Obstetric risk indicators for labour dystocia in nulliparous women A multi-centre cohort study 英文参考文献.docVIP

BMC Pregnancy and Childbirth BioMedCentral Research article Open Access Obstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort study Hanne Kj?rgaard*1,3, J?rn Olsen2, Bent Ottesen1, Per Nyberg3 and Anna- Karin Dykes3 Address: 1Juliane Marie Centre for Women, Children and Reproduction, Copenhagen University Hospital, Rigshospitalet, Denmark, 2Department of Epidemiology, School of Public Health, University of California, Los Angeles, USA and 3Department of Health Sciences, Faculty of Medicine, Lund University, Sweden Email: Hanne Kj?rgaard* - hanne.kjaergaard@rh.regionh.dk; J?rn Olsen - jo@; Bent Ottesen - bent.ottesen@rh.regionh.dk; Per Nyberg - per.nyberg@med.lu.se; Anna-Karin Dykes - anna-karin.dykes@med.lu.se * Corresponding author Published: 6 October 2008 Received: 27 March 2008 Accepted: 6 October 2008 BMC Pregnancy and Childbirth 2008, 8:45 doi:10.1186/1471-2393-8-45 This article is available from: /1471-2393/8/45 ? 2008 Kj?rgaard et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: In nulliparous women dystocia is the most common obstetric problem and its etiology is largely unknown. The frequency of augmentation and cesarean delivery related to dystocia is high although it is not clear if a slow progress justifies the interventions. Studies of risk factors for dystocia often do not provide diagnostic criteria for the diagnosis. The aim of the present study was to identify obstetric and clinical risk indicators of dystocia defined by strict and explicit criteria. Methods: A multi-centre population based cohort study with prospectively collected data from 2810 nulliparous women in term spontaneous labour with a