title: Experience with an active labour management protocol and reduction of caesarean section rate in Nicaragua.
abstract: Prospective data are presented on the outcome of labour in 67 women with uncomplicated pregnancy, who attended a rural Nicaraguan hospital and were managed actively in labour. No dystocia occurred and the caesarean section rate was 0%. Active management of labour is safe and feasible in a rural hospital setting. It results in a low caesarean section rate and reduced maternal mortality and morbidity, without compromising perinatal outcome.
authors.affiliation: Pedro Altamirano Hospital, La Trinidad, Esteli, Nicaragua.
authors.forename: T
authors.initials: T
authors.lastname: Bood
mesh_terms: D002585:Cesarean Section / Q000706:statistics & numerical data*; D002985:Clinical Protocols; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D009527:Nicaragua; D011247:Pregnancy; D011446:Prospective Studies