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Risk indicators for dystocia in low-risk nulliparous women: A study on lifestyle and anthropometrical factors

Kjaergaard, Hanne LU ; Dykes, Anna-Karin LU ; Ottesen, B. and Olsen, J. (2010) In Journal of Obstetrics and Gynaecology 30(1). p.25-29
Abstract
We examined background information and course of labour from a cohort of 2,810 low-risk nulliparas to identify possible lifestyle and anthropometrical risk indicators for dystocia. Criteria for dystocia: cervical dilatation <2 cm over 4 h during labour's active phase, or no descent during 2 h (3 h with epidural) in the descending phase, or no progress for 1 h during the expulsive phase. After adjustments, athletics or heavy gardening >= 4 h per week appeared protective for dystocia (OR 0.63, CI 0.45-0.89), contrary to a non-significant finding of intensive physical training (OR 1.57, CI 0.84-2.93). Caffeine intake of 200-299 mg/day was associated with dystocia (OR 1.37, CI 1.04-1.80); also high maternal age (OR 2.25, CI 1.58-3.22),... (More)
We examined background information and course of labour from a cohort of 2,810 low-risk nulliparas to identify possible lifestyle and anthropometrical risk indicators for dystocia. Criteria for dystocia: cervical dilatation <2 cm over 4 h during labour's active phase, or no descent during 2 h (3 h with epidural) in the descending phase, or no progress for 1 h during the expulsive phase. After adjustments, athletics or heavy gardening >= 4 h per week appeared protective for dystocia (OR 0.63, CI 0.45-0.89), contrary to a non-significant finding of intensive physical training (OR 1.57, CI 0.84-2.93). Caffeine intake of 200-299 mg/day was associated with dystocia (OR 1.37, CI 1.04-1.80); also high maternal age (OR 2.25, CI 1.58-3.22), small stature (OR 2.18, CI 1.51-3.15) and pre-pregnancy overweight (OR 1.28, CI 1.02-1.61). No association was found between dystocia and alcohol intake, smoking, night sleep and options for resting during the day. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
prolonged labour, nulliparas, lifestyle, Anthropometrical risk indicators, dystocia
in
Journal of Obstetrics and Gynaecology
volume
30
issue
1
pages
25 - 29
publisher
John Wright and Sons Ltd
external identifiers
  • wos:000274178800007
  • scopus:76349109257
ISSN
0144-3615
DOI
10.3109/01443610903276417
language
English
LU publication?
yes
id
abe38039-0b3f-472e-b5b3-3f3a9c7f4f75 (old id 1570110)
date added to LUP
2010-03-17 09:25:03
date last changed
2018-05-29 09:59:36
@article{abe38039-0b3f-472e-b5b3-3f3a9c7f4f75,
  abstract     = {We examined background information and course of labour from a cohort of 2,810 low-risk nulliparas to identify possible lifestyle and anthropometrical risk indicators for dystocia. Criteria for dystocia: cervical dilatation &lt;2 cm over 4 h during labour's active phase, or no descent during 2 h (3 h with epidural) in the descending phase, or no progress for 1 h during the expulsive phase. After adjustments, athletics or heavy gardening &gt;= 4 h per week appeared protective for dystocia (OR 0.63, CI 0.45-0.89), contrary to a non-significant finding of intensive physical training (OR 1.57, CI 0.84-2.93). Caffeine intake of 200-299 mg/day was associated with dystocia (OR 1.37, CI 1.04-1.80); also high maternal age (OR 2.25, CI 1.58-3.22), small stature (OR 2.18, CI 1.51-3.15) and pre-pregnancy overweight (OR 1.28, CI 1.02-1.61). No association was found between dystocia and alcohol intake, smoking, night sleep and options for resting during the day.},
  author       = {Kjaergaard, Hanne and Dykes, Anna-Karin and Ottesen, B. and Olsen, J.},
  issn         = {0144-3615},
  keyword      = {prolonged labour,nulliparas,lifestyle,Anthropometrical risk indicators,dystocia},
  language     = {eng},
  number       = {1},
  pages        = {25--29},
  publisher    = {John Wright and Sons Ltd},
  series       = {Journal of Obstetrics and Gynaecology},
  title        = {Risk indicators for dystocia in low-risk nulliparous women: A study on lifestyle and anthropometrical factors},
  url          = {http://dx.doi.org/10.3109/01443610903276417},
  volume       = {30},
  year         = {2010},
}