dc.contributor.author | Gjærum, Ragnhild | |
dc.contributor.author | Johansen, Ingvild | |
dc.contributor.author | Øian, Pål | |
dc.contributor.author | Bernitz, Stine | |
dc.contributor.author | Dalbye, Rebecka | |
dc.date.accessioned | 2022-03-09T14:37:06Z | |
dc.date.available | 2022-03-09T14:37:06Z | |
dc.date.created | 2022-01-27T11:05:55Z | |
dc.date.issued | 2021-12-21 | |
dc.identifier.issn | 1877-5756 | |
dc.identifier.uri | https://hdl.handle.net/11250/2984091 | |
dc.description.abstract | Objective: To investigate associations between cervical dilatation at hospital admission and mode of delivery.
Methods: A cohort study with data from a cluster-randomised controlled trial, the Labour Progression Study. The study population of 6511 nulliparous women with a singleton fetus in cephalic presentation with spontaneous onset of labour at term, was divided into two groups: <4 cm and ≥ 4 cm cervical dilatation on admission. Binary logistic regression comparing mode of delivery was used to estimate crude and adjusted OR with associated 95% CI.
Results: Of the total study population, 56.7% were admitted with < 4 cm cervical dilatation and 43.3% with ≥ 4 cm. Women admitted with ≥ 4 cm had a significantly higher chance of spontaneous delivery, with adjusted OR of 1.28 (95% CI: 1.14–1.44), and a significantly lower risk of caesarean sections, with an adjusted OR of 0.51 (95% CI: 0.41–0.64). For operative vaginal delivery, there were no significant difference between the study groups. Intrapartum interventions as epidural analgesia and augmentation with oxytocin were lower among women admitted with ≥ 4 cm cervical dilatation.
Conclusion: The study found a significantly higher chance of spontaneous delivery among women admitted with ≥ 4 cm. More research is needed to investigate why so many women are admitted early in labour, and how these women can be better cared for to increase their chances of a spontaneous delivery. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.ispartofseries | Sexual & Reproductive HealthCare;Volume 31, March 2022, 100691 | |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Cervical dilatation | en_US |
dc.subject | Mode of delivery | en_US |
dc.subject | Spontaneous delivery | en_US |
dc.subject | Hospital admissions | en_US |
dc.subject | Nulliparous women | en_US |
dc.subject | Midwifery | en_US |
dc.title | Associations between cervical dilatation on admission and mode of delivery, a cohort study of Norwegian nulliparous women | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2021 The Authors | en_US |
dc.source.articlenumber | 100691 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | https://doi.org/10.1016/j.srhc.2021.100691 | |
dc.identifier.cristin | 1991109 | |
dc.source.journal | Sexual & Reproductive HealthCare | en_US |
dc.source.volume | 31 | en_US |
dc.source.issue | 31 | en_US |
dc.source.pagenumber | 1-5 | en_US |