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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
; ; and
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
Taylor & Francis
external identifiers
  • wos:000274178800007
  • scopus:76349109257
  • pmid:20121499
ISSN
0144-3615
DOI
10.3109/01443610903276417
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000)
id
abe38039-0b3f-472e-b5b3-3f3a9c7f4f75 (old id 1570110)
date added to LUP
2016-04-01 14:21:58
date last changed
2022-03-21 23:39:42
@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}},
  keywords     = {{prolonged labour; nulliparas; lifestyle; Anthropometrical risk indicators; dystocia}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{25--29}},
  publisher    = {{Taylor & Francis}},
  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}},
  doi          = {{10.3109/01443610903276417}},
  volume       = {{30}},
  year         = {{2010}},
}