scholarly journals Comparing the Effects of Aromatherapy With Rose Oils and Warm Foot Bath on Anxiety in the First Stage of Labor in Nulliparous Women

2014 ◽  
Vol 16 (9) ◽  
Author(s):  
Massomeh Kheirkhah ◽  
Nassimeh Setayesh Vali Pour ◽  
Leila Neisani ◽  
Hamid Haghani
Keyword(s):  
Nulliparous Women ◽  
First Stage Of Labor

scholarly journals Impact factors on cervical dilation rates in the first stage of labor

2018 ◽  
Vol 46 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Jana Juhasova ◽  
Martina Kreft ◽  
Roland Zimmermann ◽  
Nina Kimmich
Keyword(s):  
University Hospital ◽  
Impact Factors ◽  
Cervical Dilation ◽  
Nulliparous Women ◽  
Multiparous Women ◽  
Prolonged Labor ◽  
The Individual ◽  
Vertex Presentation ◽  
The University ◽  
First Stage Of Labor

AbstractAims:To assess cervical dilation rates of nulliparous and multiparous women in the active first stage of labor and to evaluate significant impact factors.Methods:In a retrospective cohort study between January 2007 and July 2014 at the University Hospital of Zurich in Switzerland, we analyzed 8378 women with singleton pregnancies in vertex presentation with a vaginal delivery at 34+0 to 42+5 gestational weeks. Median cervical dilation rates were calculated and different impact factors evaluated.Results:Cervical dilation rates increase during labor progress with faster rates in multiparous compared with nulliparous women (P<0.001). Dilation rates exceed 1 cm/h at a dilatation of 6–7 cm, but are very individual. Accelerating impact factors are multiparity, a greater amount of cervical dilation and fetal occipitoanterior position, whereas the use of epidural anesthesia, a higher fetal weight and head circumference decelerate dilation (P<0.001).Conclusion:Cervical dilation is a hyperbolic increasing process, with faster dilation rates in multiparous compared to nulliparous women and a reversal point of labor around 6–7 cm, respectively. Besides, cervical dilation is highly individual and affected by several impact factors. The diagnosis of labor arrest or prolonged labor should therefore be based on such rates and on the individual evaluation of every woman.

Length of the First Stage of Labor and Associated Perinatal Outcomes in Nulliparous Women

2012 ◽  
Vol 32 (1) ◽  
pp. 21
Author(s):  
Y.W. Cheng ◽  
B.L. Shaffer ◽  
A.S. Bryant ◽  
A.B. Caughey
Keyword(s):  
Perinatal Outcomes ◽  
Nulliparous Women ◽  
First Stage Of Labor

scholarly journals The Correlation of the Level of Anxiety of Nulliparous Women to the Length of the First Stage of Spontaneous Labor at Private Maternity Clinics in the Working Area of Delitua Puskesmas, Deli Serdang District in 2013

2017 ◽  
Vol 4 (1) ◽  
pp. 57-60
Author(s):  
Namora Lumongga Lubis ◽  
Megawati Sinambela
Keyword(s):  
Univariate Analysis ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Health Providers ◽  
Chi Square ◽  
Nulliparous Women ◽  
Maternity Clinics ◽  
Childbearing Women ◽  
Severe Anxiety ◽  
First Stage Of Labor

Abnormal length of the first stage of labor in nulliparous women (first pregnancy) can be related to severe anxiety during labor. Based on the preliminary survey in several private maternity clinics at the working area of Delta Puskesmas, Deli Serdang District, it was found that there was a prolonged first stage of labor (27.65%) in nulliparous women. The purpose of this study was to analyze the influence of anxiety level to the length of the first stage of labor. The type of this study was an analytic survey with explanatory research type. The samples comprised 40 childbearing women in private maternity clinics of Kasih Ibu, Kurnia, Tanjung, Wanda, and Mayana which were located in the working area of Delitua Puskesmas, Deli Serdang District, using accidental sampling technique. The data were gathered by using questionnaires and analyzed in the univariate analysis by using frequency distribution form, and bivariate analysis using Chi-Square test. The result of this study showed that the level of anxiety (p = 0.001) significantly related the length of the first stage of labor in which mothers who had severe anxiety. It is recommended that health providers should provide standardized services to childbearing women, especially to nulliparous women, so that their level of anxiety can be decreased facing the first stage of the labor process. It is also recommended that the husbands should support their wifes by positive behaviors so they will not think about negative things on their babies and on themselves.

