دورية أكاديمية
Associations between cervical dilatation on admission and mode of delivery, a cohort study of Norwegian nulliparous women
| العنوان: | Associations between cervical dilatation on admission and mode of delivery, a cohort study of Norwegian nulliparous women |
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| المؤلفون: | Gjærum, Ragnhild, Johansen, Ingvild, Øian, Pål, Bernitz, Stine, Dalbye, Rebecka |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2021 |
| المجموعة: | University of Tromsø: Munin Open Research Archive |
| الوصف: | Objective - To investigate associations between cervical dilatation at hospital admission and mode of delivery. Methods - A cohort study with data from a cluster-randomised controlled trial, the Labour Progression Study. The study population of 6511 nulliparous women with a singleton fetus in cephalic presentation with spontaneous onset of labour at term, was divided into two groups: <4 cm and ≥ 4 cm cervical dilatation on admission. Binary logistic regression comparing mode of delivery was used to estimate crude and adjusted OR with associated 95% CI. Results - Of the total study population, 56.7% were admitted with < 4 cm cervical dilatation and 43.3% with ≥ 4 cm. Women admitted with ≥ 4 cm had a significantly higher chance of spontaneous delivery, with adjusted OR of 1.28 (95% CI: 1.14–1.44), and a significantly lower risk of caesarean sections, with an adjusted OR of 0.51 (95% CI: 0.41–0.64). For operative vaginal delivery, there were no significant difference between the study groups. Intrapartum interventions as epidural analgesia and augmentation with oxytocin were lower among women admitted with ≥ 4 cm cervical dilatation. Conclusion - The study found a significantly higher chance of spontaneous delivery among women admitted with ≥ 4 cm. More research is needed to investigate why so many women are admitted early in labour, and how these women can be better cared for to increase their chances of a spontaneous delivery. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1877-5756 1877-5764 |
| العلاقة: | Sexual & Reproductive HealthCare; Gjærum, Johansen I, Øian P, Bernitz S, Dalbye R. Associations between cervical dilatation on admission and mode of delivery, a cohort study of Norwegian nulliparous women. Sexual & Reproductive HealthCare. 2021;31; FRIDAID 1991109; https://hdl.handle.net/10037/23842Test |
| DOI: | 10.1016/j.srhc.2021.100691 |
| الإتاحة: | https://doi.org/10.1016/j.srhc.2021.100691Test https://hdl.handle.net/10037/23842Test |
| حقوق: | openAccess ; Copyright 2021 The Author(s) |
| رقم الانضمام: | edsbas.530E02CA |
| قاعدة البيانات: | BASE |
| تدمد: | 18775756 18775764 |
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| DOI: | 10.1016/j.srhc.2021.100691 |