Does Admission in Labour Room During Latent Phase of Labour Versus Active Phase Really Matters in Low Risk Women Presenting at Term? A Cross-Sectional Observational Study

Abstract

Background: The management of labour and its complication is an issue of great importance worldwide. Still it is unclear from available information that when to admit a Women in labour in order to achieve maximum maternal and fetal benefit. The present study was an attempt to assess how the outcome of woman changed with timing of admission either in active or latent phase of spontaneous labour in a tertiary care hospital. Aim: 1) To determine and compare the rate of intervention among low risk women admitted in latent and active phase of labour. 2) To determine and compare the rate of complications among them. 3) To determine and compare the foetal APGAR Scores and admission to NICU. Methods: It's a cross-sectional observational study, conducted at NIMS Hospital, Jaipur from a period between October 2015 to July 2016 with Sample Size of 180 low risk term women presenting during latent or active phase of labour. Result: Out of 180 patients, 96 patients (53.3%)were admitted during latent phase (group I) and 84 patients (46.7%) during active phase of labour (group II). Duration of labour was significantly greater in-group I compared to group II (mean± SD 17.0 ± 2.1 vs 12.7 ± 3.2). Caesarean was more in group I compared to group II (62.5% vs 28.5%) which was significant. Most common indication of caesarean was dystocia followed by fetal distress. Augmentation with oxytocin was required in 66 cases (68.75%) in group I and 42 cases (50.0%) in group II and the difference was not significant. Although PPH, cervical and perineal tear,fetal distress was more in group I but the difference was insignificant.