Risk Factors of Cesarean Delivery due to Cephalopelvic
Objective:To identify the risk factors of cesarean delivery due to cephalopelvic disproportion in nulliparous women.Materials and Methods: A case-control study was conducted at Sisaket Hospital, North Eastern, Thailand. The study group consisted of nulliparous women who delivered by ces...
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| Format: | Article |
| Language: | English |
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The Royal Thai College of Obstetricians and Gynaecologists
2011-12-01
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| Series: | Thai Journal of Obstetrics and Gynaecology |
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| Online Access: | https://tci-thaijo.org/index.php/tjog/article/download/1214/975/ |
| _version_ | 1818512349020028928 |
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| author | Wanchai Wianwiset |
| author_facet | Wanchai Wianwiset |
| author_sort | Wanchai Wianwiset |
| collection | DOAJ |
| description | Objective:To identify the risk factors of cesarean delivery due to cephalopelvic disproportion in nulliparous women.Materials and Methods: A case-control study was conducted at Sisaket Hospital, North Eastern, Thailand. The study group consisted of nulliparous women who delivered by cesarean section due to cephalopelvic disproportion from May 1, 2010 to April 30, 2011. The control group consisted of nulliparous women who delivered normally during the same period. Maternal age, height, gestational age, pre-pregnancy weight, weight before delivery, total weight gain, BMI, symphysis pubis-fundal height, birth weight, newborn sex and apgar score at 5 minutes < 7 were mainly focused. Risk factors were analyzed and compared between cesarean delivery group and control group. Univariate and multivariate analysis were performed.Results:The study group consisted of 309 nulliparous women and the control group consisted of 814 nulliparous women. Risk factors significantly associated with cesarean delivery due to cephalopelvic disproportion included maternal height ≤ 154 cm. (OR 2.89, 95%CI 2.12-3.95), total weight gain ≥ 16 kg. (OR 0.51, 95%CI 0.36-0.73), pre-pregnancy BMI >25 kg/m2 (OR 0.61, 95%CI 0.47-0.80), BMI before delivery >25 kg/m2 (OR 0.48, 95%CI 0.38-0.60) and symphysis pubis-fundal height ≥ 33 cm. (OR 0.37, 95%CI 0.27-0.5).Conclusion:Risk factors of cesarean delivery due to cephalopelvic disproportion in nulliparous women were maternal height ≤154 cm., total weight gain ≥ 16 kg., pre-pregnancy BMI >25 kg/m2, BMI before delivery >25 km/m2 and symphysis pubis-fundal height ≥ 33 cm. Combination of these risk factors may be used for clinical management and decision-making of laboring the nulliparous women. |
| first_indexed | 2024-12-10T23:45:34Z |
| format | Article |
| id | doaj.art-c1f3a528e8bc4467a31625644b38bcb8 |
| institution | Directory Open Access Journal |
| issn | 0857-6084 0857-6084 |
| language | English |
| last_indexed | 2024-12-10T23:45:34Z |
| publishDate | 2011-12-01 |
| publisher | The Royal Thai College of Obstetricians and Gynaecologists |
| record_format | Article |
| series | Thai Journal of Obstetrics and Gynaecology |
| spelling | doaj.art-c1f3a528e8bc4467a31625644b38bcb82022-12-22T01:28:56ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842011-12-01194158164Risk Factors of Cesarean Delivery due to CephalopelvicWanchai Wianwiset0Department of Obstetrics and Gynecology, Sisaket Hospital, Sisaket, ThailandObjective:To identify the risk factors of cesarean delivery due to cephalopelvic disproportion in nulliparous women.Materials and Methods: A case-control study was conducted at Sisaket Hospital, North Eastern, Thailand. The study group consisted of nulliparous women who delivered by cesarean section due to cephalopelvic disproportion from May 1, 2010 to April 30, 2011. The control group consisted of nulliparous women who delivered normally during the same period. Maternal age, height, gestational age, pre-pregnancy weight, weight before delivery, total weight gain, BMI, symphysis pubis-fundal height, birth weight, newborn sex and apgar score at 5 minutes < 7 were mainly focused. Risk factors were analyzed and compared between cesarean delivery group and control group. Univariate and multivariate analysis were performed.Results:The study group consisted of 309 nulliparous women and the control group consisted of 814 nulliparous women. Risk factors significantly associated with cesarean delivery due to cephalopelvic disproportion included maternal height ≤ 154 cm. (OR 2.89, 95%CI 2.12-3.95), total weight gain ≥ 16 kg. (OR 0.51, 95%CI 0.36-0.73), pre-pregnancy BMI >25 kg/m2 (OR 0.61, 95%CI 0.47-0.80), BMI before delivery >25 kg/m2 (OR 0.48, 95%CI 0.38-0.60) and symphysis pubis-fundal height ≥ 33 cm. (OR 0.37, 95%CI 0.27-0.5).Conclusion:Risk factors of cesarean delivery due to cephalopelvic disproportion in nulliparous women were maternal height ≤154 cm., total weight gain ≥ 16 kg., pre-pregnancy BMI >25 kg/m2, BMI before delivery >25 km/m2 and symphysis pubis-fundal height ≥ 33 cm. Combination of these risk factors may be used for clinical management and decision-making of laboring the nulliparous women.https://tci-thaijo.org/index.php/tjog/article/download/1214/975/cesarean deliverycephalopelvic disproportionrisk factorsnulliparous women |
| spellingShingle | Wanchai Wianwiset Risk Factors of Cesarean Delivery due to Cephalopelvic Thai Journal of Obstetrics and Gynaecology cesarean delivery cephalopelvic disproportion risk factors nulliparous women |
| title | Risk Factors of Cesarean Delivery due to Cephalopelvic |
| title_full | Risk Factors of Cesarean Delivery due to Cephalopelvic |
| title_fullStr | Risk Factors of Cesarean Delivery due to Cephalopelvic |
| title_full_unstemmed | Risk Factors of Cesarean Delivery due to Cephalopelvic |
| title_short | Risk Factors of Cesarean Delivery due to Cephalopelvic |
| title_sort | risk factors of cesarean delivery due to cephalopelvic |
| topic | cesarean delivery cephalopelvic disproportion risk factors nulliparous women |
| url | https://tci-thaijo.org/index.php/tjog/article/download/1214/975/ |
| work_keys_str_mv | AT wanchaiwianwiset riskfactorsofcesareandeliveryduetocephalopelvic |