The emergent group had significantly higher rates of perinatal death and acidosis, and while bivariable comparison showed increased incidence of leukocytosis, urinary tract infection, sexually transmitted infection (STI), malpresentation
, latency, vaginal bleeding, and fundal tenderness; only vaginal bleeding, STI, and malpresentation
remained significant on logistic regression analysis.
In his sample Friedman did not exclude women with malpresentations
, malpositions or multiple pregnancies and the usual care practices of the day were to give women enemas, pubic shaves and high levels of strong medication.
We define pre-existing conditions as malpresentation
, genital herpes simplex virus, diabetes mellitus/abnormal glucose tolerance, hypertensive disorder, oligohydramnios, congenital/acquired abnormality of vagina, other congeuital/acquired anomaly, and rhesus (anti-D) isoimmunization.
Exclusion criteria were post-term pregnancies of [greater than or equal to] 40 weeks and 10 days, multiple pregnancies, grand multiparity, cephalopelvic disproportion, previous caesarean section or a uterine scar, fetal malpresentation
, fetal distress, placenta praevia, antepartum haemorrhage, premature rupture of the membranes and medical disorders.
Other common reasons cited for use in specific conditions were postdates/induction, breech, malpresentation
, labour that was slow or prolonged, common complications and discomforts of pregnancy, pain relief, breastfeeding, relaxation, urinary tract infection, and newborn issues such as colic.
can keep a baby from descending into the pelvic outlet and, at the least, slow things down.
Not only is the septate uterus the most common Mullerian anomaly, it is the uterine malformation associated with the poorest reproductive outcomes, including recurrent pregnancy loss, preterm labor, malpresentation
, and probably infertility.
A high index of clinical suspicion is required in women with chronic abdominal pain, malpresentation
or prolonged pregnancy, even if a routine ultrasound scan has detected no abnormality.
Of all potential indications, malpresentation
was the strongest risk factor for cesarean delivery (RR = 24.
failure of labor, malpresentation
, cephalopelvic disproportion), premature onset of labor (e.
also was significantly more likely in the fibroid group (22% vs.
Previous uterine scar was the main indication for prelabor cesarean delivery followed by fetal malpresentation