When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia

American Journal of Obstetrics and Gynecology

Volumn 201, Issue 4, 2009, Pages 361.e1-361.e7

  Le Ray, Camille ^a,b   Audibert, François ^a   Goffinet, François ^b   Fraser, William ^a  

^a UNIVERSITY OF MONTREAL   (Canada)

^b INSERM   (France)

Author keywords

duration of active second stage labor; maternal complications; nulliparous women

Indexed keywords

ANESTHETIC AGENT;

ADULT; ADVERSE OUTCOME; APGAR SCORE; ARTERIAL PH; ARTICLE; ASPHYXIA; BIRTH INJURY; EPIDURAL ANESTHESIA; FEMALE; FEVER; HOSPITAL ADMISSION; HUMAN; LABOR STAGE 2; LACERATION; MAJOR CLINICAL STUDY; MATERNAL WELFARE; NEWBORN; NEWBORN CARE; NEWBORN INTENSIVE CARE; NULLIPARA; OBSTETRIC ANALGESIA; PERINEUM INJURY; PERINEUM LACERATION; POSTPARTUM HEMORRHAGE; PRIORITY JOURNAL; RISK ASSESSMENT; VAGINAL DELIVERY;

EID: 70349403900     PISSN: 00029378     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajog.2009.08.002     Document Type: Article

References (22)

1. Myles T.D., and Santolaya J. Maternal and neonatal outcomes in patients with a prolonged second stage of labor. Obstet Gynecol 102 (2003) 52-58
2. Menticoglou S.M., Manning F., Harman C., and Morrison I. Perinatal outcome in relation to second-stage duration. Am J Obstet Gynecol 173 (1995) 906-912
3. Cheng Y.W., Hopkins L.M., and Caughey A.B. How long is too long: does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes?. Am J Obstet Gynecol 191 (2004) 933-938
4. Janni W., Schiessl B., Peschers U., et al. The prognostic impact of a prolonged second stage of labor on maternal and fetal outcome. Acta Obstet Gynecol Scand 81 (2002) 214-221
5. Moon J.M., Smith C.V., and Rayburn W.F. Perinatal outcome after a prolonged second stage of labor. J Reprod Med 35 (1990) 229-231
6. Saunders N.S., Paterson C.M., and Wadsworth J. Neonatal and maternal morbidity in relation to the length of the second stage of labour. BJOG 99 (1992) 381-385
7. Kuo Y.C., Chen C.P., and Wang K.G. Factors influencing the prolonged second stage and the effects on perinatal and maternal outcomes. J Obstet Gynaecol Res 22 (1996) 253-257
8. Altman M.R., and Lydon-Rochelle M.T. Prolonged second stage of labor and risk of adverse maternal and perinatal outcomes: a systematic review. Birth 33 (2006) 315-322
9. Fraser W.D., Marcoux S., Krauss I., Douglas J., Goulet C., and Boulvain M. Multicenter, randomized, controlled trial of delayed pushing for nulliparous women in the second stage of labor with continuous epidural analgesia: the PEOPLE (Pushing Early or Pushing Late with Epidural) study group. Am J Obstet Gynecol 182 (2000) 1165-1172
10. Roberts C.L., Torvaldsen S., Cameron C.A., and Olive E. Delayed versus early pushing in women with epidural analgesia: a systematic review and meta-analysis. BJOG 111 (2004) 1333-1340
11. Wood C., Ng K.H., Hounslow D., and Benning H. Time: an important variable in normal delivery. J Obstet Gynaecol Br Commonw 80 (1973) 295-300
12. Katz M., Lunenfeld E., Meizner I., Bashan N., and Gross J. The effect of the duration of the second stage of labour on the acid-base state of the fetus. BJOG 94 (1987) 425-430
13. Nordstrom L., Achanna S., Naka K., and Arulkumaran S. Fetal and maternal lactate increase during active second stage of labour. BJOG 108 (2001) 263-268
14. Aldrich C.J., D'Antona D., Spencer J.A., et al. The effect of maternal pushing on fetal cerebral oxygenation and blood volume during the second stage of labour. BJOG 102 (1995) 448-453
15. Sung J.F., Daniels K.I., Brodzinsky L., El-Sayed Y.Y., Caughey A.B., and Lyell D.J. Cesarean delivery outcomes after a prolonged second stage of labor. Am J Obstet Gynecol 197 (2007) 306.e1-306.e5
16. Fusi L., Steer P.J., Maresh M.J., and Beard R.W. Maternal pyrexia associated with the use of epidural analgesia in labour. Lancet 1 (1989) 1250-1252
17. Yancey M.K., Zhang J., Schwarz J., Dietrich C.S.3r., and Klebanoff M. Labor epidural analgesia and intrapartum maternal hyperthermia. Obstet Gynecol 98 (2001) 763-770
18. Goetzl L., Rivers J., Zighelboim I., Wali A., Badell M., and Suresh M.S. Intrapartum epidural analgesia and maternal temperature regulation. Obstet Gynecol 109 (2007) 687-690
19. Senecal J., Xiong X., and Fraser W.D. Effect of fetal position on second-stage duration and labor outcome. Obstet Gynecol 105 (2005) 763-772
20. Shaffer B.L., Cheng Y.W., Vargas J.E., Laros Jr. R.K., and Caughey A.B. Manual rotation of the fetal occiput: predictors of success and delivery. Am J Obstet Gynecol 194 (2006) e7-e9
21. Le Ray C., Serres P., Schmitz T., Cabrol D., and Goffinet F. Manual rotation in occiput posterior or transverse positions: risk factors and consequences on the cesarean delivery rate. Obstet Gynecol 110 (2007) 873-879
22. Reichman O., Gdansky E., Latinsky B., Labi S., and Samueloff A. Digital rotation from occipito-posterior to occipito-anterior decreases the need for cesarean section. Eur J Obstet Gynecol Reprod Biol 136 (2008) 25-28