Relationship Between Prolonged Second Stage of Labor and Short-Term Neonatal Morbidity: A Systematic Review and Meta-Analysis
To evaluate the association between prolonged second stage of labor and the risk of adverse neonatal outcomes with a systematic review and meta-analysis. PubMed, Scopus and EMBASE were searched using the search strategy "Labor Stage, Second" AND (length OR duration OR prolonged OR abnormal...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-10, Vol.17 (21), p.7762 |
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| container_title | International journal of environmental research and public health |
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| creator | Infante-Torres, Nuria Molina-Alarcón, Milagros Arias-Arias, Angel Rodríguez-Almagro, Julián Hernández-Martínez, Antonio |
| description | To evaluate the association between prolonged second stage of labor and the risk of adverse neonatal outcomes with a systematic review and meta-analysis. PubMed, Scopus and EMBASE were searched using the search strategy "Labor Stage, Second" AND (length OR duration OR prolonged OR abnormal OR excessive). Observational studies that examine the relationship between prolonged second stage of labor and neonatal outcomes were selected. Prolonged second stage of labor was defined as 4 h or more in nulliparous women and 3 h or more in multiparous women. The main neonatal outcomes were 5 min Apgar score |
| doi_str_mv | 10.3390/ijerph17217762 |
| format | Article |
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PubMed, Scopus and EMBASE were searched using the search strategy "Labor Stage, Second" AND (length OR duration OR prolonged OR abnormal OR excessive). Observational studies that examine the relationship between prolonged second stage of labor and neonatal outcomes were selected. Prolonged second stage of labor was defined as 4 h or more in nulliparous women and 3 h or more in multiparous women. The main neonatal outcomes were 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit, neonatal sepsis and neonatal death. Data collection and quality assessment were carried out independently by the three reviewers. Twelve studies were selected including 266,479 women. In nulliparous women, a second stage duration greater than 4 h increased the risk of 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit and neonatal sepsis and intubation. In multiparous women, a second stage of labor greater than 3 h was related to 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit, meconium staining and composite neonatal morbidity. Prolonged second stage of labor increased the risk of 5 min Apgar score <7 and admission to the Neonatal Intensive Care Unit in nulliparous and multiparous women, without increasing the risk of neonatal death. This review demonstrates that prolonged second stage of labor increases the risk of neonatal complications in nulliparous and multiparous women.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17217762</identifier><identifier>PMID: 33114127</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Apgar score ; Bias ; Childbirth & labor ; Complications ; Data collection ; Epidural ; Female ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - etiology ; Intensive care ; Intubation ; Labor ; Labor Stage, Second ; Meconium ; Meta-analysis ; Morbidity ; Neonates ; Pregnancy ; Pregnancy Outcome ; Quality assessment ; Quality control ; Review ; Reviews ; Risk ; Sepsis ; Systematic review ; Vagina ; Womens health</subject><ispartof>International journal of environmental research and public health, 2020-10, Vol.17 (21), p.7762</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-f298d2ade04b1a903d45bf40a5212345d612336b27fc251a05167ed986dea6df3</citedby><cites>FETCH-LOGICAL-c418t-f298d2ade04b1a903d45bf40a5212345d612336b27fc251a05167ed986dea6df3</cites><orcidid>0000-0001-9279-2698 ; 0000-0002-6239-2842 ; 0000-0002-9100-1134</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7660349/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7660349/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33114127$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Infante-Torres, Nuria</creatorcontrib><creatorcontrib>Molina-Alarcón, Milagros</creatorcontrib><creatorcontrib>Arias-Arias, Angel</creatorcontrib><creatorcontrib>Rodríguez-Almagro, Julián</creatorcontrib><creatorcontrib>Hernández-Martínez, Antonio</creatorcontrib><title>Relationship Between Prolonged Second Stage of Labor and Short-Term Neonatal Morbidity: A Systematic Review and Meta-Analysis</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>To evaluate the association between prolonged second stage of labor and the risk of adverse neonatal outcomes with a systematic review and meta-analysis. PubMed, Scopus and EMBASE were searched using the search strategy "Labor Stage, Second" AND (length OR duration OR prolonged OR abnormal OR excessive). Observational studies that examine the relationship between prolonged second stage of labor and neonatal outcomes were selected. Prolonged second stage of labor was defined as 4 h or more in nulliparous women and 3 h or more in multiparous women. The main neonatal outcomes were 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit, neonatal