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Journal ArticleDOI

Active management of labour and cephalopelvic disproportion

TLDR
A preoccupation with cephalopelvic disproportion is the main reason for a reluctance to abandon the conservative attitude towards labour which prevails in the United Kingdom and Ireland.
About
This article is published in British Journal of Obstetrics and Gynaecology.The article was published on 1970-05-01. It has received 74 citations till now. The article focuses on the topics: Cephalopelvic disproportion.

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Citations
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Journal ArticleDOI

Common areas of litigation related to care during labor and birth: recommendations to promote patient safety and decrease risk exposure.

TL;DR: The purpose is to provide a framework for reviewing existing institutional protocols and/or developing future policies and guidelines that decrease professional liability exposure and minimize the risk of iatrogenic injury to mothers and infants.
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The effect of oxytocin infusion on uterine activity levels in slow labour.

TL;DR: The rate of cervical dilatation following oxytocin augmentation could not be predicted either by an increase in uterine activity or by the actual level of activity achieved, which was the same as in normal spontaneous labour.
Journal Article

Role of partogram in preventing prolonged labour.

TL;DR: By using partogram, frequency of prolonged and augmented labour, postpartum haemorrhage, ruptured uterus, puerperal sepsis and perinatal morbidity and mortality was reduced.
Journal ArticleDOI

Outcomes of labours augmented with oxytocin.

TL;DR: Significant improvements in the management of labours which fail to progress are needed if normal vaginal delivery rates are to approach those seen inlabours which progress without the need for augmentation.
Journal ArticleDOI

An evaluation of the usefulness of x-ray pelvimetry: comparison of the Thoms and modified Ball methods with manual pelvimetry.

TL;DR: Argument is presented for a full trial of labor in vertex presentations, except in the most clinically obvious cases of cephalopelvic disproportion (CPD), as well as the potential oncogenic risk of fetal irradiation in view of the high rate of false positives.
References
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Journal ArticleDOI

Prevention of Prolonged Labour

TL;DR: Stimulation, properly supervised, is safe to mother and child, it eliminates the problem of occipitoposterior position, results in a sharp decline in forceps delivery, and obviates the need for massive analgesia.
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Induction of labour. II. Intravenous oxytocin infusion.

TL;DR: D’Esopo, Moore and Lenzi (1964) have shown that with a favourable cervix, with the vertex dipping into the pelvis and in the absence of cephalo-pelvic disproportion, the risks of elective induction of labour with a dilute oxytocin drip are no greater, and may be even less than, spontaneously occurring labour in a similar group of patients.
Journal ArticleDOI

The pitocin drip.

TL;DR: A careful perusal of the literature on the pitocin drip finds that the most physiological responses in severe primary uterine inertia have actually been obtained by giving an intravenous infusion of normal saline containing either 10 or 20 units of pitcin to the liter.
Journal Article

Monitoring of labor by graphs.

TL;DR: This analysis of 1000 such labor graphs, including 500 primigravidas and 500 multigravida, supports the viewpoint that they are precise guides for the management of abnormal labors.
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