| The validity of cervical dilation as an indication of true labor between 32 and 36 weeks 6 days of gestation. | |
| | |
MedLine Citation:
|
PMID: 17904991 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Cervical dilation with regular contraction traditionally has been used to differentiate between true and false labor. This diagnostic criterion has not been tested as most patients receive tocolytics. Our objective was to determine the time from admission to delivery in women with preterm contractions and advanced cervical dilation without tocolytics. STUDY DESIGN: We reviewed the records of patients with preterm labor on the basis of regular contractions and cervical dilation > or = 3 cm between 32 and 36 weeks 6 days of gestation. Chi-square analysis was performed for delivery at > 1 week. RESULTS: In the records, 68.8% of the patients remained pregnant at > 1 week without tocolysis. Between 32 and 34 weeks of gestation, the use of tocolysis did not help to prolong pregnancy > 1 week (81% vs 88%; alpha = .05; power = 0.65). CONCLUSION: Cervical dilation with preterm contraction cannot be used as an indication of true labor. More accurate methods to diagnose true preterm labor and direct management decisions are needed. |
| | |
Authors:
|
Sangeeta Jain; Angela Earhart; Nicole Ruddock; Tony Wen; Gary D V Hankins; George R Saade |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: 197 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2007 Oct |
Date Detail:
|
Created Date: 2007-10-01 Completed Date: 2007-11-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 431.e1-3 Citation Subset: AIM; IM |
Affiliation:
|
Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, TX 77555, USA. sajain@utmb.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Delivery, Obstetric Female Humans Labor Stage, First / physiology* Obstetric Labor, Premature / diagnosis* Pregnancy Retrospective Studies Statistics, Nonparametric Tocolysis / methods Tocolytic Agents / pharmacology |
| Chemical | |
Reg. No./Substance:
|
0/Tocolytic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Does length of labor vary by maternal age?
Next Document: EMR for Barrett's esophagus-related superficial neoplasms offers better diagnostic reproducibility t...