Maternal and Perinatal outcomes in nulliparous Kashmiri women who present in latent phase versus active phase of labour

Abstract

Background: The study was aimed to find out the relationship between labor phase at admission and the maternal and perinatal outcome. Methods: A cohort study was conducted on 500 women in post-graduate department of obstetrics and gynaecology, L.D hospital, GMC Srinagar, from December 2018 to June 2020 after obtaining clearance from the Institutional Ethical Committee. The patients were allocated into two groups: Group L: Admitted in Latent phase of labour (<4 cm cervical dilatation).Group A: Admitted in Active phase of labour (>4 cm cervical dilatation). Results: The two groups of patients were compared for obstetric interventions and outcomes. Majority of women admitted in latent phase of labour delivered by caesarean section (61.7%) compared to those admitted in active phase (14.3%). Also, postpartum morbidities were higher in patients admitted in latent phase of labour, hence prolonging the hospital stay in them. Conclusion: Admission in latent phase of labor in low-risk nulliparous women is associated with risk of prolonged labor, increased need of caesarean sections and increase in postpartum morbidities.