%0 Journal Article
%T Performance of the Vaginal Touch in the Diagnosis of Vertex Presentation in Posterior Variety
%A C. Itoua
%A S. P. Kimbouala Ngounga
%A G. Buambo
%A N. S. Potokoue Mpia
%A E. M. L. Eouani
%A L. H. Iloki
%J Open Journal of Obstetrics and Gynecology
%P 1305-1309
%@ 2160-8806
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojog.2018.813132
%X <strong>Objective:</strong><span style=\"font-size:12px;font-family:Verdana;\"> To evaluate the performance of the vaginal touch in the diagnosis of vertex presentation in posterior variety. <strong>Materials Populations and Methods: </strong>Transversal analytical study conducted during 4 months (November 2017 - February 2018) at the University Hospital of Brazzaville. This study included parturients with a living foetus in term and in vertex presentation.&nbsp; The membranes were broken with less than 6 cm of vaginal dilatation. In each case the ultrasound was associated to verify the accuracy of the results of vaginal examination. The statistical tests used were: sensitivity, specificity, positive and negative predictive values, and Youden¡¯s index. <strong>Results: </strong>One hundred and twenty-two vertex presentations were recorded, of which 31 (25.4%) had a posterior variety diagnosed successively with vaginal examination and ultrasound, while 23 (42.6%) were only on ultrasound. Parturients with foetuses in the posterior and anterior variety were similar in median age (30 [25.5 - 33.5] vs 27.5 [24 - 34], p &gt; 0.05) and parity (2 [1.5 - 3.5] vs 2 [1 - 3], p &gt; 0.05). Vaginal touch had: sensitivity of 57.4% [44.4 - 70.4], specificity of 94.1% [86.7 - 99.3], and Youden¡¯s index of 0.52. The positive and negative predictive values were respectively 88.5% and 73.5%. The vaginal examination was influenced by: examiner (OR = 2.7 [1.21 - 6.07]; p &lt; 0.05), sero-sanguine hump (OR = 7.5 [2.38 - 23.77]; p &lt; 0.05), and BMI &gt; 25 kg/m2 (OR = 3.4 [1.07 - 11.07], p &lt; 0.05). <strong>Conclusion: </strong>The vaginal touch is not very effective in the diagnosis of the vertex presentation in posterior variety.</span>
%K Vaginal Touch
%K Vertex Presentation
%K Posterior Variety
%K Brazzaville
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=88290