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Maternal and fetal outcome after a prolonged latent phase of labour
Abstract
Objective: To determine if prior labour ward admission with prolonged latent is a predictor of labour dystocia and neonatal morbidity.
Methods: The course and outcome of active phase labour in One hundred and twenty-eight patients with a prior prolonged latent phase was compared with 896 patients who went into active phase labour without a prolonged latent phase. Relevant data was retrieved from the departmental obstetric data bank.
Outcome measures: Labour augmentation, Caesarean section and instrumental delivery rates, Apgar scores and neonatal hospital admission.
Results: Labour augmentation and Caesarean rates were higher and labour was longer among the cases than controls. (50.5 vs 36.4%: P=0.0001, 27.3 vs 7.0%: P=0001 and 7.6 vs 6.2 hrs: P=0.0028 respectively). Blood loss at delivery
was more and neonatal hospital admission was more frequent among the cases than controls.
Conclusion: Prolonged latent phase of labour is a predictor of labour dystocia and neonatal morbidity.
Keywords: outcome, maternal, fetal, prolonged latent phase of labour
Tropical Journal of Obstetrics and Gynaecology Vol. 22(2) 2005: 171-176
