FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2316442582> ?p ?o ?g. }

• W2316442582 endingPage "67" @default.
• W2316442582 startingPage "57" @default.
• W2316442582 abstract "In Brief OBJECTIVE: To assess neonatal and maternal outcomes when the second stage of labor was prolonged according to American College of Obstetricians and Gynecologists guidelines. METHODS: Electronic medical record data from a retrospective cohort (2002–2008) from 12 U.S. clinical centers (19 hospitals), including 43,810 nulliparous and 59,605 multiparous singleton deliveries at 36 weeks of gestation or greater, vertex presentation, who reached 10-cm cervical dilation were analyzed. Prolonged second stage was defined as: nulliparous women with epidural greater than 3 hours and without greater than 2 hours and multiparous women with epidural greater than 2 hours and without greater than 1 hour. Maternal and neonatal outcomes were compared and adjusted odds ratios calculated controlling for maternal race, body mass index, insurance, and region. RESULTS: Prolonged second stage occurred in 9.9% and 13.9% of nulliparous and 3.1% and 5.9% of multiparous women with and without an epidural, respectively. Vaginal delivery rates with prolonged second stage compared with within guidelines were 79.9% compared with 97.9% and 87.0% compared with 99.4% for nulliparous women with and without epidural, respectively, and 88.7% compared with 99.7% and 96.2% compared with 99.9% for multiparous women with and without epidural, respectively (P<.001 for all comparisons). Prolonged second stage was associated with increased chorioamnionitis and third-degree or fourth-degree perineal lacerations. Neonatal morbidity with prolonged second stage included sepsis in nulliparous women (with epidural: 2.6% compared with 1.2% [adjusted odds ratio (OR) 2.08, 95% confidence interval (CI) 1.60–2.70]; without epidural: 1.8% compared with 1.1% [adjusted OR 2.34, 95% CI 1.28–4.27]); asphyxia in nulliparous women with epidural (0.3% compared with 0.1% [adjusted OR 2.39, 95% CI 1.22–4.66]) and perinatal mortality without epidural (0.18% compared with 0.04% for nulliparous women [adjusted OR 5.92, 95% CI 1.43–24.51]); and 0.21% compared with 0.03% for multiparous women (adjusted OR 6.34, 95% CI 1.32–30.34). However, among the offspring of women with epidurals whose second stage was prolonged (3,533 nulliparous and 1,348 multiparous women), there were no cases of hypoxic–ischemic encephalopathy or perinatal death. CONCLUSIONS: Benefits of increased vaginal delivery should be weighed against potential small increases in maternal and neonatal risks with prolonged second stage. LEVEL OF EVIDENCE: II Prolonged second stage is associated with vaginal delivery rates of 80–87% for nulliparous women and 89–96% for multiparous women but with small increases in maternal and serious neonatal morbidity." @default.
• W2316442582 created "2016-06-24" @default.
• W2316442582 creator A5009471301 @default.
• W2316442582 creator A5015413833 @default.
• W2316442582 creator A5053447159 @default.
• W2316442582 creator A5057040843 @default.
• W2316442582 creator A5062173537 @default.
• W2316442582 creator A5074051679 @default.
• W2316442582 date "2014-07-01" @default.
• W2316442582 modified "2023-10-15" @default.
• W2316442582 title "Neonatal and Maternal Outcomes With Prolonged Second Stage of Labor" @default.
• W2316442582 cites W1586597853 @default.
• W2316442582 cites W1997596111 @default.
• W2316442582 cites W2000772220 @default.
• W2316442582 cites W2006607282 @default.
• W2316442582 cites W2019225810 @default.
• W2316442582 cites W204144729 @default.
• W2316442582 cites W2044717016 @default.
• W2316442582 cites W2092057111 @default.
• W2316442582 cites W2109652939 @default.
• W2316442582 cites W2244319904 @default.
• W2316442582 cites W2320178859 @default.
• W2316442582 doi "https://doi.org/10.1097/aog.0000000000000278" @default.
• W2316442582 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4065200" @default.
• W2316442582 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24901265" @default.
• W2316442582 hasPublicationYear "2014" @default.
• W2316442582 type Work @default.
• W2316442582 sameAs 2316442582 @default.
• W2316442582 citedByCount "239" @default.
