%0 Journal Article
%T Use of 2D and multislice transperineal ultrasonography to describe the degree of perineal laceration following vaginal delivery
%A Alfa P. Meutia
%A Budi I. Santoso
%A Fernandi Moegni
%A Surahman Hakim
%A Suskhan Djusad
%A Tyas Priyantini
%J -
%D 2018
%R https://doi.org/10.13181/mji.v27i2.1908
%X Background: Perineal tear is the most common complication after vaginal delivery. Pill-rolling test is a widely used clinical evaluation method to determine the degree of perineal tear. However, the evaluation results of anal sphincter complex (ASC) differ between clinical examination and 2D/multislice transperineal ultrasonography (TPUS). This study aims to describe measurement variation between these modalities. Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2015 to May 2016. Subjects were primiparous women after vaginal delivery. Clinical examination using pill-rolling test was performed to determine the degree of perineal laceration. Suture was conducted accordingly. The subjects were subjected to 2D/multislice TPUS 72 hours after delivery to evaluate the integrity of internal and external anal sphincters. Data were collected and analyzed to determine compatibility between these examinations. Results: Among 70 prospective primiparous women, five were excluded due to unavailability to undergo 2D/multislice TPUS 72 hours after delivery. The mean duration to perform 2D/multislice TPUS was 4.5 minutes, and pain was tolerable during the examination. The compatibility values of clinical examination with 2D and multislice TPUS were 0.98 and 0.93, respectively, with CohenĄ¯s kappa of 0.92 (95% CI 0.81¨C1.00) and 0.79 (95% CI 0.58¨C0.99), respectively. Conclusion: Clinical examination is compatible with 2D/multislice TPUS for determining the degree of perineal tear after vaginal delivery
%K 2D or multislice transperineal ultrasonography
%K perineal laceration
%K pill-rolling test
%K vaginal delivery
%U http://mji.ui.ac.id/journal/index.php/mji/article/view/1908