Applying a physiologic partograph to Consortium on Safe Labor data to identify opportunities for safely decreasing cesarean births among nulliparous women

Neal, Jeremy L.; Lowe, Nancy K.; Caughey, Aaron B.; Bennett, Kelly; Tilden, Ellen L.; Carlson, Nicole S.; Phillippi, Julia C.; Dietrich, Mary S.

doi:10.1111/birt.12358

Cited by 6 publications

(6 citation statements)

References 34 publications

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“…This correlates well with a study conducted on false labor where the average interval from discharge to return and subsequent delivery was 4.9 days [18]. Consequently, the women who remained home were not subjected to obstetric interventions [2,5,21].…”

Section: Discussionsupporting

confidence: 85%

“…The transition from prelabor can be di cult to discern and little data exist regarding the natural history of false labor at term [18]. Women admitted before active labor have signi cantly higher obstetric interventions including caesarean section delivery [20,21]. The study reported the results of the birth outcomes of full-term pregnant women following discharge after diagnosis of false labor.…”

Section: Discussionmentioning

confidence: 99%

“…Induction of labor due to postdate pregnancy reduces the need for an emergency caesarean section without increasing the risk of assisted vaginal birth or adverse outcome in new-borns [32]. Interventions such as oxytocin used to augment labor in women admitted in early labor is a common practice [2,21,33] and is associated with caesarean section [34] and postpartum haemorrhage [35].…”

Section: Discussionmentioning

confidence: 99%

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Birth outcomes of full-term pregnant women with false labor: A retrospective audit

Madumise

Yazbek

Filmalter

et al. 2022

Preprint

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Background: The diagnosis of false labor is common. Sending a woman home in early or false labor may result in adverse maternal and neonatal birth outcomes. The study evaluated the birth outcomes of full-term pregnant women following diagnosis of false labor.Methods: A quantitative, retrospective, and descriptive design was conducted in a midwife obstetric unit of a district hospital in South Africa. A hospital customized piloted audit tool was purposively completed from the register in the labor unit of the first 100 records of pregnant women who consulted and were discharged home after false labor from January to May 2019. Descriptive statistics were used to analyze the completed audit tools using frequency tables and charts.Results: None of the women discharged home after being diagnosed with false labor gave birth at home or during transit to the labor unit. Most pregnant women (79%) returned to the hospital between 1 day and 4 weeks for possible birth. Most women (81%) gave birth vaginally. None of the women or babies died, had an obstructed labor or a retained placenta. Only four babies were admitted in the Neonatal Intensive Care Unit. Conclusion: Discharging full-term pregnant women following diagnosis of false labor did not lead to poor birth outcomes. To protect normal birth, all women should be given adequate health education regarding active labor and correct admission protocols should be followed.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Birth outcomes of full-term pregnant women with false labor: A retrospective audit

Madumise

Yazbek

Filmalter

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…Such changes are necessary since the head diameters of a term fetus are similar to the main diameters of the pelvis, requiring the latter to adapt to the birth canal to enable the fetus to cross it. 1 The disparity between pelvic architecture or size and the fetal head constitutes an obstetric entity called cephalopelvic disproportion (CPD), a cause of increased operative emergencies during delivery and adverse perinatal outcomes, accounting for 8% of all maternal deaths worldwide. 2 Cephalopelvic disproportion is diagnosed during labor, and its prediction at the end of gestation or onset of labor improves fetal outcomes and avoids stress and dissatisfaction in pregnant women due to prolonged labor that ultimately results in emergency cesarean section.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pubic Arch Angle Measurement by Transperineal Ultrasonography: A Prospective Cross-Sectional Study

Neto

Júnior

Moron

et al. 2020

Rev Bras Ginecol Obstet

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Objective To evaluate the ability of the pubic arch angle (PAA) as measured by transperineal ultrasonography during labor to predict the delivery type and cephalic pole disengagement mode. Methods The present prospective cross-sectional study included 221 women in singleton-gestational labor ≥ 37 weeks with cephalic fetuses who underwent PAA measurement using transperineal ultrasonography. These measurements were correlated with the delivery type, cephalic pole disengagement mode, and fetal and maternal characteristics. Results Out of the subjects, 153 (69.2%) had spontaneous vaginal delivery, 7 (3.2%) gave birth by forceps, and 61 (27.6%) delivered by cesarean section. For the analysis, deliveries were divided into two groups: vaginal and surgical (forceps and cesarean). The mean PAA was 102 ± 7.5° (range, 79.3–117.7°). No statistically significant difference was observed in delivery type (102.6 ± 7.2° versus 100.8 ± 7.9°, p = 0.105). The occipitoanterior position was seen in 94.1% of the fetuses and the occipitoposterior position in 5.8%. A narrower PAA was found in the group of surgical deliveries (97.9 ± 9.6° versus 102.6 ± 7.3°, p = 0.049). Multivariate regression analysis showed that PAA was a predictive variable for the occurrence of head disengagement in occipital varieties after birth (odds ratio, 0.9; 95% confidence interval, 0.82–0.99; p = 0.026). Conclusion Ultrasonographic measurement of the PAA was not a predictor of delivery type, but was associated with the persistence of occipital varieties after birth.

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The active phase of labor

Friedman¹,

Cohen²

2023

American Journal of Obstetrics and Gynecology

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Applying a physiologic partograph to Consortium on Safe Labor data to identify opportunities for safely decreasing cesarean births among nulliparous women

Abstract: Adoption of evidence-based, standardized approaches for diagnosing active labor onset, assessing labor progress, and diagnosing dystocia may safely decrease oxytocin augmentation and cesarean birth rates in the United States.

Cited by 6 publications

References 34 publications

Birth outcomes of full-term pregnant women with false labor: A retrospective audit

Birth outcomes of full-term pregnant women with false labor: A retrospective audit

Pubic Arch Angle Measurement by Transperineal Ultrasonography: A Prospective Cross-Sectional Study

The active phase of labor

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