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Ultrasound in labor admission to predict need for emergency cesarean section: a prospective, blinded cohort study
- Source :
- The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 34(12)
- Publication Year :
- 2019
-
Abstract
- To assess whether assessment with ultrasound could improve the detection of emergency cesarean section (ECS) in laboring women.Women who presented with symptoms of active labor or women in need of labor induction were invited to participate in the study. Women included in the study were evaluated with ultrasonography for fetal biometry and vaginal examinations for Bishop score assessment. The main aim in this study was determining factors associated with ECS due to fetal distress and obstructed labor.No fetal biometry variable was associated with ECS due to any indication (fetal distress and obstructed labor combined) in the univariate analysis. In multivariate analyses, biometry variables were adjusted for Bishop score at admission and only abdominal circumference percentile showed a significant association with the odds of ECS due to any indication (OR:1.02, 95% CI: 1.01-1.03). Biparietal diameter and abdominal circumference variables were associated with the odds of ECS due to obstructed labor in both univariate and multivariate analyses (Ultrasound assessment at admission, in addition to Bishop score assessment, did not significantly improve the prediction of ECS. Also, the fetal biometry alone had poor predictive capability for ECS. Routine ultrasound assessment at labor admission appears to be ineffective for predicting ECS.PrecisFetal biparietal diameter and abdominal circumference showed an association with emergency cesarean due to obstructed labor but the predictive accuracy of fetal biometry was low. Routine ultrasound examination at admission, in addition to Bishop score assessment, may not useful for assessing the risk of emergency section in unselected populations.
- Subjects :
- Emergency Cesarean Section
medicine.medical_specialty
Routine ultrasound
business.industry
Obstetrics
Cesarean Section
Ultrasound
Obstetrics and Gynecology
Cervix Uteri
Active Labor
Ultrasonography, Prenatal
Cohort Studies
Fetal biometry
Pregnancy
Pediatrics, Perinatology and Child Health
medicine
Humans
Female
Labor, Induced
Prospective Studies
business
reproductive and urinary physiology
Cohort study
Ultrasonography
Subjects
Details
- ISSN :
- 14764954
- Volume :
- 34
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
- Accession number :
- edsair.doi.dedup.....fb11901aa8c95bff4c6f3716615609d1