A Comparative Study on the Effect of Using Three Maternal Positions on Postpartum Bleeding, Perineum Status and Some of the Birth Outcomes During Lathent and Active phase of the Second Stage of Labor

2021 ◽  
Vol 5 (1) ◽  
pp. 57-65
Author(s):  
Mehri Rezaie ◽  
◽  
Sheida Dakhesh ◽  
Leila Kalavani ◽  
Mahboubeh Valiani ◽  
...  
Keyword(s):  
Comparative Study ◽  
Birth Outcomes ◽  
Active Phase ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Postpartum Bleeding

The Effects of an External Nasal Dilator on Labor

2005 ◽  
Vol 19 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Oscar Sadan ◽  
Sagit Shushan ◽  
Ido Eldar ◽  
Shmuel Evron ◽  
Samuel Lurie ◽  
...  
Keyword(s):  
Active Phase ◽  
Well Being ◽  
Control Group ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Satisfaction Rate ◽  
Several Variables ◽  
Active Labor ◽  
Meconium Stained Amniotic Fluid

Background The aim of this study was to assess the effect of an external nasal dilator on several variables characterizing labor in both mother and fetus. Methods One hundred and fifty primigravida women in active labor were randomized to wear, throughout labor, either a dilator spring-loaded nasal strip or a placebo device. Data were obtained during labor and compared between the groups. After delivery, the satisfaction rate was assessed. Results No differences were found between the study and the control group regarding rate of induction or augmentation of labor as well as Montevideo units reached, frequency of rupture of membranes, duration of the active phase and second stage of labor, usage of epidural analgesia, normal fetal heart pattern, meconium-stained amniotic fluid, and neonatal well being. Length of maternal and neonatal hospitalization also did not differ between the groups. Satisfaction rate was significantly higher in parturient women wearing nasal strips with a dilator spring than in parturient women wearing a placebo spring (P < 0.0001). Conclusion Nasal strips do not change the course but ameliorate the quality of labor by improving the ease of breathing. Nasal dilators sustain the respiratory effort associated with the long process of labor and may control the switch from nasal to oronasal breathing during delivery.

Partograph versus no partograph: effect on labour progress and delivery outcome: a comparative study

2017 ◽  
Vol 6 (11) ◽  
pp. 4928 ◽  
Author(s):  
Benazir Ahmed ◽  
Meena Jain ◽  
Hema Bharwani
Keyword(s):  
Comparative Study ◽  
Total Duration ◽  
Birth Asphyxia ◽  
Active Phase ◽  
Delivery Outcome ◽  
Second Stage ◽  
Active Labour ◽  
Vaginal Deliveries ◽  
Significant Difference ◽  
Group 1

Background: Abnormal labour which includes prolonged labour and obstructed labour remain major causes of maternal morbidity. The major reason for neonatal mortality, birth asphyxia and subsequent morbidity is essentially the repercussion which occurs when a complicated labour is not intervened at the right time. A Partograph provides a graphic overview of the progress of labour and records information about maternal and fetal condition during labour. It is considered to be a very effective tool to monitor labour progress and prevent prolonged and obstructed labour.Methods: This prospective randomised comparative study was conducted in the Department of Obstetrics and Gynaecology, JLN Hospital and RC, Bhilai, Chattisgarh, from January 2015 to June 2016. Pregnant women were randomly assigned to two groups, of 200 each, after satisfying the inclusion and exclusion criteria. Women assigned to Group 1 had their active labour modified using modified WHO partograph whereas those assigned to Group 2 were not monitored using the partograph.Results: Use of Partograph (group 1) significantly reduced the duration of active phase of labour (p <0.0001), duration of second stage (p <0.0001) and thus the total duration of labour (active phase plus second stage) (p <0.0001). Requirement of augmentation was also significantly reduced (p <0.05). Group 1 also had significantly more spontaneous vaginal deliveries (p <0.01) with lesser requirement of operative interventions like LSCS or instrumental deliveries like forceps. Use of partograph also significantly improved neonatal outcome with significantly lesser newborns with Apgar <7 (p <0.05). However, there was no significant difference between the two groups with regard to NICU admissions (p>0.05).Conclusions: The use of Partograph, when compared to no Partograph plotting in active labour, is associated with better monitoring of labour progress as well as delivery outcome in the form of a healthy mother and a healthy child.

