scholarly journals OP23.04: Clinical and sonographic parameters at 37 weeks' gestation to predict the risk of caesarean delivery for failure to progress in nulliparous women

2008 ◽  
Vol 32 (3) ◽  
pp. 390-390 ◽  
Author(s):  
S. N. Kim ◽  
K. H. Park ◽  
J. S. Hong ◽  
D. M. Shin ◽  
W. S. Kang ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
Nulliparous Women ◽  
Failure To Progress

scholarly journals Interinstitutional Variation of Caesarean Delivery Rates According to Indications in Selected Obstetric Populations: A Prospective Multicenter Study

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Gianpaolo Maso ◽  
Monica Piccoli ◽  
Marcella Montico ◽  
Lorenzo Monasta ◽  
Luca Ronfani ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
Relative Size ◽  
Group Classification ◽  
Prospective Multicenter Study ◽  
Nulliparous Women ◽  
Spontaneous Labour ◽  
Multiparous Women ◽  
Regional Centers ◽  
Spearman’S Correlation ◽  
Failure To Progress

The aim of the study was to identify which groups of women contribute to interinstitutional variation of caesarean delivery (CD) rates and which are the reasons for this variation. In this regard, 15,726 deliveries from 11 regional centers were evaluated using the 10-group classification system. Standardized indications for CD in each group were used. Spearman’s correlation coefficient was used to calculate (1) relationship between institutional CD rates and relative sizes/CD rates in each of the ten groups/centers; (2) correlation between institutional CD rates and indications for CD in each of the ten groups/centers. Overall CD rates correlated with both CD rates in spontaneous and induced labouring nulliparous women with a single cephalic pregnancy at term (P=0.005). Variation of CD rates was also dependent on relative size and CD rates in multiparous women with previous CD, single cephalic pregnancy at term (P<0.001). As for the indications, “cardiotocographic anomalies” and “failure to progress” in the group of nulliparous women in spontaneous labour and “one previous CD” in multiparous women previous CD correlated significantly with institutional CD rates (P=0.021,P=0.005, andP<0.001, resp.). These results supported the conclusion that only selected indications in specific obstetric groups accounted for interinstitutional variation of CD rates.

scholarly journals Risk factors for Caesarean delivery after induction of labour among nulliparous women at term

2020 ◽  
Vol 20 (1) ◽  
pp. 27-31
Author(s):  
Selina Tsz-Ching Lee ◽  
Winnie Wai-Yan Yeung ◽  
Kwok-Yin Leung
Keyword(s):  
Risk Factors ◽  
Caesarean Delivery ◽  
Induction Of Labour ◽  
Nulliparous Women

scholarly journals Effect of second child intent on delivery mode after Chinese two child policy implementation: a cross sectional and prospective observational study of nulliparous women in Chongqing

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018823 ◽  
Author(s):  
Jianlin Zhao ◽  
Nan Shan ◽  
Xiaochang Yang ◽  
Qin Li ◽  
Yinyin Xia ◽  
...  
Keyword(s):  
Observational Study ◽  
Caesarean Delivery ◽  
Prospective Observational Study ◽  
Delivery Mode ◽  
Second Trimester ◽  
Cross Sectional ◽  
Second Child ◽  
Nulliparous Women ◽  
Child Policy ◽  
Tertiary Teaching

ObjectivesTo assess the influence of second child intent on the delivery preferences and final delivery modes of nulliparous women, particularly caesarean delivery on maternal request (CDMR), after implementation of China’s two child policy.DesignCross sectional and prospective observational study.SettingA tertiary teaching hospital in Chongqing, China.Participants1000 low risk nulliparous women were initially involved, and were divided into two groups based on their intent on having a second child. 814 women who completed all interviews were analysed.Main outcome measuresPreferred mode of delivery in second trimester and at admission; final delivery mode, CDMR.Results814 women who completed all interviews were analysed, in whom 51.2% intended to have a second child. The preference for caesarean delivery (CD) at the second trimester between the intent and no intent group was 6.2% versus 17.9% (adjusted RR 0.35, 95% CI 0.20 to 0.63) and increased to 24.2% versus 37.3% (adjusted RR 0.65, 95% CI 0.45 to 0.94) at admission, respectively. The overall CD rates between the two groups were 41.0% versus 50.4% (adjusted RR 0.84, 95% CI 0.60 to 1.18), and the CDMR rates were 16.7% versus 29.0% (adjusted RR 0.56, 95% CI 0.37 to 0.86), respectively.ConclusionsWomen who intend to have a second child are less likely to request a CD, and high rates of CD and CDMR in nulliparous women may have decreased after implementation of China’s two child policy.

scholarly journals Racial and Ethnic Disparities in Cesarean Delivery and Indications Among Nulliparous, Term, Singleton, Vertex Women

