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Augmentation of Labour by a Standard Protocol in Papua New Guinea
Author(s) -
Mola Glen,
Rageau One
Publication year - 1990
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1990.tb00229.x
Subject(s) - caesarean section , medicine , protocol (science) , obstetrics , caesarean delivery , gold standard (test) , port (circuit theory) , postpartum haemorrhage , pregnancy , genetics , alternative medicine , pathology , biology , electrical engineering , engineering
A study to investigate a policy of routine augmentation of dystocic labour by standard protocol encompassing definitions of delay in the first and second stages, dosage and administration of oxytocin, specific contra‐indications and monitoring progress of augmented labour. During the 5 months of the study 3,261 women were confined at Port Moresby General Hospital. In 329 of these labour was augmented by a standard regime. Amongst the 161 primigravidae thus augmented there were 8 (5%) caesarean sections and 34 (21.1%) assisted deliveries. Of the 166 multigravidae augmented there were 4 (2.4%) caesarean sections and 20 (12.1%) assisted deliveries. These figures can be compared against a total caesarean rate of 2.4% and an assisted delivery rate of 3% in 1988. Analysis of case controls did not show a significant difference in perinatal outcome for those who were augmented. We conclude that a standard management protocol for augmentation of labour in all cases of delay in the first and second stages of labour, excluding those with specific contra‐indications is safe and substantiates further the ascertion that active management of labour is a reasonable alternative to caesarean section for dystocia.