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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 292
Created on : 22/12/2003
Modified on : 2/12/2007

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URL of this record : http://afar.info/id=292

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Author(s) :

Bohra U, Donnelly J, O'Connell MP, Geary MP, MacQuillan K, Keane DP.

Year of publication :


Bibliographical entry (without author) :

Active management of labour revisited: the first 1000 primiparous labours in 2000.
J Obstet Gynaecol. 2003 Mar;23(2):118-20.

Résumé (français) :

Abstract (English):

This was a prospective observational study in a tertiary referral obstetric unit in Dublin to ascertain the delivery outcome in the first 1000 nulliparous women in 2000. The initial diagnosis of labour was confirmed in the first 1000 consecutive nulliparous women in spontaneous labour with cephalic presentation at term. All patients underwent active management of labour. Active management included strict criteria for the diagnosis of labour, early amniotomy, 2-hourly vaginal examinations, oxytocin augmentation where progress of labour was slow and the presence of a companion (personal nurse) in labour. Epidural analgesia was freely available. Mode of delivery, duration of labour, analgesia usage and maternal and perinatal complications were the main outcome measures. All patients presented with painful uterine contractions, 75% with show in addition, and 36% had spontaneous rupture of membranes on admission. Eighty per cent presented with a cervical dilatation of 12 hours) was 4.3%. Postpartum haemorrhage occurred in 3.8% of mothers and 1.6% of babies were admitted to the special care baby unit. Our study suggests that active management of labour is associated with a low incidence of prolonged labour and a low caesarean section rate.

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Argument (English):

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Keywords :

c-section/caesarean ; exams during labor ; instrumental delivery ; monitoring ; oxytocin ; epidural ; rupture of membranes ; hormones ; active management of labor ; amniotomy ; duration of labour

Author of this record :

C. Loup

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