01 November 1999
Rate of cervical dilatation in primigravidae with spontaneous vertex delivery: Does speed matter?
Louis-Jacques van BogaertMed Sci Monit 1999; 5(6): CR1095-1097 :: ID: 503104
Abstract
The use of the partogram is widely recommended in order to improve the maternal and fetal outcomes. It is, however, yet not definitely established how to interpret the meaning of the alert and action lines. This is a retrospective study of 629 partograms of primigravidae who had a spontaneous vaginal delivery after expectant management of labour. The alert line, defined by a dilatation rate of 1 cm/hr, was crossed by 33.2% of the patients.Twenty-nine patients (4.6%) crossed the action line, set parallel and 4 hrs to the right of the alert line. The fresh stillbirth rate was 2/629 (0.32%). There was one early neonatal death. Resuscitation, indicated when at least one of the Apgar score values was < 7, was needed in 19/629 (3.0%). Only one of the resuscitated newborns was born to a mother who crossed the action line. Our findings suggest that the benefits resulting from the use of the partogram are attributable to a better monitoring of labour rather than to the speed of cervical dilatation.
Keywords: cervical dilatation, primigravidae, labour, partogram
Most Viewed Current Articles
31 Dec 1969 : Original article
Outcome of 24 Weeks of Combined Schroth and Pilates Exercises on Cobb Angle, Angle of Trunk Rotation, Chest...DOI :10.12659/MSMBR.920449
Med Sci Monit Basic Res 2020; 26:e920449
31 Dec 1969 : Original article
Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the ...DOI :10.12659/MSMBR.924085
Med Sci Monit Basic Res 2020; 26:e924085
31 Dec 1969 : Review article
A Southeast Asian Perspective on the COVID-19 Pandemic: Hemoglobin E (HbE)-Trait Confers Resistance Against...DOI :10.12659/MSMBR.929207
Med Sci Monit Basic Res 2021; 27:e929207
31 Dec 1969 : Clinical Research
Effects of Cognitive Task Training on Dynamic Balance and Gait of Patients with Stroke: A Preliminary Rando...DOI :10.12659/MSMBR.925264
Med Sci Monit Basic Res 2020; 26:e925264