2021 ◽  
Author(s):  
Ijeoma C. Okwandu ◽  
Meredith Anderson ◽  
Debbie Postlethwaite ◽  
Aida Shirazi ◽  
Sandra Torrente
Keyword(s):  
Logistic Regression ◽  
Black Women ◽  
Cesarean Delivery ◽  
Regression Models ◽  
White Women ◽  
Ethnic Disparities ◽  
Logistic Regression Models ◽  
Nulliparous Women ◽  
Race Ethnicity ◽  
Failure To Progress

Abstract Objective To compare cesarean delivery rates and indications by race/ethnicity among nulliparous women with term, singleton, vertex presentation deliveries. Methods This is a retrospective cohort study of nulliparous women delivering term, singleton, vertex neonates at Kaiser Permanente Northern California from 1/1/2016 to 6/30/2017. Women with cesarean for elective, malpresentation, or previa were excluded. Multivariable logistic regression models adjusting for maternal, neonatal, and facility factors were used to assess the likelihood of cesarean by race/ethnicity. Further modeling was performed to examine odds of cesarean for the indications of failure to progress and fetal intolerance by race/ethnicity. Results The cohort of 16,587 racially/ethnically diverse women meeting inclusion and exclusion criteria consisted of 41.62% White, 27.73% Asian, 22.11% Hispanic, 5.32% Black, and 3.21% multiple race/other women. In adjusted logistic regression models, all race and ethnic categories had higher odds of cesarean deliveries in comparison to White women. Black women had the highest odds of cesarean delivery (adjusted OR [aOR] = 1.73, 95% CI: 1.45–2.06), followed by Asian (aOR = 1.59, 95% CI: 1.45–2.06), multiple race/other (aOR = 1.45, 95% CI: 1.17–1.80), and Hispanic (aOR = 1.43, 95% CI: 1.28–1.59) women. Compared with White women, Asian (aOR = 1.46, 95% CI: 1.22–1.74) and Hispanic (aOR = 1.25, 95% CI: 1.03–1.52) women had higher odds of failure to progress as the indication. Among women with failure to progress, Black (aOR = 0.50, 95% CI: 0.30–0.81), Hispanic (aOR = 0.68, 95% CI: 0.53–0.87), and Asian (aOR = 0.77, 95% CI: 0.61–0.96) women were less likely than White women to reach 10 cm dilation. Compared with White women, Black women were more likely to have cesarean delivery for fetal intolerance (aOR = 1.51, 95% CI: 1.10–2.07). Among women with fetal intolerance of labor, there were no significant differences by race/ethnicity for Apgar score or neonatal intensive care unit admission. Conclusions Race/ethnicity was significantly associated with the odds of cesarean and indication. All other race/ethnicity groups had higher odds of cesarean compared with White women. Compared with White women, Black women had greater odds of fetal intolerance as an indication, while Hispanic and Asian women had greater odds of failure to progress. Maternal, neonate, and facility factors for cesarean delivery did not explain the observed disparities in cesarean delivery rates.

Reducing caesarean delivery: An economic evaluation of routine induction of labour at 39 weeks in low‐risk nulliparous women

2019 ◽  
Vol 34 (1) ◽  
pp. 3-11
Author(s):  
Emily J. Callander ◽  
Debra K. Creedy ◽  
Jenny Gamble ◽  
Haylee Fox ◽  
Jocelyn Toohill ◽  
...  
Keyword(s):  
Economic Evaluation ◽  
Caesarean Delivery ◽  
Low Risk ◽  
Induction Of Labour ◽  
Nulliparous Women

scholarly journals Predictors of preference for caesarean delivery among pregnant women in Beijing

2017 ◽  
Vol 45 (2) ◽  
pp. 798-807 ◽  
Author(s):  
Hongwei Zhang ◽  
Jing Wu ◽  
Jessie Norris ◽  
Li Guo ◽  
Yifei Hu
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Cross Sectional Study ◽  
Delivery Mode ◽  
Cross Sectional ◽  
Nulliparous Women ◽  
Self Administered Questionnaire ◽  
Source Of Information ◽  
Type Of Delivery

Objective To evaluate factors associated with preference for caesarean or vaginal delivery among pregnant Chinese nulliparous and parous women. Methods In this cross-sectional study, a self-administered questionnaire was used to collect information on sociodemographic characteristics, preference/reasons for delivery mode, and knowledge of delivery complications. Results Of the 450 participants, 85 (18.9%) reported a preference for caesarean section (CS) pre-partum. Compared with women who would prefer a vaginal delivery, nulliparous women who preferred CS were more likely to be: ≥35 years; have no medical insurance; have had two or more pregnancies; have access to only one source of information about birthing options; knowledge of the complications of vaginal delivery and think doctors have no right to decide the type of delivery. For parous women who preferred CS, they were more likely to have had a previous caesarean delivery and live outside Beijing. Conclusions From this study conducted at a large, maternity centre in Beijing, the proportion of pregnant women with preference pre-partum for CS was moderate and their reasons were varied.

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