• W2316442582 countsByYear W23164425822012 @default.
• W2316442582 countsByYear W23164425822015 @default.
• W2316442582 countsByYear W23164425822016 @default.
• W2316442582 countsByYear W23164425822017 @default.
• W2316442582 countsByYear W23164425822018 @default.
• W2316442582 countsByYear W23164425822019 @default.
• W2316442582 countsByYear W23164425822020 @default.
• W2316442582 countsByYear W23164425822021 @default.
• W2316442582 countsByYear W23164425822022 @default.
• W2316442582 countsByYear W23164425822023 @default.
• W2316442582 crossrefType "journal-article" @default.
• W2316442582 hasAuthorship W2316442582A5009471301 @default.
• W2316442582 hasAuthorship W2316442582A5015413833 @default.
• W2316442582 hasAuthorship W2316442582A5053447159 @default.
• W2316442582 hasAuthorship W2316442582A5057040843 @default.
• W2316442582 hasAuthorship W2316442582A5062173537 @default.
• W2316442582 hasAuthorship W2316442582A5074051679 @default.
• W2316442582 hasBestOaLocation W23164425821 @default.
• W2316442582 hasConcept C126322002 @default.
• W2316442582 hasConcept C131872663 @default.
• W2316442582 hasConcept C141071460 @default.
• W2316442582 hasConcept C146357865 @default.
• W2316442582 hasConcept C151730666 @default.
• W2316442582 hasConcept C156957248 @default.
• W2316442582 hasConcept C167135981 @default.
• W2316442582 hasConcept C2776622691 @default.
• W2316442582 hasConcept C2777362633 @default.
• W2316442582 hasConcept C2777629866 @default.
• W2316442582 hasConcept C2778408130 @default.
• W2316442582 hasConcept C2779234561 @default.
• W2316442582 hasConcept C2780221984 @default.
• W2316442582 hasConcept C29456083 @default.
• W2316442582 hasConcept C46973012 @default.
• W2316442582 hasConcept C54355233 @default.
• W2316442582 hasConcept C71924100 @default.
• W2316442582 hasConcept C86803240 @default.
• W2316442582 hasConceptScore W2316442582C126322002 @default.
• W2316442582 hasConceptScore W2316442582C131872663 @default.
• W2316442582 hasConceptScore W2316442582C141071460 @default.
• W2316442582 hasConceptScore W2316442582C146357865 @default.
• W2316442582 hasConceptScore W2316442582C151730666 @default.
• W2316442582 hasConceptScore W2316442582C156957248 @default.
• W2316442582 hasConceptScore W2316442582C167135981 @default.
• W2316442582 hasConceptScore W2316442582C2776622691 @default.
• W2316442582 hasConceptScore W2316442582C2777362633 @default.
• W2316442582 hasConceptScore W2316442582C2777629866 @default.
• W2316442582 hasConceptScore W2316442582C2778408130 @default.
• W2316442582 hasConceptScore W2316442582C2779234561 @default.
• W2316442582 hasConceptScore W2316442582C2780221984 @default.
• W2316442582 hasConceptScore W2316442582C29456083 @default.
• W2316442582 hasConceptScore W2316442582C46973012 @default.
• W2316442582 hasConceptScore W2316442582C54355233 @default.
• W2316442582 hasConceptScore W2316442582C71924100 @default.
• W2316442582 hasConceptScore W2316442582C86803240 @default.
• W2316442582 hasIssue "1" @default.
• W2316442582 hasLocation W23164425821 @default.
• W2316442582 hasLocation W23164425822 @default.
• W2316442582 hasLocation W23164425823 @default.
• W2316442582 hasLocation W23164425824 @default.
• W2316442582 hasLocation W23164425825 @default.
• W2316442582 hasOpenAccess W2316442582 @default.
• W2316442582 hasPrimaryLocation W23164425821 @default.
• W2316442582 hasRelatedWork W168338473 @default.
• W2316442582 hasRelatedWork W1973110250 @default.
• W2316442582 hasRelatedWork W2012763959 @default.
• W2316442582 hasRelatedWork W2067483524 @default.
• W2316442582 hasRelatedWork W2114475141 @default.
• W2316442582 hasRelatedWork W2120298409 @default.
• W2316442582 hasRelatedWork W2329420155 @default.

• next