Effect of Prolonged Second Stage of Labour on Fetomaternal Outcome
DOI:
https://doi.org/10.70749/ijbr.v3i5.2736Keywords:
Chorioamnionitis, Fetal Heart Rate, Hemorrhage, Labor Complications, NICU, Perineal Laceration, Postpartum Hemorrhage.Abstract
Background: Prolonged second stage of labor can be defined as the prolongation of the pushing phase of labor thus posing various challenges for the mother and the baby. It is linked with uterine exhaustion, possible hemorrhage, perineal tears and baby distress. The awareness about its effects on fetomaternal outcomes is very essential for the improvement of healthcare management of conditions like the prolonged second stage of labor which still exists in Abbottabad. Objective: To determine the frequency of fetomaternal outcome in patients with prolonged second stage of labour. Study Design: Descriptive study. Duration and Place of Study: Conducted from 1st March 2024 to 1st September 2024 at Ayub Teaching Hospital Abbottabad. Methodology: This trial involved 134 patients aged 18-40 years, who suffered from the prolonged second stage of labor. The variables recorded include the secondary outcome, which comprised the intensity of postpartum hemorrhage of ≥1000mL, third-degree perineal lacerations, occurrence of chorioamnionitis, admission of the newborn baby to the NICU, and non-reassuring fetal heart rate. The analysis of the variables was carried out using the SPSS software version 26. The variables were analyzed using the percentage, frequencies, and standard deviation. Results: The mean age of participants was 27.34 ± 5.24 years, and the mean duration of labor was 3.95 ± 0.98 hours. Postpartum hemorrhage was observed in 9.70% of cases, third-degree perineal laceration in 14.90%, chorioamnionitis in 11.90%, NICU admission in 9.70%, and non-reassuring fetal heart rate pattern in 8.20%. Conclusion: Prolonged second stage of labor is associated with several serious complications for both mother and fetus, including hemorrhage, perineal lacerations, infection, and fetal distress.
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