Duration of labor and maternal and neonatal morbidity

McKinney, Jennifer; Allshouse, Amanda A.; Heyborne, Kent

doi:10.1016/j.ajogmf.2019.100032

Cited by 13 publications

(19 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In terms of generalisation, labour durations in this study are in accordance with seminal findings from contemporary cohorts of women 1,3,6,38‐40 . Most recently, Blankenship, Raghuraman, Delhi, Woolfolk, Wang, Macones and Cahill 27 reported 11.3 h for the 90 th percentile during active first stage, including only women who reached complete cervical dilatation (n = 6823).…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Association between first and second stage of labour duration and mode of delivery: A population‐based cohort study

Lundborg

Åberg

Sandström

et al. 2021

Paediatric Perinatal Epid

View full text Add to dashboard Cite

Background: Active first stage of labour duration can widely vary between women.However, the nature of the relationship between the active first stage and second stage of labour duration is sparsely studied. Objectives:To determine whether active first stage of labour duration (i) influences second stage of labour duration; and (ii) is associated with mode of delivery. Methods: A population-based cohort study of 13,379 women primiparous women, with spontaneous start in Stockholm-Gotland Region, Sweden, between 2008 and 2014. Duration of the active first stage of labour was examined in relation to secondstage duration using univariate and multivariable quantile regressions, with the first quartile (first stage duration) as the reference. Nonlinearity of associations was tested by restricted cubic splines. Association between active first-stage duration with mode of delivery was estimated using a multinomial logistic regression based on adjusted odds ratios. Results: Longer active first stage of labour duration was linearly associated with longer second stage of labour duration until approximately 12 h of active first stage of labour duration. After 12 h, a non-linear trend is seen, demonstrated by a plateau in the second-stage duration. In addition, longer active first stage of labour duration was associated with increased occurrence of operative vaginal delivery (adjusted odds ratio 3.36, 95% confidence interval [CI] 2.89, 3.89) and caesarean delivery (adjusted odds ratio 4.75, 95% CI 3.85, 5.80).Conclusions: Among primiparous women with spontaneous onset of labour, longer active first stage of labour duration was associated with both longer second stage of labour duration and higher odds of operative delivery. This study contributes with findings, which may inform future discussions regarding how to properly account for second-stage duration, with applications in obstetric and perinatal epidemiology. K E Y W O R D Sactive first stage of labour, caesarean delivery, epidemiology, labour duration, labour stages, mode of delivery, obstetric, operative delivery, perinatal, second stage of labourThis is an open access article under the terms of the Creat ive Commo ns Attri bution-NonCo mmercia-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

show abstract

Section: Discussionsupporting

confidence: 89%

“…32 In terms of generalisation, labour durations in this study are in accordance with seminal findings from contemporary cohorts of women. 1,3,6,[38][39][40]…”

Section: Discussionmentioning

confidence: 99%

Association between first and second stage of labour duration and mode of delivery: A population‐based cohort study

Lundborg

Åberg

Sandström

et al. 2021

Paediatric Perinatal Epid

View full text Add to dashboard Cite

show abstract

“…The average duration of the second stage of labor for both primipara and multipara in our study was longer than the data reported worldwide (40 min for primipara and 14 min for multipara) ( 42 ). McKinney JR’s study showed that the combined incidence of maternal and neonatal morbidity increases with the duration of the active phase and second stage of labor ( 43 ). For full-term fetuses, the second stage of labor with breech presentation is different from that in the cephalic presentation.…”

Section: Resultsmentioning

confidence: 99%

Term breech presentation vaginal births in Tibet: A retrospective analysis of 451 cases

et al. 2023

View full text Add to dashboard Cite

BackgroundIn high altitude areas, like Tibet, most fetuses in breech presentation at term are delivered vaginally owing to a variety of reasons, but this has not been published.ObjectiveThis study aimed to provide references and evidence for the delivery of breach presentation term fetuses in high altitude areas, through comparing and analyzing the data of full-term singleton fetuses with breech or cephalic presentation in Naqu People’s Hospital, Tibet.Study designWe retrospectively analyzed the clinical data of 451 breech presentation fetuses mentioned above over a period of 5 years (2016–2020). A total of 526 cephalic presentation fetuses’ data within 3 months (1 June to 1 September 2020) of the same period were collected too. Statistics were compared and assembled on fetal mortality, Apgar scores, and severe neonatal complications for both planned cesarean section (CS) and vaginal delivery. In addition, we also analyzed the types of breech presentation, the second stage of labor, and damage to the maternal perineum during vaginal delivery.ResultsAmong the 451 cases of breech presentation fetuses, 22 cases (4.9%) elected for CS and 429 cases (95.1%) elected for vaginal delivery. Of the women who chose vaginal trial labor, 17 cases underwent emergency CSs. The perinatal and neonatal mortality rate was 4.2% in the planned vaginal delivery group and the incidence of severe neonatal complications was 11.7% in the transvaginal group, no deaths were detected in the CS group. Among the 526 cephalic control groups with planned vaginal delivery, the perinatal and neonatal mortality was 1.5% (p = 0.012), and the incidence of severe neonatal complications was 1.9%. Among vaginal breech deliveries, most of them were complete breech presentation (61.17%). Among the 364 cases, the proportion of intact perinea was 45.1%, and first degree lacerations accounted for 40.7%.ConclusionIn the Tibetan Plateau region, vaginal delivery was less safe than cephalic presentation fetuses for full-term breech presentation fetuses delivered in the lithotomy position. However, if dystocia or fetal distress can be identified in time and then encouraged to convert to cesarean, its safety will be greatly improved.

