{"title":"产妇和新生儿在分娩过程中的并发症，根据有医疗条件的产妇在第二产程中的被动和主动情况（ComPActSS）。","authors":"Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé","doi":"10.1177/1753495X221089206","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.</p><p><strong>Methods: </strong>Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.</p><p><strong>Results: </strong>The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (<i>p</i> = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, <i>p</i> < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, <i>p</i> = 0.08), and more traumatic deliveries (16.7% vs. 0%, <i>p</i> = 0.012).</p><p><strong>Conclusion: </strong>The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"16 2","pages":"109-115"},"PeriodicalIF":0.8000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334035/pdf/","citationCount":"0","resultStr":"{\"title\":\"Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS).\",\"authors\":\"Élisabeth Gagnon, Anne-Marie Côté, Marie-Ève Roy-Lacroix, Édith Massé, Mandy Malick, Nadine Sauvé\",\"doi\":\"10.1177/1753495X221089206\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.</p><p><strong>Methods: </strong>Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.</p><p><strong>Results: </strong>The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (<i>p</i> = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, <i>p</i> < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, <i>p</i> = 0.08), and more traumatic deliveries (16.7% vs. 0%, <i>p</i> = 0.012).</p><p><strong>Conclusion: </strong>The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.</p>\",\"PeriodicalId\":51717,\"journal\":{\"name\":\"Obstetric Medicine\",\"volume\":\"16 2\",\"pages\":\"109-115\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334035/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obstetric Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/1753495X221089206\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/3/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetric Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1753495X221089206","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/3/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Maternal and neonatal complications during delivery according to passive versus active second stage in woman with medical conditions (ComPActSS).
Background: The incidence of serious complications during vaginal delivery with a passive second stage in women with medical conditions is unknown.
Methods: Our retrospective cohort study with matched groups (pairing 1 passive with 2 active second stage) included women who had a medical delivery plan from the high risk obstetric team at our center. The primary outcome was a composite of major maternal and neonatal complications.
Results: The primary outcome occurred in 50% (12/24) of women in the passive group versus 35.4% (17/48) (p = 0.24) in the active group. In the passive group, we observed a longer passive second stage of labor (28 vs. 8 min, p < 0.001), a tendency towards more assisted vaginal births (29.2% vs. 12.5%, p = 0.08), and more traumatic deliveries (16.7% vs. 0%, p = 0.012).
Conclusion: The higher proportion of complications in women who had a passive second stage should encourage physicians to make this recommendation only in selected cases.
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