The maternal pelvic floor and labor outcome

A Youssef, E Brunelli, G Pilu, HP Dietz - American Journal of Obstetrics & …, 2021 - Elsevier
Vaginal birth is the major cause of pelvic floor damage. The development of transperineal
ultrasound has improved our understanding of the relationship between vaginal birth and …

The usefulness of ultrasound before induction of labor

R Kamel, FSM Garcia, LC Poon, A Youssef - American Journal of …, 2021 - Elsevier
The indications for induction of labor have been consistently on the rise. These indications
are mainly medical (maternal or fetal) or social or related to convenience or maternal …

Predicting cesarean delivery for failure to progress as an outcome of labor induction in term singleton pregnancy

RA Kamel, SM Negm, A Youssef, L Bianchini… - American journal of …, 2021 - Elsevier
Background Induction of labor is one of the most common interventions in modern obstetrics,
and its frequency is expected to continue to increase. There is inconsistency as to how failed …

Does transperineal ultrasound predict the risk of perineal trauma in women with term pregnancy? A prospective observational study

S Xodo, G Trombetta, C Morassutto… - …, 2023 - pmc.ncbi.nlm.nih.gov
Purpose This study was conducted to evaluate the prevalence of perineal trauma during
childbirth and to assess the correlations of the pelvic floor dimensions and fetal head station …

The dynamic change of the anteroposterior diameter of the levator hiatus under Valsalva maneuver at term and labor outcome

E Brunelli, B Del Prete, P Casadio… - Neurourology and …, 2020 - Wiley Online Library
Aim The aim of the present study was to evaluate the correlation between the proportional
change of anteroposterior diameter (APD) of levator hiatus from rest to maximum Valsalva …

Soft-tissue dystocia due to paradoxical contraction of the levator ani as a cause of prolonged second stage: concept, diagnosis, and potential treatment

A Youssef, E Brunelli, M Fiorentini, G Pilu… - American Journal of …, 2024 - Elsevier
Smaller pelvic floor dimensions seem to have been an evolutionary need to provide
adequate support for the pelvic organs and the fetal head. Pelvic floor dimension and shape …

Fetal head progression and regression on maternal pushing at term and labor outcome

A Youssef, E Brunelli, C Azzarone… - … in Obstetrics & …, 2021 - Wiley Online Library
Objectives The aim of our study was two‐fold. First, to evaluate the association between the
change in the angle of progression (AoP) on maternal pushing and labor outcome. Second …

The correlation between levator ani co-activation and fetal head regression on maternal pushing at term

A Youssef, E Brunelli, M Fiorentini, G Pilu… - The Journal of …, 2022 - Taylor & Francis
Objective To assess the correlation between fetal head regression and levator ani muscle
(LAM) co-activation under Valsalva maneuver. Study design This study was a secondary …

Visual biofeedback for shortening second stage of labor: randomized controlled trial

E Preuss, A De Porto, I Zisman, H Bason, O Ron‐Tal… - 2024 - Wiley Online Library
Objective To determine whether visual biofeedback can be used during labor as an effective
tool for shortening the second stage of labor and reducing the need for instrumental delivery …

Automated Approach for Enhancing Fetal Head Station Assessment in Labor with Transperineal Ultrasound

F Conversano, MG Di Trani, R Morello, A Bottino… - Ultrasound in Medicine …, 2025 - Elsevier
Abstract Rationale and Objectives Accurate assessment of fetal head station (FHS) is crucial
during labor management to reduce the risk of complications and plan the mode of delivery …