Dysfunctional Labor. Ii. Protracted Active-Phase Dilatation in the Nullipara

Friedman, Emanuel A.; Sachtleben, Marlene R.

doi:10.1097/00006254-196110000-00012

Cited by 22 publications

(26 citation statements)

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“…Labor was monitored via partograph [18] and external cardiotocography. After delivery, 1-and 5-minute Apgar scores were evaluated and the newborns were carefully examined by a neonatologist.…”

Section: Methodsmentioning

confidence: 99%

Adolescent pregnancy in Upper Egypt

Rasheed

Abdelmonem

Amin

2010

Intl J Gynecology & Obste

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Section: Methodsmentioning

confidence: 99%

Adolescent pregnancy in Upper Egypt

Rasheed

Abdelmonem

Amin

2010

Intl J Gynecology & Obste

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“…Contractility does, however, increase, thus conferring risk with no offsetting benefit. [69][70][71] Role of contractile force To diagnose arrest of dilatation, the guidelines require that the cervix be 6 cm dilated, the membranes be ruptured, and there be no progress for 4 hours with adequate contractions, or 6 hours with inadequate contractions produced by oxytocin. They define adequate uterine contractility as "e.g., >200 Montevideo Units" (MVU), but recommend no alternative means of assessment.…”

Section: Analytical Issuesmentioning

confidence: 99%

Perils of the new labor management guidelines

Cohen

Friedman

2015

American Journal of Obstetrics and Gynecology

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151

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“…Some authors recognized that pethidine lengthened or inhibited labour (Gallen & Prescott 1944, Campbell et al 1961, Bumhill et al 1962; some claimed that it did not affect, or shortened the length of labour (Gilbert & 1970, Crawford 1974). Wilson & Alesbury (1951) claimed that pethidme could both shorten and lengthen labour and others claimed that the effect of pethidine on labour depended on the time in the first stage at which it was given (Friedman & Sachtleben 1961a).…”

Section: Labourmentioning

confidence: 99%

A re‐evaluation of the effect of pethidine on the length of labour

Thomson

Hillier

1994

Journal of Advanced Nursing

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In a pilot study of a randomized controlled trial comparing pushing techniques in the second stage of labour, a surprise finding was that there was a positive correlation between the amount of pethidine used for analgesia in the first stage of labour and an increasing length of both the first (r = 0.5687, P = 0.0001, CI = 0.33 to 0.74) and second stages (r = 0.3204, P = 0.037, CI = 0.03 to 0.56). In order to investigate this further a review of the literature on the effect of pethidine on the length of labour was undertaken. The literature searched was the English-language literature, and MEDLINE and Index Medicus were used to identify pertinent papers. Studies selected were randomized controlled trials of pethidine given for pain relief in labour compared with placebo. As only five studies were identified other pertinent studies using the drug were scrutinized. The findings of this review are that, due to methodological flaws and studies with small sample sizes, the effect of pethidine on the length of labour in women has not been adequately assessed. However, there is a strong suggestion in the literature that the use of this drug is associated with a lengthening of labour and this association is dose-related. Studies in animals support this view. Those caring for women in labour should be aware of this side-effect of the analgesic most frequently given in labour in North America and the United Kingdom. As pethidine frequently does not provide adequate analgesia and has other side-effects, the search for an alternative analgesia should continue.

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Dysfunctional Labor. Ii. Protracted Active-Phase Dilatation in the Nullipara

Cited by 22 publications

References 0 publications

Adolescent pregnancy in Upper Egypt

Adolescent pregnancy in Upper Egypt

Perils of the new labor management guidelines

A re‐evaluation of the effect of pethidine on the length of labour

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