Risk factors and outcome of failure to progress during the first stage of labor: a population‐based study^*

Abstract

Major risk factors for failure of labor to progress during the first stage were PROM, nulliparity, induction of labor and older maternal age. Indications for labor induction should be carefully evaluated in order to decrease the rate of operative deliveries.

Maternal and perinatal morbidity of caesarean delivery at full cervical dilatation compared with caesarean delivery in the first stage of labour

“…5,9 The anticipated continuing temporal changes in these maternal characteristics and obstetric practice patterns predict increasing rates of caesarean delivery in labour. While previous studies have evaluated the risks of adverse maternal, fetal and neonatal outcomes associated with caesarean delivery in labour by comparing caesarean with other methods of delivery 5 and by duration of labour, 6,9 a review of the literature found no reports assessing the risks of maternal or perinatal morbidity following caesarean delivery by stage of labour (full cervical dilatation compared with less than full dilatation).…”

Association between Fetal Gender and the Labor Curve at Term Pregnancy

“…In a retrospective cohort study of >90,000 deliveries 16 , found that women who carried a male fetus were at a 20% increased risk to be diagnosed with an arrest disorder and undergo cesarean delivery in the first stage of labor compared with women who carried a female fetus.…”

“…Association between Fetal Gender... cesarean delivery [3][4][5] . This finding has been interpreted as a surrogate for fetal size because male fetuses tend to be larger on average compared with female fetuses.…”

Oxytocin augmentation in grandmultiparous parturients: to give or not to give?

“…The alternative for labor augmentation in grandmultiparous with hypotonic uterine contractions (i.e., breast stimulation) is of unproved eYcacy and safety. Limiting the use of oxytocin in GMPs might lead to higher rates of cesarean deliveries, due to labor dystocia [6,12]. The present editorial was conducted in order to determine policies toward the use of oxytocin for labor augmentation among grandmultiparous patients.…”

“…Oxytocin is commonly used for labor augmentation, especially in cases where labor fails to progress according to Friedman's curve [6,7,12]. However, the use of oxytocin in grandmultiparous parturients (GMPs) (above 5 deliveries) as well as in patients with a scarred uterus is believed to expose them to a higher rate of peripartum complications including uterine rupture [13,15].…”