Prolonged Labor Characteristics: A Study in Gorontalo

Wulansari, Ika; N, Yusuf; Jafar, Cindy Puspita Sari Haji

doi:10.30604/jika.v7i1.754

Cited by 2 publications

(1 citation statement)

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“…The present findings are consistent with previous literature that women aged less than 20 years old and advanced maternal age (≥35 years old) had significant odds for various maternal complications, such as severe preeclampsia, eclampsia, postpartum hemorrhage, fetal distress, and poor fetal growth (Cavazos-Rehg et al, 2015;Lundborg et al, 2021). Those at risk of age for pregnancy experiencing prolonged labor are 25.9% (Wulansari et al, 2022). However, a slightly different result was found in this study that women aged more than 26 years old also increasingly developed prolonged labor.…”

Section: Resultssupporting

confidence: 92%

Prediction Model of Prolonged and Obstructed Labor in East Nusa Tenggara: A Multivariate Adaptive Regression Splines Analysis

Rogaleli

Awang²

2023

j. info kesehat.

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Prolonged and obstructed labor are the type of abnormal labor that may lead to maternal and fetal mortality. This study established the model for predicting prolonged and obstructed labor in East Nusa Tenggara. A health facilities-based case-control study was conducted in November 2017 among 570 women who gave birth at public health facilities in East Nusa Tenggara. Data were obtained by reviewing antenatal records, the mother's card, and partographs. In bivariate analysis, all variables with a p-value less than 0.25 determined by chi-square for categorical and independent t-test for numerical variables were included in multivariate analysis. Multivariate Adaptive Regression Splines (MARS) analysis was used to establish the final prediction model. The present study found that women <22, >26, and >34, with Hb levels of <12.5 gr%, and had nulliparity or multiparity (4 times) were reported as a higher risk of prolonged and obstructed labor. Meanwhile women with a fundal height of <34 cm, a height of >156 cm and >149 cm, a history of normal labor, presentation of the fetus behind the head, gestational weight gain of <12.3 kg, and pre-pregnancy BMI of <28.9 kg/m2 were identified as factors decreasing the risk of prolonged and obstructed labor. In conclusion, significant predictors of the outcome were maternal characteristics (age, parity, height, and history of labor method), maternal nutrition status (BMI pre-pregnancy, gestational weight gain, and hemoglobin levels), and fetal status (fundal height and fetal presentation).

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Section: Resultssupporting

confidence: 92%