show abstract

“…Active rst stages of labor disorder are associated with the increasing incidence of cesarean delivery (CD), the numbers of vaginal examinations, increased risk of operative delivery, postpartum hemorrhage and blood transfusion, maternal fever, endomyometritis, chorioamnionitis, shoulder dystocia, neonatal infection, increased admission to neonatal intensive care unit and neonatal death and exposed oxytocin with their complications (7,(11)(12)(13)(14)(15)(16). Dystocia is responsible for more than 34-50% of primary cesarean deliveries (17,18).…”

Section: Introductionmentioning

confidence: 99%

Incidence and Predictors of Dystocia of Active First Stage of Labor at Debremarkos Comprehensive Specialized Hospital Amhara, North West Ethiopia, 2022/2023

Nigussie,

Azanaw,

Shumye

2023

Preprint

View full text Add to dashboard Cite

Background Dystocia of active first stage of labor `has a notable contribution to maternal and fetal and / or neonatal morbidity and mortality. It is a main reason for the increasing rate of cesarean delivery in the world. Majorities of the determinants of dystocia in active first stage of labor could be modifiable, and may vary across the settings and over time trend. So, contextual scientific studies in this regard are imperative for evidence-based interventions. However, there was a dearth of evidence about extent and contributing factors of dystocia of active first stage of labor in Ethiopia. Objective This study aimed to assess the incidence and predictors of dystocia of active first stage of labor among laboring women at debremarkos comprehensive specialized hospital Amhara, northwest Ethiopia, 2022/23. Methods Prospective cohort study was conducted among 656 laboring women from October 20 to January 4/2023. The study participants were selected by using a systematic random sampling technique. Data were collected through observation, interview using a pretested structured questionnaire, and document review. Both descriptive and inferential analyses were carried out. Binary Logistic Regression was fitted and the level of significance was declared based on Adjusted Odds Ratio (AOR) with its 95% Confidence Interval (CI) and p-value of ≤ 0.05. Result The overall incidence of dystocia of AFSOL was 35.3%( 95%CI: 31.9, 39.2). Induction of labor (AOR: 2.5; 95%CI: 1.23. 5.42), admitting of laboring mother with cervical dilation of < 4cm (AOR: 2.9; 95%CI: 1.72, 4.93), poor health care provider support (AOR: 7.5; 95%CI: 4.18, 13.67), and caffeine intake > 200mg (≥ 3cup of coffee) (AOR: 3.7; 95%CI: 1.80, 7.74), Drinking of linseed (AOR: 0.28; 95%CI: .14, .55), ANC follow up (AOR: .24; 95%CI: .09, .63), and ambulation during AFSOL (AOR: 0.31; 95%CI: .13, .69) were predictors of dystocia of active 1st stage of labor. Conclusion The incidence of DAFSOL was high. Having ANC follow up, eating/drinking of linseed at the onset of labor pain and ambulating during active first stage of labor, drinking of three or more cup of coffee per day during pregnancy, induction of labor, poor health care provider support during AFSOL and admitting of the laboring mothers while cervical dilation < 4cm were predictors of DAFSOL. Adopting WHO labor care guide and encouraging health care providers to practice evidence based practice regarding the management of active 1st stage of labor and good patient handling during the laboring process is recommended to minimize the diagnosis of DAFSOL and its unnecessary interventions.

show abstract

Duration of labor and maternal and neonatal morbidity

Cited by 13 publications

References 23 publications

Association between first and second stage of labour duration and mode of delivery: A population‐based cohort study

Association between first and second stage of labour duration and mode of delivery: A population‐based cohort study

Term breech presentation vaginal births in Tibet: A retrospective analysis of 451 cases

Incidence and Predictors of Dystocia of Active First Stage of Labor at Debremarkos Comprehensive Specialized Hospital Amhara, North West Ethiopia, 2022/2023

Contact Info

Product

Resources

About