Failure to progress in the management of labour

Olàh, Karl S.; Neilson, James P

doi:10.1111/j.1471-0528.1994.tb13000.x

Cited by 26 publications

(15 citation statements)

References 24 publications

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“…This term, however, originated at a time when the main indication for cesarean delivery was overt pelvic contracture due to rickets (Olah & Neilson, 1994). CPD can be due to a contracted pelvis or a disproportionately large fetal head and is thus not limited to primary cesarean delivery only [Carbone B., 2000].…”

Section: Cephalopelvic Disproportionmentioning

confidence: 99%

Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital (Bamako - Mali)

Teguété¹,

Traoré²,

Sissoko³

et al. 2012

Cesarean Delivery

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Section: Cephalopelvic Disproportionmentioning

confidence: 99%

Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital (Bamako - Mali)

Teguété¹,

Traoré²,

Sissoko³

et al. 2012

Cesarean Delivery

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“…2 To reduce surgical intervention in these cases, active management of labor was first introduced in 1969. 3 Since then there has been no significant change in the management of arrest of descent in the second stage of labor. In literature, there are different studies describing diagnosis of arrest of descent and the importance of early recognition and intervention in these cases, different treatment possibilities like medical, instrumental and surgical.…”

Section: Introductionmentioning

confidence: 99%

Prediction of caesarean section for arrest of descent during the second stage of labour

Samal

Rathod

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Friedman described the normal progress of labor in different curves for nulliparous and multiparous women in 1954. Any deviation from these curves during the second stage of labor is considered as failure to progress in the second stage of labor. The aim of the study is to define obstetrical risk factors for arrest of descent during the second stage of labour.Methods: All singleton, vertex, term deliveries with an unscarred uterus, between December 2013 to November 2016 (3 years) were included. Univariable and multivariable analysis were performed to investigate independent risk factors associated with arrest of descent during the second stage of labor.Results: The study included 7260 deliveries, of these 163 (3.3%) were complicated with arrest of descent during the second stage of labor. Using a multivariable analysis, the following obstetric risk factors were found to be significantly associated with arrest of descent: primigravida (RR=7.8, 95% CI=6.9-8.7, p<0.001), obesity (RR=1.8, 95% CI=1.6-2.0, p<0.001), short stature (RR=2.3, 95% CI=1.9-2.8, p<0.001), hypertensive disorders(RR=1.5, 95% CI=1.3-1.8,p<0.001), gestational diabetes(RR=1.5, 95% CI=1.2-1.8, p<0.001), free floating head before labour(RR=3.4, 95%CI=2.5-4.1, p<0.001), Occipito-posterior position(RR=3.3, 95% CI=2.1-4.5, p<0.002), Prelabour rupture of membrane (PROM) (RR=1.3, 95% CI=1.0-1.6, p<0.02), induction of labour (RR=2.2, 95% CI=1.0-3.4, p<0.03) and birth weight>3.5 kg (RR=2.2, 95% CI=2.0-2.4, p<0.001). Deliveries complicated by arrest of descent resulted in cesarean section in 67% and 34% vaginal delivery.Conclusions: In this era of increased public awareness and medicolegal events it is very crucial to assess and evaluate every woman in labor and to identify in advance the possibility of arrest in advanced labor so that a timely obstetric intervention possibly Cesarean section can prevent unnecessary maternal- fetal complications.

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“…The understanding and management of labor have evolved at a rapid pace, especially with the introduction of the partograph and active management of labor which have led to reduction in the incidence of prolonged labor. [9][10][11] The observed mean admission cervical dilatation for multiparas (6.45 cm) was more than that for nulliparas (5.40 cm) and the mean admissiondelivery time interval was shorter in multiparas (3.77 hours) than in nulliparas (5.00 hours). This is in keeping with the findings of Duignan et al [12] However, due to late presentation of our parturients to the hospital, the suggested admission time as the starting point of labor by Hendricks could not be adopted.…”

Section: Discussionmentioning

confidence: 74%

Duration of labor with spontaneous onset at the University of Ilorin Teaching Hospital, Ilorin, Nigeria

Ijaiya¹,

Adesina²,

Raji³

et al. 2011

Ann Afr Med

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Failure to progress in the management of labour

Cited by 26 publications

References 24 publications

Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital (Bamako - Mali)

Determining Factors of Cesarean Delivery Trends in Developing Countries: Lessons from Point G National Hospital (Bamako - Mali)

Prediction of caesarean section for arrest of descent during the second stage of labour

Duration of labor with spontaneous onset at the University of Ilorin Teaching Hospital, Ilorin, Nigeria

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