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| Related influencing factors of labor progress of primiparas and their impact on the postpartum complications of the primiparas |
| The First People's Hospital of Suzhou, Suzhou, Anhui Province, 234000 |
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Abstract To investigate the related factors of labor progress of primiparas, and to study their impact on the postpartum complications of these primiparas. Methods: The clinical data of 100 primiparas with natural delivery in hospital from May 2021 to May 2022 were collected retrospectively. These primiparas were divided into group A (primiparas with normal labor) and group B (primiparas with prolonged labor) according to the progress of labor during delivery. The clinical data during pregnancy and the delivery indicators of the primiparas were compared between the two groups. The possible factors affecting the progress of labor of the primiparas were analyzed. Results: Among the 100 primiparas, there were 27 (27.0%) cases in group B and 73 (73.0%) cases in group A. There were significant differences in the age, the newborn body weight, and the weight gain during pregnancy, and analgesia during labor of the primiparas between the two groups (P＜0.05). Logistic regression analysis showed that age of primipara ≥35 years old, the newborn body weight ≥4 kg, the excessive weight gain during pregnancy, and no analgesia during labor of the primiparas were all the factors influencing the prolongation of labor of the primipara. After the adjustment of the confounding factors, such as age and newborn body weight, the excessive weight gain during pregnancy and no labor analgesia of the primipara were also associated with their prolongation of labor (all P＜0.05). The incidence of postpartum complications of the primiparas with excessive weight gain during pregnancy (44.4%) was significantly higher than that (19.1%) of the primiparas with normal weight gain during pregnancy, and that (22.7%) of the primiparas with insufficient weight gain during pregnancy. The incidence of postpartum complications (37.3%) of the primipara without analgesia during labor was significantly higher than that (17.1%) of the primiparas with analgesia (all P＜0.05). Conclusion: The excessive weight gain during pregnancy and no labor analgesia of the primiparas are related to their progress of labor, and which will affect the incidence of postpartum complications of the primiparas. Therefore, the pregnancy management and labor intervention can be conducted accordingly to the excessive weight gain during pregnancy and no labor analgesia of the primiparas for ensuring the progress of labor smoothly.
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