Effects of the individual uterine contraction on fetal head descent and cervical dilatation during the active stage of labor

Background: The first stage of labor is a tiring moment for mothers, which may cause exhaustion, dehydration, risk of infection, uterine atony, and postpartum hemorrhage. Hypnobirthing is considered effective to speed up early labor process. Objective: This study aimed to examine the effect of hypnobirthing on the progress of the latent phase of labor.Methods: This study was a quasi experiment with posttest only control group design. Thirty-two primigravida mothers in the latent phase of labor were selected using purposive sampling, with 16 assigned in the experiment and control group. The progress of labor was measured by four indicators recorded in partograph, namely frequency and duration of uterine contraction, cervical dilatation, and descent of the fetal head. Independent t-test was used for data analysis.Results: Result showed that there was a significant difference in the frequency of uterine contraction (p=0.001), duration of contraction (p=0.001), cervical dilatation (p=0.007), and descent of the fetal head (p=0.001) between the experiment group and control group.Conclusion: Hypnobirthing technique is significant in accelerating the progress of the latent phase of labor in primigravida mothers.

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Labor progress indices and dynamics of the individual uterine contraction during the active stage of labor

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.12218 ◽

2013 ◽

Vol 40 (3) ◽

pp. 686-693

Author(s):

Ella Ophir ◽

Jacob Bornstein ◽

Marwan Odeh ◽

Svetlana Kaminsky ◽

Oleg Shnaider ◽

...

Keyword(s):

Uterine Contraction ◽

Active Stage ◽

The Individual

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Effect of Epidural Analgesia with Ambulation on Labor Duration

Anesthesiology ◽

10.1097/00000542-200110000-00012 ◽

2001 ◽

Vol 95 (4) ◽

pp. 857-861 ◽

Cited By ~ 43

Author(s):

Manuel C. Vallejo ◽

Leonard L. Firestone ◽

Gordon L. Mandell ◽

Francisco Jaime ◽

Sandra Makishima ◽

...

Keyword(s):

Epidural Analgesia ◽

Randomized Study ◽

Mode Of Delivery ◽

Vena Cava ◽

Cervical Dilatation ◽

Fetal Head ◽

Chi Square ◽

Labor Duration ◽

Nulliparous Women ◽

Scale Scores

Background Ambulatory epidural analgesia (AEA) is a popular choice for labor analgesia because ambulation reportedly increases maternal comfort, increases the intensity of uterine contractions, avoids inferior vena cava compression, facilitates fetal head descent, and relaxes the pelvic musculature, all of which can shorten labor. However, the preponderance of evidence suggests that ambulation during labor is not associated with these benefits. The purpose of this study is to determine whether ambulation with AEA decreases labor duration from the time of epidural insertion to complete cervical dilatation. Methods In this prospective, randomized study, 160 nulliparous women with AFA were randomly assigned to one of two groups: AEA with ambulation and AEA without ambulation. AEA blocks were initiated with 15-20 ml ropivacaine (0.07%) plus 100 microg fentanyl, followed by a continuous infusion of 0.07% ropivacaine plus 2 microg/ml fentanyl at 15-20 ml/h. Maternal measured variables included ambulation time, time from epidural insertion to complete dilatation, stage II duration, pain Visual Analogue Scale scores, and mode of delivery. APGAR scores were recorded at 1 and 5 min. Results are expressed as mean +/- SD or median and analyzed using the t test, chi-square, or the Mann-Whitney test at P < or = 0.05. Results The ambulatory group walked 25.0 +/- 23.3 min, sat upright 40.3 +/- 29.7 min, or both. Time from epidural insertion to complete dilatation was 240.9 +/- 146.1 min in the ambulatory group and 211.9 +/- 133.9 min in the nonambulatory group (P = 0.206). Conclusion Ambulatory epidural analgesia with walking or sitting does not shorten labor duration from the time of epidural insertion to complete cervical dilatation.

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OC189: Comparison of fetal head position assessment between ultrasound-based LaborPro system and transvaginal digital examination during the active stage of labor

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.4295 ◽

2007 ◽

Vol 30 (4) ◽

pp. 425-425

Author(s):

J. Nizard ◽

Y. Paltieli ◽

R. Gonen ◽

G. Ohel ◽

Y. Ville

Keyword(s):

Head Position ◽

Digital Examination ◽

Active Stage ◽

Fetal Head ◽

Fetal Head Position

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Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2015.09.019 ◽

2016 ◽

Vol 133 (2) ◽

pp. 178-182 ◽

Cited By ~ 14

Author(s):

Subrata L. Seal ◽

Alok Dey ◽

Sannyashi C. Barman ◽

Gourisankar Kamilya ◽

Joydev Mukherji ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Cesarean Delivery ◽

Controlled Trial ◽

Cervical Dilatation ◽

Fetal Head ◽

Randomized Controlled

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Intrapartum fetal head position I: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the active stage of labor

Ultrasound in Obstetrics and Gynecology ◽

10.1046/j.1469-0705.2002.00641.x ◽

2002 ◽

Vol 19 (3) ◽

pp. 258-263 ◽

Cited By ~ 10

Author(s):

Sherer D. M. ◽

Miodovnik M. ◽

Bradley K. S. ◽

Langer O.

