Author/Editor		Cerar, Vasilij
Title		Prognostična vrednost parametrov ocene zrelosti porodne poti za trajanje latentne in aktivne faze poroda
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		1996
Volume		str. 59
Language		slo
Abstract		Introduction. With the aim of gaining a broader understanding of physiologic activities of cervical dilatation during labour this work was designed to find the relations between individual properties, constituing the Bishop score, at the onset of labour, and the course of the latent and active phase of labour, their significance and predictive values. For the purpose we chose various obstetric variables, conditioning the course of ripening and dilatation of the uterine cervix in spontaneous, augmented and induced labour. Patients and Methods. In a prospective study 231 primiparous women at term were enrolled, and analyzed in three separate groups. In the first group there were 50 parturients with spontaneous onset of labour, in the second 50 parturients in whom the labour was augmented after the spontaneous onset, and in the third 131 partuients with induced labour. In the last 31 parturients with induced labour, blood samples were taken for the analysis of various hormones. Multiple regression analysis was used to establish prognostic relafions between independent and dependent variables. We chose 5 independent variables, defining the properties of the Bishop score, and 19 obstetric and hormonal independent variables, that may affect the course of the first phase of labour; whereas the respective durations of the latent and active phase in the first stage of labour were chosen as dependent variables. Results. With regard to the course of the latent phase of labour, the clinically selected groups of parturients (spontaneous onset of labour, spontaneous onset of labour followed by augmentation due to weak contractions, induced labours) belong to various populations. With regard to the active phase of labour, however, the group with spontaneous labours belong to a different population than the other two groups. (Abstract truncated at 2000 characters).
Descriptors		LABOR LABOR, INDUCED LABOR STAGE, FIRST CERVIX UTERI PREGNANCY LABOR ONSET OXYTOCICS BETA-ENDORPHIN EPINEPHRINE PROLACTIN NOREPINEPHRINE SOMATOSTATIN APGAR SCORE INFANT, NEWBORN