Evaluating Fundal Dominant Contractions on Spatiotemporal Electrohysterography as a Marker for Effective Labor Contractions.


Journal

American journal of perinatology
ISSN: 1098-8785
Titre abrégé: Am J Perinatol
Pays: United States
ID NLM: 8405212

Informations de publication

Date de publication:
07 2019
Historique:
pubmed: 11 11 2018
medline: 25 6 2020
entrez: 11 11 2018
Statut: ppublish

Résumé

To evaluate if fundal (F) dominance of the electrohysterogram is associated with vaginal delivery and lack of F dominance is associated with cesarean for labor dystocia. We conducted a prospective cohort study of nulliparous women in spontaneous labor at ≥36 weeks. Clinicians were blinded to electrohysterography data which were in addition to standard cardiotocography. All contractions in the hour preceding diagnosis of complete cervical dilation (for women delivering vaginally) or the hour preceding the decision for cesarean were analyzed. Of 224 patients, 167 had evaluable data. The proportion of F dominant contractions was not different for women undergoing cesarean for labor dystocia ( We were unable to confirm our earlier finding that F dominance of the electrohysterogram is associated with vaginal delivery and lack of F dominance is associated with cesarean for dystocia.

Identifiants

pubmed: 30414600
doi: 10.1055/s-0038-1675621
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

924-929

Subventions

Organisme : NICHD NIH HHS
ID : R21 HD076352
Pays : United States

Informations de copyright

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Déclaration de conflit d'intérêts

None.

Auteurs

Rodney K Edwards (RK)

Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

Neil R Euliano (NR)

Convergent Engineering, Newberry, Florida.

Savyasachi Singh (S)

Convergent Engineering, Newberry, Florida.

Rachel C LeDuke (RC)

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

William W Andrews (WW)

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

Victoria Jauk (V)

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

Akila Subramaniam (A)

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

Jeff M Szychowski (JM)

Departments of Biostatistics and Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

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Classifications MeSH