Duration of second stage of labor and associated factors among mothers who give birth in selected health facilities of dire Dawa administrative city East, Ethiopia, prospective cohort study
Keywords:
prolonged second stage of laborAbstract
Background: The second stage of labor is often the most stressful part of the childbearing process for the woman and fetus, and consequently for the provider. Duration of second stage of labor is influenced by many factors. This stage may become prolonged often resulting to maternal and neonatal complications.
Objective: To determine duration of second stage of labor and associated factors among mothers who give birth in selected health facilities of Dire Dawa administrative city, East, Ethiopia, 2018.
Methods: prospective cohort study was conducted among mothers who gave birth in selected health facilities of Dire Dawa administrative city from April to July 2018. A total of 283 mothers who came for delivery care services in a randomly selected health facilities were included in the study. Data were collected using face to face interview, document review, and anthropometric measurement techniques. The data were entered into EPIDATA version 3.1 and exported to STATA version 12 for analysis.
Result: The overall proportion of mothers with prolonged second stage of labor was 21.2 %. The proportion of prolonged second stage of labor was 28.83 % in nulliparous mothers and 15.5 % in multiparous mothers. Physical activity (AHR; 0.4 95%CI: 0.2-0.7), Adequacy of uterine contraction (AHR 2.9, 95%CI: 1.4-6.1), fetal position. (AHR, 0.2, 95%CI: 0.07-0.5), birth weight (AHR: 0.07 95% CI; 0.07-0.6), and adequacy of maternal pelvic (AHR: 0.3, 95%CI: 0.1-0.7) has statistically significant associations with duration of second stage of labor.
Conclusion: The proportion of prolonged second stage of labor was higher in nulli parious mothers than multi parious mothers. Lack of Physical activity during pregnancy, inadequacy of uterine contraction, occipital posterior fetal position, birth weight of >4kg, and inadequate maternal pelvic were predictors of longer duration of second stage of labor.
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References
Martin E. Concise Colour Medical .Dictionary. . Oxford University Press 2015,;six edition p. 375. .
Ozlem M HK, Yasemin T,Burcukisa K,Yasar Y,Ebru C,Halil I:. the influence of different pushing position on birth outcomees at the second stage of labor the jornal of maternal-fetal and neonatal medicin. 2016 ,; 2;:245-9.
Leena MN PM, PoojariVG. Relationship and effect of duration of first stage of labor on second stage. lnt J Reprod Contracept Obstet Gynecol 2015;;4::566-9.
Foumane P ME, Sama JD,Baba SE,Mbatsogo BA,&Ngwana L:. Sexual activity during pregnancy and prognosis of labor in Cameroonian women: a cohort study. J Matern Fetal Neo-natal Med. 2014;27(13):1305-8.
Cheng YW, B. L. Shaffer, J. M. Nicholson and A. B. Caughey : . “Second stage of labor and epidural use: a larger effect than previously suggested.” Obstet Gynecol ,. 2014;123(3): 527-35.
Cheng Y HL, Caughey A. How long is too long: Does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes? . American Journal of Obstetrics and Gynecology. 2004,;(3) 9;:191.
Hung TH, S. F. Chen, L. M. Lo and T. T. Hsieh: . “Contemporary second stage labor patterns in Taiwanese women with normal neonatal outcomesl ” Taiwan J Obstet Gyneco. 2015,;54(4):: 416-20.
Brahmbhatt Jagruti UG, Krutik Brahmbhatt Study of Second Stage of Labour, . Medical Science. [2015];;Volu : .4 (ISSN No 2277 - 817.).
Foumane P ME, Sama JD,Baba SE,Mbatsogo BA,&Ngwana L: . Sexual activity during pregnancy and prognosis of labor in Cameroonian women: a cohort study. J Matern Fetal Neo-natal Med. .2014;;27(13):: 1305-8.
Hindmarsh PC GM, Rodeck CH, Kingdom JC, Cole TJ. . Intrauterine growth and its relationship to size and shape at birth.,. British medical jornal 2002;;52::263-8.
