Maternal Age and the Duration of the Second Stage of Labor

2006 ◽  
Vol 1092 (1) ◽  
pp. 414-417 ◽  
Author(s):  
K. PAPADIAS ◽  
P. CHRISTOPOULOS ◽  
E. DELIGEOROGLOU ◽  
N. VITORATOS ◽  
E. MAKRAKIS ◽  
...  
Keyword(s):  
Maternal Age ◽  
Second Stage Of Labor ◽  
Second Stage

scholarly journals Risk Factors Affecting the Severity of Full-Term Neonatal Retinal Hemorrhage

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zhang Yanli ◽  
Zhao Qi ◽  
Lin Yu ◽  
Guo Haike
Keyword(s):  
Risk Factors ◽  
Intracranial Hemorrhage ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Retinal Hemorrhage ◽  
Full Term ◽  
Term Infants ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Prolonged Duration

Objective. The purpose of this study was to explore the underlying clinical factors associated with the degree of retinal hemorrhage (RH) in full-term newborns. Methods. A total of 3054 full-term infants were included in this study. Eye examinations were performed with RetCamIII within one week of birth for all infants. Maternal, obstetric, and neonatal parameters were compared between newborns with RH and controls. The RH group was divided into three sections (I, II, and III) based on the degree of RH. Results. RH was observed in 1202 of 3054 infants (39.36%) in this study. The quantity and proportion of newborns in groups I, II, and III were 408 (13.36%), 610 (19.97%), and 184 (6.03%), respectively. Spontaneous vaginal delivery (SVD), prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage positively correlated with aggravation of the degree of RH in newborns. Conversely, cesarean section was protective against the incidence of RH. Conclusions. SVD, prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage were potential risk factors for aggravation of the degree of RH in full-term infants. Accordingly, infants with these risk factors may require greater attention with respect to RH development.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KALA II LAMA

2018 ◽  
Vol 9 (1) ◽  
pp. 01-05
Author(s):  
Elvi Destariyani
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Human Resources ◽  
Maternal Age ◽  
Care Delivery ◽  
Fetal Weight ◽  
Cross Sectional ◽  
Second Stage Of Labor ◽  
Factors Associated ◽  
Second Stage

Kalla II long is one of the direct causes of the high maternal mortality rate inthe world. In dr. M Yunus in 2011 of women giving birth in 1047 of 196 (18.72%) of themothers had prolonged second stage of labor, and in 2012 of 1060 women giving birth as215 (20.28%) mothers had prolonged second stage. The research objective is to determinewhat are the factors associated with the incidence of prolonged second stage of labor inthe CI Space Hospital Midwifery. Dr. M. Yunus Bengkulu city.This study design was adescriptive cross sectional analytic approach. The population is all women giving birth inhospitals M.Yunus Bengkulu in 2012 as many as 1060 people. 290 samples were taken bypurposive sampling. Collecting data using secondary data.The results show most womengiving birth (51.4%) multiparous, most maternal (54.1%) aged less than 20 years andmore than 35 years, almost half of women giving birth (42.8%) fetal weight more than4000 grams, and the maternal part (50%) experienced a prolonged second stage, and therewas a significant association between parity with prolonged second stage, there was asignificant association between maternal age with prolonged second stage, there was asignificant association between fetal weight with time II time.Under these conditions it isexpected that the hospitals Dr.M. Yunus care delivery can minimize the risk of morbidityand maternal and infant mortality by improving the quality and quantity of theproposition, infrastructure and human resources that are reliable and competent.

scholarly journals Elective induction versus spontaneous labor at term: prospective study of outcome and complications

2017 ◽  
Vol 6 (11) ◽  
pp. 4899
Author(s):  
Sagarika Babu ◽  
Lakshmi Manjeera M.
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Maternal Age ◽  
Bishop Score ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Increased Risk ◽  
Elective Induction

Background: This study aims at identifying the association between inductions of labor in nullipara and multipara to caesarean delivery and other associated maternal and neonatal outcomes.Methods: The study subjects were divided into two groups, elective induction group and spontaneous labor group. They were matched for maternal age, parity and gestational age. Duration of first and second stage of labor, mode of delivery, if caesarean section, indication for caesarean section and its relation to Bishop score, maternal age, birth weight was analyzed. Maternal intrapartum and post-partum complications and fetal outcome were also analyzed.Results: Out of the 400 women in the study, 200 were induced and 200 were those who went into spontaneous labor. The rate of cesarean section rate among induced group is 31% and was statistically significant. But the analysis of the same after excluding risk factors like nulliparity, Bishop score <5 and birth weight >3.5 kg it was found that the rate of cesarean section is 37.1%, but was statistically not significant when compared to the spontaneous group.There was significant decrease in the duration of second stage of labor in the induced primipara group with p value of 0.038. There was no significant difference in the maternal and neonatal complications.Conclusions: This study concludes that elective induction in carefully selected low risk population, excluding the above-mentioned risk factors does not pose any increased risk of cesarean section. Elective induction does not cause any increased risk to mother and fetus.

Second stage of labor in the age of epidural anesthesia

1998 ◽  
Vol 5 (1) ◽  
pp. 171A-171A
Author(s):  
E XENAKIS ◽  
J PIPER ◽  
M MCFARLAND ◽  
C SUITER ◽  
O LANGER
Keyword(s):  
Epidural Anesthesia ◽  
Second Stage Of Labor ◽  
Second Stage

Translabial ultrasound in the second stage of labor

Choonpa Igaku ◽  
2016 ◽  
Vol 43 (3) ◽  
pp. 457-465
Author(s):  
Koichi KOBAYASHI ◽  
Miki GOTO ◽  
Ken SAKAMAKI
Keyword(s):  
Translabial Ultrasound ◽  
Second Stage Of Labor ◽  
Second Stage

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.

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