Neonatal and Maternal Morbidity in Relation to the Length of the Second Stage of Labour

1993 ◽  
Vol 48 (1) ◽  
pp. 20-21
Author(s):  
NIGEL ST. G. SAUNDERS ◽  
CATHERINE M. PATERSON ◽  
JANE WADSWORTH
Keyword(s):  
Maternal Morbidity ◽  
Second Stage ◽  
Second Stage Of Labour

scholarly journals Vulvovaginal Infralevator Haematoma Mimicking the Second Stage of Labour

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
J. O. Awoleke ◽  
O. M. Ipinnimo
Keyword(s):  
Blood Loss ◽  
Tissue Damage ◽  
Maternal Morbidity ◽  
Perineal Pain ◽  
Rare Occurrence ◽  
Risk Of Infection ◽  
Final Size ◽  
Rare Presentation ◽  
Second Stage ◽  
Second Stage Of Labour

Even though they are quite uncommon, puerperal genital haematomas can be associated with serious maternal morbidity. Key findings are significant perineal pain and, depending on the location, visible swelling. However, attention can be drawn to its progression by the rare occurrence of persistent painful “bearing down” efforts, even after the successful delivery of the baby. The final size of this haematoma and the rare presentation make it truly uncommon. The primary goals of treatment include the prevention of further blood loss, minimizing tissue damage, relieving pain, and reducing the risk of infection. Management is generally conservative for small collections, but surgery is indispensable when they acutely expand in size or are large with worsening symptoms.

Prolonged second stage of labour increases maternal morbidity but not neonatal morbidity

2018 ◽  
Vol 59 (4) ◽  
pp. 555-560 ◽  
Author(s):  
Payal Matta ◽  
Jessica Turner ◽  
Christopher Flatley ◽  
Sailesh Kumar
Keyword(s):  
Maternal Morbidity ◽  
Neonatal Morbidity ◽  
Second Stage ◽  
Second Stage Of Labour

scholarly journals Caesarean section in second stage of labour: a commentary on principles and techniques

2021 ◽  
Vol 10 (10) ◽  
pp. 4038
Author(s):  
Michael S. Archibong ◽  
Wilson S. Adenikinju ◽  
Olaniyi J. Olayemi ◽  
Mariam Amuda
Keyword(s):  
Caesarean Section ◽  
Maternal Morbidity ◽  
Cervical Dilatation ◽  
Second Stage ◽  
Second Stage Of Labour

Caesarean section done at full cervical dilatation (second stage of labour) has been on the rise globally and comes with its own unique challenges and complications. This commentary highlights the peculiar challenges associated with caesarean section in second stage of labour and gives an overview on various principles to be followed and techniques to employ to reduce fetal and maternal morbidity.

scholarly journals A study on the role of partograph in monitoring labour in high risk pregnancies

2019 ◽  
Vol 6 (4) ◽  
pp. 1326
Author(s):  
Sushreesmita Mohanty ◽  
Ipsita Mohanty
Keyword(s):  
High Risk ◽  
Maternal Morbidity ◽  
Risk Groups ◽  
Medical College ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Risk Patients ◽  
The Mean ◽  
Early Detection And Prevention

Background: The progress of labour can be graphically represented using the WHO partogragh, which helps in early detection and prevention of complication of labour, thus resulting in a better feto-maternal outcome especially in high risk cases.Methods: The study was undertaken at Hitech Medical College and Hospital, Bhubaneswar from March 2017 to February 2019 on 200 high risk patients. The progress of labour was plotted and assessed on Modified WHO partograph.Results: Majority of the cases were referred cases. Augmentation of labour was carried out in 56 cases. The mean duration of labour in the first stage was 5.4 hours and 4.1 hours in primi and multigravidas, whereas that of the second stage of labour are 37.5 minutes and 26.3 minutes respectively. 51 cases had prolonged labour and 15 cases had arrest of labour in the second stage. Maximum number of cases underwent LSCS due to abnormal labour progression. 8.7% of the cases had PPH and 2.3% had puerperal sepsis. Neonatal asphyxia was seen in 13.6% cases and 2.8% had early neonatal death.Conclusion: The results conclude that the WHO modified partograph is an inexpensive useful tool in monitoring the progress of labour and reducing foeto maternal morbidity in high risk groups.

scholarly journals Thyroid storm in the second stage of labour: a case report

2021 ◽  
Vol 14 (7) ◽  
pp. e243159
Author(s):  
Yudianto Budi Saroyo ◽  
Achmad Kemal Harzif ◽  
Beryliana Maya Anisa ◽  
Fistyanisa Elya Charilda
Keyword(s):  
Treatment Guidelines ◽  
Thyroid Storm ◽  
Lung Oedema ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Failure Treatment ◽  
Life Threatening ◽  
Thyroid Hormone Levels ◽  
Peripartum Period ◽  
In Pregnancy

A thyroid storm (or thyroid crisis) is an emergency in endocrinology. It is a form of complication of hyperthyroidism that can be life-threatening. Inadequate control of hyperthyroidism in pregnancy could develop into thyroid storm, especially in the peripartum period. We present a woman came in the second stage of labour, with thyroid storm, superimposed pre-eclampsia, acute lung oedema and impending respiratory failure. Treatment for thyroid storm, pre-eclampsia protocol and corticosteroid was delivered. The baby was born uneventfully, while the mother was discharged after 5 days of hospitalisation. Delivery is an important precipitant in the development of thyroid storm in uncontrolled hyperthyroidism in pregnancy. Although very rare, it can cause severe consequences. Diagnosis and treatment guidelines for thyroid storm were available and should be done aggressively and immediately. Uncontrolled hyperthyroidism should be prevented by adequate control in thyroid hormone levels, especially before the peripartum period.

scholarly journals Clincial Experience with Patient-Controlled and Staff-Administered Intermittent Bolus Epidural Analgesia in Labour

1995 ◽  
Vol 23 (4) ◽  
pp. 459-463 ◽  
Author(s):  
M. J. Paech ◽  
T. J. G. Pavy ◽  
C. Sims ◽  
M. D. Westmore ◽  
J. M. Storey ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Randomized Study ◽  
Obstetric Delivery ◽  
Second Stage ◽  
Intermittent Bolus ◽  
Second Stage Of Labour ◽  
Pain Scores ◽  
Maximum Pain ◽  
Delivery Unit ◽  
Ib Method

A prospective randomized study was Performed to detail clinical experience with both patient-controlled epidural analgesia (PCEA) and midwife-administered intermittent bolus (IB) epidural analgesia during labour, under the conditions pertaining in a busy obstetric delivery unit. Both methods used 0.125% bupivacaine plus fentanyl, and similar rescue supplementation although management decisions related to epidural analgesia were made principally by attending midwives One hundred and ninety-eight women were recruited and data analysed from 167 (PCEA n = 82 IB n=85) The groups were demographically similar. Median hourly pain scores, ratings of analgesia and satisfaction did not differ Maximum pain scores were significantly higher in those receiving IB epidural analgesia (P<0.05). The PCEA group had a significantly higher rate of supplementation and bupivacaine use (P<0.01), and a longer duration of the second stage of labour (P<0.03) The relative risk of instrumental delivery with PCEA versus the IB method was 1.57 (CI 1.07–2.38) Experience within our unit with PCEA is contrasted with that of IB epidural analgesia, the method most commonly used; and with that of controlled trials comparing these two methods.

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