Chorioamnionitis at latent phase more than doubles the risk for cesarean delivery compared to chorioamnionitis at active phase

2020 ◽  
Author(s):  
Amihai Rottenstreich ◽  
Gabriel Levin ◽  
Abraham Tsur ◽  
Daniel Shai ◽  
Raanan Meyer
Keyword(s):  
Cesarean Delivery ◽  
Active Phase ◽  
Latent Phase

DZIKIR CAN REDUCE LABOR PAIN LEVEL

2021 ◽  
Vol 2 (1) ◽  
pp. 26-30
Author(s):  
Ai Nur Zannah
Keyword(s):  
Physiological Condition ◽  
Active Phase ◽  
Labor Pain ◽  
Pain Level ◽  
Cervical Dilation ◽  
Uterine Contractions ◽  
Before And After ◽  
Quasi Experimental ◽  
Latent Phase ◽  
First Stage Of Labor

Labor pain is a physiological condition that began at the first stage of labor (laten and active phase). Pain comes from uterine contractions and cervical dilation in an attempt to pave the way for birth and encourage babies to be born. Experts find pharmacological and non-pharmacological ways to reduce pain in labor, one of them is Dzikir guided by childbirth helper (midwife). The purpose of this study was to analyze the differences of labor pain level on mother in latent phase before and after applying Dzikir. Subjects were 15 accidentally selected mothers in labor latent phase on March - April in PMB “S” Puger Jember. The design of this study uses a quasi-experimental one group pre-posttest. Results showed significant decreased pain level of mothers after doing Dzikir significantly (Z=-3,578, p≤0.001). In conclusions, there are differences of labor pain level on mother in latent phase before and after applying Dzikir

Peculiarities of the uterine contractile activity in pregnant with mild preeclampsia at labor

2017 ◽  
pp. 69-72
Author(s):  
N.V. Abbasova ◽  
◽  
E.M. Aliyeva ◽  
V.A. Akhmed-zade ◽  
A.Dj. Ismailova ◽  
...  
Keyword(s):  
Key Words ◽  
Clinical Manifestation ◽  
Contractile Activity ◽  
Total Duration ◽  
Active Phase ◽  
Labor Time ◽  
Uterine Contractile ◽  
Mild Preeclampsia ◽  
Total Labor ◽  
Latent Phase

The objective: to study the contractile activity of the uterus in pregnant with mild preeclampsia at labor. Patients and methods. Was studies contractile activity of the uterus during the labor in 93 pregnant with mild preeclampsia. The average age of women was 25.24±0.42 (17–37 years). The duration of the clinical manifestation of mild preeclampsia was 3.2±0.1 (1 week). The contractile activity of the uterus was evaluated by the method of external cardiotocography. Results.There was confirmed, that pregnant with mild preeclampsia had high indicators of uterine contractile activity at the latent phase, including intense of the cramps 43.78±2.32 mm Hg , duration of the cramps – 28.32±1.1 s, dutation of relaxation – 43.44±1.46 s, total duration of the cramps – 71.76±1.27 s, duration of the uterine cycle – 66.55±0.28 s. And this leads to significant decreasing of the duration of the latent phase 1.24±0.11 hour, and decreasing of the total labor time (9.18±0.22 hours) appropriately. Conclusion. In parturient women with mild preeclampsia, high rates of contractile activity of the uterus in the latent phase, what significantly reduce the duration of the latent phase, and the total duration of labor as well. Key words: mild preeclampsia, contractile activity of the uterus, latent phase of the labor, active phase of the labor, intranatal cardiotocography.

361: Risk of cesarean delivery during the active phase of labor and uterine contractile activity

2018 ◽  
Vol 218 (1) ◽  
pp. S224
Author(s):  
Heather A. Frey ◽  
Candice L. Woolfolk ◽  
Antonina Frolova ◽  
Joshua Rosenbloom ◽  
George A. Macones ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Contractile Activity ◽  
Active Phase ◽  
Uterine Contractile

scholarly journals Induction of labor compared to expectant management in term nulliparas with a latent phase of labor of more than 8 hours: a randomized trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrick Naveen Sargunam ◽  
Lindy Li Mei Bak ◽  
Peng Chiong Tan ◽  
Narayanan Vallikkannu ◽  
Mat Adenan Noor Azmi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cesarean Delivery ◽  
Hospital Discharge ◽  
Expectant Management ◽  
Primary Outcome Measure ◽  
Labor Induction ◽  
Induction Of Labor ◽  
National Medical ◽  
Active Labor ◽  
Latent Phase