Prediction of delivery mode by ultrasound-assessed fetal position in nulliparous women with prolonged first stage of labor

2015 ◽  
Vol 46 (5) ◽  
pp. 606-610 ◽  
Author(s):  
T. M. Eggebø ◽  
W. A. Hassan ◽  
K. Å. Salvesen ◽  
E. A. Torkildsen ◽  
T. B. Østborg ◽  
...  
Keyword(s):  
Delivery Mode ◽  
Nulliparous Women ◽  
Fetal Position ◽  
First Stage Of Labor

scholarly journals The Correlation of the Level of Anxiety of Nulliparous Women to the Length of First Stage of Spontaneous Labor at Private Maternity Clinics in the Working Area of Delitua Puskesmas, Deli Serdang District in 2013

2019 ◽  
Vol 4 (3) ◽  
pp. 40-42
Author(s):  
Namora Lumongga Lubis ◽  
Megawati Sinambela
Keyword(s):  
Sampling Technique ◽  
Bivariate Analysis ◽  
Health Providers ◽  
Chi Square ◽  
Distribution Form ◽  
Nulliparous Women ◽  
Maternity Clinics ◽  
Childbearing Women ◽  
Severe Anxiety ◽  
First Stage Of Labor

Abnormal length of first stage of labor in nulliparous women (first pregnancy) can be related by severe anxiety during labor. Based on the preliminary survey in several private maternity clinics at the working area of Delitua Puskesmas, Deli Serdang District, it was found that there was a prolonged first stage of labor (27.65%) in nulliparous women. The purpose of this study was to analyze the influence of anxiety level to the lenght of first stage of labor. The type of this study was an analytic survey with explanatory research type. The samples comprised 40 childbearing women in private maternity clinics of Kasih Ibu,Kurnia,Tanjung,Wanda,and Mayana which were located in the working area of Delitua Puskesmas , Deli Serdang District,using accidental sampling technique. The data were gathered by using questionnaires and analyzed in univariet analysis by using frequency distribution form, and bivariate analysis using Chi Square test. The result of this study showed that the level of anxiety (p = 0.001) significantly related the lenght of first stage of labor in which mothers who had severe anxiety. It is recomended that health providers should provide standardized services to childbearing women, especially to nulliparous women, so that their level of anxiety can be decreased facing the first stage of labor process. It is also recommended that the husbands should support their wives by positive behaviors so they will not think about bad things on their babies and on themselves.

scholarly journals Prediction of vaginal delivery by using intrapartum ultrasound – a prospective cohort study

2019 ◽  
Keyword(s):  
Cohort Study ◽  
Vaginal Delivery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Demographic Data ◽  
Area Under The Curve ◽  
Operating Characteristics ◽  
Fetal Head ◽  
Nulliparous Women ◽  
First Stage Of Labor

Non-invasive transperineal ultrasound is used to detect the descent of the fetal head by measuring head-perineum distance (HPD) and angle of progression (AP). The aim of the study was to evaluate HPD and AP as predictors of vaginal delivery in the first stage of labor. Methods: A prospective cohort study was made in Riga Maternity Hospital in Latvia in 2016. In the study were included nulliparous women with singleton pregnancies in cephalic presentation. HPD and AP were measured using transperineal ultrasoud. Demographic data, delivery parameters and birth outcomes were collected. Results: Of 36 women enrolled in the study, 26 (72.2%) had a vaginal delivery. The area under the receiver–operating characteristics curve was 0.865 (95% confidence interval (CI) 0.75-0.98) for the prediction of vaginal delivery using HPD as the test variable. The area under the curve was 0.877 (95% CI 0.77-0.99) using AP. All women delivered vaginally, if HPD was ≤40 mm (18 (50%) women). 8 (22.2%) of 18 women with HPD >40 mm delivered vaginally (P<0.001). 21 women of 22 (61.1%) with AP ≥105° delivered vaginally. In the other 14 (38.9%) women with AP <105° 5 delivered vaginally (P<0.001). Conclusions: Both HPD ≤ 40 mm and AP ≥ 105° are predictors for vaginal birth in the first stage of labor.

scholarly journals Oral Paracetamol versus Oral Paracetamol with Codeine as Intrapartum Analgesic in the First Stage of Labor: Randomized Controlled Trial

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A M Hashad ◽  
A E Elbohoty ◽  
M E Ahmed ◽  
K M Ibrahim
Keyword(s):  
Randomized Controlled Trial ◽  
Adverse Effects ◽  
Child Labor ◽  
Controlled Trial ◽  
Active Phase ◽  
Labor Pain ◽  
Painful Condition ◽  
Randomized Controlled ◽  
Nulliparous Women ◽  
First Stage Of Labor

