Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/1323
Title: Maternal and fetal outcome after a prolonged latent phase of labour
Authors: Aziken, Michael E
Orhue, Augustine AE
Okonkwo, Anthony C
Osazuwa, Henry O
Keywords: outcome
maternal
fetal
prolonged latent phase of labour
Issue Date: 2005
Publisher: Tropical Journal of Obstetrics and Gynaecology
Series/Report no.: VOL 22;
Abstract: Context: Prolonged latent phase of labour is reportedly associated with labour dystocia and neonatal morbidity. There are few published work on prolonged latent phase and none from this environment. Objective: To determine if prior labour ward admission with prolonged latent is a predictor of labour dystocia and neonatal morbidity. Methods: The course and outcome of active phase labour in One hundred and twentyeight patients with a prior prolonged latent phase was compared with 896 patients who went into active phase labour without a prolonged latent phase. Relevant data was retrieved from the departmental obstetric data bank. Outcome measures: Labour augmentation, Caesarean section and instrumental delivery rates, Apgar scores and neonatal hospital admission. Results: Labour augmentation and Caesarean rates were higher and labour was longer among the cases than controls. (50.5 vs 36.4%: P=0.0001, 27.3 vs 7.0%: P=0001 and 7.6 vs 6.2 hrs: P=0.0028 respectively). Blood loss at delivery was more and neonatal hospital admission was more frequent among the cases than controls. Conclusion: Prolonged latent phase of labour is a predictor of labour dystocia and neonatal morbidity.
URI: http://hdl.handle.net/123456789/1323
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