دورية أكاديمية
Prediction of labor outcome pilot study: evaluation of primiparous women at term.
| العنوان: | Prediction of labor outcome pilot study: evaluation of primiparous women at term. |
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| المؤلفون: | Iliescu DG; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania (Drs Iliescu, Dragusin, and Laurentiu)., Belciug S; Faculty of Sciences, Department of Computer Science, University of Craiova, Craiova, Romania (Dr Belciug). Electronic address: sbelciug@inf.ucv.ro., Ivanescu RC; Department of Computers and Information Technologies, Faculty of Automation, Computers and Electronics, University of Craiova, Craiova, Romania (Mr Ivanescu)., Dragusin RC; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania (Drs Iliescu, Dragusin, and Laurentiu)., Cara ML; Department of Public Health, University of Medicine and Pharmacy of Craiova, Craiova, Romania (Dr Cara)., Laurentiu D; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Craiova, Romania (Drs Iliescu, Dragusin, and Laurentiu). |
| المصدر: | American journal of obstetrics & gynecology MFM [Am J Obstet Gynecol MFM] 2022 Nov; Vol. 4 (6), pp. 100711. Date of Electronic Publication: 2022 Aug 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101746609 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2589-9333 (Electronic) Linking ISSN: 25899333 NLM ISO Abbreviation: Am J Obstet Gynecol MFM Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [New York, NY] : Elsevier Inc., [2019]- |
| مستخلص: | Background: Emergency operative delivery is associated with high fetal and maternal morbidity and mortality. It is of high importance to find means to predict the delivery mode before the onset of labor. Objective: This study aimed to investigate the potential of combined sonographic and clinical determination to predict the mode of delivery at term. Study Design: An observational prospective cohort study was deployed in a tertiary maternity hospital (Emergency County Hospital Craiova). Unselected low-risk primiparous pregnant women were evaluated weekly at term for ultrasound determinations (estimated fetal weight, head descent parameters, occiput posterior, cervical length), Bishop score, and maternal characteristics (age, height, weight). A thorough statistical analysis determined which variables were significantly correlated with the delivery mode. Results: Data from 276 term primiparous women were analyzed. Head descent parameters were strongly and significantly correlated with each other, but only progression distance was correlated with the delivery mode (gestational weeks 37, 38, 41, and the week before delivery). In the week before delivery, measurements of head-to-perineum distance and angle of progression reached almost significant P levels of.055 and.07, respectively. The following variables were significantly correlated with the delivery mode: body mass index in all term evaluations; progression distance for weeks 37 and 38; maternal age for week 39; Bishop score, estimated fetal weight, and occiput posterior for week 40; and body mass index, estimated fetal weight, and progression distance for the week before delivery. We also provided logistic regression equations for each week with correct delivery mode prediction, except for week 38. Cutoff values were established for each significant parameter per week. The cutoff values must be read in conjunction with the area under the curve, which ranged from 0.55 to 0.73, depending on the variable. Conclusion: There are strong and significant correlations among the "head descent" ultrasound measurements at term. Body mass index is predictive of labor outcomes throughout term evaluations. Progression distance and body mass index measured at 37 to 38 weeks' gestation correlate with the delivery mode and apparently can be used to forecast the delivery mode when the pregnancy reaches term. For the week before delivery, measurements of estimated fetal weight and progression distance can be used to forecast the delivery mode, perhaps as part of a policy for pregnant women with prelabor clinical signs. Larger studies with more data, particularly better-balanced data, are needed. (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: cesarean delivery; delivery mode; head descent; labor outcome; pelvic examination; term pregnancy; transperineal ultrasound; vaginal delivery |
| تواريخ الأحداث: | Date Created: 20220815 Latest Revision: 20231013 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.ajogmf.2022.100711 |
| PMID: | 35970496 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2589-9333 |
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| DOI: | 10.1016/j.ajogmf.2022.100711 |