The mode of delivery in women taken to theatre at full dilatation: does consultant presence make a difference?

J Obstet Gynaecol. 2011;31(3):229-31. doi: 10.3109/01443615.2011.553692.


The objective to this study was to assess whether consultant presence made a difference to the outcome of the mode of delivery when a woman was taken to theatre at full dilatation. During March to September 2009, the chance of a woman having a vaginal delivery if the consultant was present when they were taken to theatre at full dilatation was 70% (7/10), however in their absence, the chance of vaginal delivery was only 30% (12/40) (p < 0.05). Caesareans at full dilatation were associated with a higher rate of postpartum haemorrhage and longer hospital stay. This study shows that an increased consultant presence on labour ward, as advocated by the RCOG, could lead to a decrease in caesarean section at full dilatation.

MeSH terms

  • Cesarean Section / adverse effects
  • Cesarean Section / statistics & numerical data*
  • Delivery, Obstetric / methods*
  • Delivery, Obstetric / statistics & numerical data
  • Female
  • Humans
  • Labor Presentation
  • Labor Stage, First*
  • Length of Stay
  • Obstetrical Forceps
  • Postpartum Hemorrhage
  • Pregnancy
  • Referral and Consultation*
  • Retrospective Studies