A second-stage partogram.

Abstract:

OBJECTIVE:To describe a second-stage partogram based on a system of scoring the descent and position of the fetal head and to use this system for studying progress in the second stage of labor and predicting mode of delivery and obstetric outcome. METHODS:A prospective observational study of 1413 women at term with a singleton, cephalic presentation. The position and station of the fetal head were observed and scored at diagnosis of the second stage of labor, 1 hour later, and then at 30 minute intervals until delivery was achieved. The score at diagnosis of the second stage of labor was assessed for its ability to predict eventual mode of delivery and duration of labor. A normogram was defined for nulliparas and multiparas and was used to define normal and abnormal progress in the second stage, associated factors in the first stage of labor, and mode of delivery. RESULTS:Increasing total score at the start of the second stage of labor is associated with increasing chance of spontaneous vaginal delivery (odds ratio [OR] 1.68 for nulliparas, 1.59 for multiparas), decreasing chance of instrumental vaginal delivery (OR 0.67 for nulliparas, 0.64 for multiparas), and emergency cesarean delivery (OR 0.39 for nulliparas). Abnormal progress as defined by the normogram is associated with use of epidural anesthesia, induction of labor, augmentation, dystocia, and increased incidence of operative delivery. No significant difference is found between normal and abnormal second stages of labor in fetal outcome as determined by Apgar scores. CONCLUSION:The second-stage partogram offers an objective basis for management of the second stage of labor.

journal_name

Obstet Gynecol

authors

Sizer AR,Evans J,Bailey SM,Wiener J

doi

10.1016/s0029-7844(00)00981-9

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

678-83

issue

5 Pt 1

eissn

0029-7844

issn

1873-233X

pii

S0029784400009819

journal_volume

96

pub_type

杂志文章
  • A thrombogenic uterine pack for postpartum hemorrhage.

    abstract:BACKGROUND:A low-lying placenta or placenta previa is frequently associated with postpartum hemorrhage from a low implantation site. We describe the successful use of a thrombin-soaked uterine pack for this condition. CASE:A 30-year-old woman, gravida 3, para 0-0-2-0, had placenta previa diagnosed by ultrasound at 26 ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00231-2

    authors: Bobrowski RA,Jones TB

    更新日期:1995-05-01 00:00:00

  • Internet availability of contraceptives.

    abstract:OBJECTIVE:To measure the accessibility of contraceptive supplies over the Internet. METHODS:We performed an Internet search with the use of search engines and key words. We posed as consumers purchasing both prescription and over-the-counter contraceptive supplies. The number of clicks or web pages accessed, costs, sh...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01113-3

    authors: Miller L,Nielsen C

    更新日期:2001-01-01 00:00:00

  • Maternal blood C-reactive protein, white blood cell count, and temperature in preterm labor: a comparison with amniotic fluid white blood cell count.

    abstract:OBJECTIVE:To compare the diagnostic and prognostic performance of maternal blood C-reactive protein, white blood cell count (WBC), and temperature with that of amniotic fluid (AF) WBC in preterm labor. METHODS:One hundred two women with preterm labor and intact membranes were studied. Maternal blood was collected to m...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00380-0

    authors: Yoon BH,Yang SH,Jun JK,Park KH,Kim CJ,Romero R

    更新日期:1996-02-01 00:00:00

  • Cushing's syndrome complicating pregnancy. A case report.

    abstract::A case of a rare association between pregnancy and the development of Cushing's syndrome is discussed. A 29-year-old woman developed Cushing's syndrome, characterized by hypokalemia, a high level of urinary 17-hydroxycorticoids not suppressed by dexamethasone therapy, a high level of plasma 11-hydroxycorticoids which...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wieland RG,Shaffer MB Jr,Glove RP

    更新日期:1971-12-01 00:00:00

  • Modified Beef Tongue Model for Fourth-Degree Laceration Repair Simulation.

