title: The mode of delivery in women taken to theatre at full dilatation: does consultant presence make a difference?
abstract: The objective to this study was to assess whether consultant presence made a difference to the outcome of the mode of delivery when a woman was taken to theatre at full dilatation. During March to September 2009, the chance of a woman having a vaginal delivery if the consultant was present when they were taken to theatre at full dilatation was 70% (7/10), however in their absence, the chance of vaginal delivery was only 30% (12/40) (p < 0.05). Caesareans at full dilatation were associated with a higher rate of postpartum haemorrhage and longer hospital stay. This study shows that an increased consultant presence on labour ward, as advocated by the RCOG, could lead to a decrease in caesarean section at full dilatation.
authors.affiliation: Southport and Ormskirk NHS Trust, Southport, UK.
authors.forename: E A
authors.initials: EA
authors.lastname: Lewis
authors.forename: C
authors.initials: C
authors.lastname: Barr
authors.forename: K
authors.initials: K
authors.lastname: Thomas
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007746:Labor Presentation; D007747:Labor Stage, First; D007902:Length of Stay; D009772:Obstetrical Forceps; D006473:Postpartum Hemorrhage; D011247:Pregnancy; D012017:Referral and Consultation; D012189:Retrospective Studies