The Association between Fetal Head Station at the First Diagnosis of the Second Stage of Labor and Delivery Outcomes | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 99, Volume 92, Issue 1, July 2023, Page 6109-6116 PDF (524.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.312363 | ||||
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| Abstract | ||||
| Background: The impact of foetal head station at the onset of 2nd stage of labor on the duration of 2nd stage duration is still controversial in spite of multiple studies conducted on evaluation of foetal head station early in labor, but still much less data on the impact of foetal head descend in the 2nd stage. Objective: The study aimed to evaluate the correlation between foetal head station diagnosed at the start of second stage of labour and fetomaternal delivery outcomes. Subjects and methods: This study was carried out on 100 female participants were in spontaneous labor at 37-42 weeks in emergency room (ER) at Obstetrics and Gynecology Department at Menoufia University Hospitals after obtaining their consent from January 2022 till December 2022. Upon the diagnosis of the second stage of labour, women were divided into three groups according to the foetal head station: above (S<0), at the level of (S=0), and below (S>0). The length of the second stage and the risk of operational delivery were examined and stratified by parity between the groups. All subjects had routine testing (CBC, Coagulation profile, Kidney function tests, Liver function tests), and all females underwent obstetric ultrasounds. Results: 46% of the 100 individuals who matched the inclusion criteria were nulliparous, whereas 54% were multiparous. 10.9%, 34.8%, and 54.3% of the nulliparous women had foetal head S<0, S=0, and S>0 following second stage diagnosis. 20.4%, 37%, and 42.6% of the multiparous women were identified as having foetal head S<0, S=0, and S>0, respectively. The length of the second stage was independently and strongly correlated with foetal head station at the time of second stage diagnosis (P<0.001). Conclusion: The length of the second stage is strongly and independently correlated with the foetal head station at the first diagnosis of the second stage. Between three groups of multiparous, there was a statistically significant difference in the necessity for the Kristeller manoeuvre, with multiparous females with S0 needing fundal pressure more often. | ||||
| Keywords | ||||
| Fetal head station; Head descend; labor; 2nd stage; Nulliparous; Multiparous | ||||
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