Reducing cesarean delivery rates: an active management labor program in a setting with limited resources.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Parité
/
Thaïlande
/
Femelle
/
Humains
/
Travail obstétrical
/
Grossesse
/
Issue de la grossesse
/
Césarienne
/
Adulte
/
Accouchement (procédure)
Type d'étude:
Essai clinique contrôlé
Pays comme sujet:
Asie
langue:
Anglais
Année:
2005
Type:
Article
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