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Table 2 Intrapartum factors according to delivery route

From: Impact of obesity and other risk factors on labor dystocia in term primiparous women: a case control study

 

CS (n = 296)

VD (n = 302)

univariate

multivariable

p-value

OR

95% CI

p-value

OR

95% CI

Gestational age (days, median)

285

281

< 0.001

1.06

1.04–1.08

< 0.001

1.08

1.03–1.12

Spontaneous contractions at admission (n)

106

195

< 0.001

0.30

0.21–0.42

   

PROM (n)

101

66

0.001

1.85

1.29–2.67

   

IOL (PG or balloon) (n)

90

42

< 0.001

2.71

1.80–4.07

   

Indication for IOL

 Postterm pregnancy

28

7

      

 PROM

22

15

      

 Pre-eclampsia or HT

16

7

      

 Diabetes

6

6

      

 LGA

7

0

      

 SGA

0

2

      

 Other

11

5

      

Cervix dilatation at admission (mean, cm)

1.5

2.6

< 0.001

0.57

0.48–0.67

0.002

0.65

0.50–0.85

Head position in birth canal at admission (mean, cm)

−2.7

−2.1

< 0.001

0.47

0.36–0.60

0.003

0.56

0.39–0.82

Chorioamnionitis (n)

95

10

< 0.001

10.9

5.01–23.6

< 0.001

21.3

6.86–65.9

Fetal malposition (n)

148

7

< 0.001

42.0

19.2–91.9

< 0.001

70.9

24.2–207

Oxytocin during labor (n)

281

220

< 0.001

6.98

3.92–12.5

   

Amniotomy in labor (n)

129

148

0.183

     

CTG abnormality (n)

123

12

< 0.001

17.3

9.28–32.2

   

Fetal blood sample (n)

103

15

< 0.001

10.2

5.78–18.0

   

Meconium-stained fluid (n)

101

40

< 0.001

3.31

2.20–5.00

   

Use of IUPC (n)

202

10

< 0.001

63.4

32.2–125

   

Epidural analgesia (n)

280

214

< 0.001

7.20

4.10–12.6

   

PCB (n)

65

102

0.001

0.55

0.38–0.79

   

Duration of delivery (mins, median)

960

620

< 0.001

1.19

1.14–1.23

   
  1. PROM = premature rupture of membranes
  2. IOL = induction of labor
  3. LGA = suspected Large for Gestational Age
  4. SGA = suspected Small for Gestational Age
  5. IUPC = intrauterine pressure catheter
  6. PCB = paracervical block
  7. The multivariable p-values and ORs are from logistic regression analyses carried out among the factors related to dystocia, i.e. the first eight main factors in the table