    abstract:BACKGROUND:An existing model for fourth-degree laceration repair uses beef tongue with plastic or vinyl tubing. This modified model substitutes beef tripe for the anal mucosa and chicken leg muscles for the anal sphincter muscle analogs to create a realistic model. METHOD:Tripe is tunneled through the body of the trim...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001908

    authors: Illston JD,Ballard AC,Ellington DR,Richter HE

    更新日期:2017-03-01 00:00:00

  • Factors affecting survival in stage I and state II carcinoma of the cervix.

    abstract::Eighty-eight cases of Stage I and Stage II carcinoma of the cervix treated with radiotherapy at the University of North Carolina Memorial Hospital between April 1969 and July 1971 are reviewed. The question of whether the radiation time-dose-fraction relationship can be applied to the combination of external beam and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Welander CE,Montana GS,Saylor WL,Palumbo L,Fowler W

    更新日期:1975-10-01 00:00:00

  • Minimizing the risk of neurologic injury in gynecologic surgery.

    abstract:OBJECTIVE:The association of intraoperative neurologic injuries with gynecologic surgical procedures is well established. The sequelae of such injuries are usually transient and resolve with minimal intervention, although long-term disability can and does occasionally occur. The purpose of this study was to examine the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000110542.53489.c6

    authors: Irvin W,Andersen W,Taylor P,Rice L

    更新日期:2004-02-01 00:00:00

  • Transvaginal endometrial sonography in postmenopausal women taking tamoxifen.

    abstract:OBJECTIVE:To evaluate sonographic measurements of endometrial thickness in postmenopausal women taking adjuvant tamoxifen therapy for breast cancer, and to correlate sonographic and pathologic findings to symptoms and duration of tamoxifen therapy. METHODS:Medical records and sonograms of 80 postmenopausal women treat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00418-9

    authors: Tesoro MR,Borgida AF,MacLaurin NA,Asuncion CM

    更新日期:1999-03-01 00:00:00

  • Amniotic fluid alpha-fetoprotein as a marker in prenatal diagnosis of neural tube defects.

    abstract::The prenatal diagnosis of anencephaly and spina bifida (neural tube defect, NTD) through amniotic fluid analysis for alpha-fetoprotein (AFP) is gradually gaining clinical recognition. AFP concentrations were determined in 237 amniotic fluids from normal pregnancies ranging between 7 and 42 weeks of gestation. A steady...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Weiss RR,Macri JN,Elligers K,Princler GL,McIntire R,Waldman TA

    更新日期:1976-02-01 00:00:00

  • Committee Opinion No. 680 Summary: The Use and Development of Checklists in Obstetrics and Gynecology.

    abstract::Checklists are used in medical and nonmedical settings as cognitive aids to ensure that users complete all the items associated with a particular task. They are ideal for tasks with many steps, for tasks performed under stressful circumstances, or for reminding people to perform tasks that they are not routinely accus...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001766

    authors:

    更新日期:2016-11-01 00:00:00

  • Sacral Nerve Stimulation as a Therapy for Patients With Refractory Voiding and Bowel Dysfunction.

    abstract::Sacral nerve stimulation delivers nonpainful electrical pulses to the sacral nerves that modulate the reflexes that control the bladder, bowels, and pelvic floor musculature. This relatively simple procedure was generated to improve and restore function in patients with a variety of pelvic floor disorders. Currently t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000002968

    authors: Noblett KL,Buono K

    更新日期:2018-12-01 00:00:00

  • A paired controlled study of vaginal and abdominal delivery of the low birth weight breech fetus.

    abstract::In a paired, controlled, retrospective study, 44 low birth weight breech fetuses delivered vaginally were compared with 44 breech fetuses delivered by cesarean section. Seven deaths occurred in the vaginal delivery group, compared with only 1 in the abdominal delivery group. Asphyxia, trauma, and intracranial hemorrha...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Duenhoelter JH,Wells CE,Reisch JS,Santos-Ramos R,Jimenez JM

    更新日期:1979-09-01 00:00:00

  • ACOG committee opinion no. 561: Nonmedically indicated early-term deliveries.

    abstract::For certain medical conditions, available data and expert opinion support optimal timing of delivery in the late-preterm or early-term period for improved neonatal and infant outcomes. However, for nonmedically indicated early-term deliveries such an improvement has not been demonstrated. Morbidity and mortality rates...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000428649.57622.a7

    authors:

