Decreasing Cesarean Rates in Nulliparous Women

Unengaged vertex in nulliparous women in active labor. A risk factor for cesarean delivery.

OBJECTIVE To compare the route of delivery among nulliparous parturients with and without an engaged vertex in the early, active phase of labor. METHODS Prospectively, the position of the fetal head was ascertained among nulliparous women at 37 weeks' gestation or more in early, active labor (cervical dilation > or = 4 cm with adequate contractions). Sixteen variables, including maternal demo...

Dystocia in nulliparous women.

Dystocia is common in nulliparous women and is responsible for more than 50 percent of primary cesarean deliveries. Because cesarean delivery rates continue to rise, physicians providing maternity care should be skilled in the diagnosis, management, and prevention of dystocia. If labor is not progressing, inadequate uterine contractions, fetal malposition, or cephalopelvic disproportion may be ...

Leading Change on Labor and Delivery: Reducing Nulliparous Term Singleton Vertex (NTSV) Cesarean Rates.

Chewing Sugar-Free Gum Reduces Ileus After Cesarean Section in Nulliparous Women: A Randomized Clinical Trial

BACKGROUND Gum chewing after cesarean section may stimulate bowel motility and decrease duration of postoperative ileus. OBJECTIVES The current study assessed the effect of chewing sugar-free gum on the return of bowel function, where cesarean section had been performed in nulliparous women. MATERIALS AND METHODS In a randomized clinical trial, 60 patients, scheduled for cesarean section we...

Bishop score and risk of cesarean delivery after induction of labor in nulliparous women.

OBJECTIVE To quantify the risk and risk factors for cesarean delivery associated with medical and elective induction of labor in nulliparous women. METHODS A prospective cohort study was performed in nulliparous women at term with vertex singleton gestations who had labor induced at 2 obstetrical centers. Medical and elective indications and Bishop scores were recorded before labor induction....