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SJNMP 2025, 10(4): 483-495 |
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Dorosti M, Vazifekhah S. Comparison of the age of onset of spontaneous labour and the need for intervention to terminate pregnancy in nulliparous mothers above 37 weeks in Kosar Women's Hospital, Urmia, in 2024. SJNMP 2025; 10 (4) :483-495
URL: http://sjnmp.muk.ac.ir/article-1-677-en.html
URL: http://sjnmp.muk.ac.ir/article-1-677-en.html
1- Obstetrician and Gynecologist Obstetrician and Gynecologist, Urmia University of Medical Sciences, Urmia, Iran
2- Obstetrician and Gynecologist Maternal and Child Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran. ,shabnam.vazifekhah@yahoo.com
2- Obstetrician and Gynecologist Maternal and Child Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran. ,
Abstract: (23 Views)
Background & Aim: Interventions used to induce and initiate labour lead to an increase in cesarean delivery. This study aimed to investigate the age of onset of spontaneous labour and the need for intervention to terminate pregnancy in Kowsar Hospital, Urmia.
Materials & methods: In this cross-sectional study, 1299 nulliparous 37 weeks’ pregnant women who had referred to Kowsar Hospital in Urmia for termination of pregnancy were evaluated (From March 2023 to February 2024). Individuals with singleton pregnancies and gestational age greater than 37 weeks and no indication for termination were included, and length of the hospitalization until delivery was evaluated.
Results: The age of termination of pregnancy was reported in 653 cases (63.2%) , in 354 cases at 40 to 42 weeks (34.2%) , and in 27 cases above 42 weeks (2.6%). The indication for intervention in patients requiring intervention was reduced fetal movement in 823 patients (79.6%) , reduced amniotic fluid volume in 202 patients (19.53%) , and gestational age of 41 weeks and more in 9 patients (0.87%). The indications for cesarean section in women undergoing cesarean section for pregnancy termination were fetal distress in 160 cases (50.47%) , arrest of fetal descent in 53 cases (16.71%) , arrest of dilatation in 21 cases (62.6%) , and meconium excretion in 83 cases.
Conclusion: The study findings showed that many nulliparous women enter labour spontaneously, but due to problems in the labour process, such as decreased fetal movement or fetal descent, decreased amniotic fluid volume, fetal distress, and meconium, they require medical interventions to terminate the pregnancy.
Materials & methods: In this cross-sectional study, 1299 nulliparous 37 weeks’ pregnant women who had referred to Kowsar Hospital in Urmia for termination of pregnancy were evaluated (From March 2023 to February 2024). Individuals with singleton pregnancies and gestational age greater than 37 weeks and no indication for termination were included, and length of the hospitalization until delivery was evaluated.
Results: The age of termination of pregnancy was reported in 653 cases (63.2%) , in 354 cases at 40 to 42 weeks (34.2%) , and in 27 cases above 42 weeks (2.6%). The indication for intervention in patients requiring intervention was reduced fetal movement in 823 patients (79.6%) , reduced amniotic fluid volume in 202 patients (19.53%) , and gestational age of 41 weeks and more in 9 patients (0.87%). The indications for cesarean section in women undergoing cesarean section for pregnancy termination were fetal distress in 160 cases (50.47%) , arrest of fetal descent in 53 cases (16.71%) , arrest of dilatation in 21 cases (62.6%) , and meconium excretion in 83 cases.
Conclusion: The study findings showed that many nulliparous women enter labour spontaneously, but due to problems in the labour process, such as decreased fetal movement or fetal descent, decreased amniotic fluid volume, fetal distress, and meconium, they require medical interventions to terminate the pregnancy.
Type of Study: Research |
Subject:
Special
Received: 2025/05/22 | Revised: 2026/04/9 | Accepted: 2025/06/21 | Published: 2025/06/21 | ePublished: 2025/06/21
Received: 2025/05/22 | Revised: 2026/04/9 | Accepted: 2025/06/21 | Published: 2025/06/21 | ePublished: 2025/06/21
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