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Q In primiparous women in spontaneous labour at term, does the use of a 2 hour partogram action line reduce the risk of caesarean delivery compared with a 4 hour action line?
Clinical impact ratings Obstetrics ★★★★★★★ GP/FP/Obstetrics ★★★★★★☆
randomised controlled trial.
Follow up period:
2–10 days after delivery.
midwife led unit and physician led delivery suite in a teaching hospital in northwest England, UK.
3000 primigravid women (mean age 25 y) in spontaneous labour at term with an uncomplicated singleton pregnancy in cephalic presentation.
progress of labour was recorded on a partogram with an action line drawn either 2 hours (n = 1503) or 4 hours (n = 1497) after the alert line. If the plot of cervical dilatation against time crossed the action line, delivery suite guidelines for the management of prolonged labour were followed.
caesarean delivery, need for augmentation …
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