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VOL. 8, ISSUE 2 (2022)
Study the effect of prolonged duration of second stage of labor on maternal & perinatal outcome in a Tertiary Care Hospital, Dakshina Kannada district
Authors
Prathibha P G, Ravikanth G O, Geeta Jagannath Doppa
Abstract
Introduction: Optimal obstetric management of 2nd stage is an ongoing challenge to reduce rates of emergency cesarean deliveries & to avoid adverse maternal & neonatal outcomes. Objectives of the study are to estimate the incidence of vaginal deliveries with the duration of 2nd stage of labor & to assess the maternal and neonatal morbidities associated with it. Methodology: In this retrospective study, 100 nulliparous women who were delivered vaginally at KVG MCH during the period September 2020 - February 2021 were selected randomly as study population. Data regarding time of full cervical dilatation to the time of delivery of the baby, Maternal complications like Perineal injury, Puerperal pyrexia & episiotomy infection & Neonatal complications like NICU admission for >24hrs, Birth asphyxia, APGAR score <7 at 5th min of delivery were collected from hospital records and discharge summaries. Percentage of all these complications are calculated for Duration of 2nd stage of labor ≤3hr & >3hr. Results: When the duration of 2nd stage is >3hour, spontaneous vaginal delivery rates declined from 89% to 11% & Perineal injury, puerperal pyrexia, neonatal NICU admission (>24hours), birth asphyxia (Need for resuscitation) are statistically significant. Conclusion: Rates of spontaneous vaginal birth significantly decreased for increasing 2nd stage duration >3hour. Risks of both maternal and perinatal adverse outcomes rise with increased duration of the 2nd stage, particularly for duration longer than 3 hours in nulliparous women.
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Pages:40-43
How to cite this article:
Prathibha P G, Ravikanth G O, Geeta Jagannath Doppa "Study the effect of prolonged duration of second stage of labor on maternal & perinatal outcome in a Tertiary Care Hospital, Dakshina Kannada district ". International Journal of Medical and Health Research, Vol 8, Issue 2, 2022, Pages 40-43
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