Document Detail

Prevention of prolonged labour.
MedLine Citation:
PMID:  5771578     Owner:  NLM     Status:  MEDLINE    
A prospective study of 1,000 consecutive primigravid deliveries has shown that active management in labour can ensure that every woman is delivered within 24 hours. Emphasis is laid on the importance of a correct initial diagnosis of labour based on objective criteria. Amniotomy followed by oxytocin infusion is advocated to simulate the progress of normal labour unless this is evident from an early stage.Oxytocin, the dose of which is limited only by foetal distress, cannot be used effectively unless three popular fallacies are rejected. Firstly, that prolonged labour is often an expression of cephalo-pelvic disproportion; secondly, that oxytocin may rupture the primigravid uterus; and, thirdly, that there is a valid therapeutic distinction between hypotonic and hypertonic uterine action.Stimulation, properly supervised, is safe to mother and child, it eliminates the problem of occipitoposterior position, results in a sharp decline in forceps delivery, and obviates the need for massive analgesia.
K O'Driscoll; R J Jackson; J T Gallagher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British medical journal     Volume:  2     ISSN:  0007-1447     ISO Abbreviation:  Br Med J     Publication Date:  1969 May 
Date Detail:
Created Date:  1969-07-06     Completed Date:  1969-07-06     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  0372673     Medline TA:  Br Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  477-80     Citation Subset:  AIM; IM    
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MeSH Terms
Amnion / surgery
Anesthesia, Obstetrical
Cesarean Section
Extraction, Obstetrical
Fetal Death
Fetal Diseases / chemically induced
Infant, Newborn
Labor, Induced
Obstetric Labor Complications / prevention & control*
Oxytocin / adverse effects,  therapeutic use
Prospective Studies
Time Factors
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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