scholarly journals Evaluation of maternal anthropometric measurements to predict cephalopelvic disproportion in nulliparous women in rural Meghalaya

2021 ◽  
Vol 5 (6) ◽  
pp. 119-122
Author(s):  
Ancy M Kurian ◽  
Indrani Roy ◽  
Neelotparna Saikia ◽  
Kerlin Mihsill ◽  
Sukalyan Halder
Keyword(s):  
Anthropometric Measurements ◽  
Cephalopelvic Disproportion ◽  
Nulliparous Women

scholarly journals Classification of primary caesarean sections in labor and its usefulness for analysis of Slovenian perinatal data

2019 ◽  
Vol 58 (2) ◽  
pp. 78-83
Author(s):  
Monika Korenč ◽  
Katja Štern ◽  
Ivan Verdenik ◽  
Miha Lučovnik
Keyword(s):  
Clinical Practice ◽  
Foetal Distress ◽  
Chi Square ◽  
Cephalopelvic Disproportion ◽  
Statistical Comparison ◽  
Nulliparous Women ◽  
Chi Square Test ◽  
Perinatal Data ◽  
Spontaneous Onset

Abstract Objective To determine the usefulness of a novel classification of indications for caesarean section (CS) in labour in recognizing differences in clinical practice in different maternity units. Methods Data from the National Perinatal Information System (NPIS) for 2013 and 2014 were used to classify indications for CS in nulliparous women with spontaneous onset of labour at ≥37 weeks with single cephalic foetuses within 14 Slovenian maternity units into foetal distress and different sub-groups of dystocia according to use and dosage of oxytocin. Chi-square test was used for statistical comparison between units (P≤0.05 significant). Results There were 13,572 deliveries and 1,567 (12.0%) CS in nulliparous patients with spontaneous onset of labour at ≥37 weeks with single cephalic foetuses in Slovenia during the study period. Rates of CS in this group of women differed significantly among different maternity units (from 4.1% to 20.9%; P<0.001) suggesting significant differences in clinical practice. The most common indication for CS was cephalopelvic disproportion, which was diagnosed with different frequency in different units (from 11.2% to 45.9%; odds ratio 6.72; 95% confidence interval 3.10– 14.71; P<0.001). Conclusions It is possible to use NPIS data to retrospectively classify indications for CS. Such classification reveals significant differences among maternity units and could allow for a meaningful analysis of CS rates in different hospitals leading to evidence-based initiatives to decrease the incidence of primary CS.

Anthropometric measurements as predictors of cephalopelvic disproportion

2011 ◽  
Vol 91 (1) ◽  
pp. 122-127 ◽  
Author(s):  
SANTOSH J BENJAMIN ◽  
ANJALI B DANIEL ◽  
ASHA KAMATH ◽  
VANI RAMKUMAR
Keyword(s):  
Anthropometric Measurements ◽  
Cephalopelvic Disproportion

scholarly journals Maternal Height and the Risk of Cesarean Delivery Due to Cephalopelvic Disproportion in Nulliparous Women

2009 ◽  
Vol 45 (2) ◽  
pp. 111 ◽  
Author(s):  
Tae-Bok Song ◽  
Hye-Yeun Cho ◽  
Jong-Woon Kim ◽  
Min-Jee Kee ◽  
Min-Jeong Oh ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Maternal Height ◽  
Cephalopelvic Disproportion ◽  
Nulliparous Women

scholarly journals The Active Management of Impending Cephalopelvic Disproportion in Nulliparous Women at Term: A Case Series

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
James M. Nicholson ◽  
Lisa C. Kellar
Keyword(s):  
Risk Factors ◽  
Cesarean Delivery ◽  
Birth Outcome ◽  
Mode Of Delivery ◽  
Case Series ◽  
Active Management ◽  
Optimal Time ◽  
Cephalopelvic Disproportion ◽  
Nulliparous Women ◽  
The Impact

