Effect of Amniotic Membrane Rupture on Length of Labor
Between January 1, 1979, and December 21, 1982, 2564 medically and obstetrically normal patients, admitted to the hospital with intact amniotic membranes during the latent phase of labor, were matched for spontaneous or artificial rupture of the membranes at similar cervical dilations. Spontaneous r...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1987-10, Vol.70 (4), p.604-607 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | ROSEN, MORTIMER G PEISNER, DAVID B |
| description | Between January 1, 1979, and December 21, 1982, 2564 medically and obstetrically normal patients, admitted to the hospital with intact amniotic membranes during the latent phase of labor, were matched for spontaneous or artificial rupture of the membranes at similar cervical dilations. Spontaneous rupture of the membranes occurred earlier and was more likely in the latent phase of labor than was artificial rupture of membranes, which tended to occur nearer to or in the active phase of labor, and at lower pelvic stations. When matched by cervical dilation, spontaneous membrane rupture was associated with more rapid cervical dilation. Stepwise regression analysis confirmed that membrane rupture had a significant but small effect on labor length and rate of cervical dilation. Pelvic station and maternal parity had a smaller association with labor length than did membrane rupture. Cervical dilation at the time of membrane rupture appeared to be the most important factor associated with the length of labor. |
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Spontaneous rupture of the membranes occurred earlier and was more likely in the latent phase of labor than was artificial rupture of membranes, which tended to occur nearer to or in the active phase of labor, and at lower pelvic stations. When matched by cervical dilation, spontaneous membrane rupture was associated with more rapid cervical dilation. Stepwise regression analysis confirmed that membrane rupture had a significant but small effect on labor length and rate of cervical dilation. Pelvic station and maternal parity had a smaller association with labor length than did membrane rupture. Cervical dilation at the time of membrane rupture appeared to be the most important factor associated with the length of labor.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 3627629</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Amnion - surgery ; Biological and medical sciences ; Cervix Uteri - physiology ; Delivery. Postpartum. Lactation ; Female ; Gynecology. Andrology. 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Spontaneous rupture of the membranes occurred earlier and was more likely in the latent phase of labor than was artificial rupture of membranes, which tended to occur nearer to or in the active phase of labor, and at lower pelvic stations. When matched by cervical dilation, spontaneous membrane rupture was associated with more rapid cervical dilation. Stepwise regression analysis confirmed that membrane rupture had a significant but small effect on labor length and rate of cervical dilation. Pelvic station and maternal parity had a smaller association with labor length than did membrane rupture. Cervical dilation at the time of membrane rupture appeared to be the most important factor associated with the length of labor.</description><subject>Amnion - surgery</subject><subject>Biological and medical sciences</subject><subject>Cervix Uteri - physiology</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Labor, Induced</subject><subject>Labor, Obstetric - physiology</subject><subject>Maternal, fetal and perinatal monitoring</subject><subject>Medical sciences</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Time Factors</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF9LwzAUxYMoc04_gtAH8a2Qv03yOMZ0QkUQBd9Kmty6atvUpGX47e1Y8elwOT8u55wztCRKspQy9nGOlhhTnUrF-SW6ivELY0wyzRZowTIqM6qXKNtWFdgh8VWybrvaD7VNnqEtg-kgeR37YQyQ-C7Jofsc9kcsN6UP1-iiMk2Em1lX6P1h-7bZpfnL49Nmnac9VVimSmgswBBBjNWG4pJYSiVwzYxzvOJgqXGEK-bAYStBM-KUdkJUwugMl2yF7k9_--B_RohD0dbRQtNM8fwYCykzLZlmE3g7g2PZgiv6ULcm_BZz0cm_m30TrWmqqZ-t4z8mJVYSiwnjJ-zgmwFC_G7GA4RiD6YZ9sW0H86owCnRSpLjlR4nlewPLRBqyQ</recordid><startdate>198710</startdate><enddate>198710</enddate><creator>ROSEN, MORTIMER G</creator><creator>PEISNER, DAVID B</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198710</creationdate><title>Effect of Amniotic Membrane Rupture on Length of Labor</title><author>ROSEN, MORTIMER G ; PEISNER, DAVID B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2807-85905ea151ac9a20b1c227e493add4f4ec2ad1483ded0c7e931d89d55f5a960b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Amnion - surgery</topic><topic>Biological and medical sciences</topic><topic>Cervix Uteri - physiology</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Labor, Induced</topic><topic>Labor, Obstetric - physiology</topic><topic>Maternal, fetal and perinatal monitoring</topic><topic>Medical sciences</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROSEN, MORTIMER G</creatorcontrib><creatorcontrib>PEISNER, DAVID B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROSEN, MORTIMER G</au><au>PEISNER, DAVID B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Amniotic Membrane Rupture on Length of Labor</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1987-10</date><risdate>1987</risdate><volume>70</volume><issue>4</issue><spage>604</spage><epage>607</epage><pages>604-607</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>Between January 1, 1979, and December 21, 1982, 2564 medically and obstetrically normal patients, admitted to the hospital with intact amniotic membranes during the latent phase of labor, were matched for spontaneous or artificial rupture of the membranes at similar cervical dilations. Spontaneous rupture of the membranes occurred earlier and was more likely in the latent phase of labor than was artificial rupture of membranes, which tended to occur nearer to or in the active phase of labor, and at lower pelvic stations. When matched by cervical dilation, spontaneous membrane rupture was associated with more rapid cervical dilation. Stepwise regression analysis confirmed that membrane rupture had a significant but small effect on labor length and rate of cervical dilation. Pelvic station and maternal parity had a smaller association with labor length than did membrane rupture. Cervical dilation at the time of membrane rupture appeared to be the most important factor associated with the length of labor.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>3627629</pmid><tpages>4</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 1987-10, Vol.70 (4), p.604-607 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Amnion - surgery Biological and medical sciences Cervix Uteri - physiology Delivery. Postpartum. Lactation Female Gynecology. Andrology. Obstetrics Humans Labor, Induced Labor, Obstetric - physiology Maternal, fetal and perinatal monitoring Medical sciences Parity Pregnancy Time Factors |
| title | Effect of Amniotic Membrane Rupture on Length of Labor |
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