Use of Cesarean Birth among Robson Groups 2 and 4 at Mizan-Tepi University Hospital, Ethiopia
المؤلفون المشاركون
Harrison, Margo S.
Liyew, Tewodros
Kirub, Ephrem
Teshome, Biruk
Jimenez-Zambrano, Andrea
Muldrow, Margaret
Yarinbab, Teklemariam
المصدر
Obstetrics and Gynecology International
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-09-04
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
Primary cesarean birth rates were high among women who were either nulliparous (Group 2) or multiparous (Group 4) with a single, cephalic, term fetus who were induced, augmented, or underwent cesarean birth before labor in our study cohort.
Objectives.
The objective of this analysis was to determine what risk factors were associated with cesarean birth among Robson Groups 2 and 4.
Methods.
This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1,000 women who delivered at Mizan-Tepi University Teaching Hospital in the summer and fall of 2019.
Results.
Women in Robson Groups 2 and 4 comprised 11.4% (n = 113) of the total population (n = 993).
The cesarean birth rate in Robson Group 2 (n = 56) was 37.5% and in Robson Group 4 (n = 57) was 24.6%.
In Robson Group 2, of all prelabor cesareans (n = 5), one birth was elective cesarean by maternal request; the intrapartum cesarean births (n = 16) mostly had a maternal or fetal indication (93.8%), with one birth (6.2%) indicated by “failed induction or augmentation,” which was a combined indication.
In Robson Group 4, all 4 women delivered by prelabor cesarean had a maternal indication (one was missing data), and 3 of the intrapartum cesareans were indicated by “failed induction or augmentation.” In multivariable modeling of Robson Group 2, having a labor duration of “not applicable” increased the risk of cesarean delivery (RR 2.9, CI (1.5, 5.4)).
The odds of requiring maternal antibiotics was the only notable outcome with increased risk (RR 11.1, CI (1.9, 64.9)).
In multivariable modeling of Robson Group 4, having a labor longer than 24 hours trended towards a significant association with cesarean (RR 3.6, CI (0.9, 14.3)), and women had a more dilated cervix on admission trended toward having a lower odds of cesarean (RR 0.8, CI (0.6, 1.0)).
Conclusion.
Though rates of primary cesarean birth among women who have a term, single, cephalic fetus and are induced, augmented, or undergone prelabor cesarean birth are high, those that occur intrapartum seem to be associated with appropriate risk factors and indications, though we cannot say this definitely as we did not perform an audit.
More research is needed on the prelabor subgroup as a separate entity.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Harrison, Margo S.& Liyew, Tewodros& Kirub, Ephrem& Teshome, Biruk& Jimenez-Zambrano, Andrea& Muldrow, Margaret…[et al.]. 2020. Use of Cesarean Birth among Robson Groups 2 and 4 at Mizan-Tepi University Hospital, Ethiopia. Obstetrics and Gynecology International،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1203356
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Harrison, Margo S.…[et al.]. Use of Cesarean Birth among Robson Groups 2 and 4 at Mizan-Tepi University Hospital, Ethiopia. Obstetrics and Gynecology International No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1203356
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Harrison, Margo S.& Liyew, Tewodros& Kirub, Ephrem& Teshome, Biruk& Jimenez-Zambrano, Andrea& Muldrow, Margaret…[et al.]. Use of Cesarean Birth among Robson Groups 2 and 4 at Mizan-Tepi University Hospital, Ethiopia. Obstetrics and Gynecology International. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1203356
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1203356
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر