Comparative Study of Ultrasound with Transvaginal Finger Examination in Diagnosis of Abnormal Position and Presentation of Fetal Head

Background: abnormal position and presentation are challenges for obstetricians in about 10% of all pregnancies. objectives: the purpose of this study was to compare ultrasound with transvaginal finger examination in detecting abnormal position and presentation of fetal head. methods: this was a cross-sectional study performed in ali ibn-e abitaleb hospital of zahedan in 2018. the women underwent vaginal finger examination in the first phase of delivery, and then trans-abdominal ultrasound was performed for pregnant women. all examinations and ultrasounds were performed by one person with the same ultrasound device. data were analyzed with spss software. results: in this study, 100 pregnantwomenwere studied in the first phase of pregnancy. the mean age of the subjects was 24.75.5 years old. fetal head position was determined in 81 and 93% of womenwith vaginal examination and ultrasound, respectively. there was weak agreement (kappa = 0.416). fetal presentation was determined by finger examination in 93% of cases and by ultrasound in 100% of cases. there was moderate agreement (kappa = 0.783). conclusions: in general, the results of this study showed that there was no significant difference between ultrasound and finger examination in the presentation and position of fetal head.