No abstract

Analysis 1.4. Comparison 1 Epidural versus opioids, Outcome 4 Woman's perception of pain relief during first stage of labour..... Analysis 1.5. Comparison 1 Epidural versus opioids, Outcome 5 Woman's perception of pain relief during the second stage of labour..

Analysis 2.6. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 6 Serious maternal morbidity or death.. .. .. .. Analysis 2.7. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 7 Caesarean section (distress).. .. .. .. .. . Analysis 2.8. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 8 Caesarean section (delay).. .. .. .. .. .. Analysis 2.9. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 9 Instrumental vaginal delivery.. .. .. .. .. . Analysis 2.10. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 10 Postpartum haemorrhage-blood loss > 500 mL.. .. Analysis 2.11. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 11 Regional analgesia-epidural.. .. .. .. .. Analysis 2.12. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 12

No abstract

On the basis of the findings of this review, we cannot recommend that amniotomy should be introduced routinely as part of standard labour management and care. We recommend that the evidence presented in this review should be made available to women offered an amniotomy and may be useful as a foundation for discussion and any resulting decisions made between women and their caregivers.