Elaine K. Diegmann is Professor and Program Director of the Nurse-Midwifery Education Program at the University of Medicine and Dentistry of New Jersey, School of Health Related Professions, Newark, New Jersey. Mrs. Diegmann is a nationally recognized expert in nurse-midwifery clinical and educational issues. Mrs. Diegmann is completing her doctoral work at Case Western Reserve University.
STATION IN EARLY LABOR IN NULLIPAROUS WOMEN AT TERM
Article first published online: 6 JAN 2011
1995 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 40, Issue 4, pages 382–385, July-August 1995
How to Cite
Diegmann, E. K., Chez, R. A. and Danclair, W. G. (1995), STATION IN EARLY LABOR IN NULLIPAROUS WOMEN AT TERM. Journal of Nurse-Midwifery, 40: 382–385. doi: 10.1016/0091-2182(95)00034-H
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Several authors of standard obstetric texts state that engagement occurs before the onset of labor in a majority of nulliparae at term, and failure of the fetal head to engage in early labor is a greater indicator for operative birth. A pilot clinical descriptive study was done at University Hospital, University of Medicine and Dentistry of New Jersey, in Newark to examine the birth outcomes of nulliparous women who arrived in early labor with an unengaged vertex presentation at term. For the study, 146 births were reviewed, and data from 101 vertex deliveries that met the study's criteria were compiled to test this hypothesis. The study results showed that in approximately 31% of the nulliparas, the fetal head was engaged. The incidence of the unengaged vertex in early labor in nulliparous women who met the study's criteria was found to be 69%. This factor alone did not predict birth outcome.