Intrauterine‐pressure studies in African nulliparae: delay, delivery and disproportion

Abstract

Uterine activity was measured in 43 African nulliparae who were in the active phase of spontaneous labour and in whom delay in cervical dilatation had occurred. Details of labour were recorded on a partogramme, on which an alert and an action line had been drawn, and which were 2 h apart. Delay was defined as a cervical dilatation rate of

Sagittal suture overlap in cephalopelvic disproportion: Blinded and non‐participant assessment

“…There was no association between OP position and operative delivery (15). Similar findings were noted from South Africa in the 1980s (16). The traditional view is that the OP position is associated with CPD, and this is supported in studies from North America, Africa and Europe 17–19.…”

Authors' reply

“…In this study no patient required a section for CPD if the value was less than 80%. (Cowan et al 1982). However, this calculation was performed retrospectively, and we wonder if Dr Sands can enlighten us further.…”