التفاصيل البيبلوغرافية
| العنوان: |
Risk factors for cervical insufficiency after term delivery. |
| المؤلفون: |
Vyas, Nisha A., Vink, Joy S., Ghidini, Atessandro, Pezzutto, John C., Korker, Victoria, Landy, Hetain J., Poggi, Sarah H. |
| المصدر: |
American Journal of Obstetrics & Gynecology; Sep2006, Vol. 195 Issue 3, p787-791, 5p, 2 Charts |
| مصطلحات موضوعية: |
DELIVERY (Obstetrics), LABOR (Obstetrics), OBSTETRICS, CHILDBIRTH, PREGNANCY, PREMATURE infants, PREMATURE labor, DURATION of pregnancy, REGRESSION analysis, MULTIVARIATE analysis |
| مستخلص: |
Objective: Cervical insufficiency can be unexpected in a woman with a previous term birth. Our objective was to determine what risk factors, if any, place women with a term delivery at risk for cervical insufficiency in a subsequent pregnancy. Study design: Demographic characteristics were collected for a cohort of women with at least 1 previous term birth followed by cervical insufficiency (subject group) and for mlcomplicated multiparous women (control group). Multiparous women with cervical insufficiency (subjects; n = 49) were compared with multiparous women who were experiencing repeat term birth with no history of cervical insufficiency (control group; n = 49). Results: Patients with cervical insufficiency were similar to control subjects demographically. No difference was noted in previous cervical procedures or spontaneous preterm deliveries. Multivariate logistic regression analysis identified a history of curettage (odds ratio, 4.6; 95% CI, 1.7–12.5), precipitous delivery (odds ratio, 6.8; 95% CI, 1.6–29.6), and prolonged second stage of labor (odds ratio, 24.9; 95% CI, 2.4–253) as independent predictors of cervical insufficiency. Conclusion: Multiparous women who experience cervical insufficiency after a term birth are more likely to have had a previous precipitous delivery, a prolonged second stage of labor, or a previous curettage compared with multiparous women who experience a repeat term birth with no cervical insufficiency. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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