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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

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Cammu 1996 {published data only}
Frigoletto 1995 {published data only}
Lopez-Zeno 1992 {published data only}
  • Lopez-Zeno JA, Peaceman AM, Adashek JA, Socol ML. A controlled trial of a program for the active management of labor. New England Journal of Medicine 1992;326:450-4.
  • Lopez-Zeno JA, Peaceman AM, Socol ML. Active management of labor (AMOL) - an evaluation of its efficacy. American Journal of Obstetrics and Gynecology 1991;164:306.
Rogers 1997 {published data only}
Sadler 2000 {published data only}
Somprasit 2005 {published data only}
  • Somprasit C, Tanprasertkul C, Kamudhamas A. Reducing cesarean delivery rates: an active management labor program in a setting with limited resources. Journal of the Medical Association of Thailand 2005;88(1):20-5.
Tabowei 2003 {published data only}
  • Tabowei TO, Oboro VO. Active management of labour in a district hospital setting. Journal of Obstetrics and Gynaecology 2003;23(1):9-12.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Cohen 1987 {published data only}
  • Cohen GR, O'Brien WF, Lewis L, Knuppel RA. A prospective randomized study of the aggressive management of early labor. American Journal of Obstetrics and Gynecology 1987;157:1174-7.
Hinshaw 1995 {published data only}
  • Hinshaw K. Oxytocin augmentation in the management of primary dysfunctional labour in nulliparous women - effect on caesarean section rate: a randomised controlled trial. The Research Findings Register. Summary number 1244. Retrieved 11 January 2005, from http://www.ReFeR.nhs.uk/ViewRecord.asp?ID=1244 (accessed 2005).
  • Hinshaw K, Moustafa A, Wilson K, Boyd P, Fawzi H, Kumarendran K. Oxytocin augmentation versus conservative management for primary dysfunctional labour in nulliparous women: a randomised controlled trial. 27th British Congress of Obstetrics and Gynaecology; 1995 July 4-7; Dublin, Ireland. 1995:207.
Hogston 1993 {published data only}
  • Hogston P, Noble W. Active management of labour - the Portsmouth experience. Journal of Obstetrics and Gynaecology 1993;13:340-2.
Jyoti 2006 {published data only}
  • Jyoti M, Singhal P, Choudhary D. Programed labor. Journal of Obstetrics and Gynaecology of India 2006;56(1):53-5.
Lieberman 2000 {published data only}
Pattinson 2003 {published data only}
  • Howarth GR, Pattinson RC, Mdluli WPP, Macdonald AP, Funk M, Makin J. Aggressive or expectant management of labour; a randomised controlled trial. 20th Conference on Priorities in Perinatal Care in Southern Africa; 2001 March 6-9; KwaZulu-Natal, South Africa. 2001.
  • Pattinson RC, Howarth GR, Mdluli W, Macdonald AP, Makin JD, Funk M. Aggressive or expectant management of labour: a randomised clinical trial. BJOG: an international journal of obstetrics and gynaecology 2003;110(5):457-61.
Peaceman 1993a {published data only}
  • Peaceman AM, Lopez-Zeno J, Minogue JP, Socol ML. Factors that influence route of delivery - active vs traditional labor management. American Journal of Obstetrics and Gynecology 1993;169:940-4.
Serman 1995 {published data only}
  • Serman VF, Benavides AC, Sandoval ZJ, Pazols JR, Bermedo SJ, Fuenzalida FR, et al. Active management of labour in primiparas Prospective study [Manejo activo del parto en primiparas, estudio prospectivo]. Revista Chilena de Obstetricia y Ginecologia 1995;60:6-11.
Treisser 1981 {published data only}
  • Treisser A, Breart G, Blum F, Jouhet P, Pigne A, Barrat J. Dystocia at the onset of labour. An evaluation of the different treatments available. Journal de Gynecologie, Obstetrique et Biologie de la Reproduction 1981;10:91-8.
