Exploring pain characteristics in nulliparous women; a precursor to developing support for women in the latent phase of labour

Midwifery ◽  
2021 ◽  
pp. 103174
Author(s):  
Carol J Clark ◽  
Guste Kalanaviciute ◽  
Vanessa Bartholomew ◽  
Helen Cheyne ◽  
Vanora A Hundley
Keyword(s):  
Nulliparous Women ◽  
Pain Characteristics ◽  
Latent Phase Of Labour ◽  
Latent Phase

VISUAL DISPLAY OF INFORMATION INFLUENCES C-SECTION RATES

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. A28-A28
Keyword(s):  
Decision Making ◽  
Visual Display ◽  
Cervical Dilation ◽  
Steep Gradient ◽  
Slow Progress ◽  
The Difference ◽  
Low X ◽  
Latent Phase Of Labour ◽  
Latent Phase ◽  
The Way

Our findings indicate that doctors' decision-making about slow labour is influenced by the way in which information is presented graphically. Doctors are less likely to intervene during labour if the cervical dilation is drawn on a partogram with a low x to y ratio so that the progress line has a steep gradient than if the x to y ratio is higher so that the line is flatter. Moreover, if the latent phase of labour is drawn on the partogram labour seems longer with slow progress, and doctors are again more likely to intervene than if the information is omitted from the graph. Since the rate of progress is the same in both cases, the difference in decision-making must be due to a change in perception.

The latent phase of labour and the water

2019 ◽  
pp. 11-24
Author(s):  
Maria Paz Miranda ◽  
Sian Marie Barnard ◽  
Catriona Cusick ◽  
Pat Hutson
Keyword(s):  
Latent Phase Of Labour ◽  
Latent Phase

Primiparous women's preferences for care during a prolonged latent phase of labour

2015 ◽  
Vol 6 (3) ◽  
pp. 145-150 ◽  
Author(s):  
Karin Ängeby ◽  
Bodil Wilde-Larsson ◽  
Ingegerd Hildingsson ◽  
Ann-Kristin Sandin-Bojö
Keyword(s):  
Women’S Preferences ◽  
Preferences For Care ◽  
Latent Phase Of Labour ◽  
Latent Phase

scholarly journals Maternal and fetal outcome after a prolonged latent phase of labour

2006 ◽  
Vol 22 (2) ◽  
Author(s):  
Michael E Aziken ◽  
Augustine AE Orhue ◽  
Anthony C Okonkwo ◽  
Henry O Osazuwa
Keyword(s):  
Fetal Outcome ◽  
Latent Phase Of Labour ◽  
Latent Phase

Latent phase of labour - to admit or not?

2011 ◽  
Vol 96 (Supplement 1) ◽  
pp. Fa92-Fa92
Author(s):  
S. Kotasthane ◽  
E. Ferfuson ◽  
M. McSherry
Keyword(s):  
Latent Phase Of Labour ◽  
Latent Phase

scholarly journals Meconium stained liquor in labour and mode of delivery: a time for reappraisal

2020 ◽  
Vol 9 (10) ◽  
pp. 4016
Author(s):  
Sharda Patra ◽  
Shruthi S. S. ◽  
Manju Puri ◽  
Sushma Nangia ◽  
S. S. Trivedi
Keyword(s):  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Fetal Heart ◽  
Mode Of Delivery ◽  
New Delhi ◽  
Medical College ◽  
Time Period ◽  
Meconium Staining ◽  
Latent Phase Of Labour ◽  
Latent Phase

Background: The objective of this study was to determine the significance of meconium staining of the amniotic fluid and find out an appropriate mode of delivery in women with MSL.Methods: A retrospective study was carried out in Lady Hardinge Medical College and Smt Sucheta Kriplani Hospital, a tertiary government hospital, New Delhi over a time period of 1 year between 2009 to 2010 on 1425 consecutive women of which 142 women were diagnosed as having meconium staining of the amniotic fluid during labour.  All cases were critically analysed and maternal and fetal outcomes were studied in these women.Results: The incidence of MSL was 10% (142/1425), 45% had thin MSL and 55% had thick MSL. In women with thick MSL, 85% had early thick MSL and 15% had late thick MSL. In women who had early thick MSL (n=66), 55 (83.3%) delivered by LSCS and 11 (16.7%) delivered vaginally. On correlating the perinatal outcome with mode of delivery irrespective of fetal heart rate abnormality in early thick MSL, it was seen that the perinatal outcome was significantly affected by mode of delivery. The rates of respiratory distress and MAS was significantly higher in babies who delivered vaginally compared to those by LSCS (18% & 100% vs 9% & 40%, p=0.012, RR- 5.2 [95% CI: 1.8-3.42]. There were no perinatal mortality in early thick MSL.Conclusions: In distinguishing between thick and thin meconium, it was noted that finding of thick meconium in the latent phase of labour (i.e. early thick MSL) is ominous and demands an urgent caesarean delivery. 

scholarly journals Simple models to predict vaginal delivery and spontaneous fetal occiput rotation based on intrapartum ultrasound and maternal characteristics

2021 ◽  
Author(s):  
Cheng Chen ◽  
Xiaoxing Zhang ◽  
Xiaohan Guo ◽  
Hangkai Bao ◽  
Peiying Luo ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Prediction Models ◽  
Characteristic Curve ◽  
Delivery Mode ◽  
Maternal Height ◽  
Fetal Head ◽  
Maternal Characteristics ◽  
Nulliparous Women ◽  
Latent Phase ◽  
Simple Models

Objective: To develop the prediction models for identifying fetal occiput rotation and vaginal delivery based on intrapartum sonographic findings. Design: Prospective observational study. Setting: Hangzhou, China. Population: Nulliparous women with a singleton cephalic presentation at term. Methods: Serial intrapartum ultrasonography were performed in the latent phase (T1) and every three hours after that (T2, T3 and T4). The managing clinicians performed paired digital vaginal examinations to assess labor progress. Main Outcome Measures: Delivery mode and successful internal fetal head rotation to the occiput anterior (OA) position. Results: 614 women were included, of whom 524 underwent vaginal delivery, and 90 required cesarean section. The percentage of women with fetuses in non-occiput anterior position at the latent phase was 53.9% (331 cases), as 257 women underwent spontaneous rotation to OA position before delivery, 74 were with persistent occiput posterior or transverse position. We developed a model on the basis of the maternal height and middle angel to predict the spontaneous fetal occiput rotation, with the area under the receiver operating characteristic curve (AUC) was 0.667 (95%CI 0.583-0.751). Moreover, a prediction model based on the maternal height and angle of progression to evaluate whether women underwent vaginal delivery was also developed, of which the AUC was 0.738(95% CI: 0.763-0.793). Both models showed satisfactory calibration. Conclusion: Simple models based on maternal characteristics and intrapartum ultrasound findings might provide useful information for predicting vaginal delivery and internal fetal occiput rotation.

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