Active management of labor

Alan M Peaceman*, Michael L Socol

*Corresponding author for this work

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Active management of labor was first instituted as a program to shorten the length of nulliparous labor. Numerous institutions have found that implementation of this program decreased rates of cesarean section. Two randomized trials have evaluated this program, with both showing that labor was shortened by approximately 2 hours and maternal infectious morbidity was decreased by approximately 50%. Although one trial demonstrated a significant reduction in the rate of cesarean birth, the other did not. No users have reported any increase in neonatal morbidity. For some institutions implementation of active management of labor principles may be one approach to decrease operative deliveries for dystocia.

Original languageEnglish (US)
Pages (from-to)363-368
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume175
Issue number2
DOIs
StatePublished - Jan 1 1996

Fingerprint

Morbidity
Dystocia
Birth Rate
Cesarean Section
Mothers

Keywords

  • Active management of labor
  • cesarean section
  • dystocia

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

@article{a596168002e94d43acc720be632e921c,
title = "Active management of labor",
abstract = "Active management of labor was first instituted as a program to shorten the length of nulliparous labor. Numerous institutions have found that implementation of this program decreased rates of cesarean section. Two randomized trials have evaluated this program, with both showing that labor was shortened by approximately 2 hours and maternal infectious morbidity was decreased by approximately 50{\%}. Although one trial demonstrated a significant reduction in the rate of cesarean birth, the other did not. No users have reported any increase in neonatal morbidity. For some institutions implementation of active management of labor principles may be one approach to decrease operative deliveries for dystocia.",
keywords = "Active management of labor, cesarean section, dystocia",
author = "Peaceman, {Alan M} and Socol, {Michael L}",
year = "1996",
month = "1",
day = "1",
doi = "10.1016/S0002-9378(96)70147-3",
language = "English (US)",
volume = "175",
pages = "363--368",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "2",

}

Active management of labor. / Peaceman, Alan M; Socol, Michael L.

In: American Journal of Obstetrics and Gynecology, Vol. 175, No. 2, 01.01.1996, p. 363-368.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Active management of labor

AU - Peaceman, Alan M

AU - Socol, Michael L

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Active management of labor was first instituted as a program to shorten the length of nulliparous labor. Numerous institutions have found that implementation of this program decreased rates of cesarean section. Two randomized trials have evaluated this program, with both showing that labor was shortened by approximately 2 hours and maternal infectious morbidity was decreased by approximately 50%. Although one trial demonstrated a significant reduction in the rate of cesarean birth, the other did not. No users have reported any increase in neonatal morbidity. For some institutions implementation of active management of labor principles may be one approach to decrease operative deliveries for dystocia.

AB - Active management of labor was first instituted as a program to shorten the length of nulliparous labor. Numerous institutions have found that implementation of this program decreased rates of cesarean section. Two randomized trials have evaluated this program, with both showing that labor was shortened by approximately 2 hours and maternal infectious morbidity was decreased by approximately 50%. Although one trial demonstrated a significant reduction in the rate of cesarean birth, the other did not. No users have reported any increase in neonatal morbidity. For some institutions implementation of active management of labor principles may be one approach to decrease operative deliveries for dystocia.

KW - Active management of labor

KW - cesarean section

KW - dystocia

UR - http://www.scopus.com/inward/record.url?scp=0029823342&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029823342&partnerID=8YFLogxK

U2 - 10.1016/S0002-9378(96)70147-3

DO - 10.1016/S0002-9378(96)70147-3

M3 - Article

VL - 175

SP - 363

EP - 368

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 2

ER -