A prospective randomized study of the aggressive management of early labor.
The aggressive management of early labor has been suggested as a means to lower the cesarean section rate for dystocia. The aim of our study was to prospectively evaluate a protocol of early intervention in primigravid women with infrequent uterine contractions during early labor in relation to the course of labor, the cesarean section rate, and the perinatal morbidity. In our population the active management of labor did not alter the mode of delivery or the perinatal outcome. Furthermore, the course and duration of labor were not significantly different between the management and control groups.
Cohen
G R
GR
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa.
O'Brien
W F
WF
Lewis
L
L
Knuppel
R A
RA
D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D004420:Dystocia / Q000517:prevention & control*; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007743:Labor, Obstetric; D010121:Oxytocin / Q000627:therapeutic use; D011247:Pregnancy; D011446:Prospective Studies; D011897:Random Allocation; D013997:Time Factors
D010121:Oxytocin