THE EFFECTS OF EARLY ADMISSION OF PREGNANT WOMEN DURING LATENT PHASE ON PREGNANCY OUTCOMES IN KHYBER TEACHING HOSPITAL,PESHAWAR

ABSTRACT
Objective: To determine the effects of early admission of pregnant women during latent phase on pregnancy outcomes
in Khyber Teaching Hospital,Peshawar.
Materials and Methods: This descriptive case series was conducted at department of Gynae and Obstetrics,Khyber
Teaching Hospital,Peshawar from 1st January 2016 to 31st December 2016.Sample size was 369,using 4% proportion
of instrumental delivery,95% confidence interval and 2% margin of error.Sampling technique was Consecutive(non
probability) sampling.All the maternal and neonatal data was collected in predesigned proforma.All women of age
18-45 years,any parity,singleton pregnancy and cephalic predentation with no medical illness,in latent phase of labor
were included.They were followed through labor and evaluated for mode of delivery.Neonatal outcomes measured in
terms of fetal distress,APGAR score and Neonatal Intensive Care Unit admission.
Results: Amongst 369 patients, Frequency for mode of delivery was 226 (61.24%) ended in Spontaneous Vaginal
Delivery and 143 (38.75%) had instrumental delivery.Frequency of fetal outcomes was recorded as fetal distress 90
(24.3%), Neonatal ICU admissions were 47 (12.7%) and Low apgar score were recorded as 71(19.2%). Frequency of
education level were recorded as illiterate 180 (48.78%), primary 41 (11.11%), middle 32 (8.67%), Matric 114 (39.02%)
and Intermediate x02 (0.54%).
Conclusion: Our study concluded that low risk pregnant women admitted in latent phase of labour are subjected to
more obstetric interventions. There is a need to produce guidelines on management of women admitted in latent phase
of labour to reduce the risk of unnecessary interventions.
Key Words: Latent phase of labour, Active phase of labour, Interventions, Low risk pregnancy.