Outcome of Mode of Delivery in Nulliparous and Multiparous Women Presenting with Early and Late Cervical Dilatation

Delta Medical College Journal Pub Date : 2019-03-19 DOI:10.3329/DMCJ.V7I1.40616

Ferdous Ara Shuchi, S. Lovereen, Mst Nazmunnaher Mina

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引用次数: 2

Abstract

Background: Knowledge of the patterns of normal and abnormal labour, and of women’s behavior, is fundamental to the formulation of mode of delivery. It is observed that women admitted to hospital early have a higher frequency of obstetric interventions in labour than those admitted later. Objective: To study the outcome of spontaneous onset of labour in nulliparous and multiparous patients. Materials and method: During the study period of 1st July 2008 to 31st Dec 2008, 568 pregnant women admitted in Kumudini Women’s Medical College were included in this study. Mothers were observed since admission with spontaneous onset of labour and followed up till they were released from the hospital. Labour outcome was measured and mode of delivery was compared among nulliparous and multiparous women. Results: Among the nulliparous women, normal vaginal delivery occurred in 71 (23%) patients presented with early cervical dilatation (0-3 cm) and in 142 (46%) patients presented with late cervical dilatation (>4 cm). In nulliparous women caesarean section were needed in 60 (45.8%) patients in early cervical dilatation group and in 35 (19.8%) patients in late cervical dilatation group. In multiparous women, normal vaginal delivery occurred in 66 (25%) patients presented with early cervical dilatation and in 133 (51%) patients presented with late cervical dilatation whereas cesarean section were done in 35 (34.7%) patients and in 25 (15.8%) patients in the two groups respectively. Duration of labour between nulliparous and multiparous was significantly different (8 hours vs. 6 hours). Indication of caesarean section were, 61 (40%) patients due to prolong labour, 48 (34%) due to foetal distress and 44 (26%) due to cephalopelvic disproportion. Conclusion: Normal vaginal delivery occurred more and duration of labour was shorter in patients admitted with advanced labour (cervical dilatation >4cm). Delta Med Col J. Jan 2019 7(1): 16-20

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早、晚宫颈扩张的无产和多产妇女分娩方式的结局

背景:了解正常和异常分娩的模式，以及妇女的行为，是制定分娩方式的基础。据观察，较早入院的妇女在分娩时接受产科干预的频率高于较晚入院的妇女。目的:探讨无产和多产患者自然产的结局。材料和方法:研究于2008年7月1日至2008年12月31日期间，在Kumudini女子医学院住院的568名孕妇被纳入本研究。母亲自入院以来一直观察自然分娩，并随访至出院。测量分娩结果，比较无产和多产妇女的分娩方式。结果:在未产妇女中，71例(23%)宫颈扩张早期(0 ~ 3cm)， 142例(46%)宫颈扩张晚期(0 ~ 4cm)，阴道正常分娩。宫颈扩张早期组和宫颈扩张晚期组分别有60例(45.8%)和35例(19.8%)需要剖宫产。在多次分娩的妇女中，66例(25%)患者宫颈扩张早期，133例(51%)患者宫颈扩张晚期阴道分娩正常，而两组分别有35例(34.7%)和25例(15.8%)患者行剖宫产。无产和多产的产程有显著差异(8小时vs. 6小时)。剖宫产指征:延长产程61例(40%)，胎儿窘迫48例(34%)，头骨盆比例失调44例(26%)。结论:产程晚期(宫颈扩张4cm)患者阴道正常分娩较多，产程较短。中华医学会医学杂志，2019 7(1):16-20

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Delta Medical College Journal

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审稿时长

20 weeks