    更新日期:2013-04-01 00:00:00

  • Prevalence of hepatitis B, hepatitis C, and human immunodeficiency virus infection among women attending prenatal clinics in San Juan, Puerto Rico, from 1989-1990.

    abstract:OBJECTIVE:To evaluate the prevalence of hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) among pregnant women in Puerto Rico. METHODS:An anonymous serosurvey was conducted in four prenatal clinics in San Juan, Puerto Rico, involving women presenting consecutively for their first...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00319-9

    authors: Deseda CC,Sweeney PA,Woodruff BA,Lindegren ML,Shapiro CN,Onorato IM

    更新日期:1995-01-01 00:00:00

  • Meeting the challenge of the rising cesarean birth rate.

    abstract::The rising cesarean birth rate is a matter of national concern, and the goal of clinical obstetricians is to contain this trend while maintaining good maternal and perinatal outcome. Despite published reports suggesting that excellent perinatal outcome can be achieved with modest cesarean birth rates, the general incr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Porreco RP

    更新日期:1990-01-01 00:00:00

  • Maternal serum levels of placental protein 5 in complications of late pregnancy.

    abstract::Maternal serum levels of placental protein 5 (PP5) were measured during the third trimester in women with normal and abnormal pregnancies. PP5 levels were significantly elevated in patients with preeclampsia, diabetes, intrauterine growth retardation associated with preeclampsia, and twin pregnancy. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Salem HT,Westergaard JG,Hindersson P,Lee JN,Grudzinskas JG,Chard T

    更新日期:1982-04-01 00:00:00

  • Letter: Case of the "missing strings".

    abstract::A method of removing an IUD whose strings may be lost is discussed. Having identified the intrauterine location of the IUD by touch with probe, a second Lippes loop was placed and the long strings not trimmed at all. When the patient returned later the most recently placed loop was removed and the strings of the fir...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Evans GT

    更新日期:1974-07-01 00:00:00

  • ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy.

    abstract::The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women. Because of the difficulty of conducting large-scale randomized clinical trials in this population, the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003174

    authors:

    更新日期:2019-04-01 00:00:00

  • Recurrent ovarian tumor with low malignant potential and cardiac metastasis.

    abstract:BACKGROUND:Up to 20% of ovarian epithelial tumors are classified as being of low malignant potential. Most of these low malignant potential tumors are detected at an early stage and have an excellent prognosis. This is a report of a woman with cardiac metastasis from an ovarian low malignant potential tumor. CASE:This...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)81429-9

    authors: Basil JB,Kost ER,Herzog TJ,Harris KM,Liapis H,Mutch DG

    更新日期:1997-05-01 00:00:00

  • In-hospital maternal mortality in the United States: time trends and relation to method of delivery.

    abstract::To study time trends in maternal mortality in the United States and to attempt to compare the risk of cesarean with vaginal delivery, information from the Professional Activities Study of the Commission on Professional and Hospital Activities for 3 years-1970, 1974, and 1978-was reviewed. For all deliveries, mortality...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Petitti DB,Cefalo RC,Shapiro S,Whalley P

    更新日期:1982-01-01 00:00:00

  • ACOG Committee Opinion No 579: Definition of term pregnancy.

    abstract::In the past, the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered "term," with the expectation that neonatal outcomes from deliveries in this interval were uniform and good. Increasingly, however, research has shown that neonatal outcomes, especially respiratory morbidity, v...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000437385.88715.4a

    authors:

    更新日期:2013-11-01 00:00:00

  • Predicting painful or difficult intrauterine device insertion in nulligravid women.

    abstract:OBJECTIVE:To assess the relationship of preinsertion vaginal ultrasound assessment and menstrual and gynecologic history as predictors of difficult or painful intrauterine device insertion in nulligravid women. METHODS:Nulligravid women seeking contraception were invited to participate in this nonrandomized study and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000362

    authors: Kaislasuo J,Heikinheimo O,Lähteenmäki P,Suhonen S

    更新日期:2014-08-01 00:00:00

  • The 4-S modification of the Roeder knot: how to tie it.

