A narrow pelvic outlet increases the risk for emergency cesarean section.

Abstract:

BACKGROUND:The rate of cesarean section (CS) is increasing in Sweden as well as in most of the industrialized world. One of the most common indications for emergency CS is protracted labor. To what extent fetal pelvic disproportion is a cause of protracted labor is unclear. The value of pelvimetry has been questioned. The purpose of this study was to investigate whether women delivered with emergency CS because of protracted labor had a narrower pelvis than women delivered vaginally did. METHODS:Thirty women delivered with CS because of protracted labor comprised the study group. Thirty women vaginally delivered served as controls. The two groups were matched for gestational age, birth weight, and parity. The study group and the control group underwent an X-ray pelvimetry within 1 month of delivery. RESULTS:The study group and the control group did not differ in maternal age or body mass index. The mean birth weight was 3914 g in the study group and 3884 g in the control group. The mean pelvic outlet was 328 mm in the study group and 346 mm in the control group (P=0.0024). The mean pelvic inlet was 245 mm in the study group and 255 mm in the control group (P=0.0038). CONCLUSION:A narrow pelvic outlet is associated with an increased risk of emergency CS because of protracted labor. A postpartum pelvimetry is recommended and should be used when to decide on route of delivery in forthcoming pregnancies.

authors

Stålberg K,Bodestedt A,Lyrenäs S,Axelsson O

doi

10.1080/00016340600593521

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

821-4

issue

7

eissn

0001-6349

issn

1600-0412

pii

744941376

journal_volume

85

pub_type

杂志文章
  • Does group training during pregnancy prevent lumbopelvic pain? A randomized clinical trial.

    abstract:BACKGROUND:Prevention of lumbopelvic pain in pregnancy has been sparsely studied. One aim of this study was to assess if a 12-week training program during pregnancy can prevent and/or treat lumbopelvic pain. A randomized controlled trial was conducted at Trondheim University Hospital and three outpatient physiotherapy ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/00016340601089651

    authors: Mørkved S,Salvesen KA,Schei B,Lydersen S,Bø K

    更新日期:2007-01-01 00:00:00

  • Psychosocial risk factors for depression during pregnancy.

    abstract:OBJECTIVE:To assess the prevalence of antenatal depressive disorder in different trimesters and to evaluate the relation of psychosocial risk factors to antenatal depressive disorder. DESIGN:Cohort follow-up. SETTING:University Hospital, Kaunas, Lithuania. SAMPLE:Two hundred and thirty pregnant women consecutively a...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340902846049

    authors: Bunevicius R,Kusminskas L,Bunevicius A,Nadisauskiene RJ,Jureniene K,Pop VJ

    更新日期:2009-01-01 00:00:00

  • Successful quadruplet pregnancy following ovulation induced with human menopausal gonadotropin and human chorionic gonadotropin.

    abstract::A case report of a quadruplet pregnancy that followed the induction of ovulation by human chorionic gonadotropin and human menopausal gonadotropin is presented. Examination revealed 4 separate placentas, indicating development from 4 different ova. The infants all did well at term, with no signs of respiratory distr...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016347409157759

    authors: Lauersen NH,Buchman M,Beling CG

    更新日期:1974-01-01 00:00:00

  • Reduced amount of cytochrome c oxidase subunit I messenger RNA in placentas from pregnancies complicated by preeclampsia.

    abstract:BACKGROUND:Cytochrome c oxidase is a marker enzyme of the mitochondrial inner membrane. A change in the structure and activity of cytochrome c oxidase may alter the electron transport in the inner membrane, leading to insufficient adenosine triphosphate (ATP) production. ATP is essential for maintaining the function of...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-6349.2004.00345.x

    authors: He L,Wang Z,Sun Y

    更新日期:2004-02-01 00:00:00

  • The suppression of puerperal lactation with bromocryptine.

    abstract::The therapeutic value of 2-Br-alpha-ergocryptine for the suppression of puerperal lactation was studied in 30 normal women; 16 received the drug, 14 were controls. In six women plasma levels of FSH, oestradiol and alpha-lactalbulmin were measured in labour and in the early puerperium. Brom-ergocryptine was found effec...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.3109/00016347709158357

    authors: Willmott MP,Colhoun EM,Bolton AE

    更新日期:1977-01-01 00:00:00

  • Multicenter trial of a monophasic oral contraceptive containing ethinyl estradiol and desogestrel.

