San Raffaele Hospital, Maternity Department, Via Olgettina 60, 20132 Milan, Italy.
Department of Health Science, Center of Biostatistics for Clinical Epidemiology, University of Milano-Bicocca, Via Cadore, 48, 20900 Monza, Milan, Italy.
Women Birth. 2018 Aug;31(4):313-318. doi: 10.1016/j.wombi.2017.10.001. Epub 2017 Oct 18.
Hospitalization of women in latent labour often leads to a cascade of unnecessary intrapartum interventions, to avoid potential disadvantages the recommendation should be to stay at home to improve women's experience and perinatal outcomes.
The primary aim of this study was to investigate the association between hospital admission diagnosis (latent vs active phase) and mode of birth. The secondary aim was to explore the relationship between hospital admission diagnosis, intrapartum intervention rates and maternal/neonatal outcomes.
A correlational study was conducted in a large Italian maternity hospital. Data from January 2013 to December 2014 were collected from the hospital electronic records. 1.446 records of low risk women were selected. These were dichotomized into two groups based on admission diagnosis: 'latent phase' or 'active phase' of labour.
52.7% of women were admitted in active labour and 47.3% in the latent phase. Women in the latent phase group were more likely to experience a caesarean section or an instrumental birth, artificial rupture of membranes, oxytocin augmentation and epidural analgesia. Admission in the latent phase was associated with higher intrapartum interventions, which were statistically correlated to the mode of birth.
Women admitted in the latent phase were more likely to experience intrapartum interventions, which increase the probability of caesarean section. Maternity services should be organized around women and families needs, providing early labour support, to enable women to feel reassured facilitating their admission in labour to avoid the cascade of intrapartum interventions which increases the risk of caesarean section.
将处于潜伏期的产妇住院通常会导致一系列不必要的分娩干预，为避免潜在的不利影响，建议产妇留在家里以改善其分娩体验和围产儿结局。
本研究的主要目的是调查产妇入院诊断（潜伏期与活跃期）与分娩方式之间的关联。次要目的是探讨入院诊断、分娩期干预率与母婴结局之间的关系。
在一家大型意大利妇产医院进行了一项相关性研究。该研究收集了 2013 年 1 月至 2014 年 12 月的医院电子病历数据，共纳入 1446 例低危产妇。根据入院诊断将这些产妇分为两组：潜伏期分娩或活跃期分娩。
52.7%的产妇在活跃期入院，47.3%的产妇在潜伏期入院。潜伏期组的产妇更有可能经历剖宫产或器械助产、人工破膜、缩宫素引产和硬膜外镇痛。潜伏期入院与分娩期干预增加相关，而干预增加又与分娩方式相关。
处于潜伏期入院的产妇更有可能经历分娩期干预，这增加了剖宫产的可能性。产科服务应围绕妇女及其家庭的需求进行组织，提供早期分娩支持，使产妇感到安心，从而促进其进入产程，避免不必要的分娩干预，从而降低剖宫产的风险。
