How long can labor last? Person Centred care during labor to increase safety for women and newborn

Purpose: To increase person-centred care during labor.

Specifically, we want to provide updated comprehensive information on labor duration and patient safety for reduction of;unnecessary medical interventions during normal labor;morbidity and mortality in the new-born;maternal complications during delivery and the puerperal period.Specific Aims:    Identify risk groups where labor duration means particularly high risks    Identify groups where labor duration has little or no influence on serious complications    Identify upper time limits for excessively long laborMethod: Cohort studies, Case-control studies, and risk prediction studies.Plan for project realizationThe project is carried out at Karolinska Institutet  at the Clinical Epidemiology Division where ethical permissions, data, and software are already available.The reproductive perinatal research group has the clinical, epidemiological and statistical knowledge to adequately formulate, analyze, and answer the research questions.

The project will be carried out during 2024-2026.Importance:It is known that prolonged labor duration is associated with very serious complications for some women and infants.

Which women and featuses that are at increased risk if labor continues and when labor duration becomes dangerous is still unknown.

The results from this project will contribute with important knowledge when preventive interventions are important and when expectant management is preferred.