Reducing cesarean delivery rates: an active management labor program in a setting with limited resources.

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dc.contributor.authorSomprasit, Charintipen_US
dc.contributor.authorTanprasertkul, Chamnanen_US
dc.contributor.authorKamudhamas, Atiwuten_US
dc.date.accessioned2009-05-27T21:29:00Z
dc.date.available2009-05-27T21:29:00Z
dc.date.issued2005-01-18en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To determine the effect of an active management of a labor program on the rate of cesarean section and labor outcomes in low-risk nulliparous pregnancies in a setting with limited resources. MATERIAL AND METHOD: Nine hundred and seventy-five low risk nulliparous pregnant women were randomized to receive either active management of a labor program (n = 325) or conventional management (n = 650). The rate of cesarean section and labor outcomes were compared between the two groups using Chi-square and t-tests. RESULTS: The subjects in the active management program had significantly shortened first stage of labor and total duration of labor compared with the conventional group (538.0 +/- 242.9 min vs 589.4 +/- 263.8 min, p < 0.05, 539.3 +/- 261.4 min vs 610.3 +/- 264.4 min, p < 0.001, respectively). There was no statistical difference found in the rate of cesarean section and other labor outcomes. CONCLUSION: The active management program shortened the first stage and duration of labor in low-risk nulliparous pregnant women.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Thammasat University, Klong-Luang, Pathumthani 12120, Thailand. Charintipsom@hotmail.comen_US
dc.identifier.citationSomprasit C, Tanprasertkul C, Kamudhamas A. Reducing cesarean delivery rates: an active management labor program in a setting with limited resources. Journal of the Medical Association of Thailand. 2005 Jan; 88(1): 20-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/44869
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshCesarean Section --statistics & numerical dataen_US
dc.subject.meshDelivery, Obstetric --methodsen_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Resourcesen_US
dc.subject.meshHumansen_US
dc.subject.meshLabor, Obstetricen_US
dc.subject.meshParityen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Outcomeen_US
dc.subject.meshThailanden_US
dc.titleReducing cesarean delivery rates: an active management labor program in a setting with limited resources.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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