Submit manuscript

Reducing Cesarean Delivery Rates: An Active Management Labor Program in a Setting with Limited Resources

Charintip Somprasit, MD*, Chamnan Tanprasertkul, MD** , Atiwut Kamudhamas, MD*

Affiliation : * Department of Obstetrics and Gynecology, Thammasat University Hospital, Pathumthani ** Department of Obstetrics and Gynecology, Srinakarinwirot University, Nakhonnayok

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.
Materials and Methods : 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.

Keywords : Active management of labor, Cesarean section, Randomized controlled trial


All Articles Download


INFORMATION

Contact info

JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND
4th Floor, Royal Golden Jubilee Building,
2 Soi Soonvijai, New Petchburi road,
Bangkok 10310, Thailand.
Phone: 0-2716-6102, 0-2716-6962
Fax: 0-2314-6305
Email: editor@jmatonline.com

JMed Assoc Thai
MEDICAL ASSOCIATION OF THAILAND
ISSN: 0125-2208 (Print),
ISSN: 2408-1981 (Online)
The content of this site is intended for health professionals.

Submissions

» Online Submissions » Author Guidelines » Copyright Notice » Privacy Statement

Other

» Journal Sponsorship » Site Map » About this Publishing System

© MEDICAL ASSOCIATION OF THAILAND. All Rights Reserved. The content of this site is intended for health professionals.