Dystocia as a cause of untimely cesarean section

Vojnosanitetski Pregled

关键词: dystocia;    cesarean section;    risk assessment;    infant newborn;    apgar score;   

DOI  :  10.2298/VSP110210005D

来源: DOAJ

【 摘 要 】

Background/Aim. One of the most frequent indications for cesarean section isdystocia. It is impossible to predict, difficult to identify and coincidentwith the rapid expiry of the expected time, so it is important to point outsome mistakes in expecting vaginal delivery. The aim of this study was toexamine the frequency and the length of dystocia-related cesarean delivery,as well as the vitality of the newborn immediately after birth. Methods. Aprospective, 3-year study was conducted including a total number of 6,470deliveries regardless of whether they were completed using cesarean sectionafter an unsuccessful attempt of spontaneous vaginal delivery or not. TheApgar score, a proved useful tool for the assessment of the vitality ofnewborn children in the first minute, was used. Results. On the basis of theestablished indications, 653 (10.10%) of deliveries were completed usingcesarean section. Dystocia was the third most common indication for cesareansection (16.38%). Deliveries in which dystocia was established as a diagnosislasted much longer (p = 0.030) which resulted in weaker vitality of newbornchildren (p = 0.000) compared to the deliveries ended by spontaneous vaginaldelivery. Conclusion. This study shows that deliveries caused by dystocialast much longer and newborn children are of weaker vitality compared toother deliveries caused not by dystocia. Decisions concerning cesareansection must be made in a timely fashion.

【 授权许可】

Unknown