Dystocia: a study of its frequency and risk factors in seven cities of west Africa
Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening. Method: This prospective population study of 20 326 pregnant wome...
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Published in | International journal of gynecology and obstetrics Vol. 74; no. 2; pp. 171 - 178 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Shannon
Elsevier Ireland Ltd
01.08.2001
Elsevier Science |
Subjects | |
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Abstract | Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening.
Method: This prospective population study of 20
326 pregnant women in west Africa (MOMA) analyzed risk factors for dystocia on the basis of deliveries in health care facilities.
Results: Incidence of dystocia was 18.3%. In the multivariate analysis, the risk factors were small stature, previous cesarean, and nulliparity. As screening tools these factors have inadequate positive predictive values, either singly or combined.
Conclusion: It is almost impossible to predict the occurrence of dystocia before the onset of labor. Therefore, labor must be carefully monitored, and there must be health care facilities available that can manage complications, especially cesarean deliveries. If such facilities are not accessible, an effective referral system must be established. |
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AbstractList | Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening.
Method: This prospective population study of 20
326 pregnant women in west Africa (MOMA) analyzed risk factors for dystocia on the basis of deliveries in health care facilities.
Results: Incidence of dystocia was 18.3%. In the multivariate analysis, the risk factors were small stature, previous cesarean, and nulliparity. As screening tools these factors have inadequate positive predictive values, either singly or combined.
Conclusion: It is almost impossible to predict the occurrence of dystocia before the onset of labor. Therefore, labor must be carefully monitored, and there must be health care facilities available that can manage complications, especially cesarean deliveries. If such facilities are not accessible, an effective referral system must be established. Abstract Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening. Method: This prospective population study of 20 326 pregnant women in west Africa (MOMA) analyzed risk factors for dystocia on the basis of deliveries in health care facilities. Results: Incidence of dystocia was 18.3%. In the multivariate analysis, the risk factors were small stature, previous cesarean, and nulliparity. As screening tools these factors have inadequate positive predictive values, either singly or combined. Conclusion: It is almost impossible to predict the occurrence of dystocia before the onset of labor. Therefore, labor must be carefully monitored, and there must be health care facilities available that can manage complications, especially cesarean deliveries. If such facilities are not accessible, an effective referral system must be established. OBJECTIVESTo determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening.METHODThis prospective population study of 20326 pregnant women in west Africa (MOMA) analyzed risk factors for dystocia on the basis of deliveries in health care facilities.RESULTSIncidence of dystocia was 18.3%. In the multivariate analysis, the risk factors were small stature, previous cesarean, and nulliparity. As screening tools these factors have inadequate positive predictive values, either singly or combined.CONCLUSIONIt is almost impossible to predict the occurrence of dystocia before the onset of labor. Therefore, labor must be carefully monitored, and there must be health care facilities available that can manage complications, especially cesarean deliveries. If such facilities are not accessible, an effective referral system must be established. To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening. This prospective population study of 20326 pregnant women in west Africa (MOMA) analyzed risk factors for dystocia on the basis of deliveries in health care facilities. Incidence of dystocia was 18.3%. In the multivariate analysis, the risk factors were small stature, previous cesarean, and nulliparity. As screening tools these factors have inadequate positive predictive values, either singly or combined. It is almost impossible to predict the occurrence of dystocia before the onset of labor. Therefore, labor must be carefully monitored, and there must be health care facilities available that can manage complications, especially cesarean deliveries. If such facilities are not accessible, an effective referral system must be established. Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at risk of dystocia, and to assess the utility of such screening. Method: This prospective population study of 20 326 pregnant women in west Africa (MOMA) analyzed risk factors for dystocia on the basis of deliveries in health care facilities. Results: Incidence of dystocia was 18.3%. In the multivariate analysis, the risk factors were small stature, previous cesarean, and nulliparity. As screening tools these factors have inadequate positive predictive values, either singly or combined. Conclusion: It is almost impossible to predict the occurrence of dystocia before the onset of labor. Therefore, labor must be carefully monitored, and there must be health care facilities available that can manage complications, especially cesarean deliveries. If such facilities are not accessible, an effective referral system must be established. |
Author | Ould El Joud, D. Bouvier-Colle, M.-H. |
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Keywords | Screening Dystocia Cephalopelvic disproportion Africa Obstructed labor Risk factors Prolonged labor Human Statistical analysis Pregnancy disorders Risk analysis Medical screening Incidence Prospective Prenatal Prevention Consultation Risk factor Delivery disorders Female |
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Snippet | Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might... To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might identify women at... Abstract Objectives: To determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit... OBJECTIVESTo determine the incidence of dystocia in seven west African cities, to attempt to discover what, if any, factors at the prenatal visit might... |
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SubjectTerms | Africa Africa, Western Biological and medical sciences Cephalopelvic disproportion Cohort Studies Delivery. Postpartum. Lactation Disorders Dystocia Dystocia - epidemiology Female Gynecology. Andrology. Obstetrics Humans Incidence Medical sciences Obstructed labor Pregnancy Prenatal Care Prolonged labor Prospective Studies Risk Assessment Risk Factors Screening Tropical medicine |
Title | Dystocia: a study of its frequency and risk factors in seven cities of west Africa |
URI | https://dx.doi.org/10.1016/S0020-7292(01)00407-6 https://onlinelibrary.wiley.com/doi/abs/10.1016%2FS0020-7292%2801%2900407-6 https://www.ncbi.nlm.nih.gov/pubmed/11502297 https://search.proquest.com/docview/71086636 |
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