An Analysis of Second-Stage Labor beyond 3 Hours in Nulliparous Women

2012 ◽  
Vol 29 (09) ◽  
pp. 717-722 ◽  
Author(s):  
April Bleich ◽  
James Alexander ◽  
Donald McIntire ◽  
Kenneth Leveno
Keyword(s):  
Second Stage ◽  
Nulliparous Women ◽  
Second Stage Labor

scholarly journals Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomes

2009 ◽  
Vol 201 (4) ◽  
pp. 357.e1-357.e7 ◽  
Author(s):  
Dwight J. Rouse ◽  
Steven J. Weiner ◽  
Steven L. Bloom ◽  
Michael W. Varner ◽  
Catherine Y. Spong ◽  
...  
Keyword(s):  
Perinatal Outcomes ◽  
Second Stage ◽  
Labor Duration ◽  
Nulliparous Women ◽  
Second Stage Labor

A Randomized Control Trial of Bupivacaine and Fentanyl versus Fentanyl-only for Epidural Analgesia during the Second Stage of Labor

2015 ◽  
Vol 122 (1) ◽  
pp. 172-177 ◽  
Author(s):  
Margaret G. Craig ◽  
Erica N. Grant ◽  
Weike Tao ◽  
Donald D. McIntire ◽  
Kenneth J. Leveno
Keyword(s):  
Mode Of Delivery ◽  
Group Versus ◽  
Postnatal Period ◽  
Neonatal Outcomes ◽  
Motor Blockade ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Nulliparous Women ◽  
Epidural Bupivacaine ◽  
Second Stage Labor

Abstract Background: The purpose of this prospective, double-blinded, parallel-arm, randomized trial was to examine the effects of epidural bupivacaine on the length of the second stage of labor in nulliparous women. Methods: The authors assessed length of second-stage labor, degree of motor blockade, mode of delivery, and visual analog scores in 310 nulliparous women with labor epidurals randomized to receive either: (1) 0.125% bupivacaine and fentanyl 2 μg/ml or (2) fentanyl 10 μg/ml alone via epidural using double blinding. Results: The median duration of the second stage was 75 min (41, 128) in the bupivacaine/fentanyl group versus 73 min (42, 120) in the fentanyl-only group (P = 0.17) with a median difference of 6.0 (95% CI, −6.0 to 18.0). Furthermore, there was no difference in degree of motor blockade, incidence of operative delivery, visual analog scores, or neonatal outcomes between the two groups. No adverse events were reported. Conclusions: Use of epidural bupivacaine/fentanyl or a fentanyl-only infusion during the second stage of labor did not affect the duration of the second stage of labor, degree of motor blockade, mode of delivery, pain relief, and maternal or neonatal outcomes. However, in the fentanyl-only infusion group, there was a fivefold increase in opioid exposure to the fetus with unknown effects on neurobehavior, an outcome not assessed beyond the immediate postnatal period in this study.

Second-Stage Labor Duration in Nulliparous Women

2011 ◽  
Vol 31 (1) ◽  
pp. 26
Author(s):  
D.J. Rouse ◽  
S.J. Weiner ◽  
S.L. Bloom ◽  
M.W. Varner ◽  
C.Y. Spong ◽  
...  
Keyword(s):  
Second Stage ◽  
Labor Duration ◽  
Nulliparous Women ◽  
Second Stage Labor

scholarly journals Midwives’ Verbal Support of Nulliparous Women in Second‐Stage Labor

2013 ◽  
Vol 42 (3) ◽  
pp. 311-320 ◽  
Author(s):  
Noelle Borders ◽  
Claire Wendland ◽  
Emily Haozous ◽  
Lawrence Leeman ◽  
Rebecca Rogers
Keyword(s):  
Second Stage ◽  
Nulliparous Women ◽  
Second Stage Labor

Prolonged interpregnancy interval: how does it impact the length of second stage of labor?

