Cesarean Section Complications Clinical Trial
Official title:
The Effect of Primary Cesarean Section Prevention on Maternal and Neonatal Outcomes
The study aimed to examine the effect of prolonging the second stage of labor on the rate of
Cesarean section (CS), maternal and neonatal outcomes.
The study compared 2 time periods. The first time period was between May 2011 until April
2014 when a prolonged second stage in nulliparous women was considered three hours with
regional anesthesia or two hours if no such anesthesia was provided. Second stage arrest was
defined in multiparous women after two hours with regional anesthesia or one hour without it.
The second time period was between May 2014 until April 2017, allowed nulliparous and
multiparous women to continue the second stage of labor an additional one hour before
diagnosing second-stage arrest. Singleton deliveries at or beyond 37 weeks' gestation were
initially considered for eligibility.
The study aimed to examine the effect of prolonging the second stage of labor on the rate of
Cesarean section (CS), maternal and neonatal outcomes.
The study compared 2 time periods. The first time period was between May 2011 until April
2014 when a prolonged second stage in nulliparous women was considered three hours with
regional anesthesia or two hours if no such anesthesia was provided. Second stage arrest was
defined in multiparous women after two hours with regional anesthesia or one hour without it.
The second time period was between May 2014 until April 2017, allowed nulliparous and
multiparous women to continue the second stage of labor an additional one hour before
diagnosing second-stage arrest. Singleton deliveries at or beyond 37 weeks' gestation were
initially considered for eligibility.
The rate of CS, operative vaginal deliveries, 3rd and 4th degree lacerations, postpartum
hemorrhage, arterial cord PH below 7 and admissions to the neonatal intensive care unit
(NICU).
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