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PubMed1977

[Delivery in adolescents].

The course of delivery to patients aged 16 and under during 1957 to 1961 and 1967 to 1971 is reported. The frequency of deliveries has not changed. Vaginal delivery occurred in 140 of 142 patients. The delivery of the young girls was characterized by an uncomplicated course. The incidence of breech, cesarean section and assisted deliveries was low. Neonatal complications and the perinatal mortality rate are attributed to prematurity and malformation. Prematurity might be reduced by an intensive care of pregnancy.

Adolescent↗
PubMed1977

Transverse lie.

Explore the source record for details and available documents.

Adult↗
PubMed1996

[Surgical delivery in multiple pregnancy].

During the period 1986-1990, 142 women with multiple pregnancy were treated with the following methods: normal delivery--104 women (73.2%), sectio caesarea--35 women (24.7%), internal versio--2 women (1.4%), forceps operation--1 woman (0.7%). In 81 cases with premature delivery (before 37 week of gestation) was done: normal delivery--64 women (79%), sectio caesarea--15 women (18.5%), internal versio--2 women (2.5%). n 45 cases with unfavourable positions of foetuses it was performed: normal delivery--18 women (40%), sectio caesarea--25 women (55.6%), internal versio-2 women (4.4). (In 10 cases with sectio caesarea and 2 cases with internal versio the indications were prematurity as well as unfavourable positions of the foetuses). The authors consider that it is necessary to increase the operative interventions (sectio caesarea) in cases of multiple pregnancy.

Apgar Score↗
PubMed1976

[Influence of abortions and interruptions of pregnancies on subsequent deliveries. II. Course of labor].

In continuation of information about complications in pregnancy the complications of first and second stage of labour were analysed. Preceded abortions and interruptions do not influence the duration of first both stages. Against that we found an increase of rupture of amniotic membrane and laceration of cervix in birth after interruption. The frequency of premature birth is extraordinary increases at I-parae (21%) and II-parae (15%) after interruption. The Apgar-score showed lower values. The causes of these complications were discussed.

Abortion, Induced↗
PubMed1998

Unengaged vertex in nulliparous women in active labor. A risk factor for cesarean delivery.

OBJECTIVE: To compare the route of delivery among nulliparous parturients with and without an engaged vertex in the early, active phase of labor. METHODS: Prospectively, the position of the fetal head was ascertained among nulliparous women at 37 weeks' gestation or more in early, active labor (cervical dilation > or = 4 cm with adequate contractions). Sixteen variables, including maternal demographics, obstetric complications and intrapartum course, were examined using chi 2 and logistic regression analysis. RESULTS: Among the 77 patients, 33 (42.8%) had an unengaged vertex and 44 (57.2%) had an engaged vertex in active labor. Of the 22 cesarean deliveries for arrest disorder, 2 were in the engaged and 20 in the unengaged group (P < .001). The mean birth weight was similar among those who had vaginal (3,211 +/- 416 g) and cesarean delivery (3,400 +/- 489 g, P = .08). Univariate analysis indicated that chorioamnionitis (relative risk [RR] 2.6, 95% confidence interval [CI] 1.4-4.9) and unengaged vertex (RR 13.3, CI 3.3-53.0) were associated with cesarean delivery for arrest disorders. When entered into a multiple logistic model, only unengagement was a risk factor for cesarean delivery. The following were not associated with cesarean delivery: maternal demographics, gestational age, estimate of fetal weight, presence or absence of meconium, preeclampsia, diabetes mellitus, private obstetric care or use of epidural anesthesia. CONCLUSION: Among nulliparous parturients, an unengaged vertex is a significant risk factor for cesarean delivery for arrest disorders.

Adolescent↗