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Date Published: 24/07/2025
Abstract Views: 193
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DOI: https://doi.org/10.51298/vmj.v552i2.14966
Issue
Vol. 552 No. 2 (2025)
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Các bài báo
How to Cite
Đặng, V. T., Nguyễn, P. H., Đỗ, X. V., Đặng, Q. T., Lã, Q. L., Đặng, V. S., Nguyễn, P. T., & Nguyễn, T. H. (2025). THE RELATIONSHIP BETWEEN DURATION OF LABOR AND MATERNAL AND FETAL OUTCOME IN FULL-TERM PREGNANT WOMAN AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL. Vietnam Medical Journal, 552(2). https://doi.org/10.51298/vmj.v552i2.14966

THE RELATIONSHIP BETWEEN DURATION OF LABOR AND MATERNAL AND FETAL OUTCOME IN FULL-TERM PREGNANT WOMAN AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Văn Tốt Đặng, Phương Hảo Nguyễn, Xuân Vinh Đỗ, Quỳnh Trang Đặng, Quế Lâm Lã, Văn Sinh Đặng, Phương Tú Nguyễn, Thị Hằng Nguyễn

Main Article Content

Abstract

Objective: Comments on the relationship between duration of labor and maternal and fetal outcomes in full-term pregnant woman at Hanoi Obstetrics and Gynecology Hospital. Methods: Descriptive cross-sectional, retrospective study design on 306 full-term pregnant women, monitored labor at A2 department from April, 2023 to September, 2023. Results: Length of first stage, total first and second stage of labor have relationship with adverse maternal outcomes (p<0.05), in particular rate of postpartum hemorrhage and cesarean delivery, and adverse fetal outcomes (p<0.05). The rate of postpartum hemorrhage with the duration of first stage > 12 hours was 13,3%, 5 times of that with the duration < 6 hours. Length of second stage of labor is not associated with adverse maternal outcomes (p>0.05), but relative with undesirable neonatal outcomes (p<0.05). Conclusion: Prolonged labor has correlation with some adverse outcomes of mother and fetal, especially postpartum hemorrhage.

Article Details

Keywords

Duration of labor, maternal and fetal outcomes, full-term pregnancy

References

Wang L., Wang H., Jia L., et al. (2020). The impact of stage of labor on adverse maternal and neonatal outcomes in multiparous women: a retrospective cohort study. BMC Pregnancy and Childbirth, 20(1), 596.
2. Harper L.M., Caughey A.B., Roehl K.A., et al. (2014). Defining an abnormal first stage of labor based on maternal and neonatal outcomes. Am J Obstet Gynecol, 210(6), 536.e1-536.e7.
3. Li C., He T., Zhou J., et al. (2022). Does a longer second stage of labor worsen umbilical artery blood gas parameters in newborns?-a retrospective cohort study of 2,140 cases. Ann Transl Med, 10(22), 1208.
4. Allen V.M., Baskett T.F., O’Connell C.M., et al. (2009). Maternal and perinatal outcomes with increasing duration of the second stage of labor. Obstet Gynecol, 113(6), 1248–1258.
5. Cheng Y.W., Hopkins L.M., and Caughey A.B. (2004). How long is too long: Does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes?. Am J Obstet Gynecol, 191(3), 933–938.
6. Ausbeck E.B., Jennings S.F., Champion M., et al. (2020). Perinatal Outcomes with Longer Second Stage of Labor: A Risk Analysis Comparing Expectant Management to Operative Intervention. Am J Perinatol, 37(12), 1201–1207.
7. Ladfors L.V., Liu X., Sandström A., et al. (2024). Risk of postpartum hemorrhage with increasing first stage labor duration. Sci Rep, 14, 22152.
8. Han N.Y. and Wang X. (2020). [Clinical study on the correlation between the duration of labor and postpartum hemorrhage]. Zhonghua Fu Chan Ke Za Zhi, 55(10), 673–678.