Abstract :
Background: The management of labour and its complication is an issue of great importance worldwide. Still it is unclear
from available information that when to admit a Women in labour in order to achieve maximum maternal and fetal benefit.
The present study was an attempt to assess how the outcome of woman changed with timing of admission either in active
or latent phase of spontaneous labour in a tertiary care hospital. Aim: 1) To determine and compare the rate of intervention
among low risk women admitted in latent and active phase of labour. 2) To determine and compare the rate of
complications among them. 3) To determine and compare the foetal APGAR Scores and admission to NICU. Methods: It’s
a cross-sectional observational study, conducted at NIMS Hospital, Jaipur from a period between October 2015 to July
2016 with Sample Size of 180 low risk term women presenting during latent or active phase of labour. Result: Out of 180
patients, 96 patients (53.3%)were admitted during latent phase (group I) and 84 patients (46.7%) during active phase of
labour (group II). Duration of labour was significantly greater in-group I compared to group II (mean± SD 17.0 ± 2.1 vs 12.7
± 3.2). Caesarean was more in group I compared to group II (62.5% vs 28.5%) which was significant. Most common
indication of caesarean was dystocia followed by fetal distress. Augmentation with oxytocin was required in 66 cases
(68.75%) in group I and 42 cases (50.0%) in group II and the difference was not significant. Although PPH, cervical and
perineal tear,fetal distress was more in group I but the difference was insignificant.
Keyword :
Active phase, labour, latent phase, Partograph.