2020 ◽  
Vol 48 (8) ◽  
pp. 811-818
Author(s):  
Nicole B. Kurata ◽  
Keith K. Ogasawara ◽  
Kathryn L. Pedula ◽  
William A. Goh
Keyword(s):  
Perinatal Outcomes ◽  
Kaiser Permanente ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Labor Duration ◽  
Nulliparous Women ◽  
Multiparous Women ◽  
Comparison Groups ◽  
Maternal And Neonatal Outcomes ◽  
Interpregnancy Intervals

AbstractObjectivesShort interpregnancy intervals (IPI) have been linked to multiple adverse maternal and neonatal outcomes, but less is known about prolonged IPI, including its relationship with labor progression. The objective of the study was to investigate whether prolonged IPIs are associated with longer second stages of labor.MethodsA perinatal database from Kaiser Permanente Hawaii was used to identify 442 women with a prolonged IPI ≥60 months. Four hundred forty two nulliparous and 442 multiparous women with an IPI 18–59 months were selected as comparison groups. The primary outcome was second stage of labor duration. Perinatal outcomes were compared between these groups.ResultsThe median (IQR) second stage of labor duration was 76 (38–141) min in nulliparous women, 15 (9–28) min in multiparous women, and 18 (10–38) min in women with a prolonged IPI (p<0.0001). Pairwise comparisons revealed significantly different second stage duration in the nulliparous group compared to both the multiparous and prolonged IPI groups, but no difference between the multiparous and prolonged IPI groups. There was a significant association with the length of the IPI; median duration 30 (12–61) min for IPI ≥120 months vs. 15 (9–27) min for IPI 18–59 months and 16 (9–31) min for IPI 60–119 months (p=0.0014).ConclusionsThe second stage of labor did not differ in women with a prolonged IPI compared to normal multiparous women. Women with an IPI ≥120 months had a significantly longer second stage vs. those with a shorter IPI. These findings provide a better understanding of labor progression in pregnancies with a prolonged IPI.

814: Nulliparous women in the second stage of labor: changes in neonatal outcomes over the past 10 years stratified by mode of delivery

2015 ◽  
Vol 212 (1) ◽  
pp. S392
Author(s):  
Joseph Fitzwater ◽  
Nana-Ama Ankumah ◽  
Sukhkamal Campbell ◽  
Joseph Biggio ◽  
John Owen ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
The Past ◽  
Nulliparous Women

scholarly journals Hubungan Faktor Maternal terhadap Posisi pada Waktu Persalinan Kala II dengan Kejadian Ruptur Perineum

2020 ◽  
Vol 2 (1) ◽  
pp. 31-36
Author(s):  
Wa Ode Hajrah ◽  
Niken Purbowati ◽  
Novia Nuraini
Keyword(s):  
Maternal Age ◽  
Statistical Tests ◽  
Reproductive Organs ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Second Stage ◽  
Second Stage Labor ◽  
Relationship Of ◽  
The Relationship

erineal rupture needs attention because it can cause dysfunction of the female reproductive organs, as a source of bleeding, a source, or a way in and out of infection, then it can cause death due to bleeding or sepsis. About 85% of Women who delivery vaginally experience perineal rupture, in the age group 25-30 years 24%, while in maternal age 32-39 years by 62%. In Asia, perineal rupture is also a problem in society, 50 % of the world's occurrence is in Asia. The study aims to determine the relationship of maternal factors to the position of the second stage labor and perineal rupture occurrence. This research applied a descriptive-analytic method using a cross-sectional research design. The research sample was 102 respondents, accidental random sampling, which was all labor with perineal rupture in July to November 2018. Statistical tests used chi-square. The results of perineal rupture with maternal age was p-value 0.042 (p <0.05), perineal rupture with maternal parity was p-value 0.01 (p <0.05). Suggestions for various maternal positions in maternity and ANC classes to prevent perineal rupture.

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