sepsis and neonatal death. Data collection and quality assessment were carried out independently by the three reviewers. Twelve studies were selected including 266,479 women. In nulliparous women, a second stage duration greater than 4 h increased the risk of 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit and neonatal sepsis and intubation. In multiparous women, a second stage of labor greater than 3 h was related to 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit, meconium staining and composite neonatal morbidity. Prolonged second stage of labor increased the risk of 5 min Apgar score <7 and admission to the Neonatal Intensive Care Unit in nulliparous and multiparous women, without increasing the risk of neonatal death. This review demonstrates that prolonged second stage of labor increases the risk of neonatal complications in nulliparous and multiparous women.</description><subject>Apgar score</subject><subject>Bias</subject><subject>Childbirth & labor</subject><subject>Complications</subject><subject>Data collection</subject><subject>Epidural</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - etiology</subject><subject>Intensive care</subject><subject>Intubation</subject><subject>Labor</subject><subject>Labor Stage, Second</subject><subject>Meconium</subject><subject>Meta-analysis</subject><subject>Morbidity</subject><subject>Neonates</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Review</subject><subject>Reviews</subject><subject>Risk</subject><subject>Sepsis</subject><subject>Systematic review</subject><subject>Vagina</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUUtPGzEQtipQoSlXjsgS5wW_1pvlgBRQW5BCW_E4W7Pr2cTRZh1sB5RD_3vNU3D6RjPffPP4CNnn7EjKmh27BYbVnFeCV5UWX8gu15oVSjO-9SHeId9iXDAmx0rXX8mOlJwrLqpd8u8ae0jOD3HuVvQM0yPiQP8G3_thhpbeYOuHDAlmSH1Hp9D4QOEpNfchFbcYlvQ3-gES9PTKh8ZZlzYndEJvNjHhMou39BofHD4-t11hgmIyQL-JLn4n2x30EfdecUTufv64Pb8opn9-XZ5PpkWr-DgVnajHVoBFphoONZNWlU2nGJSCC6lKqzNI3Yiqa0XJgZVcV2jrsbYI2nZyRE5fdFfrZom2xSEF6M0quCWEjfHgzOfK4OZm5h9MlT8oVZ0FDl8Fgr9fY0xm4dchXxGN0DLPK2UmjsjRC6sNPsaA3fsEzsyTXeazXbnh4ONe7_Q3f-R_MviTVQ</recordid><startdate>20201023</startdate><enddate>20201023</enddate><creator>Infante-Torres, Nuria</creator><creator>Molina-Alarcón, Milagros</creator><creator>Arias-Arias, Angel</creator><creator>Rodríguez-Almagro, Julián</creator><creator>Hernández-Martínez, Antonio</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9279-2698</orcidid><orcidid>https://orcid.org/0000-0002-6239-2842</orcidid><orcidid>https://orcid.org/0000-0002-9100-1134</orcidid></search><sort><creationdate>20201023</creationdate><title>Relationship Between Prolonged Second Stage of Labor and Short-Term Neonatal Morbidity: A Systematic Review and Meta-Analysis</title><author>Infante-Torres, Nuria ; 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PubMed, Scopus and EMBASE were searched using the search strategy "Labor Stage, Second" AND (length OR duration OR prolonged OR abnormal OR excessive). Observational studies that examine the relationship between prolonged second stage of labor and neonatal outcomes were selected. Prolonged second stage of labor was defined as 4 h or more in nulliparous women and 3 h or more in multiparous women. The main neonatal outcomes were 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit, neonatal sepsis and neonatal death. Data collection and quality assessment were carried out independently by the three reviewers. Twelve studies were selected including 266,479 women. In nulliparous women, a second stage duration greater than 4 h increased the risk of 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit and neonatal sepsis and intubation. In multiparous women, a second stage of labor greater than 3 h was related to 5 min Apgar score <7, admission to the Neonatal Intensive Care Unit, meconium staining and composite neonatal morbidity. Prolonged second stage of labor increased the risk of 5 min Apgar score <7 and admission to the Neonatal Intensive Care Unit in nulliparous and multiparous women, without increasing the risk of neonatal death. This review demonstrates that prolonged second stage of labor increases the risk of neonatal complications in nulliparous and multiparous women.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33114127</pmid><doi>10.3390/ijerph17217762</doi><orcidid>https://orcid.org/0000-0001-9279-2698</orcidid><orcidid>https://orcid.org/0000-0002-6239-2842</orcidid><orcidid>https://orcid.org/0000-0002-9100-1134</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Full-Text Journals in Chemistry (Open access); PubMed Central; EZB Electronic Journals Library; PubMed Central Open Access |
| subjects | Apgar score Bias Childbirth & labor Complications Data collection Epidural Female Humans Infant, Newborn Infant, Newborn, Diseases - etiology Intensive care Intubation Labor Labor Stage, Second Meconium Meta-analysis Morbidity Neonates Pregnancy Pregnancy Outcome Quality assessment Quality control Review Reviews Risk Sepsis Systematic review Vagina Womens health |
| title | Relationship Between Prolonged Second Stage of Labor and Short-Term Neonatal Morbidity: A Systematic Review and Meta-Analysis |
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