Abstract

It is generally accepted that high fetal station in primigravidas in labor near term may indicate a threat to the normal progress of labor because of fetopelvic disproportion or obstruction of the fetal passageway by tumors or the placenta. The hospital records of 1,209 obstetric patients were reviewed and 430 primigravidas were selected for detailed study by including only those with vertex presentations that entered the hospital in labor the thirty-eighth week of gestation or later. These patients were further divided into two groups, those with engaged fetal heads and those with unengaged fetal heads. When these two groups were compared, no statistical difference was found in the length of the first and second stages of labor, method of delivery, fetal head position, weight of the infant, or Apgar rating.

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