Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
IS MANUAL PALPATION OF UTERINE CONTRACTIONS ACCURATE
Autore:
ARRABAL PP; NAGEY DA;
Indirizzi:
HARBOR HOSP CTR,DEPT OBSTET & GYNECOL,3001 S HANOVER ST BALTIMORE MD 21225 UNIV MARYLAND HOSP,DEPT OBSTET & GYNECOL & EPIDEMIL & PREVENT MED,DIVMATERNAL FETAL MED BALTIMORE MD 21201
Titolo Testata:
American journal of obstetrics and gynecology
fascicolo: 1, volume: 174, anno: 1996,
parte:, 1
pagine: 217 - 219
SICI:
0002-9378(1996)174:1<217:IMPOUC>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAUTERINE PRESSURE; LABOR;
Keywords:
LABOR; INTRAUTERINE PRESSURE; UTERINE CONTRACTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
P.P. Arrabal e D.A. Nagey, "IS MANUAL PALPATION OF UTERINE CONTRACTIONS ACCURATE", American journal of obstetrics and gynecology, 174(1), 1996, pp. 217-219

Abstract

OBJECTIVE: The aims of this study were to assess the accuracy of uterine contraction palpation, determine whether the accuracy of palpationimproves with experience, determine clinical factors that affect the accuracy of palpation, and evaluate the range of intrauterine pressure,resent when an observer notes the contraction to be mild, moderate, or strong. STUDY DESIGN: A total of 236 observations were obtained by use of intrauterine pressure catheters on 46 laboring patients in the first stage of labor. The blinded observers (obstetrics and gynecology residents, maternal-fetal medicine fellows and faculty, and labor and delivery nurses) were asked to label a contraction as mild, moderate, or strong. Patient's height, weight, parity, and gestational age, use of oxytocin, use of epidural anesthesia, and laboring position, and the level of training of the observer were noted. RESULTS: Mild, moderate, and strong contractions had intrauterine pressures of 35.2 +/- 33.8mm Hg (+/-2 SD), 44.9 +/- 35.4 mm Hg, and 55.5 +/- 28.0 mm Hg, respectively. The observers were accurate in predicting contraction strength49% of the time. There was no improvement in accuracy with increased physician experience. All physicians as a group were more accurate than nurses (p < 0.05). Accuracy was not affected by clinical variables. CONCLUSION: Manual palpation of uterine contractions is an inaccurate means of determining contraction strength.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/11/20 alle ore 22:43:51