Maeve AE MP, Michael PC, Declan PK; . Effect of fetal sex on labor and delivery, . BMJ 2003;;326 ,:137.
Cheng YW, L. M. Hopkins, R. K. Laros, Jr. and A. B. Caughey. :“Duration of the second stage of labor in multiparous women: maternal and neonatal outcomes.” Am J Obstet Gynecol 2007,;196(6)::581-6.
Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville , Maryland, USA: Central Statistical Agency and ICF Macro.
Aziken ME, Orhue AA, Okonta PI. Causes and consequences of late arrival in labour. Trop J Obstet Gynaecol 2001;18:52-5. .
Shirish ND, Amarnath GB. Abnormal labour and delivery. In: Shirish ND, Amarnath GB, editors. Practical Guide to High Risk Pregnancies and Delivery. 3 rd ed. Elsevier; 2008. p. 373-96. .
Shirish ND, Amarnath GB. Abnormal labour and delivery. In: Shirish ND, Amarnath GB, editors. Practical Guide to High Risk Pregnancies and Delivery. 3 rd ed. Elsevier; 2008. p. 373-96. .
Tekle H, Kumbi S. Admissions in second stage of labour in two teaching hospitals: Oobstetric outcomes and determining factors. Ethiopian Med J 2007;45:135-42. .
World Health Organization (WHO). Preventing Prolonged Labour: A Practical Guide 1994. Geneva: WHO.
Cheng YW, Shaffer BL, Bryant AS, Caughey AB: Length of the first stage of labor and associated perinatal outcomes in nulliparous women. Obstet Gynecol. 2010, 116 (5): 1127-1135.View ArticlePubMedGoogle Scholar.
Myles TD, Santolaya J: Maternal and neonatal outcomes in patients with a prolonged second stage of labor. J Obstet Gynecol. 2003, 102 (1): 52-58.Google Scholar.
Henry DE, Cheng YW, Shaffer BL, Kaimal AJ, Bianco K, Caughey AB: Perinatal outcomes in the setting of active phase arrest of labor. Obstet Gynecol. 2008, 112 (5): 1109-1115.View ArticlePubMedPubMed CentralGoogle Scholar.
Altman MR, Lydon-Rochelle MT: Prolonged second stage of labor and Risk of adverse maternal and perinatal outcomes: a systematic review. Birth. 2006, 33 (4): 315-322.View ArticlePubMedGoogle Scholar.
Brahmbhatt Jagruti , Unagar Gautam, Krutik Brahmbhatt[2015]; Study of Second Stage of Labour, Volu : Medical Science .4 ISSN No 2277 – 817.
Cheng Y, Hopkins L, Caughey A. How long is too long: Does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes? American Journal of Obstetrics and Gynecology. 2004 9;191(3):933-8.
Hung, T. H., S. F. Chen, L. M. Lo and T. T. Hsieh (2015). “Contemporary second stage labor patterns in Taiwanese women with normal neonatal outcomes.” Taiwan J Obstet Gynecol 54(4): 416-420.
Bergsja, P., Bakketeig, L. & Eikhom, S. N.: Duration of labor with spontaneous onset. Acta Obstet Gynecol Scand 58: 129, 1979.
Bergsja, P.& Halle Christen.: Duration of labor with spontaneous onset. Acta Obstet Gynecol Scand 59: 193 - 196 1980/.
bahirdar city administration health office. annual report of bahir dar city administration health office, BahirDar 2016]. .
Abriham W,Berhan Y;.predictors of labor abnormality in university hospital;BMC pregnancy child birth. 2014,14:256[PubMed].
Cheng, Y. W., B. L. Shaffer, J. M. Nicholson and A. B. Caughey (2014). “Second stage of labor and epidural use: a larger effect than previously suggested.” Obstet Gynecol 123(3): 527-535.
Vahratian A, Hoffman MK, Troendle JF, Zhang J. The impact of parity on course of labor in a contemporary population. Birth. 2006;33(1):12-7.
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