Progress of active phase of labor for multiparous saudi women : an observational study

الملخص EN

Objective : To demonstrate the presence or the absence of similarity between the normogramc for normal Saudi women in labor and the standard stencil normogramc and to define the characteristics of active phase Of labor in different mulligravidal groups, Design : Observational Study.

Setting : Maternity Unit at AI-Noor Hospital, in Makah Sample : 318 women who had uncomplicated pregnancy at term in active phase of spontaneous labor, Methods: Women in the study wer and included Into one of 4 groups according lo gravidity, have their cervical dilatation recorded every two hours during the active phase of labor from 4 Lolo cm and compcared to a normograme curve drawn from the labor stencil (Studd and Duignan .The main outcome was the rate of cervical dilatation and the type of cervimelric patcem during the active phase of labor in normal Saudi at different group under the study.

Results: The aberrant cervicometric patterns for Saudi primiparcus labor were similar to the monogram of die labor stencil from 4 cm to full dilatation.

The progress of labor in multipara and grandmullipara from 4 to 8 cm was not significantly faster than in corresponding primipara.

The grandgrandmultipara with 8 or more deliveries exhibited a non-linear trends with a periods of non progress during dilatation from 7 to 8 cm for two hour followed by normal linear trends corresponding to primipara until full cervical dilatation.

Conclusion: The cervical normogram of expected labor progress using labor stencil from 4 cm to fall dilatation can be applied for Saudi primipara and multipara until eight delivery.

That will suggested the useful of using graphic analysis and labor stencil to identifying women at risk in Saudi population