Abstract
The details of clinical management were examined in 101 nulliparous patients with functional dystocia who underwent amniotomy and were treated with oxytocin in the first stage of labor. It was our hypothesis that if the alleged "high" rate of cesarean sections was the result of mediocre or flawed practices, these should be most evident in patients delivered abdominally. A group of 68 patients delivered vaginally are compared with 33 patients delivered by cesarean section. The means of many variables were statistically similar. The cesarean group was characterized by less cervical dilatation at admission, greater birth weights, larger maximum doses of oxytocin, and longer durations of oxytocin therapy. We conclude from our analysis that the decision to perform cesarean section in nulliparous women with functional dystocia arises from disabilities of the patient and not from differences in the application of our management principles, services, or treatments.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 585-592 |
| Number of pages | 8 |
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 155 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1986 |
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Keywords
- Amniotomy
- cesarean section
- functional dystocia
- oxytocin
ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynecology
Cite this
Amniotomy and oxytocin treatment of functional dystocia and route of delivery. / Seitchik, Joseph; Holden, Alan E C; Castillo, Maria.
In: American Journal of Obstetrics and Gynecology, Vol. 155, No. 3, 1986, p. 585-592.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Amniotomy and oxytocin treatment of functional dystocia and route of delivery
AU - Seitchik, Joseph
AU - Holden, Alan E C
AU - Castillo, Maria
PY - 1986
Y1 - 1986
N2 - The details of clinical management were examined in 101 nulliparous patients with functional dystocia who underwent amniotomy and were treated with oxytocin in the first stage of labor. It was our hypothesis that if the alleged "high" rate of cesarean sections was the result of mediocre or flawed practices, these should be most evident in patients delivered abdominally. A group of 68 patients delivered vaginally are compared with 33 patients delivered by cesarean section. The means of many variables were statistically similar. The cesarean group was characterized by less cervical dilatation at admission, greater birth weights, larger maximum doses of oxytocin, and longer durations of oxytocin therapy. We conclude from our analysis that the decision to perform cesarean section in nulliparous women with functional dystocia arises from disabilities of the patient and not from differences in the application of our management principles, services, or treatments.
AB - The details of clinical management were examined in 101 nulliparous patients with functional dystocia who underwent amniotomy and were treated with oxytocin in the first stage of labor. It was our hypothesis that if the alleged "high" rate of cesarean sections was the result of mediocre or flawed practices, these should be most evident in patients delivered abdominally. A group of 68 patients delivered vaginally are compared with 33 patients delivered by cesarean section. The means of many variables were statistically similar. The cesarean group was characterized by less cervical dilatation at admission, greater birth weights, larger maximum doses of oxytocin, and longer durations of oxytocin therapy. We conclude from our analysis that the decision to perform cesarean section in nulliparous women with functional dystocia arises from disabilities of the patient and not from differences in the application of our management principles, services, or treatments.
KW - Amniotomy
KW - cesarean section
KW - functional dystocia
KW - oxytocin
UR - http://www.scopus.com/inward/record.url?scp=0022545896&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0022545896&partnerID=8YFLogxK
U2 - 10.1016/0002-9378(86)90284-X
DO - 10.1016/0002-9378(86)90284-X
M3 - Article
C2 - 3752181
AN - SCOPUS:0022545896
VL - 155
SP - 585
EP - 592
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 3
ER -