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001-es BibID:BIBFORM078760
Első szerző:Póka Róbert (szülész-nőgyógyász, klinikai onkológus)
Cím:Large fetal weight alone in Robson-1 parturients doesn't translate into a risk of Caesarean delivery higher then that of a vaginal birth / Robert Póka, Levente Barna, Péter Damjanovich, Zsolt Farkas, Szabolcs Molnár, Mónika Orosz, Lilla Ördög, Attila Sipos, Gábor Juhász, Olga Török
Megjegyzések:The authors analysed the Caesarean section rate as a function of birth weight among Robson-1 parturients and compared with that among the unselected obstetric population. Study design A retrospective analysis of birth weight, maternal height and the route of delivery was carried out in an unselected obstetric population of 26012 parturients. The authors compared birth weight centile distributions of vaginally, and that of abdominally delivered fetuses between Robson-1 parturients as well as those of the total obstetric population. Results The 90th birth weight centile of fetuses delivered at 37, 38, 39, 40, 41, and 42 weeks gestation were 3960 g, 3960 g, 4000 g, 3950 g, 4000 g and 3820 g, respectively. Among Robson-1 parturients, 677 fetuses weighed >4000 g, and 448 patients (66%) were delivered vaginally. Maternal height did not influence either the birth-weight-percentiles or the Caesareanrates substantially. Above the birth weight of 4000 g, the Caesarean-rate among Robson-1 parturient rose similarly to that of the total obstetric population. In the knowledge of the most accurately estimated fetal weight, the odds of a Caesarean delivery among Robson-1 parturients was not different from that of the total obstetric population. Among pregnancies with fetuses weighing less than 5000 g, the Caesarean-rate was below 50% in both Robson-1 parturients and the total obstetric population of 10 years. Conclusion Even the best possible estimation of fetal weight cannot give a valid reason to downplay the intent of vaginal birth based on the fetal size above 3900g that would be associated with increased odds of Caesarean delivery.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Caesarean section
large fetus
Megjelenés:Journal of Obstetrics and Gynecology and Reproductive Biology. - 239 (2019), p. 7-10. -
További szerzők:Barna Levente Damjanovich Péter Gábor (1985-) (szülész-nőgyógyász) Farkas Zsolt (1987-) (szülész-nőgyógyász) Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Orosz Mónika (1991-) (Szülész-nőgyógyász) Ördög Lilla Sipos Attila Gergely (1990-) (szülész-nőgyógyász) Juhász Alpár Gábor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Török Olga (1956-) (szülész-nőgyógyász, humángenetikus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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