Unengaged vertex in nulliparous women in active labour : a risk factor for cesarean delivery

الملخص EN

(Pfyecliue; 5o- compare the route of delivery among, nulliparous women with <£ without an engaged vertex In the early, active phase of labor.

<£ to evaluate the significance of unengaged vertex in early, active labox as a risk facto* fax cesarean delivery, Setting; labox room in SSasra maternity hospital.

tDeaigut: Shis is a prospective case- control study.; the station of the fetal head was assessed among 80 nullipaxous women at >37 weeks gestation in tatty,, active labor (cervical dilatation ~2l4 cm, with adequate uterine contractions).

'Variables were analyzed using Z-tesL fieau&a; among the 80 nulliparous, 36 had an engaged vertex.

<£ 44 had an unengaged vertex.

She cesarean section rate fox arxest disorders was significantly, higher in the unengaged group (38.6%) than that in the engaged group (833%).

61.4% of.

nulliparous women with unengaged vertex had vaginal delivery.

She sensitivity <£ specificity of unengaged vertex in nulliparous women in active lavox as a test to predict cesarean section delivery were (38.6%,) <£ (91.7%,) respectively, Ganciuaien: among nulliparous parturients, an unengaged vertex is a significant risk factor, fox cesarean delivery But those parturients should have a txial of labor Because about (61.4%e) of them were succeeded in achieving vaginal delivery.