European Journal of Cardiovascular Medicine

Background: Women experience onset of labour in a variety of different ways & cervical anatomy at labour onset is also highly variable from women to women. During latent phase, women may experience painful uterine contractions and need a lot of support. High level of pain and anxiety in latent phase are linked with increased interventions in labour. Objectives: 1. To study maternal and fetal outcomes of low risk women admitted in latent phase as compared to those admitted in active phase of labour in primigravida. 2. To compare the mode of delivery and maternal and neonatal complications between two groups. 3. To compare the neonatal APGAR Scores and admission to NICU in both groups. Material & Methods: Study Design: Prospective Observational study. Study area: Department of Obstetrics & Gynecology, Murshidabad Medical college and Hospital, Berhampore, West Bengal. Study Period: Jan 2022 – Dec. 2022. Study population: Patients admitted in antenatal ward and labour room. Sample size: 300 (200 in latent phase and 100 in active phase). Sampling Technique: Simple Random sampling method. Study tools and Data collection procedure: Data collection tool was used to collect the different information. Face to face interviews were conducted using data collection tool by the investigator including detailed history taking and relevant physical examination. A detailed history was taken from the patient (if the patient was in shock the history was taken retrospectively). Results: Perineal tears, cervical tears needing exploration; prominent blood loss in the form of either atonic or traumatic PPH and cases of retained placenta requiring either manual removal with/without anaesthesia was more in LPA gp compared to APA gp. The p values are 0.02, 0.19, 0.15, 0.5 for perineal tears, cervical tears, PPH, retained placenta respectively which are insignificant except for perineal tears, that is 0.02 which is significant. Conclusion: The present study has shown that early admission to the hospital in low risk women may negatively affect the outcome of labour. There is a significantly increased risk of early initiation of augmentation, increased rate of caesarean section for dystocia, increased rate of instrumental delivery, increased third stage complications in latent phase admitted group compared to active phase admitted group.