Predictive Value of Cervical Dilatation at Initial Presentation in Labor and Subsequent Intervention | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 93, Volume 90, Issue 1, January 2023, Pages 662-667 PDF (418.92 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.279824 | ||
| Authors | ||
| Essam A. Amin; Tarek Mohammed Sayed; Rasha Zaki Abd Al-Aziz; Hesham Ammar | ||
| Abstract | ||
| Background: The development of initiatives to lower caesarean section rates requires a fundamental understanding of the dynamics of normal and atypical labor, as well as women's behavior. Objective: The aim of the current study is to assess the predictive value of initial cervical dilatation at the time of hospital admission in nulliparous women in labor and its relation to subsequent intervention, mode of delivery, and maternal, fetal outcomes. Patients and methods: This cohort study was conducted at the Department of Obstetrics and Gynecology of both Menoufia University Hospital and Quesna General Hospital included 60 nulliparous pregnant women with singleton cephalic deliveries at 36-42 weeks who were admitted in spontaneous labor at various grades of cervical dilatation < or equal 6 cm. Results: There was a significant difference between the Average Dilatation Rate (ADR) and Initial Dilatation Rate (IDR) and the number of vaginal examinations and duration of 1st stage and a highly significant difference in the duration of 2nd stage. While correlating with the mode of delivery, we found that ADR is 1cm/h or more 100% in the spontaneous vaginal group and 80% in the assistant vaginal group while it is 100% less than 1cm/h in the cesarean group. IDR is 1cm/h or more in 88.6 % of the spontaneous vaginal group and less than 1cm/h in 100% of assistant vaginal and 100% of cesarean groups. Conclusion: The IDR appears to be an accurate indicator and predictor of the course of labor. When IDR was 1cm/hour or more percentage of vaginal delivery was more and if less than 1cm/hour percentage of CS was more. | ||
| Keywords | ||
| Average dilatation rate; Cervical; Initial dilatation rate; Labor; Pregnancy | ||
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