Effects of Delayed Pushing During the Second Stage of Labor on Postpartum Fatigue and Birth Outcomes in Nulliparous Women

2009 ◽  
Vol 17 (1) ◽  
pp. 62-72 ◽  
Author(s):  
Man-Lung Lai ◽  
Kuan-Chia Lin ◽  
Hsin Yang Li ◽  
Kuang-Shing Shey ◽  
Meei-Ling Gau
Keyword(s):  
Birth Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Nulliparous Women ◽  
Postpartum Fatigue

The influence of different maternal pushing positions on birth outcomes at the second stage of labor in nulliparous women

2016 ◽  
Vol 30 (2) ◽  
pp. 245-249 ◽  
Author(s):  
Ozlem Moraloglu ◽  
Hatice Kansu-Celik ◽  
Yasemin Tasci ◽  
Burcu Kısa Karakaya ◽  
Yasar Yilmaz ◽  
...  
Keyword(s):  
Birth Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Nulliparous Women

scholarly journals Is duration of passive second stage associated with a risk of hysterotomy extension during cesarean?

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258049
Author(s):  
Jade Merrer ◽  
Clara Dreyfus ◽  
Aude Girault ◽  
François Goffinet ◽  
Camille Le Ray
Keyword(s):  
Postpartum Hemorrhage ◽  
Operative Time ◽  
Active Phase ◽  
Maternal Complications ◽  
Fetal Head ◽  
Second Stage Of Labor ◽  
Factors Associated ◽  
Second Stage ◽  
Tertiary Center ◽  
Passive Phase

Objective To assess obstetric factors associated with hysterotomy extension among women undergoing a second-stage cesarean. Study design This 5-year retrospective cohort study (2013–2017) included all women with second-stage cesarean deliveries of live-born singleton fetuses in cephalic presentation at term. It took place at a tertiary center that practices delayed pushing. We performed univariable and multivariable logistic regression to assess the maternal, obstetric, and neonatal factors associated with hysterotomy extension mentioned in the surgical report. Operative time, postpartum hemorrhage, and maternal complications were also studied. Results Of the 3350 intrapartum cesareans, 2637 were performed at term for singleton fetuses in cephalic presentation: 747 (28.3%) during the second stage of labor, 83 (11.1%) of which were complicated by a hysterotomy extension. The median duration of the passive phase of the second stage did not differ between women with and without an extension (164 min versus 160 min, P = 0.85). No other second-stage obstetric characteristics, i.e., duration of the active phase, fetal head station, or fetal malposition, were associated with the risk of extension. Factors significantly associated with extension were the surgeon’s experience and forceps use during the cesarean. Women with an extension, compared to women without one, had a longer median operative time (49 min versus 32 min, P<0.001) and higher rates of postpartum hemorrhage and blood transfusion (respectively, 30.1% versus 15.1%, p = 0.002 and 7.2% versus 2.4%, P = 0.03). Conclusion The risk of a hysterotomy extension does not appear to be associated with second-stage obstetric characteristics, including the duration of the passive phase of this stage. In our center, which practices delayed pushing, prolonging this passive phase beyond 2 hours does not increase the risk of hysterotomy extension in second-stage cesareans.

scholarly journals Intramuscular meperidine analgesia at the beginning of active phase shortens labor duration without adverse effects on obstetric lacerations

2021 ◽  
Vol 38 (4) ◽  
pp. 594-598
Author(s):  
Mehmet GÜÇLÜ ◽  
Nazan YURTÇU ◽  
Samettin ÇELİK ◽  
Canan Soyer ÇALIŞKAN ◽  
Şafak HATIRNAZ ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Active Phase ◽  
Adverse Outcomes ◽  
Neonatal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Obstetric Lacerations ◽  
Increased Risk ◽  
The Impact ◽  
First Stage Of Labor

The primary objectives of this study were to evaluate the impact of intramuscular meperidine on shortening of the active phase of labor, the neonatal outcome and the rate and severity of perineal lacerations in term pregnant women in the first stage of labor. A total of 571 primiparous term pregnant women delivered vaginally were included into this retrospective study. In 437 of them, meperidine (100 mg IM) at the beginning of the active phase was administered and 134 women did not receive any meperidine dose. The length of labor phases, obstetric lacerations, and neonatal outcomes were recorded. The results of this study showed that meperidine could be used safely as an obstetric analgesic with its additional benefit of shortening the active phase of the first stage and second stage of labor without increased risk of obstetric lacerations and perinatal adverse outcomes. In case of limited use of neuraxial analgesia in a busy state maternity hospital, intramuscular meperidine administration as obstetric analgesia seems beneficial in reducing the length of the active phase of the first stage of labor and the second stage of labor without adversely affecting obstetric lacerations and neonatal outcomes.

Sign in / Sign up

Export Citation Format

Share Document