Abstract
Active management of labor (AML) is an approach to the supervision of primigravid labor developed during the past 30 years at the National Maternity Hospital, Dublin, Ireland.1 The approach represents a philosophy that is aimed at ensuring that as many women as possible achieve spontaneous vaginal birth with a minimum of appropriate intervention. The original intention of the approach was to decrease the incidence of prolonged labor.2 In recent times the approach has become associated with low cesarean rates,3,4 and this has stimulated considerable interest as a result of the rapid escalation in cesarean birth rates in developing countries over the past decade.5,6
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
O’Driscoll K, Meagher D, Boylan P. Activemanagement of labor, 3rd Ed. London: MosbyYear Book Europe, 1993.
O’Driscoll K, Jackson RJA, Gallagher JT. The prevention of prolonged labor. Br Med J 1969;ii:477–480.
O’Driscoll K, Foley M, MacDonald D. Active management of labor as an alternative to cesarean section for dystocia. Obstet Gynecol 1984;63:485–490.
Socol ML, Garcia PM, Peaceman AM, Dooley SL. Reducing cesarean births at a primarily private university hospital. Am J Obstet Gynecol 1993;168:1748-1758.
Taffel DM, Placek PJ, Moien M. 1988 Cesarean section rate at 24.7 per 100 births-a plateau? N Engl J Med 1990;323:199–200.
Notzen FC, Cnattingius S, Bergsjo P, et al. Cesarean section delivery in the 1980′s: international comparison by indication. Am J Obstet Gynecol 1994;170:495-504.
O’Driscoll K, Stronge JM, Minogue M. Active management of labour. Br Med J 1973;iii: 135–137.
Boylan P. Labor in the primigravid patient. Curr Probl Obstet Gynecol Fertil, 1991:14(1).
Cahill DJ, O’Herlihy C, Boylan P. Does oxytocin augmentation increase perinatal risk in primigravid labor? Am J Obstet Gynecol 1992;166:847–850.
Thorp J, Boylan P, Parisi VM. The influence of high dose oxytocin augmentation on umbilical acid base balance. Am J Obstet Gynecol 1988;159:670–675.
Thorp J, Hu DH, Albin RM, et al: The effect of intrapartum epidural analgesia on nulliparous labor: a randomized, controlled, prospective trial. Am J Obstet Gynecol 1993; 169:851–858.
Robson MS, Boylan P, McParland P, MacQuillan K, O’Neill M. Epidural analgesia need not influence the spontaneous vaginal delivery rate. In: Proceedings of the 13th Annual Meeting of the Society of Perinatal Obstetricians, San Francisco, 1993 (abstract & poster).
Turner MJ, Brassil M, Gordon H. Active management of labor associated with a decrease in the caesarean section rate in nulliparae. Obstet Gynecol 1988;71:150–154.
Robson MS, Scudamore I, Walsh S. Can labour ward audit improve obstetric outcome? Oral presentation at XIII World Congress of Gynaecology and Obstetrics, 15–20 September, 1991, Singapore.
Akoury HA, Brodie G, Caddick R. Active management of labor and operative delivery in nulliparous women. Am J Obstet Gynecol 1988; 158:255–258.
Boylan P, Frankowski R, Rountree R, Selywn B, Parrish K. Effect of active management of labor on the incidence of caesarean section for dystocia in nulliparas. Am J Perinatol 1991;8:373–379.
Masoli P, Pico V, Pellerano I. Manejo activo del parto. Experiencia en el Hospital Gustavo Fricke. Rev Chil Obstet Ginecol 1986;51: 223–230.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag New York, Inc.
About this chapter
Cite this chapter
Boylan, P. (1995). Active Management of Labor. In: Flamm, B.L., Quilligan, E.J. (eds) Cesarean Section. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2482-2_4
Download citation
DOI: https://doi.org/10.1007/978-1-4612-2482-2_4
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7556-5
Online ISBN: 978-1-4612-2482-2
eBook Packages: Springer Book Archive