Comparing the Neonatal Outcomes in Mothers Presenting in Active and Latent Phase of Spontaneous Labor

Abstract

Backgrounds and Objectives: Estimation of exact time of admission for Labor is very important for mother and neonates safety. Therefore this study was done to detect the impact of early admission on labor conduct and neonatal outcomes. Materials and Methods: In this descriptive and comparable study , 250women with low risk Pregnancy ;single fetus and vertex Presentation, that had been admitted in their latent Phase (group 1) and 250 women who had similar characteristics and had been admitted in their active Phase (group 2) were assessed randomly and compared in Taleghani hospital. Information recording forms and check lists were used for data collection. SPSS software, t-test, chi -square and Regression logistic tests were used to analyze the obtained data. P<0.05 was considered as the significant level. Results: Our study showed that 6.8 percent of early referred and 5.8 percent of late referred women had fetal Brady Cardia, tacky cardia and the difference was not significant. But they had significant difference in PH of Cord Arterial, Apgar score of infants in 1 min and Primary resuscitation management’s use (P≤.0/05). Conclusion: admission of women in Latent Phase of pregnancy increase the complications. It is suggested to do not admitted mothers in their latent Phase when there is not a clear indication of admission.

Keywords: Outcomes, Fetus, Newborn, Latent, Active, Stage