infrared thermometry in predicting obstetric perineal tear.Materials and Methods. There was conducted a prospective analysis of 40 childbirth cases recorded in 2019-2020. There were stratified 2 study groups: Group 1 included 30 women without perineal injuries; Group 2 - 10 women with obstetric perineal rupture. Infrared thermometry in the posterior perineal junction projection was performed during the second period of labor at two timepoints: 1 - onset of the second labor period; 2 - descent of fetal head parietal tubercles.Results. The temperature difference between the first and second timepoints in Group 1 was 1.8 [1.71; 1.99] °C, in Group 2 - 2.7 [2.42; 2.82] °C (U = 54.000, p = 0.002). The rate of perineal temperature decline > 2.0 °C in Group 1 was 20 % (6/30), in Group 2 - 80 % (8/10) of cases (х2 = 11.868; p = 0.001). Such observation exhibited relatively high strength of relationship (V = 0.545). It is noteworthy that if perineal temperature decline at least by 2.0 °C for 2 minutes from descent of fetal head parietal tubercles to full birth of fetal head, the perineal rupture occurred in 100 % of cases (х2 = 7.556; p = 0.006), also featured with relatively high strength (V = 0.435).Conclusion. Perineal skin temperature decline at least by 2.0 °C for 2 minutes or more from descent of fetal head parietal tubercles may potentially be used as a criterion justifying episiotomy. |
| first_indexed | 2024-04-10T04:01:09Z |
| format | Article |
| id | doaj.art-faf70f0b5c834a339a00e7c4c89fb58a |
| institution | Directory Open Access Journal |
| issn | 2313-7347 2500-3194 |
| language | Russian |
| last_indexed | 2024-04-10T04:01:09Z |
| publishDate | 2020-11-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Акушерство, гинекология и репродукция |
| spelling | doaj.art-faf70f0b5c834a339a00e7c4c89fb58a2023-03-13T07:09:51ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942020-11-0114557758610.17749/2313-7347/ob.gyn.rep.2020.134598Opportunities for infrared thermometry in predicting obstetric perineal ruptureA. M. Ziganshin0V. A. Mudrov1A. Yu. Mironenko2V. A. Kulavskiy3Bashkir State Medical University, Health Ministry of Russian FederationChita State Medical Academy, Health Ministry of Russian FederationChita State Medical Academy, Health Ministry of Russian FederationBashkir State Medical University, Health Ministry of Russian FederationAim: to assess an opportunity of using infrared thermometry in predicting obstetric perineal tear.Materials and Methods. There was conducted a prospective analysis of 40 childbirth cases recorded in 2019-2020. There were stratified 2 study groups: Group 1 included 30 women without perineal injuries; Group 2 - 10 women with obstetric perineal rupture. Infrared thermometry in the posterior perineal junction projection was performed during the second period of labor at two timepoints: 1 - onset of the second labor period; 2 - descent of fetal head parietal tubercles.Results. The temperature difference between the first and second timepoints in Group 1 was 1.8 [1.71; 1.99] °C, in Group 2 - 2.7 [2.42; 2.82] °C (U = 54.000, p = 0.002). The rate of perineal temperature decline > 2.0 °C in Group 1 was 20 % (6/30), in Group 2 - 80 % (8/10) of cases (х2 = 11.868; p = 0.001). Such observation exhibited relatively high strength of relationship (V = 0.545). It is noteworthy that if perineal temperature decline at least by 2.0 °C for 2 minutes from descent of fetal head parietal tubercles to full birth of fetal head, the perineal rupture occurred in 100 % of cases (х2 = 7.556; p = 0.006), also featured with relatively high strength (V = 0.435).Conclusion. Perineal skin temperature decline at least by 2.0 °C for 2 minutes or more from descent of fetal head parietal tubercles may potentially be used as a criterion justifying episiotomy.https://www.gynecology.su/jour/article/view/833birth injuryperineal ruptureinfrared thermometryepisiotomy |
| spellingShingle | A. M. Ziganshin V. A. Mudrov A. Yu. Mironenko V. A. Kulavskiy Opportunities for infrared thermometry in predicting obstetric perineal rupture Акушерство, гинекология и репродукция birth injury perineal rupture infrared thermometry episiotomy |
| title | Opportunities for infrared thermometry in predicting obstetric perineal rupture |
| title_full | Opportunities for infrared thermometry in predicting obstetric perineal rupture |
| title_fullStr | Opportunities for infrared thermometry in predicting obstetric perineal rupture |
| title_full_unstemmed | Opportunities for infrared thermometry in predicting obstetric perineal rupture |
| title_short | Opportunities for infrared thermometry in predicting obstetric perineal rupture |
| title_sort | opportunities for infrared thermometry in predicting obstetric perineal rupture |
| topic | birth injury perineal rupture infrared thermometry episiotomy |
| url | https://www.gynecology.su/jour/article/view/833 |
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