Obstetric outcome in primigravida with unengaged versus engaged fetal head at term

Sirisha, Vandana Sai; Chiniwar, Mahantappa A.; Menasinkai, Sharada B.

doi:10.18203/2320-1770.ijrcog20205777

Cited by 2 publications

(1 citation statement)

References 4 publications

(11 reference statements)

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“…In the present study maximum number of women belongs to 21-25 yrs age group which was comparable to studies conducted by Sirisha VS et al (2021) 4 and Goyal A et al (2019) 5 Our study was comparable to the studies done by The study conducted by Sirisha VS et al (2021) 4 ,7 babies from the unengaged head group and 3 babies from the engaged head group were admitted to the NICU.…”

Section: Discussionsupporting

confidence: 91%

A COMPARATIVE STUDY OF PRIMIGRAVIDA WITH UNENGAGED V/S ENENGAGED HEAD AT ONSET OF LABOUR AT TERM IN THE DEPARTMENT OF OBSTETRICS & GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR

Loyal

Banerjee

2022

IJMBS

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Objective: The study was conducted to compare the outcome of labour between the unengaged and engaged head at the onset of labour at term in primigravidas. The aim was to determine the course of labour in between unengaged and engaged head in primigravida at term at the onset of labour and to study the maternal and neonatal outcome. Design: A prospective hospital-based comparative study. Methods: In this prospective comparative study, primigravida women at onset of labour at term who were admitted in labour room and satisfying inclusion and exclusion criteria were included. Group (I) study group included 110 primigravida at term with unengaged (at 37-41weeks) head at onset of labour and in Group (II) Control Group 110 primigravida at term with engaged (at 37-41weeks). Detailed clinical history, physical examination and investigation are reported. The duration of stages of labour and total duration of labour and its partographic analysis, need for Induction and augmentation of labour or surgical intervention, mode of delivery and fetomaternal outcome was recorded. Results: In Group I, 83.64% cases went into spontaneous labour while 90 % cases in Group II. 16.36% cases in group I and 10% cases in group II needed induction of labour with PGE2 gel. In group I, 68.18% required augmentation of labour compared to 33.63% in group II. Duration of 1st ,2nd stage of labour and total duration was more in group I as compare to group-II. Incidence of normal vaginal delivery and LSCS were 52.73%,32.73%respectivaly in group I while 71.82%,17.27% respectively in group II, the difference was statistically significant with p-value 0.011. Fetomaternal morbidity which was higher in group-I as compare to group-II was documented which was not statistically significant. Conclusion: The unengaged head in primigravida at the onset of labour at term can have normal vaginal delivery with appropriate induction and augmentation of labour and constant vigilance throughout the labour by partograph monitoring. Which can reduce primary caesarean delivery rate, maternal morbidity and healthcare expenditure in unengaged primigravida. Proper trial of labour in primigravida with unengaged head at term in the absence of cephalopelvic disproportion, vaginal delivery is possible with watchful expectancy with appropriate means of intervention. Keywords: Primigravida, Engaged, Unengaged, Lower segment caesarean section.

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Section: Discussionsupporting

confidence: 91%

A COMPARATIVE STUDY OF PRIMIGRAVIDA WITH UNENGAGED V/S ENENGAGED HEAD AT ONSET OF LABOUR AT TERM IN THE DEPARTMENT OF OBSTETRICS & GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR

Loyal

Banerjee

2022

IJMBS

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Comparison Of Outcome In Engaged Versus Unengaged Fetal Heads In Primigravida

Asma,

Muntaha,

Haq

et al. 2023

JRMC

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Objective: Our study aimed to compare the outcome of engaged versus unengaged fetal head in primigravida at term. Methods: The study was conducted at the obstetrics & gynaecology unit, FGPC Hospital, Islamabad. The duration of the study was 6 months with a total of 130 women included & divided into two groups. Females were followed till the delivery of the fetus. Results: A total of 130 women were observed & divided into two equal groups. The average age was 28.71 years± 6.80SD with a range of 18-43 years. Mode of delivery was measured and showed that there is a significant association between mode of delivery and unengaged fetal head in primigravida at term with p-value = 0.000. Relative risk shows that C Section was 2.93 times more in unengaged as compared to patients with engaged fetal heads. Conclusions: The frequency of a surgical intervention is significantly higher in cases with unengaged fetal heads among primigravida at term. Keywords: unengaged, engaged, primigravida, term

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Obstetric outcome in primigravida with unengaged versus engaged fetal head at term

Cited by 2 publications

References 4 publications

A COMPARATIVE STUDY OF PRIMIGRAVIDA WITH UNENGAGED V/S ENENGAGED HEAD AT ONSET OF LABOUR AT TERM IN THE DEPARTMENT OF OBSTETRICS & GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR

A COMPARATIVE STUDY OF PRIMIGRAVIDA WITH UNENGAGED V/S ENENGAGED HEAD AT ONSET OF LABOUR AT TERM IN THE DEPARTMENT OF OBSTETRICS & GYNAECOLOGY, SMS MEDICAL COLLEGE, JAIPUR

Comparison Of Outcome In Engaged Versus Unengaged Fetal Heads In Primigravida

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