Maternal and fetal outcome after a prolonged latent phase of labour

  • Michael E Aziken Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin City, Nigeria
  • Augustine AE Orhue
  • Anthony C Okonkwo
  • Henry O Osazuwa

Abstract

Context: 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
Published
2006-05-19
Section
Articles

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eISSN: 0189-5117