Article Text

PDF
Use of a 2 hour partogram action line instead of a 4 hour action line did not reduce caesarean delivery rate

Statistics from Altmetric.com


 
 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 ★★★★★★☆

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

concealed.*

Embedded ImageBlinding:

unblinded.*

Embedded ImageFollow up period:

2–10 days after delivery.

Embedded ImageSetting:

midwife led unit and physician led delivery suite in a teaching hospital in northwest England, UK.

Embedded ImagePatients:

3000 primigravid women (mean age 25 y) in spontaneous labour at term with an uncomplicated singleton pregnancy in cephalic presentation.

Embedded ImageIntervention:

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.

Embedded ImageOutcomes:

caesarean delivery, need for augmentation …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Other articles noted
    BMJ Publishing Group Ltd
  • Glossary
    BMJ Publishing Group Ltd