Active Management of Labour

A randomized controlled trial using patient-controlled epidural analgesia with 0.25% versus 0.0625% bupivacaine in nulliparous labor: effect on analgesia requirement and maternal satisfaction

“…Protocols for obstetric practice were based upon the principles of active management of labor. 19 The following demographic and obstetric variables were recorded upon enrollment in the study: age, height, weight, gestational age, time of onset of labor, cervical dilatation on admission to the labor ward, cervical dilatation before enrollment, premature or artificial rupture of membranes and augmentation with oxytocin that was either initiated or ordered before enrollment.…”

Labour augmentation and fetal outcomes in relation to birth positions: A secondary analysis of an RCT evaluating birth seat births

“…According to O´Driscoll et al (1973) synthetic oxytocin is the main component, together with support from a personal midwife, in the concept of Active Management of Labour. Although the World Health Organization (WHO) states that initiation of augmentation of labour should be based on valid clinical indications and not performed routinely, the opposite has been found in clinical practice (WHO, 1996).…”

Study on the Effectiveness of Drugs Used for Cervical Dilatation to Reduce Duration of Labour and Foetal Outcome

“…Assurance is given to every woman that her delivery is over within 12 hours. 1 The drugs drotaverine and valethamate bromide by hastening cervical dilatation play important role in active management of labour described by O'Driscoll et al Drotaverine is an antispasmodic drug structurally related to papaverine. Drotaverine is a selective inhibitor of PDE IV inhibitor and has no anticholinergic effect.…”