ArticleCureus2025
Impact of Timing of Admission in Labour on Maternal and Perinatal Outcomes: An Observational Study From a Tertiary Care Centre in India.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe timing of hospital admission in labour influences the course and outcomes of delivery. Early admission during the latent phase is often associated with increased interventions and caesarean section rates, while admission in the active phase is linked to shorter labours and improved outcomes. Objective: This study aims to compare maternal and perinatal outcomes between women admitted in the active phase (≥5 cm) and those admitted later in the second stage of labour.
methodsThis observational study included 172 women ≥37 weeks admitted in spontaneous labour at a tertiary care hospital in southern India. Data from case records were extracted on maternal demographics, stage of labour at admission, intrapartum interventions (artificial rupture of membranes, oxytocin augmentation), mode of delivery, maternal complications, and neonatal outcomes. Descriptive statistics and Chi-square/t-test were used, with p < 0.05 considered significant.
resultsOf 172 women, 93 (54.1%) were admitted in active labour and 79 (45.9%) in the second stage. Vaginal delivery occurred in 80.8%, and cesarean section in 13.3%. Caesarean section in active labour was most often for cephalopelvic disproportion (47.3%), whereas in the second stage it was predominantly for deep transverse arrest (75%). Neonatal intensive care unit (NICU) admission was required in 6.3% of neonates. Women admitted in active labour had lower augmentation rates, fewer interventions, and shorter labours when compared to women in second labour, but it was not significant (p > 0.05).
conclusionsAdmission after confirmed onset of active labour (≥5 cm) is associated with reduced intrapartum interventions and lower operative delivery rates. Adopting this threshold in low-risk term pregnancies may optimise maternal and perinatal outcomes and reduce unnecessary interventions.
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