    abstract::A clinical trial was conducted at 47 centers in 11 countries to assess the efficacy and acceptability of a monophasic oral contraceptive containing 30 micrograms ethinyl estradiol and 150 micrograms desogestrel. 1,613 women took part for a total of 23,258 cycles. One pregnancy occurred in a cycle where two consecutive...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.3109/00016348809004193

    authors: Rekers H

    更新日期:1988-01-01 00:00:00

  • Oral contraception in Denmark 1998-2010.

    abstract:BACKGROUND:Oral contraceptives (OC) are the most popular contraception in Denmark. Overall figures on use are well described, but more detailed use patterns according to type and age need to be updated. OBJECTIVES:To assess trends in the use of OC including progestogen-only pills among Danish women in 1998-2010 and to...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0412.2012.01416.x

    authors: Wilson NM,Laursen M,Lidegaard Ø

    更新日期:2012-07-01 00:00:00

  • Reducing stillbirths in low-income countries.

    abstract::Worldwide, 98% of stillbirths occur in low-income countries (LIC), where stillbirth rates are ten-fold higher than in high-income countries (HIC). Although most HIC stillbirths occur prenatally, in LIC most stillbirths occur at term and during labor/delivery. Conditions causing stillbirths include those of maternal or...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12817

    authors: Goldenberg RL,Saleem S,Pasha O,Harrison MS,Mcclure EM

    更新日期:2016-02-01 00:00:00

  • Fibrinogen and histidine-rich glycoprotein in early-onset preeclampsia.

    abstract:OBJECTIVE:To determine whether plasma levels of fibrinogen and the placental tissue distributions of fibrinogen and histidine-rich glycoprotein (HRG) differ between early- and late-onset preeclampsia. DESIGN:The study comprised 18 women with early-onset (gestational weeks 24-32) and 19 women with late-onset (gestation...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016340903295618

    authors: Kårehed K,Wikström AK,Olsson AK,Larsson A,Olovsson M,Akerud H

    更新日期:2010-01-01 00:00:00

  • Prognosis, recurrences and metastases correlated to histologic cell type in carcinoma of the uterine cervix.

    abstract::An analysis of 230 patients treated with radiotherapy for cervical cancer stages I and II is presented. No positive correlation to cell type was found as regards the number of failures, recurrence rate or the frequency of regional or distant metastases. Although different biological behavior might be shown by cancers ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016347609156923

    authors: Johansson O,Johnsson JE,Lindberg JG,Sydsjö A

    更新日期:1976-01-01 00:00:00

  • Reasons for pregnancy termination, contraceptive habits and contraceptive failure among Swedish women requesting an early pregnancy termination.

    abstract:BACKGROUND:More than 30 000 legal abortions are performed every year in Sweden despite sexual education in schools, widespread youth-clinics and family planning services that are free of charge. The aim of this study was to investigate reasons for induced abortion, contraceptive habits and reasons for contraceptive fai...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1046/j.0001-6349.2001.00169.x

    authors: Larsson M,Aneblom G,Odlind V,Tydén T

    更新日期:2002-01-01 00:00:00

  • Assessment of the sentinel lymph node in patients with invasive squamous carcinoma of the vulva.

    abstract:OBJECTIVE:This study aims to evaluate the feasibility and diagnostic validity of the sentinel lymph node technique in detecting inguinal lymph node metastases in patients with invasive squamous cancer of the vulva. DESIGN:Retrospective analysis of the in-house tumor registry. SETTING:Dr. Horst Schmidt Klinik, a terti...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016340903317982

    authors: Achimas-Cadariu P,Harter P,Fisseler-Eckhoff A,Beutel B,Traut A,Du Bois A

    更新日期:2009-01-01 00:00:00

  • Gestation at birth, mode of birth, infant feeding and childhood hospitalization with infection.

    abstract:INTRODUCTION:Infections are a leading cause of mortality and morbidity in preschool children. We aimed to assess the impact of the co-occurrence of cesarean section, early birth and formula feeding on hospitalization with infection in early childhood. MATERIAL AND METHODS:Population-based retrospective record-linkage ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.13371

    authors: Bentley JP,Burgner DP,Shand AW,Bell JC,Miller JE,Nassar N

    更新日期:2018-08-01 00:00:00

  • Analysis of 136 ureteral injuries in gynecological and obstetrical surgery from completed insurance claims.

