Maternal and neonatal outcomes in XXXX with a @entity1162 .

@entity1 @entity398 @entity548 @entity6 @entity5870 @entity1468 @entity8455 @entity1162 @entity130
OBJECTIVE: To determine risk factors for a @entity1162 and evaluate the maternal and neonatal outcomes of such pregnancies. METHODS: We reviewed all 7818 @entity1 who delivered at the University of Illinois at Chicago from 1996 to 1999. Excluding nonvertex and multiple gestations, 6791 reached the second stage. Group 1 (n = 6259) consisted of @entity1 with a second stage of 120 minutes or less; group 2, greater than 120 minutes (n = 532 [7.8%]); group 2A, 121-240 minutes (n = 384 [5.7%]); and group 2B, greater than 240 minutes (n = 148 [2.2%]). We compared pregnancy outcomes for these groups with respect to maternal and neonatal morbidity factors using chi(2), Student t, and Wilcoxon rank-sum tests (significance, P <.05). RESULTS: Vaginal delivery rates were 98.7% (group 1), 84.0% (group 2), 90.2% (group 2A), and 65.5% (group 2B). Group 2 had higher rates of perineal @entity130 , episiotomy usage, @entity5870 , postpartum @entity548 , and operative vaginal delivery than group 1 (P <.001, all comparisons). Group 2B had higher rates of episiotomy usage, operative vaginal deliveries, and perineal @entity130 than group 2A (P <.001, all comparisons). The neonatal morbidity rates were similar for the three groups. @entity6 , @entity1468 (P <.023), @entity8455 , nulliparity, @entity5870 , @entity398 usage, and labor induction were each independently associated with an increased risk of a prolonged second stage (all but @entity1468 , P <.001). CONCLUSION: A prolonged second stage is associated with a high rate of vaginal delivery, but a high rate of maternal, though not neonatal, morbidity was observed. Certain antenatal and intrapartum conditions are associated with a @entity1162 .
