Optimizing transperineal sonographic imaging of the cervix: the hip elevation technique.

Journal Article (Journal Article)

Although transperineal ultrasonography is a valuable technique for imaging the cervix in pregnancy, transperineal imaging can be compromised when bowel gas obscures the external portion of the cervix. To determine if a hip elevation technique could improve visualization of a partially obscured cervix, transperineal scanning was performed with the hips and buttocks elevated on a thick cushion in 23 patients with suboptimal routine transperineal views. The "hips up" maneuver was tolerated by all patients and improved cervical visualization in 19 of 23 cases. We conclude that the simple maneuver of elevating the patient's hips and buttocks on a thick cushion is a useful adjunctive technique to improve transperineal imaging of the cervix when routine transperineal views are compromised by adjacent bowel gas.

Full Text

Duke Authors

Cited Authors

  • Hertzberg, BS; Kliewer, MA; Baumeister, LA; McNally, PB; Fazekas, CK

Published Date

  • December 1994

Published In

Volume / Issue

  • 13 / 12

Start / End Page

  • 933 - 936

PubMed ID

  • 7877203

International Standard Serial Number (ISSN)

  • 0278-4297

Digital Object Identifier (DOI)

  • 10.7863/jum.1994.13.12.933


  • eng

Conference Location

  • England