Conflict of interests: There is no commercial or other conflict of interests.
Caput succedaneum thickness in prolonged second stage of labour: a clinical evaluation
Article first published online: 26 JUN 2013
© 2013 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 53, Issue 5, pages 459–463, October 2013
How to Cite
Gilboa, Y., Kivilevitch, Z., Kedem, A., Spira, M., Borkowski, T., Moran, O., Katorza, E. and Achiron, R. (2013), Caput succedaneum thickness in prolonged second stage of labour: a clinical evaluation. Australian and New Zealand Journal of Obstetrics and Gynaecology, 53: 459–463. doi: 10.1111/ajo.12104
- Issue published online: 1 OCT 2013
- Article first published online: 26 JUN 2013
- Manuscript Accepted: 7 MAY 2013
- Manuscript Received: 25 JAN 2013
- caput succedaneum thickness;
- second stage of labour;
- transperineal ultrasound
Data are scarce regarding the association between the presence of caput succedaneum and the mode of delivery.
To evaluate the presence and clinical significance of caput succedaneum thickness in prolonged second stage of labour.
Materials and Methods
We conducted a prospective study of women, beyond 37 weeks of gestation, during prolonged second stage of labour. Transperineal ultrasound was performed to assess the caput succedaneum thickness. The relationships between caput succedaneum thickness, feto-maternal characteristics, delivery mode and immediate post-natal outcomes were analysed.
Fifty-eight women, of whom 47 were nulliparas, in prolonged second stage of labour, were included in the study. The caput succedaneum thickness could be measured in all cases. Overall mean thickness was 21.9 (±4.9) mm (range 14–40 mm). No significant difference or correlation was found between caput succedaneum thickness, fetal head positions, modes of delivery, duration of second stage, head circumference or neonatal outcomes.
Caput succedaneum is measurable in all cases at prolonged second stage using transperineal sonography. Its presence and dimensions presented in our pilot study seem to have no implication on delivery mode and neonatal outcome.