• O.V. Grishchenko Kharkov Medical Academy of Postgraduate Education Ukraine, Kharkov
  • S. Mamedova Kharkov Medical Academy of Postgraduate Education Ukraine, Kharkov
Keywords: childbirth, labor dystocia, cesarean section, prognosis


The article presents the results of the analysis of clinical and anamnestic indicators to create a model for predicting the development of labor dystocia that caused Caesarean section. The most significant prognostic factors included in the prognostic model were fetus-pelvic imbalances, diabetes mellitus, a burdened gynecological history and cardiovascular diseases in the nulliparous women of late reproductive age. Assessment of the totality of risk factors made it possible to achieve an accurate prognosis in 88.6% of cases with a sensitivity of 40.4%, specificity - 92.1%.


World Health Organization Human Reproduction Programme A. WHO statement on caesarean section rates. Reprod Health Matters. 2015;23(45): 149–50

Safe prevention of the primary cesarean delivery. American College of Obstetricians and Gynecologists (College); Society for Maternal-Fetal Medicine, Caughey AB, Cahill AG, Guise JM, Rouse DJ. Am J Obstet Gynecol. 2014 Mar;210(3):179- 93. doi: 10.1016/j.ajog.2014.01.026

Highley LL, Previs RA, Dotters-Katz SK, Brancazio LR, Grotegut CA. Cesarean delivery among women with prolonged labor induction. J Perinat Med. 2016;44(7):759-766. doi: 10.1515/jpm-2014-0357

Danilack VA, Hutcheon JA, Triche EW, Dore DD, Muri JH, Phipps MG, Savitz DA. Development and validation of a risk prediction model for cesarean delivery after labor induction. J Womens Health (Larchmt). 2019 Oct 29. doi: 10.1089/ jwh.2019.7822

Tolcher MC, Holbert MR, Weaver AL, McGree ME, Olson JE, El-Nashar SA, Famuyide AO, Brost BC. Predicting cesarean delivery after induction of labor among nulliparous women at term. Obstet Gynecol. 2015;126(5):1059-68. doi: 10.1097/ AOG.0000000000001083

Guan P, Tang F, Sun G, Ren W. Prediction of emergency cesarean section by measurable maternal and fetal characteristics. Guan P, et al. J Investig Med. 2020;0:1–8. doi:10.1136/jim-2019-001175

Milyaeva N.M. Sovremennyie podhodyi k prognozirovaniyu pervichnoy slabosti rodovoy deyatelnosti u pervorodyaschih zhenschin. Vestnik uralskoy meditsinskoy akademicheskoy nauki. 2017; 14(2): 147–155, DOI: 10.22138/2500-0918-2017- 14-2-147-155

Tkachik S.Ya. Vozmozhnosti prognozirovaniya slabosti rodovoy deyatelnosti. Zdorove zhenschinyi. 2016, 1 (107): 107-109

Al-Qahtani S, Heath A, Quenby S, Dawood F, Floyd R, Burdyga T, Wray S. Diabetes is associated with impairment of uterine contractility and high Caesarean section rate. Diabetologia. 2012; 55:489–498;

Gam CMBF, Larsen LH, Mortensen OH, Engelbrechtsen L, Poulsen SS, Qvortrup K et al. Unchanged mitochondrial phenotype, but accumulation of lipids in the myometrium in obese pregnant women. J Physiol. 2017;595(23):7109-7122. doi: 10.1113/JP274838;

Hautakangas T, Palomäki O, Eidstø K, Huhtala H, Uotila J. Impact of obesity and other risk factors on labor dystocia in term primiparous women: a case control study. BMC Pregnancy Childbirth. 2018; 18(1):304. doi: 10.1186/s12884-018-1938-3;

Herstad L, Klungsøyr K, Skjærven R, et al. Elective cesarean section or not? Maternal age and risk of adverse outcomes at term: a population- based registry study of low-risk primiparous women. BMC Pregnancy Childbirth 2016;16:230

How to Cite
Grishchenko, O., & Mamedova, S. (2020). PROGNOSTICATION LABOR DYSTOCIA AND CESAREAN SECTION. Reproductive Medicine, (2(43), 56_60.