A controlled trial of a program for the active management of labor

Article Abstract:

A study of 705 women in labor found that women treated with active labor management had fewer cesarean sections than those receiving traditional management. Women receiving active labor management had their fetal membranes surgically cut within an hour of the start of labor if the membranes hadn't ruptured spontaneously. They were also given the hormone oxytocin if cervical dilation was thought to be inadequate. Out of 351 women receiving active management, 10.5% had a cesarean section compared to 14.1% of 354 women receiving traditional labor management. The cesarean section rate was 26% lower in women receiving active labor management mainly because the number of difficult deliveries was lower. Time in labor was an average of 1.66 hours shorter in the women receiving active labor management. None of the mothers or babies in either group died, and the number of infections was 53% lower in women receiving active labor management.

Prevention, Dystocia, Labor, Complicated, Labor complications

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Active management of labor

Article Abstract:

The use of active labor management plans has had sporadic success in reducing the number of cesarean deliveries. Active labor management plans include prenatal classes, close monitoring, and planned labor strategies for first-time mothers delivering one baby in the head down position who have spontaneously gone into labor. Two studies have found that these plans significantly reduce the rate of infection and time in labor. One of these studies found a 26% reduction in the number of cesarean deliveries after implementing this plan while the other study found no difference in the cesarean delivery rate.

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The risk of cesarean delivery with neuraxial analgesia given early versus late in labor

Article Abstract:

A randomized trial is conducted to determine whether increase in risk of cesarean delivery is due to epidural analgesia initiated early in labor or is attributable to other factors. It was found that neuraxial analgesia in early labor did not increase the rate of cesarean delivery, and it provided better analgesia, resulting in a shorter duration of labor than systemic analgesia.

Science & research, Research, Risk factors, Peridural anesthesia, Epidural anesthesia

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