An Early Labor Assessment Program: A Randomized, Controlled Trial

作者: Patricia S. McNiven , Jack I. Williams , Ellen Hodnett , Karyn Kaufman , Mary E. Hannah

DOI: 10.1046/J.1523-536X.1998.00005.X

关键词:

摘要: Background: Approximately 31 percent of cesarean deliveries in the United States and Canada are performed for dystocia. The aim this study was to determine effectiveness early labor assessment reduce birth rates low-risk nulliparous women. Methods: Two hundred nine women were randomly allocated either group or direct admission hospital group. Women evaluated and, if found be false latent labor, encouraged go home walk before unit. Those admitted unit without an assessment. Data collected analyzed about method delivery, duration intrapartum interventions, neonatal well-being. completed evaluation their experience postpartum period. Results: Significant decreases occurred use epidural analgesia pain, oxytocin augment These more positively than No significant differences frequency section instrumental vaginal delivery two groups. Conclusions: Early has potential number receiving augmentation, rate pain relief, active second stages improve women's evaluations experiences. (BIRTH 25:1, March 1998)

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