Prediction of vaginal delivery following caesarean section for failure to progress based on the initial aberrant labour pattern.
OBJECTIVE
To determine whether the pattern of cervical dilatation prior to caesarean section for 'failure to progress' can predict the outcome of subsequent labour.


METHODS
Single hospital case note review of 171 women delivered by caesarean section for failure to progress and subsequently delivering at the same hospital. Cervicograms were categorized into one of the four patterns by an assessor blinded to the subsequent outcome. Statistical analysis was done by analysis of variance.


RESULTS
The incidence of vaginal delivery did not significantly differ between the groups.


CONCLUSIONS
Categorisation of failure to progress by partographic abnormality does not predict subsequent successful vaginal delivery.
Hopkins
Frank
F
School of Human Development, Academic Division of Reproductive Medicine, NURTURE, B Floor, East Block, Queen's Medical Centre, NG7 2UH, Nottingham, UK.
Raine-Fenning
Nicholas
N
Gee
Harry
H
D001724:Birth Weight; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011237:Predictive Value of Tests; D011247:Pregnancy; D016064:Vaginal Birth after Cesarean