| Fetal station at the time of labour arrest and risk of caesarean delivery. | |
| | |
MedLine Citation:
|
PMID: 16147687 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study aimed to determine whether an unengaged vertex in nulliparous women experiencing active phase labour-arrest increased the caesarean delivery risk. We selected a retrospective cohort of 393 patients. Of these, the presenting part was unengaged in 307, and engaged in 86. Compared with the engaged vertex, unengaged vertex significantly increased the risk of caesarean delivery (27% vrs 7%, P < 0.001, with the risk increased 5 fold [Odds ratio 4.94, confidence intervals 2.08, 11.76]. The risk remains significant after adjusting for confounding variables on multiple logistic regression [adjusted OR 4.71, CI 1.99, 11.01]. However, the degree of unengagement did not significantly affect caesarean rate. (39% at -3 station, 39% at -2 station, and 33% at -1 station; P = 0.577). While an unengaged vertex significantly increased the caesarean delivery rate, the degree of unengagement did not, and the eventual vaginal delivery rate (73%) is high and should prevent hasty recourse to caesarean delivery. |
| | |
Authors:
|
V O Oboro; T O Tabowei; J O Bosah |
Related Documents
:
|
10546727 - Hydramnios prediction of adverse perinatal outcome. 9654177 - Fear of childbirth during pregnancy may increase the risk of emergency cesarean section. 10443607 - Effect of combined spinal-epidural ambulatory labor analgesia on balance. 14562597 - Vaginal misoprostol for induction of labour: a more effective agent than prostaglandin ... 16417137 - Visualizing facial shape regression upon 2nd to 4th digit ratio and testosterone. 19098377 - Chronic kidney disease increases cardiovascular mortality in 80-year-old subjects in ja... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 25 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2005 Jan |
Date Detail:
|
Created Date: 2005-09-08 Completed Date: 2005-12-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
|
Languages: eng Pagination: 20-2 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynaecology, LAUTECH College of Health Sciences, Osogbo, Osun State, Nigeria. oborovo@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Cesarean Section* / statistics & numerical data Cohort Studies Female Humans Labor, Obstetric* Logistic Models Obstetric Labor Complications Odds Ratio Parity Pregnancy Retrospective Studies Risk Factors Version, Fetal* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Second trimester amniotic fluid endothelin concentration. A possible predictor for pre-eclampsia.
Next Document: Intrauterine tobacco smoke exposure and hyaline membrane disease amongst triplets.