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Published on: January 27, 2010
Prediction of vaginal delivery following caesarean section for failure to progress based on the initial aberrant
Frank Hopkins1, Nicholas Raine-Fenning, Harry Gee
1School of Human Development, Academic Division of Reproductive Medicine, NURTURE, B Floor, East Block, Queen's Medical Centre, NG7 2UH, Nottingham, UK.
Objective:
To determine whether the pattern of cervical dilatation prior to caesarean section for 'failure to progress' can predict the outcome of subsequent labour.
Study Design:
Single hospital case note review of 171 women delivered by caesarean section for failure to progress and subsequently delivering at the same hospital. Cervicograms were categorized into one of the four patterns by an assessor blinded to the subsequent outcome. Statistical analysis was done by analysis of variance.
Results:
The incidence of vaginal delivery did not significantly differ between the groups.
Conclusion:
Categorisation of failure to progress by partographic abnormality does not predict subsequent successful vaginal delivery.
