Cervical Effacement and Dilatation on Admission and Subsequent Outcome of Labour among Primigravidae: A Prospective Study

Аннотация

Cervical dilatation is an important indicator of both diagnosis and progress of labour. The purpose of this was to investigate the relationship between the cervical dilatation at which a woman is in labour and the subsequent outcome of labour. This was a prospective observational study. The study was carried out among the admitted pregnant women in the Department of Gynecology and Obstetrics at Dhaka Medical College Hospital, Dhaka. One hundred pregnant women who were admitted to the hospital with labour pains and who met the inclusion criteria and agreed to take part were included in the study. The majority (40%) of participants were aged 21 to 25 years, with a mean age of 24.2 years. Out of 100 participants, 54 participants with <4cm cervical dilatation were categorized as group-I, and 46 participants with ?4cm cervical dilatation were categorized as group-II. In group-I, 44.4% of participants had prolonged labour for more than 18 hours, whereas, 65.2% of participants in group-II, had 12–18 hours of labour. Caesarean section was required by 61.1% of participants in group-I and 21.7% of participants in group-II. The most common reason for the caesarean section was fetal distress, followed by cervical dystocia. A significant proportion (62.5%) of babies in group-I had an Apgar score of ?7. The findings revealed that women in labour with a cervical dilation of <4 cm were more likely to have prolonged labour and a higher rate of caesarean section and fetal distress than women in labour with a more advanced cervical dilation.