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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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| Published in: | International journal of gynecology and obstetrics 1997-04, Vol.57 (1), p.39-42 |
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| Main Authors: | , |
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| Language: | English |
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| container_end_page | 42 |
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| container_title | International journal of gynecology and obstetrics |
| container_volume | 57 |
| creator | Edwards, C. Witter, F.R. |
| description | 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. |
| doi_str_mv | 10.1016/S0020-7292(97)02854-3 |
| format | article |
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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.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/S0020-7292(97)02854-3</identifier><identifier>PMID: 9175668</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>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</subject><ispartof>International journal of gynecology and obstetrics, 1997-04, Vol.57 (1), p.39-42</ispartof><rights>1997</rights><rights>1997 International Federation of Gynecology and Obstetrics</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4399-e0bd80e103cac5b8c790c0796eb262aad2a9a755840d568a69d680da301e73f53</citedby><cites>FETCH-LOGICAL-c4399-e0bd80e103cac5b8c790c0796eb262aad2a9a755840d568a69d680da301e73f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2671097$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9175668$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Edwards, C.</creatorcontrib><creatorcontrib>Witter, F.R.</creatorcontrib><title>Preeclampsia, labor duration and mode of delivery</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>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.</description><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cesarean delivery</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Confidence Intervals</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Induction of labor</subject><subject>Labor</subject><subject>Labor, Induced</subject><subject>Labor, Obstetric - physiology</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Oxytocin - administration & dosage</subject><subject>Parity</subject><subject>Pre-Eclampsia - complications</subject><subject>Pre-Eclampsia - physiopathology</subject><subject>Pre-Eclampsia - therapy</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Trial of Labor</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><recordid>eNqNkE1rGzEQhkVocJw0PyGwh1ISyKaj1UpanUox-STgQtuzmJVmQWE_XMl28L_POja-Jqc5zPPOyzyMXXC44cDVjz8ABeS6MMWl0VdQVLLMxRGb8kqbXJTafGHTA3LCTlN6AQCuOZ-wieFaKlVNGf8diVyL3SIFvM5arIeY-VXEZRj6DHufdYOnbGgyT21YU9x8ZccNtonO9_OM_bu7_Tt7yJ_n94-zX8-5K4UxOUHtKyAOwqGTdeW0AQfaKKoLVSD6Ag1qKasSvFQVKuNVBR4FcNKikeKMfd_dXcTh_4rS0nYhOWpb7GlYJTveK6UBPYJyB7o4pBSpsYsYOowby8FuVdl3VXbrwRpt31VZMeYu9gWruiN_SO3djPtv-z0mh20TsXchHbBCaQ5mW2922GtoafO5bvv4dD8XZsz-3GVpFLkOFG1ygXpHPkRyS-uH8METb_aXlG0</recordid><startdate>199704</startdate><enddate>199704</enddate><creator>Edwards, C.</creator><creator>Witter, F.R.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199704</creationdate><title>Preeclampsia, labor duration and mode of delivery</title><author>Edwards, C. ; Witter, F.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4399-e0bd80e103cac5b8c790c0796eb262aad2a9a755840d568a69d680da301e73f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cesarean delivery</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Confidence Intervals</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Induction of labor</topic><topic>Labor</topic><topic>Labor, Induced</topic><topic>Labor, Obstetric - physiology</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Oxytocin - administration & dosage</topic><topic>Parity</topic><topic>Pre-Eclampsia - complications</topic><topic>Pre-Eclampsia - physiopathology</topic><topic>Pre-Eclampsia - therapy</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Trial of Labor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Edwards, C.</creatorcontrib><creatorcontrib>Witter, F.R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Edwards, C.</au><au>Witter, F.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preeclampsia, labor duration and mode of delivery</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>1997-04</date><risdate>1997</risdate><volume>57</volume><issue>1</issue><spage>39</spage><epage>42</epage><pages>39-42</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>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.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>9175668</pmid><doi>10.1016/S0020-7292(97)02854-3</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0020-7292 |
| ispartof | International journal of gynecology and obstetrics, 1997-04, Vol.57 (1), p.39-42 |
| issn | 0020-7292 1879-3479 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79045907 |
| source | Wiley-Blackwell Read & Publish Collection |
| 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 |
| title | Preeclampsia, labor duration and mode of delivery |
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