A Prospective Study on the Relationship Between Cervical Dilatation at Initial Presentation in Labor and Subsequent Outcome
Abstract
Background: Cervical dilatation at the initial presentation in labor is an important factor in predicting labor progression, maternal and neonatal outcomes. This relationship helps clinicians to assess the likelihood of a timely delivery, the need for medical interventions, and possible complications. Objectives: The aim of the study was to evaluate the relationship between cervical dilatation at initial presentation in labor and subsequent outcome. Methods: This prospective study was carried out in the Department of Obstetrics & Gynaecology, Dhaka Medical College & Hospital, Dhaka, Bangladesh, during July 2006 to June 2007. A total of 100 patients were selected at random basis admitted with labor pain. Statistical analyses of the results were be obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-24). Results: The age distribution of the patients was (1%) 11 to 15 years, (25%) 16 to 20 years, (40%) 21 to 25 years, (22%) 26 to 30 years and (9%) 31 to 35 years. And (3%) were older than 36 years. The majority of the population ranges in age from 21 to 25 years. In our study, Group I: Cervical dilatation (os) <4 cm and Group II: Cervical dilatation (os) > 4 cm. Dilatation of Cervix on admission where 54(54%) were Group – I <4 cm, 46(46%) ware Group – II ≥ 4cm. Most of the populations belong to Group – I <4 cm group. According to Parity distribution of the patients, 38 (79.2%) group I and 10 (20.8%) group II patients were nulliparous, whereas 16 (30.8%) group I and 36 (69.2%) group II patients were multiparous. Conclusion: Cervical dilatation at the initial presentation in labor is a crucial factor in determining labor management and predicting outcomes. Advanced dilatation is generally associated with quicker labor progression, fewer interventions, and better maternal and neonatal outcomes, while minimal dilation may require more vigilant monitoring and management to ensure safe delivery.
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References
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