THE RELATIONSHIP BETWEEN CERVICAL DILATATION AT THE FIRST VAGINAL EXAMINATION IN LABOR AND SUBSEQUENT INTERVENTION

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GHOMIAN N.; KHADEM N.

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Paper Information

Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2003 | Volume:6 | Issue:1 Page(s): 24-29

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Title

THE RELATIONSHIP BETWEEN CERVICAL DILATATION AT THE FIRST VAGINAL EXAMINATION IN LABOR AND SUBSEQUENT INTERVENTION

Author(s)

GHOMIAN N. | KHADEM N. | Issue Writer Certificate

Keywords

CERVICAL DILATATIONQ4

LABORQ4

VAGINAL EXAMINATIONQ2

Abstract

Objective: Before the beginning of active phase a conclusive relation is suggested dilatation of cervix at initial admission and the rate of cesarean section and augmentation of LABOR. In this study, we have investigated this relationship.Materials and Methods: In this prospective study during the seventh month 500 singleton pregnant women (primigravida or multigravida) with cephalic presentation, intact amniotic sac, term pregnancy admitted to Imam Reza and Hazrat Zeinab Hospital's for vaginal delivery were observed. Patients were divided into two groups with CERVICAL DILATATION less than 4 cm at the beginning of admission and patients with CERVICAL DILATATION of 4 cm or more. Then valids such as the rate of cesarean section, the rate of augmentation of LABOR, vacuum delivery, neonatal birth weight and Apgar score 5at min were compared. Results: The results of this study revealed that the probability of cesarean section reduces with increase of dilatation of cervix at initial admission, both in nulliparous and multiparous women (P<0.001 in both groups). Also, there is a significant relation between dilatation of the cervix at initial admission and augmentation of LABOR in both groups of nulliparous and multiparous (P<0.001 in both groups). Duration of second phase of LABOR reduces with increase of dilatation of cervix of initial admission. There was no significant relationship between other variables. Conclusion: The rate of cesarean section and oxytocin-induced delivery and duration of second phase of LABOR reduces with increases of CERVICAL DILATATION at initial admission. Home assessment in early LABOR can delay hospital attendance with a concomitant reduction in interventions.

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APA: Copy

GHOMIAN, N., & KHADEM, N.. (2003). THE RELATIONSHIP BETWEEN CERVICAL DILATATION AT THE FIRST VAGINAL EXAMINATION IN LABOR AND SUBSEQUENT INTERVENTION. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 6(1), 24-29. SID. https://sid.ir/paper/65246/en

Vancouver: Copy

GHOMIAN N., KHADEM N.. THE RELATIONSHIP BETWEEN CERVICAL DILATATION AT THE FIRST VAGINAL EXAMINATION IN LABOR AND SUBSEQUENT INTERVENTION. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2003;6(1):24-29. Available from: https://sid.ir/paper/65246/en

IEEE: Copy

N. GHOMIAN, and N. KHADEM, “THE RELATIONSHIP BETWEEN CERVICAL DILATATION AT THE FIRST VAGINAL EXAMINATION IN LABOR AND SUBSEQUENT INTERVENTION,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 6, no. 1, pp. 24–29, 2003, [Online]. Available: https://sid.ir/paper/65246/en

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