Open AccessA circadian variation in the observed duration of labor
Author(s) -
Backe Bjørn
Publication year - 1991
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349109007161
Subject(s) - medicine , duration (music) , singleton , circadian rhythm , obstetrics , etiology , vaginal delivery , obstetric labor complication , pregnancy , pediatrics , art , genetics , literature , biology
The distribution of the duration of labor during the day was analyzed. Material A one‐year material consisting of 1,881 deliveries at the Department of Obstetrics, Regional Hospital of Trondheim, Norway. Only singleton pregnancies with spontaneous onset of contractions and intended vaginal delivery were included. Duration of labor was routinely recorded by the midwife. Methods Stepwise multiple regression. Logarithmic transformation of the dependant variable (duration measured in hours) was applied. Parity (0/1±) and hour of birth were the independent variables. This reflects a clustering of cases with longer duration of labor, unfavourable progress and less good prognosis during the latter half of the day, which has practical implications for the obstetrical staff. This may explain the similiar circadian pattern in perinatal mortality which has been repeatedly documented, the etiology of which has remained enigmatic.