The Relationship Duration of the Second Stage of Labor and Neonatal Apgar Score in the Primipara Women

^1,2Department of Obstetrics and Gynecology, School of Medicine, Dezful University of Medical Sciences, Iran

³Department of Community Medicine, School of Medicine, Dezful University of Medical Sciences, Iran

*Corresponding author: Aziz Kassani, Department of Community Medicine, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran, Tel: +986142283627, Email: [email protected].

Received Date: January 27, 2024

Published Date: March 19, 2024

Citation: Torabifar N, et al. (2024). The Relationship Duration of the Second Stage of Labor and Neonatal Apgar Score in the Primipara Women. Mathews J Gynecol Obstet. 8(1):33.

Copyrights: Torabifar N, et al. © (2024).

ABSTRACT

Background: Most complications and mortality of mother and neonate occur during after childbirth process. In the second stage of labor, such as prolonged uterine contractions, there is a possibility of reduced oxygen delivery to the fetus and fetal complications. This study aimed to investigate the relationship between the duration of the second stage of labor and neonatal Apgar score in primipara women. Material and methods: The design of this study was cross-sectional and was conducted on 228 primiparous women referred to the maternity ward of Ganjavian Hospital in Dezful City, in 2020. The data on the duration of the second stage of labor, the Apgar score of the first and fifth-minute neonates, the mother's age, and the weight of the neonate were retrospectively collected from the hospital records. One-way ANOVA and Pearson correlation tests were used to analyze the data using SPSS software version 16.  Results: The mean age of mothers was 23.94±5.34 years. The mean time of the second stage of labor was 37.45 ± 7.72 minutes. Also, the mean Apgar scores of neonates in the first and fifth minutes were 8.65 ± 0.66 and 9.61 ± 0.78, respectively. There was a statistically significant relationship between the duration of the second labor stage and the neonates' Apgar score in the first minute (P-value = 0.04) and the fifth minute (P-value = 0.03). There was also a statistically significant relationship between maternal age and Apgar score of the first minute (P-value = 0.02), fifth minutes (P-value = 0.03), and neonate weight (P-value = 0.01). Conclusion: The prolongation of the second stage of labor decreases the value of the neonatal Apgar score, which with proper management of the second stage of labor can prevent many complications in the mother and neonate.

Keywords: Second Stage of Labor, Apgar Score, NICU, Neonate.