دورية أكاديمية
أعرض في EDS

The Value of Fetal Head Station as a Delivery Mode Predictor in Primiparous Women at Term before the Onset of Labor.

التفاصيل البيبلوغرافية
العنوان: The Value of Fetal Head Station as a Delivery Mode Predictor in Primiparous Women at Term before the Onset of Labor.
المؤلفون: Dîră LM; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.; Ginecho Clinic, Medgin, 200333 Craiova, Romania., Cara ML; Department of Public Health, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Drăgușin RC; Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.; Ginecho Clinic, Medgin, 200333 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Nagy RD; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.; Ginecho Clinic, Medgin, 200333 Craiova, Romania., Iliescu DG; Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.; Ginecho Clinic, Medgin, 200333 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
المصدر: Journal of clinical medicine [J Clin Med] 2022 Jun 08; Vol. 11 (12). Date of Electronic Publication: 2022 Jun 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2012]-
مستخلص: Objective: Our objective was to demonstrate the role of the clinical determination of fetal head station (FHS) at term to predict the delivery mode in primiparous women before the onset of labor.
Methods: This prospective study included unselected primiparous women at term who presented at our tertiary maternity. We excluded multiparous patients, pregnancies with a planned Cesarean section, non-cephalic presentations, and multiple pregnancies. The protocol included weekly clinical examinations to assess the FHS. The results were used to describe the clinical fetal head descent at term. We correlated the fetal head station determinations at each week with labor outcome, including the evaluations performed within the week before delivery.
Results: The data show no significant differences between vaginal (VD) and Cesarean section delivery (CS) cases regarding FHS determined at each week at term. The median determinations at the gestational ages (GW) from 37 to 41 were -2 and -3, similar between the two groups, with a more consistent difference at 41 GW: station -1 for VD compared to -3 for CS. There were significant differences between the "week before delivery" evaluations of the two groups. The determinations showed for both groups similar minimum (-5), maximum (+1), and median (-2) FHS values. Most vaginal deliveries cases presented at weekly examinations with increasing rates toward more advanced stations: from 10% at station -4 to 35% at station -1. Although we investigated a low-risk group, we found significant differences between the vaginal and Cesarean groups in terms of age, weight, and BMI. We provided a multiple logistic regression equation that considered the predictive clinical variables at term: the fetal head situation, age, weight, height, and BMI.
Conclusion: The clinical evaluation of fetal head station in primiparous before labor onset has a limited value regarding the prediction of the delivery mode. There is a potential benefit for the determinations performed within the week before delivery, but such a policy would require weekly assessments of the FHS at term, which is unlikely to be implemented. Another potential benefit would involve estimating labor outcomes in late-term or prolonged pregnancy. The fine tuning of the logistic prediction should be achieved by increasing the studied population and the number of centers involved before counseling primiparous women at term based on the clinical fetal engagement data.
References: Eur J Obstet Gynecol Reprod Biol X. 2019 Oct 31;7:100100. (PMID: 32715290)
Obstet Gynecol. 1999 Mar;93(3):329-31. (PMID: 10074972)
Cochrane Database Syst Rev. 2013 Jul 15;(7):CD010088. (PMID: 23857468)
Ultrasound Obstet Gynecol. 2015 Nov;46(5):520-5. (PMID: 25583399)
PLoS One. 2018 May 29;13(5):e0198124. (PMID: 29813118)
Med Ultrason. 2017 Jan 31;19(1):932. (PMID: 28180207)
Ultrasound Obstet Gynecol. 2012 Sep;40(3):332-7. (PMID: 22605649)
J Matern Fetal Neonatal Med. 2021 Jun;34(12):1847-1854. (PMID: 31394944)
Midwifery. 2018 Jun;61:39-41. (PMID: 29524775)
BMJ Open. 2022 Jan 05;12(1):e054285. (PMID: 34987043)
Sci Rep. 2016 Nov 22;6:37168. (PMID: 27872480)
Obstet Gynecol. 1956 Dec;8(6):691-703. (PMID: 13378754)
Am J Obstet Gynecol. 2004 Jan;190(1):129-34. (PMID: 14749648)
J Perinat Med. 2016 Jul 1;44(5):567-71. (PMID: 26982609)
Ultrasound Obstet Gynecol. 2017 Feb;49(2):240-245. (PMID: 27062415)
BMC Pregnancy Childbirth. 2021 Jan 14;21(1):57. (PMID: 33446128)
J Reprod Med. 2003 Jan;48(1):37-40. (PMID: 12611093)
Am J Perinatol. 1999;16(6):303-7. (PMID: 10586984)
Minerva Obstet Gynecol. 2021 Apr;73(2):253-260. (PMID: 33851805)
Am J Obstet Gynecol. 2005 Mar;192(3):868-74. (PMID: 15746684)
Am J Obstet Gynecol. 2003 Nov;189(5):1361-7. (PMID: 14634569)
فهرسة مساهمة: Keywords: caesarean section; delivery mode; digital vaginal examination; fetal head station; vaginal delivery
تواريخ الأحداث: Date Created: 20220624 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9225040
DOI: 10.3390/jcm11123274
PMID: 35743345
قاعدة البيانات: MEDLINE
الوصف
تدمد:2077-0383
DOI:10.3390/jcm11123274