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Early labour assessment improved several intrapartum outcomes

https://doi.org/10.1136/ebn.2.1.9

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    McNiven PS, Williams JI, Hodnett E, et al. An early labor assessment program: a randomized, controlled trial.Birth1998 Mar;25:5–10OpenUrlCrossRefPubMedWeb of Science

    Question Can early labour assessment improve intrapartum outcomes?

    Design

    Randomised controlled trial.

    Setting

    A large teaching hospital in southwestern Ontario, Canada.

    Patients

    209 women (mean age 25 y) who were ≥37 weeks gestation, had no previous live births, were identified as low risk according to the Ontario antenatal record, and who had spontaneous labour.

    Intervention

    105 women were allocated to early assessment of labour status (active or latent). Active labour was defined as the presence of regular, painful contractions and cervical dilation >3 cm. Those not in active labour were provided with encouragement and advice and told to return home or walk outside until labour became more active. 104 …

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    Footnotes

    • Source of funding: University of Toronto.

    • For correspondence: Dr P S McNiven, McMaster University Midwifery Education Programme, St Joseph's Hospital, Fontbonne Building, F622, 50 Charlton Avenue East, Hamilton, ON L8N 4A6, Canada. Fax +1 905 521 6014.