    abstract:OBJECTIVE:Iatrogenic ureteral injury during pelvic surgical procedures is a well-known complication and important cause of morbidity. The authors investigated the circumstances surrounding registered ureteral injuries in order to identify potential opportunities to prevent such injuries. DESIGN:Evaluation of claims co...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016340903433974

    authors: Hove LD,Bock J,Christoffersen JK,Andreasson B

    更新日期:2010-01-01 00:00:00

  • Maternal weight gain: a determinant for fetal abdominal circumference in the second trimester.

    abstract:OBJECTIVE:To study the association between maternal weight gain in pregnancy and fetal abdominal circumference in the second trimester. DESIGN:Prospective cross-sectional study. SETTING:Low-risk antenatal clinic. POPULATION:Six hundred and fifty women with low-risk pregnancy. METHODS:Women with a regular menstrual ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0412.2011.01129.x

    authors: Hellebust H,Johnsen SL,Rasmussen S,Kiserud T

    更新日期:2011-06-01 00:00:00

  • Progesterone therapy in pre-eclamptic toxaemia.

    abstract::Progesterone was the principal therapeutic agent used in 40 cases of pre-eclamptic toxaemia. It was also given to 10 normal pregnant women who served as a control group. A significant fall in both the systolic and diastolic blood pressures was observed in 80% of the toxaemic patients. In all cases there was a marked i...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016347509157760

    authors: Sammour MB,El-Kabarity H,Khalifa AS

    更新日期:1975-01-01 00:00:00

  • Cost-effectiveness of hysterectomy for benign gynecological conditions: a systematic review.

    abstract::The objective of this study was to assess the cost-effectiveness of hysterectomy performed for benign indications. Hysterectomy remains the most common major gynecological operation in the Western world. Rates of hysterectomy have not declined as expected with the introduction of new treatment options. Furthermore, us...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aogs.12299

    authors: Pynnä K,Vuorela P,Lodenius L,Paavonen J,Roine RP,Räsänen P

    更新日期:2014-03-01 00:00:00

  • Impact of type 1 diabetes and glycemic control on fetal aneuploidy biochemical markers.

    abstract:OBJECTIVE: To determine the influence of type 1 diabetes mellitus (T1DM) on the first trimester serum markers of fetal aneuploidy; pregnancy-associated plasma protein-A (PAPP-A) and free beta subunit of human chorionic gonadotropin (free β-hCG) and to evaluate the influence of glycemic control on these parameters in th...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0412.2011.01212.x

    authors: Madsen HN,Ekelund CK,Tørring N,Ovesen PG,Friis-Hansen L,Ringholm L,Petersen OB

    更新日期:2012-01-01 00:00:00

  • Perforation of a malignant ovarian tumor into the recto-sigmoid colon.

    abstract::Ovarian cancer often presents at an advanced stage, but tends to be an intra-peritoneal disease that respects peritoneal planes. Thus, colo-rectal perforation of the tumor is an extremely rare presentation. The surgical treatment of malignant colo-ovarian fistula should include complete cyto-reduction at the same time...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349.2010.501857

    authors: Bats AS,Rockall AG,Singh N,Reznek RH,Jeyarajah A

    更新日期:2010-10-01 00:00:00

  • Umbilical artery velocimetry may influence clinical interpretation of intrapartum cardiotocograms.

    abstract:BACKGROUND:In a previous prospective randomised trial on pregnancies complicated by small-for-gestational-age fetuses fewer operative deliveries for fetal distress were found after antenatal surveillance with umbilical artery Doppler velocimetry (Doppler group) than after surveillance with cardiotocography (CTG group)....

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349509024383

    authors: Almström H,Axelsson O,Ekman G,Ingemarsson I,Maesel A,Arström K,Marsál K

    更新日期:1995-08-01 00:00:00

  • Treatment of ectopic pregnancy by local injection of hypertonic glucose: a randomized trial comparing administration guided by transvaginal ultrasound or laparoscopy.

    abstract:OBJECTIVE:To study local treatment of ectopic pregnancy by injection of hyperosmolar (50%) glucose, guided either by transvaginal ultrasound or by laparoscopy. METHODS:Eighty women were randomized, 39 into the sonography and 41 into the laparoscopy group. Criteria for inclusion were 1) ectopic pregnancy < or = 4 cm se...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/00016349509013476

    authors: Gjelland K,Hordnes K,Tjugum J,Augensen K,Bergsjø P

    更新日期:1995-09-01 00:00:00

  • Treatment of candidal vaginitis. A prospective randomized investigator-blind multicenter study comparing topically applied econazole with oral fluconazole.

