TY - JOUR
T1 - Abdominal palpation to determine fetal position at labor onset: a test accuracy study
AU - Webb, SS
AU - Plana, MN
AU - Zamora, Javier
AU - Bibi, Aishah
AU - Earley, B
AU - MacArthur, Christine
AU - Khan, Khalid
PY - 2011/6/23
Y1 - 2011/6/23
N2 - Objective. To examine the accuracy of abdominal palpation for identifying left-occipito-anterior (LOA) fetal position using abdominal ultrasound as the reference standard. Design: Classical test accuracy study undertaken in 2005-2007. Setting: Birmingham Women's Foundation NHS Trust serving a large, socio-economically and ethnically varied population. Sample. All nulliparous women with spontaneous or induced labor before established labor (cervix 5 years achieved higher sensitivity compared to those with ≤5 years (odds ratio 4.02; 1.26-12.9; p=0.019). Sensitivity was higher for community compared with hospital midwives (OR 6.59; 1.11-39.11; p=0.038). Conclusions. Abdominal palpation to determine LOA position at the onset of labor had poor accuracy in nulliparous women on arrival at the maternity unit with a cervix dilation of
AB - Objective. To examine the accuracy of abdominal palpation for identifying left-occipito-anterior (LOA) fetal position using abdominal ultrasound as the reference standard. Design: Classical test accuracy study undertaken in 2005-2007. Setting: Birmingham Women's Foundation NHS Trust serving a large, socio-economically and ethnically varied population. Sample. All nulliparous women with spontaneous or induced labor before established labor (cervix 5 years achieved higher sensitivity compared to those with ≤5 years (odds ratio 4.02; 1.26-12.9; p=0.019). Sensitivity was higher for community compared with hospital midwives (OR 6.59; 1.11-39.11; p=0.038). Conclusions. Abdominal palpation to determine LOA position at the onset of labor had poor accuracy in nulliparous women on arrival at the maternity unit with a cervix dilation of
U2 - 10.1111/j.1600-0412.2011.01226.x
DO - 10.1111/j.1600-0412.2011.01226.x
M3 - Article
C2 - 21699499
SN - 1600-0412
JO - Acta obstetricia et gynecologica Scandinavica
JF - Acta obstetricia et gynecologica Scandinavica
ER -