Reducing cesarean delivery rates: an active management labor program in a setting with limited resources.
Article
in English
| IMSEAR
| ID: sea-44869
ABSTRACT
OBJECTIVE:
To determine the effect of an active management of a labor program on the rate of cesarean section and labor outcomes in low-risk nulliparous pregnancies in a setting with limited resources. MATERIAL ANDMETHOD:
Nine hundred and seventy-five low risk nulliparous pregnant women were randomized to receive either active management of a labor program (n = 325) or conventional management (n = 650). The rate of cesarean section and labor outcomes were compared between the two groups using Chi-square and t-tests.RESULTS:
The subjects in the active management program had significantly shortened first stage of labor and total duration of labor compared with the conventional group (538.0 +/- 242.9 min vs 589.4 +/- 263.8 min, p < 0.05, 539.3 +/- 261.4 min vs 610.3 +/- 264.4 min, p < 0.001, respectively). There was no statistical difference found in the rate of cesarean section and other labor outcomes.CONCLUSION:
The active management program shortened the first stage and duration of labor in low-risk nulliparous pregnant women.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Parity
/
Thailand
/
Female
/
Humans
/
Labor, Obstetric
/
Pregnancy
/
Pregnancy Outcome
/
Cesarean Section
/
Adult
/
Delivery, Obstetric
Type of study:
Controlled clinical trial
Country/Region as subject:
Asia
Language:
English
Year:
2005
Type:
Article
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