Abstract Background Labor pain includes components that differ completely from pain in general. It is the result of natural events and has a special meaning, leading in most cases to something extremely positive, the birth of a healthy child. Labor is a painful condition, considered to be one of the most intense and stressful experiences especially for nulliparous women. Although studies have found significant rise in pain threshold during labor. It is nonetheless an important goal to provide safe and effective methods of analgesia for women in a pain in order, amongst other reasons, to obtain her maximum cooperation. Aim of the Work The aim of this study is to evaluate the efficacy and adverse effects of oral paracetamol (500mg) during the active phase of labor compared with oral solpadeine (paracetamol 500mg with codeine 8mg) as a method for intrapartum analgesia. Patients and Methods This study double blinded randomized controlled trial was conducted on 220 low-risk gravid women have labor pain in first stage of labor and need analgesia comparing the effect of administration of oral paracetamol (500mg) and oral paracetamol 500mg with codeine (8mg) (solpadeine capsule) on managing of pain during active phase of labor. Study setting: The current study was conducted at Ain Shams University Maternity Hospital for about 6 months from February to August 2017. Results As recorded by the VAS score, there was significant pain reduction at 1, 2, 3 and 4 hours in both groups (P = 0.001). The reduction in pain was significantly greater in the solpadeine group only at hour 2 (P = 0.001). Maternal complication as nausea, vomiting, abdominal pain and indigestion were 2 fold to 4 fold more in solpadeine group than in paracetamol group. Conclusion The use of oral paracetamol as analgesia during labor appeared to be effective, safe, done anywhere of labor situations, with no fetal or maternal adverse effects. Using paracetamol as labor analgesia is a new line; it needs to have more chance in comparison with other forms and routs. Also it can be used as adjuvant drug with other types of analgesics. Recommendations Paracetamol may be a good alternative to codeine and opioids as regards analgesic in labor. Maternal and neonatal adverse effects of codeine and opioids as pethidine are good reasons to find another alternative, further randomized controlled trial on wider scale are needed and other forms of paracetamol as suppositories or intravenous are desired to be used as analgesia in different stages of labor and postpartum.

Length of the First Stage of Labor and Associated Perinatal Outcomes in Nulliparous Women

2010 ◽  
Vol 116 (5) ◽  
pp. 1127-1135 ◽  
Author(s):  
Yvonne W. Cheng ◽  
Brian L. Shaffer ◽  
Allison S. Bryant ◽  
Aaron B. Caughey
Keyword(s):  
Perinatal Outcomes ◽  
Nulliparous Women ◽  
First Stage Of Labor

Minimum Analgesic Dose of Epidural Sufentanil for First-stage Labor Analgesia

2001 ◽  
Vol 94 (5) ◽  
pp. 740-744 ◽  
Author(s):  
Giorgio Capogna ◽  
Raffaella Parpaglioni ◽  
Gordon Lyons ◽  
Malachy Columb ◽  
Danilo Celleno
Keyword(s):  
Pain Relief ◽  
Probit Regression ◽  
Analgesic Requirement ◽  
Double Blind ◽  
Induced Labor ◽  
Pain Scores ◽  
Nulliparous Women ◽  
Analgesic Dose ◽  
Sequential Allocation ◽  
First Stage Of Labor

Background The aim of this prospective, double-blind, sequential allocation study was to compare the effects of spontaneous and prostaglandin-induced labor on the minimum analgesic dose of epidural sufentanil in the first stage of labor. Methods Seventy healthy, nulliparous women, at more than 37 weeks' gestation with cervical dilatation from 2 to 4 cm, requesting epidural pain relief in labor were enrolled. The subjects were assigned to two different groups according to whether labor was spontaneous or induced with dinoprostone 0.5 mg. Parturients received 10 ml of the study solution through a lumbar epidural catheter. The initial dose was sufentanil 25 microg, and subsequent doses were determined by the response of the previous patient in the same group using up-down sequential allocation. The analgesic effectiveness was assessed using 100-mm visual analog pain scores. The up-down sequences were analyzed using the method of independent paired reversals and probit regression. Results The minimum analgesic dose of sufentanil in spontaneous labor was 22.2 microg (95% CI: 19.6, 22.8) and 27.3 microg (95% CI: 23.8, 30.9) in induced labor. The minimum analgesic dose of sufentanil in induced labor was significantly greater (P = 0.0014) than that in spontaneous labor (95% CI difference: 2.9, 9.3) by a factor of 1.3 (95% CI: 1.1, 1.5). Conclusion Prostaglandin induction of labor produces a significantly greater analgesic requirement than does spontaneous labor.

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