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At least 1,207 records · Page 67Linked to original sources
PubMed1984

Effect of indication for previous cesarean section on subsequent delivery outcome in patients undergoing a trial of labor.

During the period January 1 through December 31, 1980, 308 patients who had undergone previous cesarean sections (C/Ss) underwent a trial of labor (TOL). Hospital records of these patients were examined retrospectively in an effort to correlate delivery outcome with the indication for the prior C/S. Patients with a previous C/S for breech had the highest incidence of subsequent vaginal delivery (81 of 94, or 86%), and patients with a previous C/S for cephalopelvic disproportion or failure to progress had the lowest (22 of 64, or 64%). However, the lower rate of vaginal delivery in the latter group was found only among the subpopulation who had never delivered vaginally. Fetal distress does not appear to be a significant recurring factor in patients given a TOL. Exclusion of patients from a TOL after a previous C/S for cephalopelvic disproportion/failure to progress does not appear to be justified.

Adult↗
PubMedDate not supplied

[Current value of physical methods in obstetrics].

The authors make a review of the physical methods available to obstetricians at the present time, i.e.: uterine contents, radiopelvimetry and more recently echography. They lay stress on echography, the contribution of which is of special interest for obstetrics, and they suggest directions adequate to the monitoring of pregnancy whether an echograph is available or not.

Female↗
PubMed1982

[Cervix maturation by local application of a gel with prostaglandin F2 alpha for indicated labor induction].

A gel which contained prostaglandin F2 alpha was locally applied to women with low pelvic score, prior to induction of labour. Doses were between 1.5 mg and 2.5 mg PG F2 alpha. Each of the patients received a total amount of 3.3 mg. Treatment had to be repeated once to three time for 30 per cent of the patients. The approach helped in improving pelvic scores from 2.4 to 7.3, on average, in 214 patients, within 2.1 days. Overall duration of labour as well as the rate of caesarean sections were reduced.

Cervix Uteri↗
PubMedDate not supplied

Evaluation of midpelvic contraction.

Of the pelvic parameters, IS, which represents the narrowest pelvic dimension is of great value in determining the midplane capacity; WS's Sum, which represents two dimensions of the posterior segment, only concerns the space available in the posterior segment and, therefore, can explain the occurrence of easy delivery in patients with short I.S. but long P.S.M.; Area, which gives two dimensions of the whole midpelvis, not only stresses the space available within the whole midpelvis, but can also indicate whether there is any shortening of the two diameters or not. WS's Sum is consequently superior to I.S. and Area is superior to both WS's Sum and I.S. in the evaluation of midplane capacity.

Female↗
PubMed1981

[Rheobase, pelvic score and oxytocin sensitivity test before spontaneous onset of labour (author's transl)].

Electrodiagnostical investigations measuring the rheobase and chronaxy as well as Oxytocin Sensitivity Tests (OST) and estimations of the pelvic score have been carried out on 19 healthy pregnant women from the 34th week on weekly and in daily intervals 1 week before the calculated date of delivery. Generally there was no trend to a decrease of rheobase until 2 days before delivery, whereas a significant drop was found between day -2 and the day of the onset of labour. At the same time the pelvic score ascended highest, but in individual cases there was no direct correlation between pelvic score and rheobase value. The OST became positive in more than 50% before the rheobase decline. Practical aspects of the combined estimation of pelvic score, OST and rheobase are discussed especially in view of the elective induction.

Electric Stimulation↗
PubMed1980

Changing primary cesarean section patterns at a private hospital.

The primary cesarean section patterns for a two-year premonitoring period, 1967 and 1968, and a two-year postmonitoring period, 1977 and 1978, were determined and compared at a private hospital. The frequency of cesarean section deliveries increased from 5.0% to 14.6% during those times. Cephalopelvic disproportion as an indication for cesarean section was more common than the combined total of breech presentation and fetal distress. Cephalopelvic disproportion increased as a diagnosis from 0.8% to 4.1% (5 X ) of deliveries; breech presentation, from 0.4% to 2% (5 X ); and fetal distress from 0.1% to 0.8% (8 X ). A changing patient population was identified as one contributing factor to the rising cesarean section rate. Allowing patients an adequate trial of labor with or without oxytocin stimulation, applying strict criteria for attempting a vaginal breech delivery and utilizing fetal scalp blood sampling with abnormal fetal heart rate tracings are suggested ways to decrease the cesarean section rate without compromising perinatal morbidity and mortality.

Adult↗
PubMed1980

[Induction of labour and pelvic score (author's transl)].

Reported in this paper are 267 cases of induced labour with correlation to pelvic score in 213 pregnancies. Tocometrically controlled infusion of 10 IU oxytocin/500 ml is compared to conventional drip infusion of 6 IU oxytocin. The success of induction is closely related to pelvic score according to G. Martius. The rate of good success doubled by about ten points on the pelvic score, that is from 83 to 94 per cent. Good success was obtained in 69 per cent of those cases in which labour had been first induced by drip infusion of 6 IU oxytocin/500 ml and in 92 per cent of those cases in which 10 IU oxytocin/500 ml had been infused under tocometric control. Caesarean section was applied to 4.7 per cent of women in the first group and to 12.8 per cent in the second. Higher section rates and lower apgar values seemed to be correlated to indications for induced labour with tocometrically controlled oxytocin infusion. The results should be verified by comparable material.

Dose-Response Relationship, Drug↗