Ultrasonographic Intra-Partum Fetal Head Circumference As Apredictor of Prolonged Second Stage of labour
Asmaa Elsaid Ibrahim Seada;
Abstract
This study asses is intrapartum fetal head circumference asensitive major for diagnosis of prolonged second stage.
The second stage begins with complete cervical dilatation and end with delivery of fetus, prolonged second stage of labor should be considered when thesecond stage of labor exceeds 3 hours if regional anesthesia isadministered or 2 hours in the absence of regional anesthesia fornulliparas. In multiparous women, such a diagnosis can be made ifthe second stage of labor exceeds 2 hours with regional anesthesiaor 1 hour without it (Cunningham et al., 2010).
Studies performed to examine perinatal outcomes associatedwith a prolonged second stage of labor revealed increased risks ofoperative deliveries and maternal morbidities but no differencesin neonatal outcomes( cheng et al., 2004 / janni et al., 2002).
Maternal risk factors associated with a prolonged second stageinclude nulliparity, increasing maternal weight and/or weight gain,use of regional anesthesia, induction of labor, fetal occiput in aposterior or transverse position, and increased birth weight.(O'Connell et al., 2003 / Senécal et al., 2005).
Although the 2003 ACOG practice guidelines state that theduration of the second stage alone does not mandate intervention byoperative vaginal delivery or cesarean delivery if progress is beingmade, the clinician has several management options (continuingobservation/expectant management, operative vaginal delivery byforceps or vacuum-assisted vaginal delivery, or cesarean delivery)when second-stage arrest is diagnosed.
The association between a prolonged second stage of labor andadverse maternal or neonatal outcome has been examined. While aprolonged second stage is not associated with adverse neonataloutcomes in nulliparas, possibly because of close fetal surveillanceduring labor, but it is associated with increased maternal morbidity,including higher likelihood of operative vaginal delivery andcesarean delivery, postpartum hemorrhage, third- or fourth-degreeperineal lacerations, and peripartum infection(Martinet al.,2000).
Not much work has been done in the area of attempting to predict laboroutcome using dimensions of the fetal head. This study was aimed at determining
The second stage begins with complete cervical dilatation and end with delivery of fetus, prolonged second stage of labor should be considered when thesecond stage of labor exceeds 3 hours if regional anesthesia isadministered or 2 hours in the absence of regional anesthesia fornulliparas. In multiparous women, such a diagnosis can be made ifthe second stage of labor exceeds 2 hours with regional anesthesiaor 1 hour without it (Cunningham et al., 2010).
Studies performed to examine perinatal outcomes associatedwith a prolonged second stage of labor revealed increased risks ofoperative deliveries and maternal morbidities but no differencesin neonatal outcomes( cheng et al., 2004 / janni et al., 2002).
Maternal risk factors associated with a prolonged second stageinclude nulliparity, increasing maternal weight and/or weight gain,use of regional anesthesia, induction of labor, fetal occiput in aposterior or transverse position, and increased birth weight.(O'Connell et al., 2003 / Senécal et al., 2005).
Although the 2003 ACOG practice guidelines state that theduration of the second stage alone does not mandate intervention byoperative vaginal delivery or cesarean delivery if progress is beingmade, the clinician has several management options (continuingobservation/expectant management, operative vaginal delivery byforceps or vacuum-assisted vaginal delivery, or cesarean delivery)when second-stage arrest is diagnosed.
The association between a prolonged second stage of labor andadverse maternal or neonatal outcome has been examined. While aprolonged second stage is not associated with adverse neonataloutcomes in nulliparas, possibly because of close fetal surveillanceduring labor, but it is associated with increased maternal morbidity,including higher likelihood of operative vaginal delivery andcesarean delivery, postpartum hemorrhage, third- or fourth-degreeperineal lacerations, and peripartum infection(Martinet al.,2000).
Not much work has been done in the area of attempting to predict laboroutcome using dimensions of the fetal head. This study was aimed at determining
Other data
| Title | Ultrasonographic Intra-Partum Fetal Head Circumference As Apredictor of Prolonged Second Stage of labour | Authors | Asmaa Elsaid Ibrahim Seada | Issue Date | 2014 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.