Document Detail


Changing trends in operative delivery performed at full dilatation over a 10-year period.
MedLine Citation:
PMID:  20455720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was a systematic anonymous audit of routinely collected data in a tertiary referral obstetric unit in London and included data from deliveries over a 10-year period (1992-2001). Data for all caesarean sections at full dilatation were collected, including maternal demographic information, the grade of operating clinician, and the place of delivery. Neonatal data collected included birth weight and umbilical arterial pH. No changes in the demographics of the population were observed. No increased rates of malposition were observed. Birth weight did not change. Increasing preference for the ventouse over forceps (ratio 0.2:1 to 1.9:1) over the decade (p = 0.002) was seen with an increased tendency to conduct the delivery in the operating theatre (p = 0.0025). Rate of caesarean section at full dilatation increased (2% by 2001). Increasing failures of operative vaginal delivery, especially using the ventouse (regression coefficient p = 0.025), and reduced attempts at instrumentation (regression coefficient p = 0.002) were seen.
Authors:
J A Z Loudon; K M Groom; L Hinkson; D Harrington; S Paterson-Brown
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  30     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-11     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  370-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Institute for Reproductive and Developmental Biology, London, UK. j.loudon@imperial.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section / adverse effects,  statistics & numerical data,  trends*
Female
Humans
Infant Mortality
Infant, Newborn
Labor Stage, Second
London / epidemiology
Pregnancy
Retrospective Studies

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