Reducing cesarean delivery rates: an active management labor program in a setting with limited resources
Somprasit, C.; Tanprasertkul, C.; Kamudhamas, A.
Journal of the Medical Association of Thailand 88(1): 20-25
2005
ISSN/ISBN: 0125-2208 PMID: 15960212 Document Number: 254141
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 and Method: 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.
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