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How Long Is a Normal Labor?: Contemporary Patterns of Labor and Birth in a Low-Risk Sample of 1,612 Women from Four Nordic Countries
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. Mid Sweden Univ, Dept Nursing, Holmgatan 12, S-85170 Sundsvall, Sweden..
Res Grp Maternal Reprod & Childrens Hlth, Fac Hlth Sci, Oslo, Norway.;Akershus Univ, Coll Appl Sci, Oslo, Norway..
Copenhagen Univ Hosp, Rigshosp, Res Unit,Womens & Childrens Hlth, Juliane Marie Ctr Women Children & Reprod, Copenhagen, Denmark..
Oslo Univ Hosp, Clin Genet Unit, N-0450 Oslo, Norway..
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2015 (English)In: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 42, no 4, 346-353 p.Article in journal (Refereed) PublishedText
Abstract [en]

Objective: Normal progress of labor is a subject for discussion among professionals. The aim of this study was to assess the duration of labor in women with a planned home birth and spontaneous onset who gave birth at home or in hospital after transfer. Methods: This is a population-based study of home births in four Nordic countries (Denmark, Iceland, Norway, and Sweden). All midwives assisting at a home birth from 2008 to 2013 were asked to provide information about home births using a questionnaire. Results: Birth data from 1,612 women, from Denmark (n = 1,170), Norway (n = 263), Sweden (n = 138), and Iceland (n = 41) were included. The total median duration from onset of labor until the birth of the baby was approximately 14 hours for primiparas and 7.25 hours for multiparas. The duration of the different phases varied between countries. Blood loss more than 1,000 mL and perineal ruptures that needed suturing were associated with a longer pushing phase and the latter with country of residence, parity, single status, and the baby's weight. Conclusion: In this population of healthy women with a low prevalence of interventions, the total duration of labor was fairly similar to what is described in the literature for multiparas, but longer for primiparas. Although the duration of the phases of labor differed among countries, it was to a minor extent associated with severe outcomes.

Place, publisher, year, edition, pages
2015. Vol. 42, no 4, 346-353 p.
Keyword [en]
country of birth, home birth, duration of labor, phases of labor, physiological birth
National Category
Obstetrics, Gynecology and Reproductive Medicine
URN: urn:nbn:se:uu:diva-277810DOI: 10.1111/birt.12191ISI: 000368446400008PubMedID: 26467758OAI: oai:DiVA.org:uu-277810DiVA: diva2:905702
Available from: 2016-02-23 Created: 2016-02-23 Last updated: 2016-02-23Bibliographically approved

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