Using a multivariate analysis, precipitous labor in nulliparous women was independently associated with teenagers (adjusted OR: 1.71, 95% CI: 0.99 - 2.95, P = 0.049), preterm delivery (adjusted OR: 1.77, 95% CI: 1.16 - 2.70, P < 0.01) and hypertensive disorders (adjusted OR: 1.77, 95% CI: 1.19 - 2.65, P < 0.01), while in two-parous women, it was independently associated with hypertensive disorders (adjusted OR: 2.64, 95% CI: 1.33 - 5.24, P < 0.01). We examined the clinical characteristics and outcomes by comparing patients with precipitous labor and those with labor of normal duration in 0 and two-parous singleton pregnant women. We retrospectively examined our cases of precipitous labor to identify the clinical significance and perinatal outcomes following precipitous labor in singleton vertex deliveries.Ī retrospective population-based study was conducted comparing women with singleton precipitous labor and those with labor of normal duration. Precipitous labor is defined as expulsion of the fetus within less than 3 hours of commencement of regular contractions. Precipitate labor is associated with higher rates of maternal complications.
However, there were higher rates of maternal complications in the precipitate labor group such as cervical tears and grade 3 perineal tears (18.2% versus 0.3%, P < 0.001 and 2.0% versus 0.1%, P < 0.001, respectively), post-partum hemorrhage (13.1% versus 0.4%, P < 0.001) retained placenta (2.0% versus 0.5%, P = 0.02) the need for revision of uterine cavity and packed-cells transfusions (34.3% versus 4.9%, P < 0.001 and 11.1% versus 1.1%, P < 0.001, respectively) and prolonged hospitalization (27.6% versus 19.2%, P = 0.035) as compared to the controls. No significant differences were noted between the groups regarding perinatal complications such as meconium stained amniotic fluid, perinatal mortality and low Apgar scores.
The number of vaginal deliveries that occurred during the study period was 137,171.
A multiple logistic regression model, with backward elimination, was performed to investigate independent risk factors for precipitate labor. Patients who underwent cesarean deliveries were excluded from the analysis. expulsion of the fetus within less than 3 h of commencement of contractions.Ī comparison of patients with and without precipitate labor, delivered during the years 1988-2002, was conducted. The study was aimed to identify risk factors and to elucidate pregnancy outcome following precipitate labor, i.e.
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