Background. The Active Management of Risk in Pregnancy at Term (AMOR-IPAT) protocol has been associated in several studies with significant reductions of group cesarean delivery rate. Present within each of these studies were nulliparous women with risk factors for cephalopelvic disproportion. Risk factors for cephalopelvic disproportion in nulliparous women are especially important because they represent the precursors for the most common indication for primary cesarean delivery.Cases. Three examples of exposure of urban nulliparous women to the AMOR-IPAT protocol are presented. Each woman's risk factor profile for Cephalopelvic Disproportion (CPD) was used to estimate her Upper Limit of Optimal Time of Vaginal Delivery for CPD (UL-OTDcpd). Labor management and clinical outcomes for each case are presented. A simple table summarizing induction rates and birth outcome rates of exposed versus nonexposed nulliparous women is also presented.Conclusion. Because the mode of delivery of the first birth substantially impacts birth options in later pregnancies, the impact of AMOR-IPAT on nulliparous patients is particularly important. Determining the UL-OTDcpd in nulliparous patients, and carefully inducing each patient who has not entered labor by her UL-OTDcpd, may be an effective way of lowering rates of cesarean delivery in nulliparous women.

Attitudes toward anthropometric measurements in youth: The role of eating pathology.

2016 ◽  
Vol 48 (3) ◽  
pp. 232-237 ◽  
Author(s):  
Jennifer S. Coelho ◽  
Rachelle Pullmer ◽  
MacKenzie Robertson ◽  
Sheila Marshall ◽  
Pei-Yoong Lam
Keyword(s):  
Eating Pathology ◽  
Anthropometric Measurements

Pelvimetry revisited: Predicting cephalopelvic disproportion

2008 ◽  
Vol 68 (S 01) ◽  
Author(s):  
MS Lenhard ◽  
T Johnson ◽  
S Weckbach ◽  
K Nikolaou ◽  
K Friese ◽  
...  
Keyword(s):  
Cephalopelvic Disproportion

Relationship between Leptin Concentration in Cord Blood and Foetal Growth and Maternal Anthropometry of GDM Mothers at Delivery

1970 ◽  
Vol 25 (1) ◽  
pp. 9-13
Author(s):  
S Jahan ◽  
TR Das ◽  
KB Biswas
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Cord Blood ◽  
Body Mass ◽  
Anthropometric Measurements ◽  
Anthropometric Parameters ◽  
Serum Leptin ◽  
C Peptide ◽  
Cord Serum ◽  
The Relationship

Background and Aims: Cord blood leptin may reflect the leptinemic status of a newborn at birth more accurately than the leptin values of blood collected from other sites. The present study was undertaken to determine the relationship of cord serum leptin concentration at birth with neonatal and maternal anthropometric parameters. Materials and Methods: Blood was taken from the umbilical cord of the babies at delivery. Maternal anthropometric measurements were recorded at admission for delivery. Neonatal anthropometric measurements were recorded within 48 hours after delivery. Linear regression analysis was used to explore the relationship between cord serum leptin concentration and anthropometric parameters of the baby and the mother. Both Serum leptin and serum C-peptide levels were measured by chemiluminescence-based ELISA method. Results: The leptin concentration (ng/ml, mean±SD) in cord blood was 39.13±14.44. Cord leptin levels correlated with birth weight (r=0.673, p<0.0001), ponderal index (r=0.732, p<0.0001) but it did not correlate with maternal body mass index, gestational age (r=0.135, p=0.349) at delivery or cord serum C-peptide concentration (r=-0.049, p=0.735) or placental weight (r=0.203, p=0.157). Conclusion: There are associations between cord leptin concentration at delivery and birth weight, ponderal index (PI) of the babies but not body mass index (BMI) of the mothers. High leptin levels of the baby could represent an important feedback modulator of substrate supply and subsequently for adipose tissue status during late gestation. (J Bangladesh Coll Phys Surg 2007; 25 : 9-13)

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