{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T10:15:28Z","timestamp":1789380928851,"version":"build-2803163510"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2014,2,12]],"date-time":"2014-02-12T00:00:00Z","timestamp":1392163200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Interventions given to women admitted in latent or active phase of labor may influence the outcomes of labor and ameliorate complications which can affect the mother and fetus. Labour management, maternal and fetal outcomes among low risk women presenting both in latent phase and active phase of labour in Tanzania have not recently been explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a descriptive cross-sectional study. It was done from February to April 2013. Case notes were collected serially until the sample size was reached. A structured checklist was used to extract data. Data was analyzed using SPSS version 17. A p &lt; 0.05 was considered significant at 95% confidence interval.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred case notes of low risk pregnant women were collected, half of each presented in latent phase and active phase of labour. Key interventions including augmentation with oxytocin, artificial rupture of membranes and caesarean section were significantly higher in the latent phase group than the active phase group 84(33.6%) versus 52(20.8%) p &lt; 0.05; 96(38.6%) versus 56(22.4%) p &lt; 0.05 and 87(34.8%) versus 60(24.0%) p &lt; 0.05 respectively. Spontaneous vertex delivery was higher among pregnant women admitted initially in active phase than in latent phase groups 180(72.0%), versus 153(61.2%) p &gt; 0.01). There were more women in the active phase group who sustained genital tract tear and postpartum haemorrhage than in the latent phase group 101(18.6%), versus 38(15.6%) p &lt; 0.01 and 46(18.4%), versus 17(6.6%) p &lt; 0.05 respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pregnant women admitted at BMC in latent phase of labour are subjected to more obstetric interventions than those admitted in the active phase. There is need to produce guidelines on management of women admitted in latent phase of labour at BMC to reduce the risk of unnecessary interventions.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1471-2393-14-68","type":"journal-article","created":{"date-parts":[[2014,2,12]],"date-time":"2014-02-12T22:01:22Z","timestamp":1392242482000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Labour management and Obstetric outcomes among pregnant women admitted in latent phase compared to active phase of labour at Bugando Medical Centre in Tanzania"],"prefix":"10.1186","volume":"14","author":[{"given":"Clotrida","family":"Chuma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Kihunrwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dismas","family":"Matovelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marietha","family":"Mahendeka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2014,2,12]]},"reference":[{"issue":"3","key":"954_CR1","first-page":"336","volume":"78","author":"DA Patterson","year":"2008","unstructured":"Patterson DA, Winslow M, Matus CD: Spontaneous vaginal delivery. Am Fam Physician. 2008, 78 (3): 336-341.","journal-title":"Am Fam Physician"},{"issue":"2","key":"954_CR2","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/j.midw.2007.02.003","volume":"25","author":"I-M Carlsson","year":"2007","unstructured":"Carlsson I-M, Hallberg LR, Odberg Petterson K: Swedish women\u2019s experiences of seeking care and being admitted during the latent phase of labour. Midwifery. 2007, 25 (2): 172-180.","journal-title":"Midwifery"},{"key":"954_CR3","doi-asserted-by":"publisher","first-page":"a2396","DOI":"10.1136\/bmj.a2396","volume":"337","author":"H Cheyne","year":"2008","unstructured":"Cheyne H, et al: Effects of algorithm for diagnosis of active labour: cluster randomised trial. BMJ. 2008, 337: a2396-10.1136\/bmj.a2396.","journal-title":"BMJ"},{"key":"954_CR4","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.ijgo.2005.12.016","volume":"92","author":"P Rahnama","year":"2006","unstructured":"Rahnama P, Ziaei S, Faghihzadeh S: Impact of early admission in labor on method of delivery. Int J Gynecol Obstet. 2006, 92: 217-220. 10.1016\/j.ijgo.2005.12.016.","journal-title":"Int J Gynecol Obstet"},{"issue":"2","key":"954_CR5","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/j.ogc.2005.01.007","volume":"32","author":"A Ness","year":"2005","unstructured":"Ness A, Goldberg J, Berghella V: Abnormalities of the first and second stages of labor. Obstet Gynecol Clin North Am. 2005, 32 (2): 201-220. 10.1016\/j.ogc.2005.01.007.","journal-title":"Obstet Gynecol Clin North Am"},{"key":"954_CR6","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1186\/1477-7827-8-136","volume":"8","author":"Z Nachum","year":"2010","unstructured":"Nachum Z, et al: Comparison between amniotomy, oxytocin or both for augmentation of labor in prolonged latent phase: a randomized controlled trial. Reprod Biol Endocrinol. 2010, 8: 136-10.1186\/1477-7827-8-136.","journal-title":"Reprod Biol Endocrinol"},{"issue":"1","key":"954_CR7","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/01.AOG.0000147843.12196.00","volume":"105","author":"JL Bailit","year":"2005","unstructured":"Bailit JL, et al: Outcomes of women presenting in active versus latent phase of spontaneous labor. Obstet Gynecol. 2005, 105 (1): 77-79. 10.1097\/01.AOG.0000147843.12196.00.","journal-title":"Obstet Gynecol"},{"issue":"1","key":"954_CR8","first-page":"21","volume":"2","author":"JR Janna","year":"2013","unstructured":"Janna JR: Impact of timing of admission in labour on subsequent outcome. BanglaJOL. 2013, 2 (1): 21-29.","journal-title":"BanglaJOL"},{"issue":"2","key":"954_CR9","doi-asserted-by":"crossref","first-page":"147","DOI":"10.32007\/jfacmedbagdad.5221010","volume":"52","author":"AN Albassam","year":"2010","unstructured":"Albassam AN: The outcome of latent phase vs Active phase admission to labour room of low risk nulliparous women in labour. J Fac Med Baghdad. 2010, 52 (2): 147-151.","journal-title":"J Fac Med Baghdad"},{"key":"954_CR10","volume-title":"Differences in inflammation, interventions rates, and birth outcomes in active and pre active labor admission groups","author":"SN Jessica Bruns","year":"2011","unstructured":"Jessica Bruns SN: Differences in inflammation, interventions rates, and birth outcomes in active and pre active labor admission groups. 2011, thesis"},{"issue":"3","key":"954_CR11","doi-asserted-by":"publisher","first-page":"143","DOI":"10.12968\/ajmw.2008.2.3.30714","volume":"2","author":"BE Kwast","year":"2008","unstructured":"Kwast BE, et al: The modified WHO partograph: do we need a latent phase?. Afr J Midwifery Womens Health. 2008, 2 (3): 143-148.","journal-title":"Afr J Midwifery Womens Health"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2393-14-68.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2393-14-68\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2393-14-68","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2393-14-68.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T06:15:52Z","timestamp":1716531352000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/1471-2393-14-68"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,12]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["954"],"URL":"https:\/\/doi.org\/10.1186\/1471-2393-14-68","relation":{},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,12]]},"assertion":[{"value":"1 July 2013","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 February 2014","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 February 2014","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"68"}}