Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS).

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY Obstetric Medicine Pub Date : 2023-06-01 Epub Date: 2022-03-30 DOI:10.1177/1753495X221089206

Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé

{"title":"Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS).","authors":"Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé","doi":"10.1177/1753495X221089206","DOIUrl":null,"url":null,"abstract":"Background: The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.Methods: Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.Results: The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (p = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, p < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, p = 0.08), and more traumatic deliveries (16.7% vs. 0%, p = 0.012).Conclusion: The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"109-115"},"PeriodicalIF":0.5000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334035/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetric Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1753495X221089206","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/3/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.

Methods: Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.

Results: The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (p = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, p < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, p = 0.08), and more traumatic deliveries (16.7% vs. 0%, p = 0.012).

Conclusion: The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

产妇和新生儿在分娩过程中的并发症，根据有医疗条件的产妇在第二产程中的被动和主动情况（ComPActSS）。

背景：患有疾病的产妇在阴道分娩时使用被动式第二产程的严重并发症发生率尚不清楚：我们的回顾性队列研究采用配对组（1 个被动第二产程与 2 个主动第二产程配对），包括本中心高风险产科团队制定了医疗分娩计划的产妇。主要结果是产妇和新生儿主要并发症的综合：结果：被动组有 50%（12/24）的产妇出现了主要并发症，而主动组则有 35.4%（17/48）的产妇出现了主要并发症（P = 0.24）。在被动组中，我们观察到被动第二产程更长（28 分钟对 8 分钟，P = 0.08），创伤性分娩更多（16.7% 对 0%，P = 0.012）：结论：采用被动第二产程的产妇出现并发症的比例较高，这应鼓励医生仅在特定情况下才推荐采用被动第二产程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Obstetric Medicine OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

自引率

0.00%

发文量