title: Management of the first stage of labor: potential strategies to lower the cesarean delivery rate.
abstract: To review management strategies associated with lower risk for cesarean delivery. Targeted literature review for labor interventions during the first stage of labor. There is evidence that policies regarding labor admission criteria, standardized policies regarding labor management including judicious use of oxytocin, standardized terminology and treatment for electronic fetal monitoring, standardized criteria for dystocia, and systematic implementation of policies that incorporate continuous supportive care during labor are associated with lower risk for cesarean. Evidence regarding use of amniotomy is conflicting. Management of the first stage of labor can affect the risk for cesarean delivery.
authors: *Stormont-Vail Healthcare, Topeka, Kansas †Department of Obstetrics & Gynecology, Cedars Sinai Medical Center/Burns Allen Research Institute ‡David Geffen School of Medicine at UCLA, UCLA School of Public Health, Los Angeles, California.
authors: Sherri
authors: S
authors: Jackson
authors: Kimberly D
authors: KD
authors: Gregory
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects / Q000379:methods; D004420:Dystocia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005260:Female; D005323:Fetal Monitoring / Q000379:methods; D006801:Humans; D007747:Labor Stage, First; D011247:Pregnancy; D011256:Pregnancy Outcome; D020379:Risk Adjustment; D061665:Time-to-Treatment