Vaginal Delivery

Patterson, Dale A.; Matus, Coral D.; Curtis, Jacob

doi:10.1016/b978-0-323-05267-2.00177-1

Cited by 8 publications

(12 citation statements)

References 16 publications

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“…The latent phase is the time when the cervix starts to efface and dilate up to 3 cm. While the active phase begins when the rate of cervical dilatation accelerates, which occurs at 4 cm to 10 cm [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is important to differentiate between the active and latent phases because women admitted in latent labor tend to spend more time in the labor ward and have more interventions than those who are admitted during the active phase. When a pregnant woman is admitted during the latent phase of labor, physicians should set reasonable expectations for labor progress to avoid unnecessary interventions and anxiety [ 1 ]. The widespread use of routine medical interventions in labor is of worldwide concern [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania

Chuma

Kihunrwa

Matovelo

et al. 2014

BMC Pregnancy Childbirth

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BackgroundInterventions given to women admitted in latent or active phase of labor may influence the outcomes of labor and ameliorate complications which can affect the mother and fetus. Labour management, maternal and fetal outcomes among low risk women presenting both in latent phase and active phase of labour in Tanzania have not recently been explored.MethodsThis was a descriptive cross-sectional study. It was done from February to April 2013. Case notes were collected serially until the sample size was reached. A structured checklist was used to extract data. Data was analyzed using SPSS version 17. A p < 0.05 was considered significant at 95% confidence interval.ResultsFive hundred case notes of low risk pregnant women were collected, half of each presented in latent phase and active phase of labour. Key interventions including augmentation with oxytocin, artificial rupture of membranes and caesarean section were significantly higher in the latent phase group than the active phase group 84(33.6%) versus 52(20.8%) p < 0.05; 96(38.6%) versus 56(22.4%) p < 0.05 and 87(34.8%) versus 60(24.0%) p < 0.05 respectively. Spontaneous vertex delivery was higher among pregnant women admitted initially in active phase than in latent phase groups 180(72.0%), versus 153(61.2%) p > 0.01). There were more women in the active phase group who sustained genital tract tear and postpartum haemorrhage than in the latent phase group 101(18.6%), versus 38(15.6%) p < 0.01 and 46(18.4%), versus 17(6.6%) p < 0.05 respectively.ConclusionsPregnant women admitted at BMC in latent phase of labour are subjected to more obstetric interventions than those admitted in the active phase. There is need to produce guidelines on management of women admitted in latent phase of labour at BMC to reduce the risk of unnecessary interventions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania

Chuma

Kihunrwa

Matovelo

et al. 2014

BMC Pregnancy Childbirth

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“…Increasing rates of routine intervention in maternity care have received attention the world over in recent years (15–18), with cesarean section rates rising above 20 percent in many countries (19,20). Some evidence suggests that vague clinical indications and nonmedical reasons contribute to these observed increases (21).…”

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confidence: 99%

Women’s Preferences for Aspects of Labor Management: Results from a Discrete Choice Experiment

Scotland

McNamee

Cheyne

et al. 2010

Birth

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“…Vaginal delivery is defined as a natural birth process which does not usually require significant medical intervention [1]. It is the birth of offspring in mammals or babies in humans, through the vagina, also known as the "birth canal".…”

Section: Definitions: Vaginal Deliverymentioning

confidence: 99%

Vaginal Delivery

Omona¹

2021

Empowering Midwives and Obstetric Nurses

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Vaginal delivery refers to the birth of offspring in mammals or babies in humans, through the vagina, also known as the “birth canal”. It is the natural method of birth for most mammals excluding those which lay eggs. For women who deliver vaginally, childbirth progresses in three stages: labor, delivery of the baby and delivery of the placenta. There are two types of vaginal delivery: Unassisted vaginal delivery and assisted vaginal delivery. In the later, this assistance can vary from use of medicines to emergency delivery procedures. The following types of vaginal delivery have been noted; (a) Spontaneous vaginal delivery (SVD) (b) Assisted vaginal delivery (AVD), also called instrumental vaginal delivery (c) Induced vaginal delivery and (d) Normal vaginal delivery (NVD), usually used in statistics or studies to contrast with a delivery by cesarean section. Delivery of a full-term newborn occurs at a gestational age of 37–42 weeks, usually determined by the last menstrual period or ultrasonographic dating and evaluation. Nearly 80% of newborns are delivered at full term while approximately 10% of singleton pregnancies are delivered preterm and 10% of all deliveries are post-term.

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Vaginal Delivery

Cited by 8 publications

References 16 publications

Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania

Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania

Women’s Preferences for Aspects of Labor Management: Results from a Discrete Choice Experiment

Vaginal Delivery

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