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

Author(s):  
Louise Lundborg ◽  
Katarina Åberg ◽  
Anna Sandström ◽  
Xingrong Liu ◽  
Ellen Tilden ◽  
...  
Author(s):  
Anjali Dabral ◽  
Pallavi Pawar ◽  
Rekha Bharti ◽  
Archana Kumari ◽  
Achla Batra ◽  
...  

Background: Women delivering in upright position have shorter labour due to efficient and stronger contractions with faster descent of foetal head. The present study aimed to find out effect of upright kneeling position in the second stage of labour on maternal and foetal outcome and assess patients’ satisfaction.Methods: The study was carried out in a tertiary care hospital of North India from October 2012 to February 2014. Low risk women admitted in early labour were divided into two groups, women delivering in kneeling position and in supine position. The outcome measures studied were, duration of second stage of labour, mode of delivery, 2nd degree perineal tears, Apgar scores at 5 minutes, NICU admission rate and patient satisfaction.Results: The mean duration of second stage of labour in kneeling group was shorter by 14.901 minutes. The rate of vaginal delivery was comparable for both primigravidas and multigravida in kneeling and supine groups, RR: 2.275, 95% CI (0.7872-6.5831) and RR: 1.633, 95% CI (0.393-6.775). Primigravidas had more 2nd degree perineal tears in kneeling group as compared to supine, RR 4.191, 95% CI (1.54 to 11.41). No difference in Apgar scores >7 at 5 minutes was observed in both groups, however, significantly lesser babies in kneeling group were admitted in NICU, RR 0.246, 95% CI (0.079 to 0.761). There was no difference on comparing satisfaction scores of primigravidas and multigravida in both supine and kneeling position.Conclusions: Kneeling position reduces the duration of second stage of labour and NICU admissions.


The Lancet ◽  
2001 ◽  
Vol 358 (9289) ◽  
pp. 1203-1207 ◽  
Author(s):  
Deirdre J Murphy ◽  
Rachel E Liebling ◽  
Lisa Verity ◽  
Rebecca Swingler ◽  
Roshni Patel

2002 ◽  
Vol 57 (4) ◽  
pp. 199-200
Author(s):  
Deirdre J. Murphy ◽  
Rachel E. Liebling ◽  
Lisa Verity ◽  
Rebecca Swingler ◽  
Roshni Patel

Author(s):  
Vasudha Sawant ◽  
Archana Kumbhar

Background: Experiencing labour pains and giving birth to infant is normal physiological process. Though it is a natural phenomenon, it produces severe pain which requires analgesia to relieve pain during labour. The objective of this study was to compare effects of low dose epidural analgesia verses no analgesia during labour on mother and fetus.Methods: Here in this study we have assessed effect of epidural analgesia on mother and fetus. Total we have taken 60 women in age group of 20-26 years with full term pregnancy (37-42 weeks). Those who have entered spontaneous labour with vertex presentation, without any previous uterine surgery, clinically adequate pelvis. We had divided these women in 2 groups, 30 were given epidural analgesia and 30 without any analgesia. Variables recorded were pain score during labour using VAS, duration of labour during each stage, mode of delivery, Apgar score of newborn at 1 minute and 5 minutes.Results: Present study shows that duration of first stage of labour in epidural and non-analgesia group are same. Second stage of labour is prolonged in epidural group than non-analgesia group. Both groups had normal APGAR score. Epidural analgesia is not associated with any change in mode of delivery. Visual analogue scale is good with epidural analgesia.Conclusions: There was no significant difference in first stage of labour in both group. Second stage of labour was slightly prolonged in EA group than control, but it was less than two hours. No harmful neonatal outcome in epidural analgesia.


2021 ◽  
Vol 11 (12) ◽  
pp. 1725-1734
Author(s):  
Félix Essiben ◽  
Khadidja Bayero ◽  
Hapsatou Ahmadou Djoulatou ◽  
Maye Ange Ngo Dingom ◽  
Julius Sama Dohbit ◽  
...  

2014 ◽  
Vol 121 (10) ◽  
pp. 1237-1244 ◽  
Author(s):  
L Henriksen ◽  
B Schei ◽  
S Vangen ◽  
M Lukasse

2017 ◽  
Vol 50 ◽  
pp. 164-165
Author(s):  
A. Dall'Asta ◽  
I. Lauriola ◽  
A. Kiener ◽  
S. Politi ◽  
T. Frusca ◽  
...  

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