Fetal mortality in contracted pelvis with prolonged labor and delivery through the birth canal

1934 ◽  
Vol 27 (4) ◽  
pp. 537-544 ◽  
Author(s):  
C.H. Peckham ◽  
K. Kuder
Keyword(s):  
Fetal Mortality ◽  
Labor And Delivery ◽  
Birth Canal ◽  
Prolonged Labor

scholarly journals Vacuum extractor in the fight against intra- and postnatal fetal mortality

2021 ◽  
Vol 43 (3) ◽  
pp. 88-90
Author(s):  
L. D. Likhtman
Keyword(s):  
Fetal Mortality ◽  
Severe Damage ◽  
Birth Canal ◽  
Wide Part ◽  
Vacuum Extractor ◽  
Obstetric Forceps

The introduction of obstetric forceps into practice did not satisfy obstetricians, since their use can cause severe damage to the birth canal and the head of the fetus, even if the head is located in the wide part or in the exit of the small pelvis, not to mention the imposition of high forceps, which is dangerous for both the mother and for the fetus.

scholarly journals HUBUNGAN TINGKAT KECEMASAN IBU DENGAN TERJADINYA PERSALINAN LAMA (PROLONG) PADA IBU BERSALIN KALA 1 FASE AKTIF PRIMIGRAVIDA DI RUMAH SAKIT AURA SYIFA KABUPATEN KEDIRI TAHUN 2019

2020 ◽  
Vol 8 (2) ◽  
pp. 168
Author(s):  
Ira Titisari ◽  
Citra DewiFitri Setiani ◽  
Sumy Dwi Antono
Keyword(s):  
Health Workers ◽  
Phase 1 ◽  
Sampling Technique ◽  
Active Phase ◽  
Relaxation Techniques ◽  
Cross Sectional ◽  
Birth Canal ◽  
Prolonged Labor ◽  
Relationship Of ◽  
The Relationship

Introduction: Labor is a process of opening and thinning the cervix and the fetus descends into the birth canal. The aim of this study was to determine the relationship of level of anxiety with the occurrence of prolonged labor (prolongation) at the time of delivery of Primigravida active phase 1 in Aura Syifa Hospital, Kediri. Method: The design of this study was cross-sectional research. An accidental sampling technique with a sample of 33 respondents was taken for this research. The research instrument used questionnaires and partographs. Data analysis using the Coefficient Contigensi test with a significant level of 0.05. Result: The results showed a significant relationship between the Anxiety Level and the occurrence of prolonged labor in the primigravida phase 1 in the Aura Syifa Hospital, Kediri. The closeness of the relationship between the two variables was medium, and the direction of the relationship between the two variables was positive. Discussion: Based on the results of these studies, health workers should teach relaxation techniques such as hypnobirthing during pregnancy to reduce anxiety during labor so it will not cause prolonged labor.

Aortic Blood Pressure in the Normal Newborn: Hazards of the Umbilical Artery Catheter

PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 893-893
Author(s):  
Frederick P. Anderson
Keyword(s):  
Blood Pressure ◽  
Umbilical Artery ◽  
Newborn Infants ◽  
Labor And Delivery ◽  
Premature Labor ◽  
Aortic Blood ◽  
Arterial Catheterization ◽  
Aortic Blood Pressure ◽  
Prolonged Labor

Although the authors of the study, "Aortic blood pressure in normal newborn infants during the first 12 hours of life" were sufficiently pleased with their results to recommend "that the aortic blood pressure be measured routinely in all infants who are apt to develop cardiopulmonary insufficiency and have indwelling umbilical arterial catheters," I feel obliged to raise two questions relative to its appropriateness and validity. I am not aware that either premature labor and delivery (10 patients) , Premature twinnmg (2 patients), sibling with fatal RDS (3 patients) , or prolonged labor (2 patients) in and of itself constituted an indication for the employment of umbilical arterial catheterization.

Prospective Examination of Epidural Catheter Insertion

1996 ◽  
Vol 84 (1) ◽  
pp. 88-93 ◽  
Author(s):  
Robert D'Angelo ◽  
Brenda L. Berkebile ◽  
J. C. Gerancher
Keyword(s):  
Epidural Analgesia ◽  
Epidural Catheter ◽  
Cesarean Delivery ◽  
Epidural Space ◽  
Local Anesthetic ◽  
Catheter Insertion ◽  
Labor And Delivery ◽  
Prolonged Labor ◽  
Epidural Catheters ◽  
Insertion Length

