Table 2.
Maternal and newborn outcomes after prolonged second stage of labor
| 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% |
||
Significance testing done with Fisher’s Exact Test. Denominators differ due to presence of missing data