Spontaneous rupture of the membranes, functional dystocia, oxytocin treatment, and the route of delivery

Joseph Seitchik, Alan E.C. Holden, Maria Castillo

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The detaiis of clinical management were examined in 96 nulliparous patients with functional dystocia who had spontaneous rupture of the membranes before admission and were treated with oxytocin in the first stage of labor. It was our hypothesis that if the allegedly "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 59 patients delivered vaginally were compared with 37 patients delivered by cesarean section. The means of many variables were not statistically different. The cesarean section group was characterized by smaller stature, a lesser cervical dilatation rate both before and after oxytocin administration, a larger maximum oxytocin dose, a longer period of oxytocin administration, more frequent cessation of oxytocin administration or dose reduction because of hypercontractility or an abnormal fetal heart rate or both, and a higher incidence of intra-amniotic infection. We conclude 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 languageEnglish (US)
Pages (from-to)125-130
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume156
Issue number1
DOIs
StatePublished - Jan 1987

Keywords

  • Spontaneous membrane rupture
  • cesarean section
  • functional dystocia
  • oxytocin

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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