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Table 2 Maternal and newborn outcomes after prolonged second stage of labor

From: Associations between prolonged second stage of labor and maternal and neonatal outcomes in freestanding birth centers: a retrospective analysis

 

Primiparous Women

Multiparous Women

Length of Second Stage

≤ 3 hours

> 3hours

P value

≤ 2 hours

> 2 hours

P value

Maternal Outcomes:

 Hemorrhage

157/1391

11.3%

5/31

16.1%

0.39

1185/12,284

9.7%

127/846

15.0%

<0.001

 Active 3rd Stage Management

463/1630

28.4%

12/39

30.8%

0.72

4332/14,628

29.6%

371/1003

37.0%

<0.001

 Retained placenta

33/1363

2.4%

1/31

3.2%

0.54

145/12,094

1.2%

20/811

2.5%

0.005

 Maternal fever

7/1355

0.5%

0/31

0.0%

>0.99

32/12,067

0.3%

6/809

0.7%

0.03

 3rd or 4th degree laceration

27/1358

1.6%

0/31

0.0%

>0.99

132/12,095

0.9%

42/814

3.9%

<0.001

Newborn Outcomes:

 Use of positive pressure ventilation

3/1652

0.2%

0/39

0.0%

>0.99

6/15,173

0.04%

3/1071

0.3%

0.02

 Newborn intubation

0/1652

0.0%

0/39

0.0%

-

2/15,173

0.01%

0/1071

0.00%

>0.99

 Newborn antibiotics

21/1652

1.3%

0/39

0.0%

>0.99

47/15,173

0.3%

10/1071

0.9%

0.004

 Newborn sepsis

21/1652

1.3%

0/39

0.0%

>0.99

65/15,173

0.4%

13/1071

1.2%

0.002

 Perinatal deaths

  

>0.99

  

0.005

 Intrapartum death

0/1652

0.0%

0/39

0.0%

 

0/15,170

0.0%

1/1071

0.1%

 

 Neonatal death

1/1652

0.1%

0/39

0.0%

 

3/15,170

0.02%

2/1071

0.2%

 
  1. Significance testing done with Fisher’s Exact Test. Denominators differ due to presence of missing data