Preeclampsia, labor duration and mode of delivery

Objective: To determine if there is a difference in the length of labor, and method of delivery between preeclamptic and normotensive patients. Methods: A retrospective case control study was performed using a perinatal database. Study subjects included nulliparous patients diagnosed with preeclamps...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 1997-04, Vol.57 (1), p.39-42
Main Authors: Edwards, C., Witter, F.R.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Case-Control Studies
Cesarean delivery
Cesarean Section - statistics & numerical data
Confidence Intervals
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
Induction of labor
Labor
Labor, Induced
Labor, Obstetric - physiology
Logistic Models
Medical sciences
Oxytocin - administration & dosage
Parity
Pre-Eclampsia - complications
Pre-Eclampsia - physiopathology
Pre-Eclampsia - therapy
Preeclampsia
Pregnancy
Pregnancy. Fetus. Placenta
Reference Values
Retrospective Studies
Risk Factors
Time Factors
Trial of Labor
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Summary:Objective: To determine if there is a difference in the length of labor, and method of delivery between preeclamptic and normotensive patients. Methods: A retrospective case control study was performed using a perinatal database. Study subjects included nulliparous patients diagnosed with preeclampsia, and were compared with normotensive nulliparous patients. Results: There were 1454 controls and 727 subjects identified. There was no difference between groups with regard to duration of total labor. There was a statistically but not clinically significant increase in the duration of the second stage in preeclamptics (35 vs. 27 min, P = 0.003). Preeclamptics had a consistently higher risk of cesarean delivery, even when controlled for confounding variables. Conclusion: The clinical belief that preeclamptic patients have more rapid labors is not supported. Preeclamptics do seem to have a higher risk of cesarean delivery.
ISSN:0020-7292
1879-3479
DOI:10.1016/S0020-7292(97)02854-3