Perinatal Outcome in 1515 Cases of Prolonged Second Stage of Labour in Nulliparous Women

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Jennifer C Hunt, Savas M Menticoglou

Abstract

To examine perinatal outcomes among nulliparous women with a second stage of labour lasting more than three hours. We conducted a retrospective review of all nulliparous women over a 14-year period who had a term, live, singleton, cephalic fetus ≥ 2500 g and who had a second stage of labour lasting at least three hours. Outcome measures included five-minute Apgar score < 7, cord arterial pH < 7.10, admission to the NICU, neonatal seizures, and neonatal death. Rates of serious long-term neurologic morbidity were also analyzed. Outcomes were compared with those of a similar cohort of women who delivered after less than three hours in the second stage. During the study period, 1515 women met the inclusion criteria. The majority of women (67%) delivered vaginally, after up to 10 hours in the second stage of labour. The overall rate of Caesarean section was low (15.7%). The rate of permanent neurologic impairment was 2.6 per 1000 deliveries. Among nulliparous women, 84% were spared a possibly difficult Caesarean section in the second stage of labour or a potentially difficult operative vaginal delivery by allowing a longer second stage. However, surviving neonates had a higher risk of permanent neurologic handicap. Our study indicat...Continue Reading

Citations

Mar 21, 2019·Journal of Clinical Medicine·Nuria Infante-TorresAntonio Hernández-Martínez
Dec 24, 2018·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Payal MattaSailesh Kumar
Jun 15, 2018·The British Journal of Dermatology·B Rodrigo-NicolásA Hernández-Martín
Jun 23, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Vasilios PergialiotisGeorge Daskalakis
Oct 30, 2020·International Journal of Environmental Research and Public Health·Nuria Infante-TorresAntonio Hernández-Martínez

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