Association of cervical effacement with spontaneous labour progression in low risk pregnant females

Saumya Saumya; Beenu Kushwah Singh; Neha Khatik

doi:10.53730/ijhs.v6nS6.11039

Association of cervical effacement with spontaneous labour progression in low risk pregnant females

https://doi.org/10.53730/ijhs.v6nS6.11039

Authors

Saumya Senior Resident Department of OBS & GYNAE PCMS&RC Bhopal MP
Beenu Kushwah Singh Professor & Head Department of OBS &GYNAE SSMC Rewa MP
Neha Khatik Assistant Professor Department of OBS &GYNAE SSMC Rewa MP

Keywords:

cervical effacement, spontaneous labour, pregnant females

Abstract

Aim: This study was conducted to evaluate the effect of the cervical effacement to rate of cervical dilatation in spontaneous onset labour in low risk pregnant women in order to improve the accuracy of the current partogram. Method: We conducted an observational study of women who were admitted for vaginal delivery at SSMC, Rewa from august 2017 to july 2018. During labor, dilatation curve was plotted in different graphs for women with spontaneous onset labour admitted at SSMC,Rewa during this time period..They were divided into 2 groups based on degree of effacement at admission,whether it was more than 80% or less than equal to 80% and then their labour curve was separately evaluated and compared with each other . Results: From 8839 women admitted during this time period, 1386 nulliparous and primiparous and 145 multiparous women were eligible for the study. An adjusted generalized estimating equations multivariable model showed that effacement had a significant relationship with rate of cervical dilatation and speed of labour progression .

Downloads

Download data is not yet available.

References

Agah J,Baghani R, Nazarzadeh M et al. Comparison of effacement curve with dilatation curve for prediction of labor progression. J. Obstet. Gynaecol. Res. 2018;44(1):102-1.

Caughey AB, Cahill AG, Guise JM, Rouse DJ. ACOG, SMFM. Safe prevention of the primary cesarean delivery. Am J Obstet Gynecol. 2014; 210(3):179–193. [PubMed: 24565430].

Cohen WR, Friedman EA. Perils of the new labor management guidelines. Am J Obstet Gynecol. 2015; 212(4):420–427. [PubMed: 25218127].

Cunnigham, GF.; Leveno, KJ.; Bloom, SL.; Spong, CY.; Dashe, JS.; Hoffman, BL., et al. Williams Obstetrics. 24th. New York (NY): McGraw Hill Education; 2014.

Friedman EA. The graphic analysis of labor. Am J Obstet Gynecol. 1954; 68:1558–1575.

Holcomb WL, Smeltzer JS. Cervical effacement: variation in belief among clinicians. Obstet Gynecol. 1991; 78(1):43–45. [PubMed: 2047066].

Huhn KA, Brost BC. Accuracy of simulated cervical dilation and effacement measurements among practitioners. Am J Obstet Gynecol. 2004; 191:1797–1799. [PubMed: 15547567].

Langen E.S., Weiner S.J., Bloom S.L. . Association of Cervical Effacement with the Rate of Cervical Change in Labor Among Nulliparous Women.Obstet Gynecol. 2016;127(3):489–495.

Laughon SK, Branch DW, Beaver J, Zhang J. Changes in labor patterns over 50 years. Am J Obstet Gynecol. 2012; 206(5):419.e1–419.e9. [PubMed: 22542117].

Laughon SK, Zhang J, Troendle J, Sun J, Reddy UM. Using a simplified Bishop score to predict vaginal delivery. Obstet Gynecol. 2011; 117(4):805–811. [PubMed: 21383643.

Rouse DJ, Owen J, Hauth JC. Active-phase labor arrest: Oxytocin augmentation for at least 4 hours. Obstet Gynecol. 1999; 93(3):323–328. [PubMed: 10074971].

Santi, L. K. S., Sudewi, A. A. R., Duarsa, D. P., & Lesmana, C. B. J. (2021). The effect of pregnancy massage on level of depression, anxiety and stress in pregnant women. International Journal of Health & Medical Sciences, 4(2), 220-225. https://doi.org/10.31295/ijhms.v4n2.1692

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949

Zhang J, Landy HJ, Branch DW, Burkman R, Haberman S, Gregory KD, et al. Contemporary patterns of spontaneous labor with normal neonatal outcomes. Obstet Gynecol. 2010; 116(6):1281–1287. [PubMed: 21099592].

Zhang J, Troendle JF, Yancy MK. Reassessing the labor curve in nulliparous women. Am J Obstet Gynecol. 2002; 187(4):824–828. [PubMed: 12388957].

Published

25-07-2022

How to Cite

Saumya, S., Singh, B. K., & Khatik, N. (2022). Association of cervical effacement with spontaneous labour progression in low risk pregnant females. International Journal of Health Sciences, 6(S6), 7487–7492. https://doi.org/10.53730/ijhs.v6nS6.11039

Download Citation

Issue

Vol. 6 No. S6 (2022)

Section

Peer Review Articles

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.

Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.

This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.