Original Research Article
Year: 2018 | Month: September | Volume: 3 | Issue: 3 | Pages: 47-51
Fetal Station at Onset of Labor Depicting Mode of Delivery and Fetal Outcome: Hospital Based Observational Study
Dr. Neela. ArunaRekha1, Dr. Koustubha Vijayasarathy2, Dr. Neetika Ashwani3, Dr. Mendu Suresh Babu4
1Assistant Professor, Department of Gynaecology and Obstetrics, Niloufer Hospital, Osmania Medical College
2MS Gynaecology and Obstetrics, Civil Assistant Surgeon, Niloufer Hospital, Osmania Medical College, Hyderabad
3Research Associate, Newborn Quality Improvement Project Supported by UNICEF
4Associate Professor of Pediatrics, Government Medical College, Siddipet, Telangana
Corresponding Author: Dr. Koustubha Vijayasarathy
ABSTRACT
Background: Odisha has the highest Neonatal mortality in India at 32/1000 live births. Thirty Special Newborn Care Units in the state provide specialized newborn care. We aimed to examine the duration in relation to station of the head at the onset and its immediate outcomes in respect to mode of delivery, maternal and neonate.
Methods: Hundred primigravidae admitted in labour room with spontaneous onset of labor pains at term gestation were observed over a period of year. The labour process, mode of delivery and maternal and fetal outcome were noted. The proposed outcome of increased duration of labour, maternal and fetal morbidity was studied. Statistical analysis is done in Microsoft Excel sheet online.
Results: Sixty nine percent of the patients were in the age group of 20-25 years. Seven (7%) set into spontaneous labor with free floating head and 30% at -3 and -2 station. 80% of cases in “0” station did not require any augmentation. 100 % of cases with free floating heads required augmentation. Free floating head group had 71.4% caesarean section rate, -3 had 46.6%, -2 had 36.6%, -1 had 7.1%, and 0 had none. Indication for LSCS was 21.87% in arrest of dilation and second stage arrest respectively. The rate was NICU admission was 23%. On average stay in NICU maximum duration was found in FF group of 54 hours.
Conclusion: In conclusion, all primigravidae set into spontaneous labour with high fetal station needs to be given a trial of labour with good monitoring and timely decisions. Constant vigilance was needed throughout the course of labour by using partograms, interventions with augmentation and decisions regarding the mode of delivery. It is not necessarily an ominous finding and still obstetricians can be optimistic towards vaginal delivery with good operative and NICU facilities.
Key words: Fetal station, mode of delivery, maternal outcome, neonatal outcome