Obstetrics & Gynecology Track the topics, authors and articles important to you
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 1999;93:1031-1035
© 1999 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by PELEG, D.
Right arrow Articles by FARINE, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by PELEG, D.
Right arrow Articles by FARINE, D.

ORIGINAL RESEARCH

Predictors of Cesarean Delivery After Prelabor Rupture of Membranes at Term

DAVID PELEG, MD, MARY E. HANNAH, MDCM, ELLEN D. HODNETT, RN, PhD, GARY A. FOSTER, PhD, ANDREW R. WILLAN, PhD and DAN FARINE, MD FOR THE TERM PRELABOR RUPTURE OF MEMBRANES STUDY GROUP

From the Department of Obstetrics and Gynecology, Poriya Hospital, Tiberias, Israel; and the Department of Obstetrics and Gynaecology, Sunnybrook and Women’s College Health Sciences Centre, the Maternal, Infant and Reproductive Health Research Unit, Centre for Research in Women’s Health, the Faculty of Nursing, and the Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.

Address reprint requests to: David Peleg, MD c/o Mary E. Hannah, MDCM Maternal, Infant and Reproductive Health Research Unit Room 751 University of Toronto 790 Bay Street Toronto, ON M5G 1N8 Canada E-mail: mary.hannah{at}utoronto.ca

Objective: To identify the significant predictors of cesarean delivery after prelabor rupture of membranes (PROM) at term.

Methods: In a multicenter study involving 72 institutions in six countries, 5041 women were randomized to induction of labor with oxytocin or prostaglandins or to expectant management. We did univariate and multivariate logistic regression analyses to determine the statistically significant independent predictors of cesarean delivery (P < .05).

Results: The following variables were found to be significantly associated with cesarean delivery: delivery in Israel, versus Canada (odds ratio [OR] 0.34); delivery in Australia, versus Canada (OR 1.93); nulliparity (OR 2.81); labor lasting more than 12 hours, versus less than 6 hours (OR 2.78); labor lasting 6–12 hours, versus less than 6 hours (OR 1.66); previous cesarean delivery (OR 2.75); epidural anesthesia (OR 2.66); clinical chorioamnionitis (OR 2.42); internal fetal heart rate monitoring (OR 2.19); birth weight of at least 4000 g (OR 2.07); use of oxytocin (OR 1.97); maternal age of at least 35 years (OR 1.44); latent period of at least 12 hours (OR 1.41); and meconium staining (OR 1.41).

Conclusion: Strong predictors of cesarean delivery after PROM at term were country of birth, nulliparity, long labor, previous cesarean delivery, and epidural anesthesia.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by the American College of Obstetricians and Gynecologists.