    abstract::Two hundred and thirty-five women with clinically and microbiologically proven candidal vaginitis were randomly allocated for treatment with either one topically applied vaginal tablet of 150 mg econazole (114 women) or one orally administered capsule of 150 mg fluconazole (121 women). The women returned for follow-up...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.3109/00016349109006182

    authors: Osser S,Haglund A,Weström L

    更新日期:1991-01-01 00:00:00

  • Maternal mortality in Australia 1964-72.

    abstract::Statistics covering deaths directly due to pregnancy in the Commonwealth of Australia have been available since the turn of the century. However, those for deaths associated with pregnancy have not. Over the past two decades each State in the Commonwealth has set up Maternal Mortality Committees to collect confidentia...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016347709154986

    authors: Townsend L

    更新日期:1977-01-01 00:00:00

  • Information bias in epidemiological studies with a special focus on obstetrics and gynecology.

    abstract::Information bias occurs when any information used in a study is either measured or recorded inaccurately. This paper describes some of the most common types of information bias, using examples from obstetrics and gynecology, and describes how information bias may affect results of observational studies. Non-differenti...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aogs.13330

    authors: Kesmodel US

    更新日期:2018-04-01 00:00:00

  • Relapsing thymic carcinoma during pregnancy.

    abstract::A 23 year old woman, who was known to be in remission from thymic carcinoma, presented in her first trimester. She had previously been treated with radiation and chemotherapy. Her pregnancy was complicated by fever and contractions at 30 weeks and ended with the birth of a live preterm male infant. Subsequent investig...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349209021082

    authors: Peleg D,Zabari A,Shalev E

    更新日期:1992-07-01 00:00:00

  • Relation between severity of dysmenorrhea and endometrioma.

    abstract:BACKGROUND:To evaluate the relationship between the severity of dysmenorrhea and endometrioma. METHODS:Descriptive study with prospective design. Two hundred and thirty-nine women with histologically proved endometriomas. The severity of dysmenorrhea was assessed prospectively with a 10-cm visual analog scale. Various...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340600935490

    authors: Chopin N,Ballester M,Borghese B,Fauconnier A,Foulot H,Malartic C,Chapron C

    更新日期:2006-01-01 00:00:00

  • Blame and guilt - a mixed methods study of obstetricians' and midwives' experiences and existential considerations after involvement in traumatic childbirth.

    abstract:INTRODUCTION:When complications arise in the delivery room, midwives and obstetricians operate at the interface of life and death, and in rare cases the infant or the mother suffers severe and possibly fatal injuries related to the birth. This descriptive study investigated the numbers and proportions of obstetricians ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 评论,杂志文章

    doi:10.1111/aogs.12897

    authors: Schrøder K,Jørgensen JS,Lamont RF,Hvidt NC

    更新日期:2016-07-01 00:00:00

  • Laparoscopy versus culdoscopy in the investigation of infertility.

    abstract::This retrospective analysis compares laparoscopy versus culdoscopy results in the investigation of infertility. 52 women underwent culdoscopy; 49 women underwent laparoscopy. Then a change in method was made due to the acquisition of a cold-light laparoscopy. A third group of 73 women were examined with the new ins...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016347409156901

    authors: Fredricsson B

    更新日期:1974-01-01 00:00:00

  • Inhibitors of trypsin, chymotrypsin and elastase in human uterine fluid.

    abstract::Pure uterine fluid, obtained from 18 women in the luteal phase, was pooled and gel filtered. Inhibitory activity against trypsin, chymotrypsin and elastase was present in fractions containing alpha 2-macroglobulin, alpha 1-antitrypsin, alpha 1-antichymotrypsin and antileukoprotease. After solid-phase adsorption with a...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348609158365

    authors: Casslén B

    更新日期:1986-01-01 00:00:00

  • Gonadal steroids, gonadotropins and endometrial histology in postmenopausal women with malignant ovarian tumors.

    abstract::The concentrations of FSH, LH, 17-beta-estradiol (E2), estrone (E1) and progesterone (P) were measured in peripheral and ovarian vein sera obtained at preoperative pelvic angiography from 5 postmenopausal women with malignant ovarian tumors. In 5 others the concentrations of E2, P and testosterone (T) were also measur...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348609155172

    authors: Jeppsson S,Karlsson S,Kullander S

    更新日期:1986-01-01 00:00:00