Summary
A prospective study of the labour and delivery of 1,000 consecutive primigravidae in Royal Maternity Hospital, Belfast has shown a relatively high incidence of labour lasting longer than 12 hours and also of “cephalo-pelvic disproportion”. This occurred even when spontaneous labour was managed actively in an accepted fashion. This study also demonstrates that the majority of problems occurred in patients in whom the cervix was dilated 3 cm or less when the diagnosis of labour was made. the importance of making the correct diagnosis of labour is discussed and possible improvements in management are proposed.
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Boyle, D.D., White, R.G. & Ritchie, J.W.K. An assessment of active management of primigravid labour. IJMS 149, 465–468 (1980). https://doi.org/10.1007/BF02939190
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DOI: https://doi.org/10.1007/BF02939190