    abstract:BACKGROUND:The 4-S modification of the Roeder knot may be tied laparoscopically as a single-throw knot. TECHNIQUE:It is tied by adding a fourth wrap around the suture loop and securing the loop in place with a square knot rather than a single half-hitch. EXPERIENCE:We have used this knot in laparoscopic surgeries for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00492-4

    authors: Sharp HT,Dorsey JH

    更新日期:1997-12-01 00:00:00

  • Paraganglioma complicating pregnancy and the puerperium.

    abstract::A rare case of a paraganglioma (extraadrenal pheochromocytoma) that complicated both pregnancy and the puerperium is described. The patient presented a confusing clinical picture simulating pregnancy-induced hypertension, which, after delivery, masqueraded as intractable fever of unknown origin. Computed tomography pr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kleiner GJ,Greston WM,Yang PT,Levy JL,Newman AD

    更新日期:1982-06-01 00:00:00

  • Pregnancy complications in Sioux Indians.

    abstract::The poor health status of Sioux Indians residing on reservations in South Dakota has been recognized for many years. The present report documents evidence of a high incidence of socioeconomic health-related disorders and pregnancy-related complications by comparing 342 pregnant white women and 405 pregnant Sioux India...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Petersen LP,Leonardson G,Wingert RI,Stanage W,Gergen J,Gilmore HT

    更新日期:1984-10-01 00:00:00

  • Practice bulletin no. 146: Management of late-term and postterm pregnancies.

    abstract::Postterm pregnancy refers to a pregnancy that has reached or extended beyond 42 0/7 weeks of gestation from the last menstrual period (LMP), whereas a late-term pregnancy is defined as one that has reached between 41 0/7 weeks and 41 6/7 weeks of gestation (). In 2011, the overall incidence of postterm pregnancy in th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/01.AOG.0000452744.06088.48

    authors:

    更新日期:2014-08-01 00:00:00

  • Determinants of maternal sex steroids during the first half of pregnancy.

    abstract:OBJECTIVE:To examine the associations of maternal and child characteristics with early pregnancy maternal concentrations of testosterone, androstenedione, progesterone, 17-hydroxyprogesterone, and estradiol (E2). METHODS:We analyzed these hormones among 1,343 women with singleton pregnancies who donated serum samples ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182342b7f

    authors: Toriola AT,Vääräsmäki M,Lehtinen M,Zeleniuch-Jacquotte A,Lundin E,Rodgers KG,Lakso HA,Chen T,Schock H,Hallmans G,Pukkala E,Toniolo P,Grankvist K,Surcel HM,Lukanova A

    更新日期:2011-11-01 00:00:00

  • Diethylstilbestrol and other sex hormones during pregnancy.

    abstract::Intrauterine exposure to diethylstilbestrol (DES) has been associated with ths subsequent rare development of clear cell adenocarcinoma of the vagina and cervix in exposed female progeny. These tumors have been seen thus far in patients between the ages of 7 and 29 years. In addition, nonmalignant epithelial and struc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Herbst AL

    更新日期:1981-11-01 00:00:00

  • Multifetal reduction of triplets and pregnancy outcome.

    abstract::Multifetal pregnancy reduction has been suggested as a strategy to improve pregnancy outcome in grand multiple gestations of three or more fetuses. We prospectively investigated multifetal pregnancy reduction in 13 women with triplet pregnancies in the first trimester following ovulation induction, in vitro fertilizat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Porreco RP,Burke MS,Hendrix ML

    更新日期:1991-09-01 00:00:00

  • Tubal pregnancy with normal hysterosalpingogram and negative serum pregnancy test.

    abstract::A patient undergoing evaluation for primary infertility with regular menses had a normal hysterosalpingogram in the follicular phase and underwent diagnostic laparoscopy the next day, with the finding of a tubal pregnancy. The patient had a negative serum pregnancy test. Although a normal hysterosalpingogram and negat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Uribe MA,Dunn RC,Buttram VC Jr

    更新日期:1990-03-01 00:00:00