Labour Management and Obstetric Outcome in Nulliparous women admitted in latent phase in comparison with active phase of Labour

Abstract

Background: Apart from hospital environment interrelated aspect of obstetric care, personal and emotional factors are likely to play an important role with respect to the course of labour. There is no consensus from available information as to when to admit a woman in labour in order to avoid subsequent adverse outcome. This study was an attempt to examine how the outcome of woman changed with timing of admission either in active or latent phase of spontaneous labour in a tertiary hospital setting.

Methodology: This study was a cross sectional observational study which was conducted on pregnant women admitted in latent and active phase of labour who fulfil the eligibility criteria after obtaining informed consent from the patient.

Results: ARM, Oxytocin and Misoprostol administration was significantly more among Latent phase of labour. Apgar score ≤ 7 at 1 minute was significantly more among Latent phase of labour. Meconium-stained liquor and NICU admission was significantly more among Latent phase of labour. The mean cervical dilatation at time of admission (cm) was significantly more among Active Phase of labour compared to the Latent phase. The mean duration of labour (hrs) was significantly more among latent Phase of labour compared to the active phase. There was no significant difference in mean age between Latent phase and Active Phase of labour.

Conclusion: Women who were admitted in latent phase of labour have higher risk of obstetric interventions than with women in active phase of labour. Vaginal delivery was more among patients admitted in active phase of labour compared to women admitted in latent phase of labour. PPH, perineal tear, cervical tear was more among women admitted in active phase of labour.