Dysfunctional labor

Friedman, Emanuel A.; Niswander, Kenneth R.; Sachtleben, Marlene R.; Ashworth, Margaret

doi:10.1016/0002-9378(70)90266-8

Cited by 11 publications

(13 citation statements)

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“…Thick meconium was clinically described as thick green amniotic fluid with particulate matter. Arrest disorder in the active phase of labor was defined using Friedman's [11] criteria. A low umbilical cord arterial pH was defined as a pH <7.20.…”

Section: Methodsmentioning

confidence: 99%

Oxytocin Augmentation in Arrest Disorders in the Presence of Thick Meconium: Influence on Neonatal Outcome

Morel

Anyaegbunam

Mikhail

et al. 1994

Gynecol Obstet Invest

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The objective of this report was to study the effect of oxytocin augmentation in arrest disorders in the presence of thick meconium on meconium aspiration and fetal acidosis. We evaluated 3,321 singleton, term deliveries with cephalic presentation at our institution. Eight percent (253/3,321) had thick meconium in labor, and these patients comprised the study sample. Of the 253 women with thick meconium, 84 had an arrest disorder in the active phase of labor with normal fetal heart rate tracing at the time of diagnosis. Seventy-four percent (62/84) of the women with arrest were treated with oxytocin (group 1) and 26% (22/84) delivered by cesarean section without augmentation (group 2). There was a significant (p < 0.05) increase in the incidence of meconium aspiration (14.5 vs. 4.5%) and low ( < 7.20) cord arterial pH (27.8 vs. 4.5%) in patients who received oxytocin compared to those who did not. Of the women who received oxytocin, 36 delivered vaginally, and 2 neonates had meconium aspiration. The remaining 26 women had cesarean sections following oxytocin augmentation and had a significantly higher (p < 0.05) frequency of meconium aspiration (26.9 vs. 4.5%) and low cord arterial pH (38.5 vs. 4.5%) compared to women who had cesarean sections without oxytocin augmentation. The findings suggest that oxytocin augmentation in arrest disorders in the presence of thick meconium may be associated with a higher risk of meconium aspiration and low umbilical cord arterial pH.

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Section: Methodsmentioning

confidence: 99%

Oxytocin Augmentation in Arrest Disorders in the Presence of Thick Meconium: Influence on Neonatal Outcome

Morel

Anyaegbunam

Mikhail

et al. 1994

Gynecol Obstet Invest

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“…(Martius, 1979, S. 191 exzessive Sedierung von Frauen während der Geburt, der ebenfalls fast routinemäßige Einsatz eines "prophylaktischen" Forceps und die fehlende Beschreibung einer fetalen Herztonüberwachung [21]. Friedman überprüft Zusammenhänge zwischen verschiedenen Formen von Geburtsdystokien und Ap-garWerten (1/5 min ≤ 4) von Neugeborenen [34]. Dennoch fehlen in den Studien Angaben, um die Ergebnisse im Zusammenhang mit den durchgeführten medizinischen Interventionen…”

Section: Betreuung Von Frauen Während Der Frühen Geburtsphaseunclassified

Die Bedeutung der Latenzphase der Geburt – eine historische Analyse

Krahl¹,

Schnepp

Sayn-Wittgenstein³

2016

Z Geburtshilfe Neonatol

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Zusammenfassung Die Begriffe Latenzphase und aktive Er?ffnungsphase gliedern die Er?ffnungsperiode und gehen zur?ck auf die Arbeiten des US-amerikanischen Gyn?kologen Emanuel A. Friedman aus den 1950er Jahren. Seither geh?rt diese Differenzierung der Er?ffnungsperiode international sowohl in wissenschaftlichen Untersuchungen als auch in der klinischen Praxis zum ?blichen Vorgehen. Auch wenn die Wurzeln f?r die detaillierte Betrachtung und Bewertung der ersten Geburtsphase im deutschsprachigen Raum liegen, hat sie sich in Deutschland bislang nicht fl?chendeckend durchgesetzt. In dieser Analyse ausgew?hlter Hebammenlehrb?cher und geburtshilflicher Lehrb?cher aus 5 Jahrhunderten sowie historischer als auch aktueller wissenschaftlicher Publikationen werden Merkmale und Verlauf der Phasen beschrieben und diskutiert. Die Differenzierung der Er?ffnungsperiode in Latenzphase und aktive Geburtsphase erm?glicht Hebammen und ?rztlichen Geburtshelfern und -helferinnen eine spezifische und individuelle Geburtsleitung und Betreuung der Geb?renden w?hrend der gesamten Geburt.

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“…Until the development of the partogram, in the middle of the twentieth century, evaluation of labor progress was subjective and it was often monitored according to its duration. The partogram was a crucial advance which allowed objective assessment of the progress of labor by plotting cervical dilatation and fetal station as a function of time2–15 (Figure 1), and allowed labor disorders to be defined and classified (prolonged latent phase, protracted labor and arrest disorders). The pelvic division of labor, which encompasses the phase of parturition during which the fetus descends through the birth canal, is defined by changes in station of the presenting part16.…”

mentioning

confidence: 99%

“…In Management of Labor , Cohen WR, Friedman EA (eds). University Park Press: Baltimore, 1983; 11–2415.…”

mentioning

confidence: 99%

Sonographic evaluation in the second stage of labor to improve the assessment of labor progress and its outcome

Yeo

Romero

2009

Ultrasound in Obstet & Gyne

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Dysfunctional labor

Cited by 11 publications

References 0 publications

Oxytocin Augmentation in Arrest Disorders in the Presence of Thick Meconium: Influence on Neonatal Outcome

Oxytocin Augmentation in Arrest Disorders in the Presence of Thick Meconium: Influence on Neonatal Outcome

Die Bedeutung der Latenzphase der Geburt – eine historische Analyse

Sonographic evaluation in the second stage of labor to improve the assessment of labor progress and its outcome

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