Wood 1974 {published data only}
  • Wood C, Ng KH, Hounslow D, Benning H. A control trial demonstrates that speeding birth favourably affects cord blood Ph. [abstract]. Journal of Reproduction and Fertility 1974;36(2):472-3.
  • Wood C, Ng KH, Hounslow D, Benning H. Time - an important variable in normal delivery. Journal of Obstetrics and Gynaecology of the British Commonwealth 1973;80:295-300.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Abo 2001 {published data only}
  • Abo Omar A. Active versus more selective management of labor. Journal of the Bahrain Medical Society 2001;13(3):139-42.
Manpreet 2011 {published data only}
  • Manpreet K, Mohi KM, Shalika B, Sarbhjit K. Programmed labour versus normal labour. 54th All India Congress of Obstetrics and Gynaecology; 2011 January 5-9; Hyderabad, Andhra Pradesh, India. 2011:143.
Snehlata, 2011 {published data only}
  • Snehlata, Sawant V. Comparison of active management of labour versus 'traditional' approach. 54th All India Congress of Obstetrics and Gynaecology; 2011 January 5-9; Hyderabad, Andhra Pradesh, India. 2011:246-7.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Betran 2007
Bidgood 1984
Bragg 2010
  • Bragg F, Cromwell DA, Edozien LC, Gural-Urganci I, Mahmood TA, Templeton A, et al. Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk: cross sectional study. BMJ 2010;341:c5065.
Bugg 2013
Higgins 2008
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions 5.0.0 [updated February 2008] In: The Cochrane Library. Chichester, UK: John Wiley and Sons, Ltd, 2008.
Hodnett 2012
Lavender 2012
Najmi 2000
  • Najmi RS, Rehan N. Prevalence and determinants of caesarean section in a teaching hospital in Pakistan. Journal of Obstetrics and Gynaecology 2000;20(5):479-83.
NICE 2004
  • National Collaborating Centre for Women's and Children's Health. Caesarean Section, Clinical Guidelines. Commissioned by the National Institute for Clinical Excellence. London: RCOG Press, April 2004.
NICE 2007
  • National Institute for Health and Clinical Excellence. Intrapartum care: care of healthy women and their babies during childbirth. NICE clinical guideline 55. www.nice.org.uk (accessed 2007).
NVSR 2007
  • Centre for Disease Control. Births: preliminary data for 2006. National Vital Statistics Report, National Centre for Health Statistics December 2007; Vol. 56, issue 7:18.
O'Driscoll 1970
  • O'Driscoll K, Jackson RJ, Galagher JT. Active management of labour and cephalopelvic disproportion. Journal of Obstetrics and Gynaecology of the British Commonwealth 1970;77(5):385-9.
O'Driscoll 1973
  • O'Driscoll K, Stronge JM, Minogue M. Active management of labour. BMJ 1973;3:135-7.
O'Driscoll 1984
Paranjothy 2005
Peaceman 1993
  • Peaceman AM, Lopez- Zeno JA, Minogue JP, Socol ML. Factors that influence route of delivery - active versus traditional labor management. American Journal of Obstetrics and Gynecology 1993;169(4):940-4.
RevMan 2008
  • The Cochrane Collaboration. Review Manager (RevMan). 5.0 for Windows. Copenhagen: The Nordic Cochrane Centre: The Cochrane Collaboration, 2008.
Smyth 2013
  • Smyth RMD, Markham C, Dowswell T. Amniotomy for shortening spontaneous labour. Cochrane Database of Systematic Reviews 2013, Issue 6. [DOI: 10.1002/14651858.CD006167.pub4]
Thomas 2001
  • Thomas J, Paranjothy S. The National Sentinel Ceasarean Section Audit Report. London: RCOG, 2001.
Thornton 1994
  • Thornton JG, Lilford RJ. Active management of labour: current knowledge and research issues. BMJ 1994;309(6951):366-9.
Villar 2007
  • Villar J, Carroli G, Zavaleta N, Donner A, Wojdyla D, Faundes A, et al. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ 2007;335(7628):1025.
Walker 2002
Wei 2012

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Brown 2008