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Secondly, since the diagnosis of labor abnormality was based on the change in cervical dilatation and descent (as assessed by digital pelvic examination) in a specific period of time, which is very subjective and liable to inter- and intra-observer variation, there was a chance to diagnose a normally progressing labor as labor abnormality.
qRT-PCR confirmed that all four genes were down-regulated in dystocia compared to normally progressing labor.
Within the 70 genes, 58 were down-regulated and 12 were up-regulated in the dystocic specimens compared to normally progressing labor.
This was confirmed using PCA whereby the four dystocic samples clustered together, demonstrating that dystocia has a distinctive myometrial molecular profile compared to normally progressing labor.
In other words, this study compared cases (labor abnormalities) and controls (normally progressing labor) which somehow all came to the study hospital from the same community and likely to have comparable health seeking behavior.
Similar(54)
About 68% of unplanned cesarean section was reported to be due to the abnormal progress of labor among vertex presentations [ 2]. Labor abnormality can be encountered at all stages of labor as a prolonged latent first stage, active first stage disorder (protracted or arrested cervical dilatation or descent) and second stage disorder (prolonged or arrest of descent) [ 1].
Tracking the progress of labor with a partograph (a simple graphic depiction of the progress of labor) is extremely effective in determining when labor is prolonged [ 64, 65].
Slow progress in labor is associated with fetal and maternal morbidity, and failure to progress is one common reason for a Caesarean section.
Typically, these include failing to progress in labor; diabetes in the mother, which can lead to birth complications; and difficulty monitoring fetal distress.
LABOR TALKS Having made little progress in labor talks with its officials, the N.F.L. raised its offer yesterday to a 40percentt increase in salary for this season and nearly doubled salaries by 2003.
Union leaders representing 300,000 New York City municipal workers say their members are growing increasingly angry about the lack of progress in labor negotiations that could be one of the last big tests of Rudolph W. Giuliani's mayoralty.
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