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Materno-Foetal Morbidity in the Second Stage of Labour: A Cohort Study in Primiparous Women in Yaounde

Open Journal of Obstetrics and Gynecology 2021年第12期11卷 1725-1734页

作者： Félix Essiben Khadidja Bayero hapsatou ahmadou djoulatou Maye Ange Ngo Dingom Julius Sama Dohbit Cliford Ebontane Ebong Pascal Foumane Faculty of Medicine and Biomedical Sciences the University of Yaoundé I Yaoundé Cameroon Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences Yaoundé Central Hospital Yaoundé Cameroon Central Maternity Yaoundé Central Hospital Yaoundé Cameroon Department of Obstetrics and Gynecology Yaounde Gyneco-Obstetric and Pediatric Hospital Yaoundé Cameroon

Introduction: Prolonged Second Stage of Labor (SSL) is known to increase maternal and foetal morbidity. We, therefore, aimed to assess for the occurrence of complications of the SSL in relation to its duration in primiparous women in Yaounde. Methods: It was a cohort study carried out at the Yaounde Gynaeco-Obstetric and Paediatric Hospital over a period of 6 months, from December 19, 2018 through May 3, 2019. We included for the study nulliparous pregnant women with singleton pregnancies and normal uteri. Data collected were analysed using EPI info 7 and SPSS version 2.0 software. Results: Amongst 327 nulliparas, the SSL lasted more than one hour in 120 (36.7%), and more than two hours in 42 (12.8%). The most common maternal complications observed were genital lacerations (23.6%;28/120), instrumental deliveries (20.2%, 24/120), post-partum haemorrhage (8.9%). Foetal complications included caput succedaneum (15.2%;18/120) and perinatal asphyxia (7.5%;9/120). Maternal complications were significantly increased in women with an SSL lasting 1 - 2 hours (44.9% versus 22.7%;p 0.001) and >2 hours (42.9% versus 22.7%;p = 0.007). Similarly, for foetal complications 23.1% occurred with SSLs between 1 -

关键词： Second Stage of Labour Duration Primiparas Morbidity Yaounde

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