RUPTURE OF MEMBRANES BEFORE THE ONSET OF SPONTANEOUS LABOUR INCREASES THE LIKELIHOOD OF INSTRUMENTAL DELIVERY
| Autor: | B. Rizk, S.J. Bates, A.S. Kong |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Adolescent Forceps Extraembryonic Membranes Instrumental delivery Labor Presentation Obstetrical Forceps Uterine Contraction Pregnancy Spontaneous labour medicine Humans Rupture of membranes Symptom onset Labor Obstetric Cesarean Section Term pregnancy Obstetrics business.industry Extraction Obstetrical Pain management Delivery Obstetric Analgesia Epidural Anesthesiology and Pain Medicine Regional anesthesia Anesthesia Female business |
| Zdroj: | British Journal of Anaesthesia. 68:252-255 |
| ISSN: | 0007-0912 |
| Popis: | We studied obstetric outcome in 350 consecutive nulliparous women in spontaneous labour and term pregnancy. Women who presented with rupture of membranes before the onset of contractions were more likely to deliver by forceps compared with those in whom contractions preceded rupture of membranes. This increased likelihood of instrumental delivery was significant with and without the use of extradural analgesia in labour (P less than 0.05 and P less than 0.001, respectively). Furthermore, significantly more women with premature rupture of membranes received extradural analgesia in labour (P less than 0.01). We conclude that any study which aims to examine the influence of extradural analgesia on the outcome of delivery should include premature rupture of membranes as a bias factor. |
| Databáze: | OpenAIRE |
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