Risk factors for forceps delivery in nulliparous patients
| Autor: | Hélène Heckenroth, Géraldine Porcu, Anderson Loundou, Chafika Mazouni, Marc Gamerre, Florence Bretelle |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Birth weight Forceps Obstetrical Forceps Pregnancy Risk Factors Birth Weight Humans Medicine Fetal head Labor Induced Retrospective Studies Gynecology business.industry Vaginal delivery Age Factors Obstetrics and Gynecology Retrospective cohort study General Medicine Delivery Obstetric medicine.disease Analgesia Epidural Parity Case-Control Studies Gestation Female business |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 85:298-301 |
| ISSN: | 1600-0412 0001-6349 |
| Popis: | To identify risk factors for forceps delivery during first pregnancy.A retrospective case-control study was carried out in a tertiary maternity ward between January 2001 and December 2003. A total of 582 nulliparous women, with full-term (37 weeks gestation), singleton, cephalic pregnancies, who delivered by the vaginal route with or without instrumental assistance were evaluated.The strongest risk factors for forceps delivery were birth weight greater than 4000 g (OR: 6.5; 95% CI: 1.6, 26.9), the occiput posterior position of the fetal head (OR: 5.8; 95% CI: 2.5, 13.8), and epidural analgesia (OR: 7.7; 95% CI: 4.1, 14.7). Other significant risk factors for forceps delivery were age over 35 years (OR: 2.4; 95% CI: 1.1, 5.1), induction of labor (OR: 2.1; 95% CI: 1.4, 3.1), first stage of labor longer than 420 min (OR: 2.3, 95% CI: 1.3,4.2), and a prolonged second stage of labor (OR: 1.6, 95% CI: 1.1, 2.4).Age over 35 years and induction of labor are risk factors for forceps delivery at admission. Epidural use, fetal head in occiput posterior position, and birth weight4000 g are strong intrapartum risk factors for instrumental delivery in nulliparous women. |
| Databáze: | OpenAIRE |
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