Dysfunctional labour: a randomised trial
- Resource Type
- Authors
- Steve Walkinshaw; Tina Lavender; Geraldine Blanch; Zarko Alfirevic
- Source
- Scopus-Elsevier
Europe PubMed Central
- Subject
- Adult
medicine.medical_specialty
Dysfunctional labour
Oxytocin
Prolonged labour
Patient satisfaction
Labor Stage, Second
Pregnancy
Spontaneous labour
medicine
Humans
Amnion
business.industry
Obstetrics
Pregnancy Outcome
Obstetrics and Gynecology
Intact membranes
medicine.disease
Obstetric Labor Complications
Patient Satisfaction
Female
Cervical dilatation
business
medicine.drug
- Language
- ISSN
- 1471-0528
1470-0328
Sixty-one women making slow progress in the active phase of spontaneous labour with intact membranes were randomised to oxytocin and amniotomy, amniotomy only or expectant management. The data show that oxytocin significantly increases the rate of cervical dilatation and shortens prolonged labour, when compared with amniotomy alone and expectant management (P = 0.0144 and 0.0006, respectively). The impact on the operative delivery rate and neonatal outcome is difficult to assess due to the small number of relevant adverse outcomes. Women reported higher satisfaction score in the two groups where intervention followed the diagnosis of dysfunctional labour.