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Different Rates of Prolonged First‐Stage Labor in Primiparas at Two Hospitals
Author(s) -
Thomson Molly
Publication year - 1988
Publication title -
birth
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.233
H-Index - 83
eISSN - 1523-536X
pISSN - 0730-7659
DOI - 10.1111/j.1523-536x.1988.tb01112.x
Subject(s) - medicine , referral , oxytocin , cervix , community hospital , preterm labor , obstetrics , pregnancy , gynecology , nursing , gestation , cancer , biology , genetics
In a study of difficult labor in primiparas at two Montreal hospitals, prolonged first stage labor was significantly less frequent at a community hospital (8%) than at a high risk referral hospital (14%), even though only women admitted for uncomplicated spontaneous labor were included. Prolonged labor was defined as longer than 15 hours from admission to full dilatation of the cervix. More labors were stimulated with oxytocin at the high risk referral hospital (61%) than at the community hospital (34%), meaning that frequent stimulation did not prevent prolonged labor. Common factors may lead both to the need for stimulation and to prolonged labor.