Abstract Background Prolonged latent phase of labor is associated with adverse maternal and neonatal outcomes. Preliminary data indicate that labor induction for prolonged latent phase may reduce cesarean delivery. We performed a study powered to Cesarean delivery to evaluate labor induction compared to expectant management in full term nulliparas hospitalized for persistent contractions but non-progressive to established labor after an overnight stay. Methods From 2015 and 2017, nulliparas, ≥ 39 weeks’ gestation with prolonged latent phase of labor (persistent contractions after overnight hospitalization > 8 h), cervical dilation ≤3 cm, intact membranes and reassuring cardiotocogram were recruited. Participants were randomized to immediate induction of labor (with vaginal dinoprostone or amniotomy or oxytocin as appropriate) or expectant management (await labor for at least 24 h unless indicated intervention as directed by care provider). Primary outcome measure was Cesarean delivery. Results Three hundred eighteen women were randomized (159 to each arm). Data from 308 participants were analyzed. Cesarean delivery rate was 24.2% (36/149) vs. 23.3%, (37/159) RR 1.0 95% CI 0.7–1.6; P = 0.96 in induction of labor vs. expectant arms. Interval from intervention to delivery was 17.1 ± 9.9 vs. 40.1 ± 19.8 h; P < 0.001, intervention to active labor 9.6 ± 10.2 vs. 29.6 ± 18.5 h; P < 0.001, active labor to delivery 7.6 ± 3.6 vs. 10.5 ± 7.2 h; P < 0.001, intervention to hospital discharge 2.4 ± 1.2 vs. 2.9 ± 1.4 days; P < 0.001 and dinoprostone use was 19.5% (29/149) vs. 8.2% (13/159) RR 2.4 95% CI 1.3–4.4; P = 0.01 in IOL compared with expectant arms respectively. Intrapartum oxytocin use, epidural analgesia and uterine hyperstimulation syndrome, postpartum hemorrhage, patient satisfaction on allocated intervention, during labor and delivery and baby outcome were not significantly different across trial arms. Conclusions Induction of labor did not reduce Cesarean delivery rates but intervention to delivery and to hospital discharge durations are shorter. Patient satisfaction scores were similar. Induction of labor for prolonged latent phase of labor can be performed without apparent detriment to expedite delivery. Trial registration Registered in Malaysia National Medical Research Register (NMRR-15-16-23,886) on 6 January 2015 and the International Standard Randomised Controlled Trials Number registry, registration number ISRCTN14099170 on 5 Nov 2015.

Impact of Peanut Ball Device on the Duration of Active Labor: A Randomized Control Trial

2018 ◽  
Vol 35 (10) ◽  
pp. 1006-1011 ◽  
Author(s):  
Mei Kwan ◽  
Rebecca Mercier
Keyword(s):  
Cesarean Delivery ◽  
Statistical Significance ◽  
Active Phase ◽  
Cervical Dilation ◽  
Nulliparous Women ◽  
Significant Difference ◽  
Active Labor ◽  
English Speaking ◽  
Randomized Control ◽  
Singleton Pregnancies

Objective To evaluate whether the use of a peanut ball device shortens the duration of active labor in nulliparas. Study Design Single-site, nonblinded randomized trial in nulliparous women admitted for labor or labor induction. English-speaking women > 18 years of age with singleton pregnancies were enrolled. Participants were randomized to the use of peanut ball or usual care upon reaching the active phase of labor (≥ 6 cm cervical dilation) with an epidural. Primary outcome was rate of cervical dilation. Secondary outcomes were rates of cesarean delivery and fetal presentation at time of full dilation or delivery. Results Ninety-six patients enrolled; 63 reached full cervical dilation. There was no statistically significant difference in rates of cervical dilation (0.98cm/h vs. 0.79cm/h, p = 0.27) or length of labor (315 minutes vs. 387 minutes, p = 0.14) between the groups. There was no difference in the rates of cesarean delivery (33% vs. 35%, p = 0.8) or occiput posterior presentation. (28% vs. 9%, p = 0.09). Among the subgroup who had labor arrest, fewer patients using the peanut ball experienced arrest of dilation; this approached but did not reach statistical significance (30% vs. 73% p = 0.05). Conclusion Use of the peanut ball does not significantly increase rates of cervical dilation or decrease time in active labor.

scholarly journals Programmed labour compared with expectant management: is it truly a need of new millennium?

2019 ◽  
Vol 8 (10) ◽  
pp. 4014
Author(s):  
Madhukar J. Shinde ◽  
Umesh S. Sabale ◽  
Savita S. Mehendale
Keyword(s):  
Expectant Management ◽  
Active Phase ◽  
Labour Induction ◽  
Research Centre ◽  
Advantages And Disadvantages ◽  
Patient Will ◽  
Pros And Cons ◽  
Smooth Muscle Relaxant ◽  
Latent Phase ◽  
Human Parturition

Background: The mechanism triggering the initiation of human parturition is still an enigma. At term a series of complex physiological, biochemical and physical processes cascade resulting in delivery of the fetus. This study deals exclusively with comparison of normal labour, induction of labour with prostaglandin, and with augmentation by intracervical insertion of PGE2 tablets, amniotomy and smooth muscle relaxant. Advantages and disadvantages of each of the above methods are compared with expectant management of labour. Aim of this study was to compare pros and cons of programmed labour that to with expectant management.Methods: Study was conducted in Department of Obstetrics and Gynaecology, Bharati Hospital and Research Centre, Pune. It was a prospective randomized clinical trial. 100 pregnant full term women, were selected for each group. At 0 hour primiprost tablet is inserted into the vagina close to the cervix. Frequency of repetition of tablet will be at three hours interval. Patient will be monitored.Results: The youngest one being of age 17 years and the eldest being of age 29 years. In this, we observed those primi and 2nd gravida patients 2-2 tablets each in latent phase and 1-1 tablets in active phase. The induction delivery Interval in primigravida was observed to be of average of 9 hours. While in II Gravida was 6.5 hours, in III Gravida 5.5 hours and in IV Gravida 4 hours.Conclusions: It has been proved beyond doubt that by programmed labour, the patient definitely can get the benefit of decrease in duration of labour.

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