Keyword(s):

Head Position ◽

Transabdominal Ultrasound ◽

Digital Examination ◽

Active Stage ◽

Fetal Head ◽

Ultrasound Assessment ◽

Fetal Head Position

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Maternal and foetal outcome in second stage caesarean section: a prospective study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211151 ◽

2021 ◽

Vol 10 (4) ◽

pp. 1644

Author(s):

Shuchi Sharma ◽

Poojan Dogra ◽

Reena Sharma ◽

Suraj Bhardwaj

Keyword(s):

Caesarean Section ◽

Prospective Study ◽

Cervical Dilatation ◽

Bladder Injury ◽

Fetal Head ◽

Second Stage Of Labor ◽

Second Stage ◽

Second Stage Of Labour ◽

Adjacent Structures ◽

A Prospective Study

Background: Caesarean section is the most commonly performed abdominal operation in women all over the world. Caesarean sections during the second stage labour accounts for approximately one fourth of all primary caesareans. Caesarean section at full cervical dilatation is technically difficult and is associated with increased trauma to the lower uterine segment and adjacent structures, as well as increased haemorrhage and infection. Aims and objectives were to determine the indications, maternal and foetal morbidity associated with caesarean section in the second stage of labour.Methods: This prospective study included consecutive 50 cases of caesarean section deliveries conducted in second stage of labor for singleton live pregnancies at term. The data collected in the study was analyzed in terms of maternal demographics, indications of caesarean section, intra-operative and postoperative complications and neonatal outcomes.Results: In our series of 50 deliveries, arrest of descent of fetal head due to malposition was the most common indication of caesarean section accounting for 74% and average procedure time was 45-70 minutes. PPH (62%) was the most common complication. Bladder injury was found in 14% cases. Neonatal outcome variables like APGAR<3 at 5 minutes, respiratory distress and neonatal death were observed in 7, 26 and 2 deliveries respectively.Conclusions: Women undergoing cesarean section in second stage of labour are associated with increased maternal and fetal morbidity. They require special care and hence operation should ideally be performed and supervised by an experienced obstetrician. A proper judgement is required to take a decision for caesarean section at full cervical dilatation.

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Use of the purple line to diagnose cervical dilatation and fetal head station during labor

International Journal of Gynecology & Obstetrics ◽

10.1002/ijgo.12459 ◽

2018 ◽

Vol 141 (2) ◽

pp. 250-251 ◽

Cited By ~ 1

Author(s):

Rodrigo D. Nunes ◽

Paula Locatelli ◽

Jefferson Traebert

Keyword(s):

Cervical Dilatation ◽

Fetal Head

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Feasibility, Reliability, and Agreement of Transperineal Ultrasound Measurement: Results from a Longitudinal Cohort Study

Fetal Diagnosis and Therapy ◽

10.1159/000507549 ◽

2020 ◽

Vol 47 (10) ◽

pp. 721-730

Author(s):

Angel H.W. Kwan ◽

Piya Chaemsaithong ◽

Wing Ting Tse ◽

Kubi Appiah ◽

Ka Chun Chong ◽

...

Keyword(s):

Transperineal Ultrasound ◽

Cervical Dilatation ◽

Ultrasound Measurement ◽

Vaginal Examination ◽

Fetal Head ◽

Prospective Longitudinal Study ◽

Measurement Results ◽

High Measurement ◽

Prospective Longitudinal ◽

Singleton Pregnancies

Objectives: To evaluate the feasibility, reliability, and agreement of serial transperineal ultrasound (TPU) assessment of fetal head station (parasagittal angle of progression [psAOP], head-perineum distance [HPD], and head-symphysis distance [HSD]) and sonographic cervical dilatation (SCD), compared to fetal head station and cervical dilatation determined by vaginal examination, respectively. Methods: This was a prospective longitudinal study in singleton pregnancies undergoing induction of labor at term. Paired assessment of fetal head station and cervical dilatation by vaginal examination, with TPU assessment of psAOP, HPD, HSD, and SCD was made serially. Feasibility, correlation, reliability, and agreement were determined. Results: 1,139 paired measurements among 326 women were included. psAOP and HPD were achievable in all assessments. HSD was not achievable in 3.4% (11/326) due to high fetal head station. Fetal head station by vaginal examination was positively correlated with psAOP (rho = 0.70) but negatively correlated with HPD (rho = −0.57) and HSD (rho = −0.52). The feasibility to measure SCD reduced as cervical dilatation increased. Cervical dilatation and SCD were positively correlated (rho = 0.96) with strong agreement (concordant correlation coefficient = 0.925). Conclusions: Measurements of psAOP and HPD are feasible and correlate significantly with fetal head station by vaginal examination. Measurement of HSD is not feasible when fetal head station is high. Measurement of SCD is feasible, but it is more difficult in the advanced stage of labor. The correlation, reliability, and agreement between SCD and cervical dilatation by vaginal examination are high.

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