Abstract
Objectives: To evaluate the relationship between maternal height of 37 weeks), uncomplicated singleton nulliparous pregnant women were enrolled on admission to labour room. The patients were divided into two groups based on maternal height, >155 cm (247 cases) as control and < 155 cm (158 cases) as study group. The medical records of these women were reviewed. Various baseline clinical characteristics were collected. Maternal characteristics and maternal and neonatal outcomes were recorded. Results: Caesarean section rate for all indications was higher among study group than control group (26.6% and 19.4% respec-tively, p = 0.023). Significant difference was observed in the rate of caesarean delivery due to failure to progress (7.3% and 12% in control and study group respectively, p-value 0.038). The rate of caesarean delivery due to failure to progress was highest among those with height 150 - 155 cm (p-value 0.022). Mean birth weight was significantly higher among control group than study group (3137 ± 403 g and 3030 ± 408 respectively, p-value 0.010). Conclusion: Term singleton nulliparous Saudi pregnant women with maternal height 151 - 154 cm were associated with a greater likelih-ood of caesarean section for failure to progress. Women with height <150 cm did not have increased cesarean section rate. However, mean birth weight was significantly lower in this group.
Highlights
Failure to progress is a common cause for performing elective or emergency Cesarean section
The patients were divided into two groups based on maternal height, >155 cm (247 cases) as control and < 155 cm (158 cases) as study group
The American College of Obstetricians and Gynecologists has proposed that the performance of cesarean delivery for dystocia be indicated only in women in the active phase of labor [1]
Summary
Failure to progress is a common cause for performing elective or emergency Cesarean section. The term “failure to progress” has been used to describe lack of progressive cervical dilatation or lack of descent of fetal head or both. The American College of Obstetricians and Gynecologists has proposed that the performance of cesarean delivery for dystocia be indicated only in women in the active phase of labor [1]. Obstructed labour remains one of the most important causes of maternal mortality in developing countries and failure to progress is the leading cause of both operative vaginal delivery and caesarean delivery and their accompanying complications [2,3]. Various methods have been employed for the prediction of FTP, including maternal height, paternal height, maternal and paternal head circumference, maternal shoe size and different pelvi-metric measurements
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