| Changing trends in operative delivery performed at full dilatation over a 10-year period. | |
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MedLine Citation:
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PMID: 20455720 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J A Z Loudon; K M Groom; L Hinkson; D Harrington; S Paterson-Brown |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2010-05-11 Completed Date: 2010-08-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 370-5 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Institute for Reproductive and Developmental Biology, London, UK. j.loudon@imperial.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section
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adverse effects,
statistics & numerical data,
trends* Female Humans Infant Mortality Infant, Newborn Labor Stage, Second London / epidemiology Pregnancy Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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