Prediction of Cesarean delivery in Term Nulliparous Women after Induction of Labor at a Tertiary care teaching Hospitalof North India
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 2
Abstract
Aim: To identify independent predictors of cesarean section in a term nulliparous women. Methods: A cohort study included of 300 nulliparous patients presenting in labour at term with singleton vertex fetuses who were followed till delivery either vaginally (n = 198) or by cesarean section (n = 102). Multiple logistic regression was used to identify independent demographic and clinical predictors for cesarean delivery.Results: Increased maternal weight, advanced gestational age, social pressure, change in cervical dilatation & cervical effacement after two hours of admission, finally change in fetal head station after two hours of admission remained independently significant. Conclusions: The use of demographic and clinical criteria early during labour in nulliparous women with vertex presentation mayreduce the potential morbidity associated with prolonged labour or second stage cesarean delivery.
Authors and Affiliations
Sabha Malik
Keywords
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