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Archives of Gynecology and Obstetrics

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01-12-2009 | Original Article

Onset of labour: women’s experiences and midwives’ assessments in relation to first stage duration

Authors: Mechthild M. Gross, Rosemarie A. Burian, Cornelia Frömke, Hartmut Hecker, Cordula Schippert, Peter Hillemanns

Published in: Archives of Gynecology and Obstetrics | Issue 6/2009

Abstract

Aim

The study aimed to assess the time of labour onset and its symptoms as perceived by women in labour and midwives, and the relationship between these and first stage duration.

Methods

A longitudinal cohort study of women with a singleton pregnancy in cephalic presentation was performed in 41 maternity units. The sample comprised 1,170 women, 611 nulliparae (np) and 559 multiparae (mp), who answered two standardized questions on the onset of labour and selected the applicable symptoms of labour onset from a list of eight. A multivariate Cox regression model was computed covering further perinatal factors.

Results

The median durations of the first stage of labour as assessed by the women themselves were 11 (np) and 6.5 h (mp), and as assessed by the midwives 7 (np) and 4 h (mp). Median time intervals between the start of labour onset symptoms as perceived by the women concerned and the midwives’ diagnoses varied greatly: the shortest related to watery fluid loss (np = 1.5 h, mp = 0.0 h), the longest to alterations in sleep patterns (np = 11.5 h, mp = 4.5 h). Irregular pain, watery fluid loss and the time between self-diagnosed and professionally diagnosed onset of labour were just as closely associated with the duration of the first stage of labour as perinatal factors. Significant perinatal factors were induction with oxytocin, herbal remedies and PROM.

Conclusions

The perceptions of women in labour are as important as perinatal factors in determining the duration of the first stage of labour and should be taken into account in intrapartum care.

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Title: Onset of labour: women’s experiences and midwives’ assessments in relation to first stage duration
Authors: Mechthild M. Gross
Rosemarie A. Burian
Cornelia Frömke
Hartmut Hecker
Cordula Schippert
Peter Hillemanns
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 6/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-0990-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Onset of labour: women’s experiences and midwives’ assessments in relation to first stage duration

Abstract

Aim

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Aim

Methods

Results

Conclusions

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