Assessment of the impact of an expectant management in case of abnormally progressing first-stage labor.
Cesarean section
Expectant management
First-stage labor
Labor arrest
Journal
European journal of obstetrics, gynecology, and reproductive biology
ISSN: 1872-7654
Titre abrégé: Eur J Obstet Gynecol Reprod Biol
Pays: Ireland
ID NLM: 0375672
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
15
10
2020
revised:
19
01
2021
accepted:
21
01
2021
pubmed:
3
2
2021
medline:
15
5
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
To compare the cesarean section rate before and after the introduction of an expectant management protocol in patients with abnormally progressing first-stage labor. A prospective monocentric cohort study performed between January 2012 and July 2016. 267 patients were included, 97 in the control group and 170 in the study group. The number of cesarean sections decreased from 86 % to 45 % (p < 0.001). The number of instrumental extractions increased from 8.3% to 29.4% (p < 0.001). The number of postpartum hemorrhages increased from 5.2% to 18% (p < 0.01). No differences in the rates of perineal lesions, neonatal pHa below 7.10, and shoulder dystocia were observed. The expectant management in patients with labor arrest in the first stage was associated with a decrease in the number of cesarean sections, at the cost of an increase in instrumental extractions and postpartum hemorrhages.
Identifiants
pubmed: 33529971
pii: S0301-2115(21)00055-5
doi: 10.1016/j.ejogrb.2021.01.041
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
362-365Informations de copyright
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