Second-Stage Labor Support Strategies to Decrease Labor Time and Reduce Nulliparous, Term, Singleton, Vertex Cesarean Rates

Leading Change on Labor and Delivery: Reducing Nulliparous Term Singleton Vertex (NTSV) Cesarean Rates.

Unengaged vertex in nulliparous women in active labor. A risk factor for cesarean delivery.

OBJECTIVE To compare the route of delivery among nulliparous parturients with and without an engaged vertex in the early, active phase of labor. METHODS Prospectively, the position of the fetal head was ascertained among nulliparous women at 37 weeks' gestation or more in early, active labor (cervical dilation > or = 4 cm with adequate contractions). Sixteen variables, including maternal demo...

Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomes.

OBJECTIVE The purpose of this study was to assess maternal and perinatal outcomes as a function of second-stage labor duration. STUDY DESIGN We assessed outcomes in nulliparous laboring women who were enrolled in a trial of fetal pulse oximetry. RESULTS Of 5341 participants, 4126 women reached the second stage of labor. As the duration of the second stage increased, spontaneous vaginal deli...

Risk of first-stage and second-stage cesarean delivery by maternal body mass index among nulliparous women in labor at term.

OBJECTIVE To estimate in a cohort of nulliparous women in labor at term whether cesarean delivery rates are increased in first and second stages of labor in overweight and obese women and whether being overweight or obese is an independent risk factor for cesarean delivery. METHODS Nulliparous women recruited to the prospective Screening for Pregnancy Endpoints study who went into labor after...

Effect of massage Aromatherapy with lavandula on the duration of first and second stage of labor in nulliparous women

Introduction: Duration of labor and pain severity are main factors to fray pregnant women of vaginal delivery and acceptance for elective section. Hence, the purpose of this research was to investigate the effect of massage aromatherapy with lavandula in decreasing the duration of first and second stage of labor in nulliparous women. Methods: The present study is a clinical trial which performe...