Duration of the Second Stage of Labor and associated factors among
Mothers Who Gave Birth in Health facilities of Bahir Dar city, North
West Ethiopia: Prospective study.
Abstract
Abstract Background: the second stage of labor is often the most
stressful part of the childbearing process for the woman and fetus, and
consequently for the provider. duration of the second stage of labor is
influenced by many factors. Methods: prospective cohort study was
conducted among mothers who gave birth in selected health facilities of
Bahir Dar city from September to December 2017. Data were collected
using face to face interviews, document review, and anthropometric
measurement techniques. the data were entered into EPI DATA version 3.1
and exported to STATA version 12 for analysis. Both descriptive
(frequencies, percentages and median time for second stage labor) and
analytic statistics (Cox regression analysis) were performed. The
proportional hazard assumption test was done using the Schonefeld
residual. Result: The overall median duration of the second stage of
labor was found to be 40.9 minutes.Lack of physical activity, the
inadequacy of uterine contraction, occipito-posterior fetal position,
and birth weight of greater than 4000 grams, and inadequacy of maternal
pelvis were predictors of prolonged second stage of labor. Conclusion:
Lack of Physical activity, the inadequacy of uterine contraction,
occipito-posterior fetal position, and birth weight of greater than 4000
grams, and inadequacy of maternal pelvis were predictors of the
prolonged second stage of labor. Keywords: second stage, childbirth,
prolonged labor