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Package of care for active management in labour for reducing caesarean section rates in low-risk women

  1. Heather C Brown1,*,
  2. Shantini Paranjothy2,
  3. Therese Dowswell3,
  4. Jane Thomas4

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 16 SEP 2013

Assessed as up-to-date: 27 JUN 2013

DOI: 10.1002/14651858.CD004907.pub3


How to Cite

Brown HC, Paranjothy S, Dowswell T, Thomas J. Package of care for active management in labour for reducing caesarean section rates in low-risk women. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD004907. DOI: 10.1002/14651858.CD004907.pub3.

Author Information

  1. 1

    Royal Sussex County Hospital, Department of Obstetrics and Gynaecology, Brighton, UK

  2. 2

    School of Medicine, Cardiff University, Cochrane Institute of Primary Care and Public Health, Cardiff, UK

  3. 3

    The University of Liverpool, Cochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, Liverpool, UK

  4. 4

    Auckland University, Cochrane MSDG FMHS, Auckland, New Zealand

*Heather C Brown, Department of Obstetrics and Gynaecology, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK. heather.brown@bsuh.nhs.uk. h.brown249@btinternet.com.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 16 SEP 2013

SEARCH

[Analysis 1.1]
Analysis 1.1. Comparison 1 Active management versus routine care: caesarean section rate, Outcome 1 Caesarean section rate - all women.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Active management versus routine care: caesarean section rate, Outcome 2 Caesarean section rate (Sensitivity analysis: Frigoletto (1995) study excluded).
[Analysis 2.1]
Analysis 2.1. Comparison 2 Active management versus routine care: maternal satisfaction with care, Outcome 1 Overall satisfaction with care.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Active management versus routine care: maternal satisfaction with care, Outcome 2 Maternal views - would choose this style of care again.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Active management versus routine care: maternal satisfaction with care, Outcome 3 Maternal views - mother feels strong sense of achievement.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Active management versus routine care: maternal satisfaction with care, Outcome 4 Maternal views - staff always explained enough.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Active management versus routine care: maternal satisfaction with care, Outcome 5 Maternal views - pain relief was adequate.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Active mangement versus routine care: duration of labour, Outcome 1 Prolonged labour (> 12 hours).
[Analysis 3.2]
Analysis 3.2. Comparison 3 Active mangement versus routine care: duration of labour, Outcome 2 Length of labour (admission to delivery).
[Analysis 3.3]
Analysis 3.3. Comparison 3 Active mangement versus routine care: duration of labour, Outcome 3 Duration of first stage of labour (hours).
[Analysis 3.4]
Analysis 3.4. Comparison 3 Active mangement versus routine care: duration of labour, Outcome 4 Duration of second stage (hours).
[Analysis 4.1]
Analysis 4.1. Comparison 4 Active management versus routine care: epidural analgesia, Outcome 1 Number of women having epidural analgesia.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Active management versus routine care: use of analgesia (other than epidural), Outcome 1 Use of analgesia (other than epidural).
[Analysis 6.1]
Analysis 6.1. Comparison 6 Active management versus routine care: assisted vaginal deliveries, Outcome 1 Assisted vaginal delivery rates.
[Analysis 7.1]
Analysis 7.1. Comparison 7 Active management versus routine care: neonatal outcome, Outcome 1 Low APGAR score at 5 minutes.
[Analysis 7.2]
Analysis 7.2. Comparison 7 Active management versus routine care: neonatal outcome, Outcome 2 Meconium staining.
[Analysis 7.3]
Analysis 7.3. Comparison 7 Active management versus routine care: neonatal outcome, Outcome 3 Admission to special care (various definitions).
[Analysis 8.1]
Analysis 8.1. Comparison 8 Active management versus routine care: maternal complications, Outcome 1 Maternal infection (various definitions).
[Analysis 8.2]
Analysis 8.2. Comparison 8 Active management versus routine care: maternal complications, Outcome 2 Postpartum haemorrhage (blood loss > 500 ml).
[Analysis 9.1]
Analysis 9.1. Comparison 9 Active management versus routine care: breastfeeding, Outcome 1 Breastfeeding (various measurement points).