The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour

Background: the first stage ,labour is divided into early (latent phase )when uterine contractions are irregular and cervical effacement and dilatation are gradual, while the active phase of labour commences when cervical dilatation reaches (4) cm .and uterine contractions are more powerful . Our ai...

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Main Author: Anwar N. Albassam
Format: Article
Language:English
Published: College of Medicine University of Baghdad 2010-07-01
Series:مجلة كلية الطب
Subjects:
Online Access:http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1010
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author Anwar N. Albassam
author_facet Anwar N. Albassam
author_sort Anwar N. Albassam
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description Background: the first stage ,labour is divided into early (latent phase )when uterine contractions are irregular and cervical effacement and dilatation are gradual, while the active phase of labour commences when cervical dilatation reaches (4) cm .and uterine contractions are more powerful . Our aim from this study is to see the effect of the timing of admission to labour room on mode of delivery and foetal outcome. Patients and method: 240 nulliparous women at term pregnancy were diagnosed as labour pain and admitted to Baghdad Teaching Hospital from the first of January to the end of December 2006, they were followed during their course of labour to see the effect of admission to the labour room in latent phase in comparison to those in active phase of labour on the mode of delivery and fetal outcome. Results: Rate of C/Section was significantly higher in those admitted in the latent phase (group 1) than those in active phase [group2] (65% vs16.6%) Major cause of C/Section in group (1) was dystocia (65.3%) while in the group (2) was fetal distress (55%) Rate of C/Section among women whose labour was augmented in group (1) greater than group (2) (74% vs20%) Conclusion: Later admission to labour room increased the rate of spontaneous vaginal delivery in low risk nulliparous women
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spelling doaj.art-2cbf2e1a0df647b8b15dede9e7379aab2024-02-02T16:49:34ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572010-07-0152210.32007/jfacmedbagdad.v2147-151%The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labourAnwar N. Albassam0Department of Obstetrics and Gynaecology, Baghdad teaching hospital,Medical city complexBaghdadBackground: the first stage ,labour is divided into early (latent phase )when uterine contractions are irregular and cervical effacement and dilatation are gradual, while the active phase of labour commences when cervical dilatation reaches (4) cm .and uterine contractions are more powerful . Our aim from this study is to see the effect of the timing of admission to labour room on mode of delivery and foetal outcome. Patients and method: 240 nulliparous women at term pregnancy were diagnosed as labour pain and admitted to Baghdad Teaching Hospital from the first of January to the end of December 2006, they were followed during their course of labour to see the effect of admission to the labour room in latent phase in comparison to those in active phase of labour on the mode of delivery and fetal outcome. Results: Rate of C/Section was significantly higher in those admitted in the latent phase (group 1) than those in active phase [group2] (65% vs16.6%) Major cause of C/Section in group (1) was dystocia (65.3%) while in the group (2) was fetal distress (55%) Rate of C/Section among women whose labour was augmented in group (1) greater than group (2) (74% vs20%) Conclusion: Later admission to labour room increased the rate of spontaneous vaginal delivery in low risk nulliparous womenhttp://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1010term nulliparous women, latent phase, active phase, mode of delivery, fetal outcome, dystocia.
spellingShingle Anwar N. Albassam
The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour
مجلة كلية الطب
term nulliparous women, latent phase, active phase, mode of delivery, fetal outcome, dystocia.
title The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour
title_full The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour
title_fullStr The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour
title_full_unstemmed The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour
title_short The outcome of latent phase vs. Active phase admission to labour room of low risk nulliparous women in labour
title_sort outcome of latent phase vs active phase admission to labour room of low risk nulliparous women in labour
topic term nulliparous women, latent phase, active phase, mode of delivery, fetal outcome, dystocia.
url http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1010
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