Maternal height as a risk factor for caesarean section due to failure to progress in labour

被引:37
作者
McGuinness, BJ [1 ]
Trivedi, AN [1 ]
机构
[1] Waikato Hosp, Dept Obstet & Gynaecol, Hamilton, New Zealand
关键词
D O I
10.1111/j.1479-828X.1999.tb03360.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We examined for a regional sample of the New Zealand population, the relationship between maternal height and an increased risk of emergency Caesarean section due to arrested labour, to identify a height below which the risk of Caesarean section increases markedly and to quantify the risk of a Caesarean section for a range of maternal heights. The data of nulliparous singleton pregnancies over the period 1994-1998 was sorted into 2 study groups, one resulting in emergency Caesarean section for crested labour and the other a group of women who had normal vaginal delivery requiring no intervention. The means and standard deviations of these;! groups were found and 99% confidence intervals calculated. They were analysed for statistical difference and then a logistical regression calculation tried to identify a height at which the risk of a Caesarean section increased suddenly. There were 81 women in the Caesarean section group and 997 in the normal vaginal delivery group. Mean heights and confidence intervals were 161.0 cm (158.9-163.1) and 164.6 cm (164.0-165.2) respectively. There was a statistically significant difference between these means (p<0.001) but logistic regression analysis showed that risk of Caesarean section increased gradually with decreasing height, and even then did not reach more than 30% risk until a height of less than 140 cm. Low maternal height was associated with increased risk of Caesarean section due to labour arrest. Because the likelihood of baring a normal vaginal delivery was still very good (>80 % ) at modest degrees of short stature, this risk factor alone is unlikely to affect management. However the combination of other risk factors with maternal height may be of clinical use.
引用
收藏
页码:152 / 154
页数:3
相关论文
共 11 条
[1]   THE RELATION OF THE TRUE CONJUGATE TO MATERNAL HEIGHT AND OBSTETRIC PERFORMANCE IN GHANAIANS [J].
ADADEVOH, SWK ;
HOBBS, C ;
ELKINS, TE .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 1989, 28 (03) :243-251
[2]  
HARPER DM, 1995, ARCH GYNECOL OBSTET, V256, P67, DOI 10.1007/s004040050071
[3]   MATERNAL HEIGHT, SHOE SIZE, AND OUTCOME OF LABOR IN WHITE PRIMIGRAVIDAS - A PROSPECTIVE ANTHROPOMETRIC STUDY [J].
MAHMOOD, TA ;
CAMPBELL, DM ;
WILSON, AW .
BMJ-BRITISH MEDICAL JOURNAL, 1988, 297 (6647) :515-517
[4]  
PARSONS MT, 1989, J REPROD MED, V34, P357
[5]   CESAREAN-SECTION AND OPERATIVE VAGINAL DELIVERY IN LOW-RISK PRIMIPAROUS WOMEN, WESTERN-AUSTRALIA [J].
READ, AW ;
PRENDIVILLE, WJ ;
DAWES, VP ;
STANLEY, FJ .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (01) :37-42
[6]  
SCOTT RT, 1989, MIL MED, V154, P365
[7]   SHORT STATURE AND CEPHALOPELVIC DISPROPORTION IN BURKINA-FASO, WEST-AFRICA [J].
SOKAL, D ;
SAWADOGO, L ;
ADJIBADE, A .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 1991, 35 (04) :347-350
[8]   MATERNAL HEIGHT AND AGE - RISK-FACTORS FOR CEPHALOPELVIC DISPROPORTION IN ZIMBABWE [J].
TSU, VD .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1992, 21 (05) :941-946
[9]  
TURNER MJ, 1990, OBSTET GYNECOL, V76, P159
[10]   MATERNAL HEIGHT AND THE OUTCOME OF LABOR IN RURAL TANZANIA [J].
VANROOSMALEN, J ;
BRAND, R .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 1992, 37 (03) :169-177