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Dysfunctional labour: a randomised trial
Author(s) -
Blanch Geraldine,
Lavender Tina,
Walkinshaw Steve,
Alfirevic Zarko
Publication year - 1998
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1998.tb09362.x
Subject(s) - dysfunctional family , cervical dilatation , medicine , obstetrics , oxytocin , randomized controlled trial , expectant management , adverse effect , intervention (counseling) , pregnancy , surgery , nursing , clinical psychology , gestation , cervix , cancer , biology , genetics
Sixty‐one women making slow progress in the active phase of spontaneous labour with intact membranes were randomised to oxytocin and amniotomy, amniotomy only or expectant management. The data show that oxytocin significantly increases the rate of cervical dilatation and shortens prolonged labour, when compared with amniotomy alone and expectant management ( P = 0.144 and 0–0.06, respectively). The impact on the operative delivery rate and neonatal outcome is difficult to assess due to the small number of relevant adverse outcomes. Women reported higher satisfaction score in the two groups where intervention followed the diagnosis of dysfunctional labour.