Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines

ConclusionMany nulliparous women are admitted to the hospital before active labor onset. These women are significantly more likely to have a cesarean delivery. Diagnosing active labor before admission or before intervention to speed labor may be one component of a multi‐faceted approach to decreasing the primary cesarean rate in the United States. The NICE diagnostic guideline is more inclusive than Friedman or ACOG/SMFM guidelines and its use may be the most clinically useful for safely lowering cesarean rates.

Source: Birth - February 15, 2017 Category: OBGYN Authors: Jeremy L. Neal, Nancy K. Lowe, Julia C. Phillippi, Sharon L. Ryan, Amy M. Knupp, Mary S. Dietrich, Stephen F. Thung Tags: ORIGINAL ARTICLE Source Type: research