Active management of labor: does it make a difference?
Article Abstract:
Aggressively managing women who fit strict definitions of being in labor appears to reduce the women's time to delivery and tends to reduce the likelihood of delivering by cesarean. Four hundred five first-time mothers were either allowed to labor in a conventional way or given high levels of oxytocin to stimulate non-progressing labor and had their membranes ruptured early in labor. Aggressive labor management was initiated only when the cervix was effaced more than 80% and strong contractions occurred two to five minutes apart. Aggressively managed labor was 1.7 hours shorter than conventionally managed labor.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
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Is amniotic fluid analysis the key to preterm labor? A model using interleukin-6 for predicting rapid delivery
Article Abstract:
Measuring the level of interleukin-6 in amniotic fluid may help predict when a woman in premature labor will deliver. Interleukin-6 is an immune system chemical that may increase in concentration during infection. Researchers used amniocentesis to obtain samples of amniotic fluid in 111 pregnant women in premature labor. Eight percent of the samples tested positive for bacterial infection and women with elevated interleukin-6 levels in their amniotic fluid were more likely to be infected. These women were 17 times more likely to deliver within two days of the amniocentesis.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1998
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A prospective randomized evaluation of a hygroscopic cervical dilator, Dilapan, in the preinduction ripening of patients undergoing induction of labor
Article Abstract:
A hygroscopic cervical dilator appears to help ripen the cervix but may not improve labor outcomes with induction of labor. Softening and thinning an unready cervix is thought to increase the chances of successful induction of labor. A group of 240 women who required induction of labor but had unripe cervixes were randomly assigned to preinduction insertion of a synthetic hygroscopic dilator or not. The dilator improved cervical readiness for labor but did not reduce the length of labor or the cesarean rate, which approached 4 in 10 women in both groups.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
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