Maternal and fetal outcome after a prolonged latent phase of labour
AbstractContext: Prolonged latent phase of labour is reportedly associated with labour dystocia and neonatal morbidity. There are few published work on prolonged latent phase and none from this environment.
Objective: To determine if prior labour ward admission with prolonged latent is a predictor of labour dystocia and neonatal morbidity.
Methods: The course and outcome of active phase labour in One hundred and twenty-eight patients with a prior prolonged latent phase was compared with 896 patients who went into active phase labour without a prolonged latent phase. Relevant data was retrieved from the departmental obstetric data bank.
Outcome measures: Labour augmentation, Caesarean section and instrumental delivery rates, Apgar scores and neonatal hospital admission.
Results: Labour augmentation and Caesarean rates were higher and labour was longer among the cases than controls. (50.5 vs 36.4%: P=0.0001, 27.3 vs 7.0%: P=0001 and 7.6 vs 6.2 hrs: P=0.0028 respectively). Blood loss at delivery was more and neonatal hospital admission was more frequent among the cases than controls.
Conclusion: Prolonged latent phase of labour is a predictor of labour dystocia and neonatal morbidity.
Keywords: outcome, maternal, fetal, prolonged latent phase of labour
Tropical Journal of Obstetrics and Gynaecology Vol. 22(2) 2005: 171-176
The entire contents of the Tropical Journal of Obstetrics and Gynaecology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use.
This journal content is distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.