Document Detail


Short arrest of cervical dilatation: a risk for maternal/fetal/infant morbidity.
MedLine Citation:
PMID:  7223808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The characteristics of short arrest of dilatation (failure to dilate in active labor for greater than or equal to 1 hour, but less than 2 hours) were assessed by evaluating 2,489 consecutive deliveries. Short arrests were found to be similar to secondary arrests of dilatation as maternal/fetal/infant risks. Short arrest was associated with an increase in labor abnormality, fetal distress, evidence of maternal/infant trauma, an operative delivery. The findings of this study suggest that hourly vaginal examination to detect short arrest is a reasonable approach to following the progress of labor, and that electronic fetal monitoring may be indicated when short arrest of dilatation is diagnosed. Although the risk for operative delivery was found to be increased, over 80% of the patients with short arrest had normal vaginal deliveries.
Authors:
S F Bottoms; R J Sokol; M G Rosen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  140     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1981 May 
Date Detail:
Created Date:  1981-06-23     Completed Date:  1981-06-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  108-16     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Cervix Uteri / physiopathology*
Delivery, Obstetric / methods*
Female
Fetal Distress / etiology
Fetal Monitoring*
Humans
Infant, Newborn
Obstetric Labor Complications / physiopathology*
Pregnancy
Risk
Time Factors
Grant Support
ID/Acronym/Agency:
5MO1-RR00210/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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