Prolonged second stage of labour, maternal infectious disease, urinary retention and other complications in the early postpartum period

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Stephansson, O.Karolinska Institutet (author)

Prolonged second stage of labour, maternal infectious disease, urinary retention and other complications in the early postpartum period

Article/chapterEnglish2016

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2015-01-20
Wiley,2016
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-282464
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-282464URI
https://doi.org/10.1111/1471-0528.13287DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:133077300URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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ObjectiveTo study the association between duration of second stage of labour and risks of maternal complications (infection, urinary retention, haematoma or ruptured sutures) in the early postpartum period. DesignPopulation-based cohort study. Setting and sampleWe included 72593 mothers with singleton vaginal deliveries at 37weeks of gestation in cephalic presentation, using the obstetric database from the Stockholm-Gotland region in Sweden, 2008-12. MethodsLogistic regression analysis. Odds ratios (ORs) with 95% confidence intervals (95% CI) were calculated and adjustments were made for maternal age, body mass index, height, smoking, cohabitation, gestational age, labour induction, epidural analgesia and oxytocin augmentation. ResultsRates of any complication varied by parity from 7.3% in parous women with previous caesarean section, 4.8% in primiparas and 1.7% in parous women with no previous caesarean section. Compared with a second stage <1hour, the adjusted ORs for any complication (95% CI) in primiparas were for 1 to <2hours 1.28 (1.11-1.47); 2 to <3hours 1.54 (1.32-1.79), 3 to <4hours 1.63 (1.38-1.93) and 4hours 2.08 (1.74-2.49). The corresponding adjusted ORs for parous women without previous caesarean were 2.27 (1.78-2.90), 2.97 (2.09-4.22), 3.65 (2.25-5.94) and 3.16 (1.44-6.94), respectively. The adjusted ORs for women with previous caesarean were for 1 to <2hours 1.62 (1.13-2.32); 2 to <3hours 1.56 (1.00-2.43), 3 to <4hours 2.42 (1.52-3.87), and 4hours 2.31 (1.25-4.24). ConclusionsRisks of maternal complications in the postpartum period increase with duration of second stage of labour also after accounting for maternal, pregnancy and delivery characteristics. Special attention has to be given to parous women with previous caesarean deliveries.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Infectious disease
labour
postpartum
second stage
urinary retention

Added entries (persons, corporate bodies, meetings, titles ...)

Sandstrom, A.Karolinska Institutet (author)
Petersson, G.Karolinska Institutet (author)
Wikström, Anna-KarinKarolinska Institutet,Uppsala universitet,Obstetrik & gynekologi,Karolinska Univ Hosp & Inst, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden.(Swepub:uu)annwi179 (author)
Cnattingius, S.Karolinska Institutet (author)
Karolinska InstitutetObstetrik & gynekologi (creator_code:org_t)

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In:British Journal of Obstetrics and Gynecology: Wiley123:4, s. 608-6161470-03281471-0528

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By the author/editor: Stephansson, O.; Sandstrom, A.; Petersson, G.; Wikström, Anna-K ...; Cnattingius, S.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

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