Reducing cesarean delivery rates: an active management labor program in a setting with limited resources

J Med Assoc Thai. 2005 Jan;88(1):20-5.

Abstract

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.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cesarean Section / statistics & numerical data*
  • Delivery, Obstetric / methods*
  • Developing Countries*
  • Female
  • Health Resources
  • Humans
  • Labor, Obstetric*
  • Parity
  • Pregnancy
  • Pregnancy Outcome
  • Thailand