Impact of early admission in labor on method of delivery

Rahnama, Parvin; Ziaei, Saeideh; Faghihzadeh, Soghrat

doi:10.1016/j.ijgo.2005.12.016

Cited by 71 publications

(82 citation statements)

References 11 publications

(10 reference statements)

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“…We considered that this occurred due to the low recording rate of uterine contractions at the time of admission, leading to midwives not being able to accurately assess the progress of labour accurately. The current studies reported that women admitted to hospital during the latent phase had higher rates of CS and obstetric interventions, especially among prime-parae cases (Lundgren, et al, 2013;Rahnama, et al, 2006). These studies suggest the difficulty in defining the onset and progress of the latent phase, even in settings where electric monitoring is available.…”

Section: Discussionmentioning

confidence: 60%

Quality of partogram monitoring at a primary health centre in Zambia

Fujita

Mukumbuta²,

Chavuma

et al. 2015

Midwifery

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Section: Discussionmentioning

confidence: 60%

Quality of partogram monitoring at a primary health centre in Zambia

Fujita

Mukumbuta²,

Chavuma

et al. 2015

Midwifery

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“…The reassurance from midwives about the normality of the slow evolution of this phase seems to be a key factor in encouraging women to stay home during early labour (Cheyne et al, 2007). It is evident that midwives often advise women in the latent phase to remain or return home in order to avoid unnecessary interventions (Bailit et al, 2005;Holmes, 2001;Rahnama et al, 2006). In most cases, women are encouraged to spend the latent phase at home with their birth partners when midwifery care at home is absent.…”

Section: Discussionmentioning

confidence: 99%

First-time mothers’ experiences of early labour in Italian maternity care services

et al. 2016

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Objective. To explore first-time mothers' experiences of early labour within Italian maternity care services in the event that women are admitted to hospital or advised to return home after maternity triage assessment. Setting. One second-level Maternity Hospital in northern Italy with an obstetric unit for both low and high-risk women. Participants. Fifteen first-time mothers in good general health with spontaneous labour at term of a low-risk pregnancy that accessed the maternity triage during the latent phase of labour, and were either admitted at the hospital or advised to return home. Design. Qualitative interpretive phenomenological study. One face-to-face recorded semistructured interview was conducted with each participant 48-72 hours after birth. Findings. Four key themes emerged from the interviews: a) recognising early labour signs; b) coping with pain at home; c) seeking reassurance from healthcare professionals; d) being admitted to hospital versus returning home. Uncertainty about the labour progress and the need for reassurance was referred by women as the main reasons for going to hospital in early labour. An ambivalent feeling was reported by the participants when being admitted to hospital in early labour. In fact, while in the first instance the women felt reassured, some felt dissatisfied later on due to the absence of one-to-one dedicated care during the latent phase of labour. When advised to go back home, a number of women manifested feelings of disappointment, anger, fear, discouragement and anxiety for not having been admitted to hospital; however, some participants reported a subsequent feeling of comfort with being at their own home and putting in place the suggestions provided by the midwives at the moment of maternity triage assessment. The guidance provided by midwives during triage assessment seemed to be the key factor influencing women's satisfaction when advised either to return home or to stay at the hospital during the latent phase of labour. Conclusions and implications for practice. During antenatal classes and clinics, midwives should provide clear information and advice on early labour to increase women's confidence, self-efficacy and decrease their anxiety and fear. During early labour, appropriate maternity care services should be offered according to individual needs. When home visits are not provided by midwives, a telephone triage run by midwives should be considered as a routine service for the first point of contact with women during the latent phase of labour.

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“…11,12 Moreover, cesarean rates following early labor admission are more than twice as high as reference group rates. [1][2][3][4][5] Among studies reporting specific surgical indications, the incidence of cesarean section for dystocia was higher in earlier admission groups (P < 0.001 in each study). 1,2 The evidence is clear that admitting women in more advanced labor is associated with decreased oxytocin use and increased rates of vaginal birth.…”

Section: Introductionmentioning

confidence: 87%

“…[1][2][3][4][5] Among studies reporting specific surgical indications, the incidence of cesarean section for dystocia was higher in earlier admission groups (P < 0.001 in each study). 1,2 The evidence is clear that admitting women in more advanced labor is associated with decreased oxytocin use and increased rates of vaginal birth. However, differentiating preactive from active labor based simply on an integer dilatation point is likely an inadequate approach.…”

Section: Introductionmentioning

confidence: 87%

“…[1][2][3][4][5][6][7] Labor attendants generally aim to admit women to the labor unit after the onset of active labor, that is, when the rate of cervical dilation (cm/hour) is anticipated to increase. Many use criteria in their admission decision process commonly associated with active phase onset, which is suggested to reliably begin between 3 cm and 5 cm dilatation, in the presence of regular uterine contractions.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of Nulliparous Women with Spontaneous Labor Onset Admitted to Hospitals in Pre‐active versus Active Labor

Neal

2014

J Midwife Womens Health

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Introduction-The timing of when a woman is admitted to the hospital for labor care following spontaneous contraction onset may be among the most important decisions that labor attendants make as it can influence care patterns and birth outcomes. The aims of this study were to estimate the percentage of low-risk, nulliparous women at term who are admitted to labor units prior to active labor and to evaluate the effects of the timing of admission (i.e., pre-active versus active labor) on labor interventions and mode of birth.

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Impact of early admission in labor on method of delivery

Abstract: Later admission in labor increases the rate of spontaneous vaginal delivery in low risk nulliparous women.

Cited by 71 publications

References 11 publications

Quality of partogram monitoring at a primary health centre in Zambia

Quality of partogram monitoring at a primary health centre in Zambia

First-time mothers’ experiences of early labour in Italian maternity care services

Outcomes of Nulliparous Women with Spontaneous Labor Onset Admitted to Hospitals in Pre‐active versus Active Labor

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