Background Although it is generally accepted that inserting epidural catheters 3-4 cm into the epidural space minimizes complications, no prospective randomized examination of epidural catheter insertion length has been published. Methods Eight hundred healthy parturients requesting epidural analgesia were randomized to have open-tip epidural catheters inserted 2, 4, 6, or 8 cm within the epidural space. The incidences of intravenous cannulation, unilateral sensory analgesia, and subsequent catheter dislodgment were recorded. Catheter insertions that resulted in intravenous cannulation or unilateral analgesia were incrementally withdrawn and retested with additional local anesthetic to determine the effectiveness of epidural catheter manipulation. Results Epidural catheters inserted 8 cm within the epidural space were more likely to result in intravenous cannulation. Epidural catheters inserted 2 cm within the epidural space were less likely to result in unilateral sensory analgesia but were more likely to become dislodged. Twenty-three percent of epidural catheters inserted > 2 cm within the epidural space required manipulation. Epidural catheters inserted 2 or 4 cm required replacement more often than epidural catheters inserted 6 or 8 cm. Ninety-one percent and 50% of epidural catheters that resulted in unilateral sensory analgesia and intravenous cannulation, respectively, provided analgesia for labor and delivery after incremental withdrawal. Conclusions Epidural catheters should be inserted either 2 cm when rapid labor is anticipated or 6 cm when prolonged labor or cesarean delivery is likely. Additionally, epidural catheters that result in intravenous cannulation or unilateral sensory analgesia can be manipulated effectively to provide analgesia for labor and delivery.

scholarly journals The effect of the implementation active birth technique using hypnobirthing accelerated the progress of the first stage of labor among intrapartum mother

2020 ◽  
Vol 7 (12) ◽  
pp. 4745
Author(s):  
Ika Yulia Darma ◽  
Nurul Abdillah ◽  
Meldafia Idaman ◽  
Honesty Diana Morika
Keyword(s):  
Total Sample ◽  
Bivariate Analysis ◽  
P Value ◽  
Independent Practice ◽  
Birth Canal ◽  
Post Test ◽  
Quasi Experimental ◽  
Prolonged Labor ◽  
The Uk ◽  
First Stage Of Labor

Background: Problems in childbirth, including old labor, which is one of the causes of death for mothers and newborns, is still widely found in Indonesia. Factors that influence labor to take longer are abnormal presentation, inadequate contractions, birth canal abnormalities, multiple pregnancies and anemia. To deal with prolonged labor, the UK has introduced active birth techniques. Hypnobirthing is one of the active birth methods that can be used during the first stage of labor. This research purposes to study the effect of the application of the active birth technique using hypnobirthing on the progress of the first stage of labor in the mother.Methods: This type of research was quasi experimental with the post-test only design approach. This research was conducted from 15 May to 18 August 2020, in 4 independent practice midwives (BPM) Padang City in 2020. Data were collected through observation sheets using non-probability sampling techniques, namely purposive sampling with a total sample of 15 samples. Data were collected using observation sheets. Data were analysed using univariate and bivariate analysis using the dependent T-test.Results: The results showed that the mean labor progress using hypnobirthing was 3.67 and SD±1.49 with a minimum value of 1 and a maximum of 6. Based on the statistical test, the p value was 0.000 (p<0.05).Conclusions: There is the effect of the application of active birth techniques using hypnobirthing on the progress of stage I labor in maternal labor.

The relationship of prolonged labor to fetal mortality

1951 ◽  
Vol 62 (5) ◽  
pp. 1086-1092 ◽  
Author(s):  
George W. Corner ◽  
Robert W. Kistner ◽  
Roscoe L. Wall
Keyword(s):  
Fetal Mortality ◽  
Prolonged Labor ◽  
Relationship Of ◽  
The Relationship

scholarly journals HUBUNGAN FREKUENSI SENAM YOGA DENGAN LAMA PERSALINAN KALA I FASE AKTIF

2018 ◽  
Vol 10 (02) ◽  
pp. 193
Author(s):  
Rima Pujianti Pujianti ◽  
Dwi Anita Apriastuti ◽  
Ardiani Sulistiani
Keyword(s):  
Active Phase ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Second Stage Of Labor ◽  
Birth Canal ◽  
Second Stage ◽  
Exercise Routine ◽  
Chi Square Test ◽  
Prolonged Labor

