Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/86267
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Indicators for intervention during the expulsive second-stage arrest of labour |
Author: | Leushuis, E. Tromp, M. Ravelli, A. van Huis, A. Mol, B. Visser, G. van der Post, J. |
Citation: | BJOG: an International Journal of Obstetrics and Gynaecology, 2009; 116(13):1773-1781 |
Publisher: | Wiley |
Issue Date: | 2009 |
ISSN: | 1470-0328 1471-0528 |
Statement of Responsibility: | E Leushuis, M Tromp, ACJ Ravelli, AM van Huis, BW Mol, GHA Visser, JAM van der Post |
Abstract: | Objective: To identify antepartum and intrapartum indicators of obstetric interventions during the expulsive second-stage arrest of labour. Design: Retrospective cohort study. Setting: The Netherlands. Population: A cohort of 389 086 women with singleton, cephalic, term, live-birth deliveries from 2002 to 2004 who had entered the expulsive second stage of labour. Of all these deliveries, 37 899 (9.7%) were complicated by expulsive second-stage arrest of labour. Women with a prior Caesarean section or women undergoing an elective Caesarean section were excluded. Methods: All deliveries in the Netherlands from 2002 to 2004 were registered in the Netherlands Perinatal Registry, which contains the linked and validated data of three databases. Uni- and multivariable logistic regression analyses were performed. Main outcome measures: Ante- and intrapartum indicators for interventions during expulsive second-stage arrest of labour. Results: Primiparous delivery was the most important antepartum indicator for intervention during expulsive second-stage arrest. Using multivariable analysis the following antepartum indicators were associated with intervention for expulsive second-stage arrest of primiparous labour: maternal age, gestational age, diabetes, hypertension and labour induction. Prominent intrapartum indicators for primiparous deliveries were fetal head position and oxytocin augmentation. Conclusion: Multiple significant antepartum and intrapartum indicators associated with intervention for expulsive second-stage arrest of labour were identified in this large retrospective study. Prominent were the associations of parity, maternal age and fetal head position with expulsive second-stage arrest. The identified factors should be further evaluated in prospective studies that aim to develop prediction models. |
Keywords: | Arrest in labour; cohort study; multivariable analysis; second stage |
Description: | Article first published online: 13 OCT 2009 |
Rights: | © 2009 The Authors |
DOI: | 10.1111/j.1471-0528.2009.02378.x |
Published version: | http://dx.doi.org/10.1111/j.1471-0528.2009.02378.x |
Appears in Collections: | Aurora harvest 7 Obstetrics and Gynaecology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.