Showing papers on "Labor Complication published in 2019"
19 Jul 2019
TL;DR: The purpose of this study was to analyze the relationship between antenatal care and labor complication among Indonesian’s mothers and showed that, mothers with a poor antenatal Care had a 1.3 times higher risk of labor complications thanmothers with a good antenatalCare.
Abstract: Labor complications often lead to maternal death. A good antenatal care can reduce maternal and infant mortality. The purpose of this study was to analyze the relationship between antenatal care and labor complication among Indonesian’s mothers. Data of the Indonesia Demographic and Health Survey (IDHS) 2012 from 33 Provinces were used in this study. Samples consisted of 11.803 women aged 15-49 years who delivered baby at sometimes during the last 5 years before survey. A cross-sectional design was used. Variables in the study consisted of dependent variable (labor complication), main independent variable (antenatal care) and potential confounder variables including maternal age in the last labor, mother’s education, number of parity, preceding birth interval, birth attendance, place of delivery, a history of pregnancy complications, history of previous labor complication and multiple pregnancies. A logistic regression was used for analyzing data. Results of this study showed that the prevalence of labor complications was 49.2% and the prevalence of poor antenatal cares (do not use a standard criteria recommended by Indonesian Health Ministry) was 91.2%. After controlling for all potential confounder variables, this study showed that, mothers with a poor antenatal care had a 1.3 times higher risk of labor complications than mothers with a good antenatal care (POR 1.3, 95% CI: 1.1 - 1.4).
30 citations
TL;DR: Examining the contribution of IPV exposure to pregnancy complications and early labor and delivery, controlling for childhood adversity, and assessing prenatal mental health and relational resilience as mediators of the effect of IPv exposure found that IPV would predict higher levels of mental health problems and lower levels of relational resilience would each be associated with fewer pregnancy complications.
Abstract: Intimate partner violence (IPV) during and prior to pregnancy has been linked to higher rates of pregnancy complications and early labor and delivery. However, to our knowledge, no studies have examined prenatal mental health problems and relational resilience as parallel mechanisms by which past-year IPV exposure impacts pregnancy and labor. The current study aimed to (a) examine the contribution of IPV exposure to pregnancy complications and early labor and delivery, controlling for childhood adversity, and (b) assess prenatal mental health and relational resilience as mediators of the effect of IPV exposure on pregnancy complications and early labor and delivery. We hypothesized that IPV would predict higher levels of mental health problems and lower levels of relational resilience, each of which would contribute to women's risk of labor complications such that fewer mental health problems and higher levels of relational resilience would each be associated with fewer pregnancy complications and early labor and delivery. Participants were (n = 76) interviewed during pregnancy and 6 weeks postdelivery. No direct effect of IPV exposure on either pregnancy complications or labor complications was found. Parallel indirect effects of IPV on labor via prenatal mental health, indirect effect size = -.09; 95% CI [-.224, -.011]; and relational resilience, indirect effect size = .13, 95% CI [.036, .329] were found. Brief, empirically tested IPV screens at prenatal clinics may help healthcare providers better identify IPV-exposed patients. Clinical interventions targeting prenatal mental health and relational resilience may help improve labor outcomes for IPV-exposed mothers.
11 citations
TL;DR: Elective induction does not result in an increased risk of cesarean section during labor complications and only the use of prostaglandin following transcervical balloon catheter increased the risk of severe postpartum hemorrhage.
Abstract: Introduction Evaluate the impact of labor induction on maternal complications following caesarean section during labor. Material and methods Retrospective, single-center study between 2015 and 2017. Were included singleton pregnancies who had cesarean section during labor after 37 W G. Labor induction procedures included either transcervical balloon catheters or prostaglandins. Degree of emergency of the cesarean was decided according to color code (green, orange and red). We identified and compared intra and postoperative complications according to the mode of labor onset, and then to the mode of labor induction. Results 882 patients were included, 416 with spontaneous labor and 464 with labor induction. No significant difference was found for postoperative complications between the two groups. Patients with spontaneous labor had fewer green-code caesareans than patients with elective induction (29.3% vs. 40.3% p Conclusions Elective induction does not result in an increased risk of cesarean section during labor complications. Only the use of prostaglandin following transcervical balloon catheter increased the risk of severe postpartum hemorrhage.
2 citations