Rima Pujianti 1), Dwi Anita Apriastuti2), Ardiani Sulistiani3)1) , 2), 3)Prodi D3 Kebidanan STIKES Estu Utomo BoyolaliE-mail: [email protected] ABSTRAKLatar Belakang Angka Kematian Ibu (AKI) di Indonesia pada Tahun 2012 meningkat yaitu 359/100.000 kelahiran hidup.Salah satu penyebab kematian  ibu diantaranya adalah partus lama. Adapun salah satu penyebab terjadinya partus lama adalah ketidak seimbangan antara kekuatandalam mengejan dan his yang tidak adekuat.Dapat pula disebabkan karena faktor janin dan jalan lahir seperti malpresentasi atau malposisi janin, dan janin terlalu besar. Jalan lahir akan lentur pada perempuan yang rajin melakukan olahraga. Salah satu olah raga yang dapat dilakukan ibu hamil adalah senam yoga. Tujuan : mengetahui hubungan senam yoga dengan lama persalinan kala I fase aktif. Metode : Penelitian ini menggunakan rancangan penelitian deskriptif korelasional dengan pendekatan cross-sectional. Populasi dalam penelitian ini ibu bersalin normal di Aura Cantika pada bulan April - Mei 2014, dengan teknik accidental sampling diperoleh sampel 30. Analisa data dengan menggunakan uji statistik chi square. Hasil penelitian menunjukan dari 15 responden yang rutin melakukan senam yoga, 14 responden diantaranya (46.7%) lama persalinannya cepat, sedangkan dari 15 responden yang tidak rutin melakukan senam yoga, didapatkan 11 responden (36,7 %) mengalami persalinan cepat. Hasil uji chi square dengan SPSS 16.0 nilai p value = 0,032 yang menunjukkan ada hubungan yang bermakna antara senam yoga dengan lama persalinan kala I fase aktif. Kesimpulan : Dari penelitian ini dapat disimpulkan bahwa ada hubungan antara senam yoga dengan lama  persalinan kala I fase aktifKata Kunci :Senam yoga, lama persalinan kala I fase aktif.YOGA EXERCISES INFLUENCEON THE OHASE 1 STAGE OF LABOR LONGER ACTIVE ON MATERNATALABSTRACTBackground : maternal mortality rate in indonesia in 2012 live births increased that is 359/100.000 .one of the causes of marenal mortality include prolonged labor. As for one of the causesof prolonged labor is imbalance between the push and his strength is inadequate.can also be caused by factors such as the fetus and birth canal malpresentation or malposition, and the fetus is too large. Birth canal will be flexible in women who exercise diligently. One sport do pregnant women is yoga exercises. Research purposes : knowing the relationshif between yoga gymnesties and the longth of labor during the active phase. Research methods : A descriptive correlational study using cross-sectional approach. The population of this research is all normal maternal aura cantika in april-may 2014, with accidental sampling techniques samples obtained 30, sample taken with purposive sampling techniques and analyzed using chi square test statistic. Research result : Showed that of the 15 respondents, 14 respondents (46.7%) doing yoga exercise routine, long second stage of labor more quickly. Respondents who did not yoga exercise routine was 15 respondents ,11 respondents( 36,7 % )  long second stage of labor more quickly. The result of the chi square test with SPSS 16.0 p value = 0.032 showed that there was a significant relationship between yoga gymnastics and the length of labor during the active phase I. Knot : from this study it can be concluded that there is a relationship between yoga gymnastics and the length of labor during the active phase.Keyword : yoga exercise, duration of labor 1 when the active phase.

scholarly journals Effect of Prenatal Yoga on Duration of the First Stage of Labor and Perineal Rupture in Primigravida Mothers

2021 ◽  
Vol 8 (1) ◽  
pp. 34-39
Author(s):  
Asri Daniyati ◽  
Shohipatul Mawaddah
Keyword(s):  
Active Phase ◽  
Birth Canal ◽  
Leg Muscles ◽  
Labor Duration ◽  
Yoga Group ◽  
Significant Difference ◽  
Prolonged Labor ◽  
The One ◽  
And Control ◽  
First Stage Of Labor

In primigravidas, the first stage of labor has a longer duration than multiparous. The first stage of labor in primiparous is around 13-14 hours, while in multiparous it is about 7 hours. Prolonged labor is one of the causes of maternal death. Yoga in pregnancy can maintain elasticity and strength of the ligaments of the pelvis, hips, and leg muscles, so that it can reduce pain during labor and provide space for the birth canal. The comparative analytical research method used pre-experimental design with the one shot case study design. With a sample of 26 trimesters III primigravida pregnant women who were divided into 2 groups, namely n = 13 groups who did prenatal yoga, and n = 13 groups who did not do prenatal yoga. The analysis of this research was univariate and bivariate using the Mann Whitney test. Assessment is carried out during the delivery process. As a result, the intervention and control groups with active phase I labor duration obtained p = 0.000, and perineal rupture p = 0.000. There was a significant difference in the length of the first stage of labor and perineal rupture between the yoga group and the non-yoga group. Prenatal yoga affects the duration of the first stage of labor and perineal rupture.

Management of Some Aspects of Twin Labor and Delivery

1972 ◽  
Vol 22 (S1) ◽  
pp. 62-69 ◽  
Author(s):  
F. Leroy
Keyword(s):  
Mortality Rate ◽  
Twin Pregnancy ◽  
Fetal Mortality ◽  
Time Interval ◽  
Labor And Delivery ◽  
Twin Birth ◽  
Rate Versus ◽  
Obstetrical Management ◽  
Second Twin

Our data show that oxytocic perfusion should be liberally given during twin pregnancy labor, since its use is correlated with lower fetal mortality, especially of the second premature twin. This therapy might act, namely, by reducing the number of second-twin abnormal presentations. In our series, the higher mortality rate associated with lengthening of time interval between both births could be attributed to second-twin abnormal presentations. However, mortality rate versus time interval in spontaneous twin deliveries warrants obstetrical management providing second-twin birth within 15 minutes.

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