ref nice ceserean section guideline no 13 page 13
1.3 factors affecting likelihood of cs.
1.3.2 reducing likelihood of section
1.3.2.3 a partogram with a 4 hr action line should e used to monitor progress of labour of women in spontaneous labour with an uncomplicated singelton pregnancy at term, because it reduces the likelihood of cs. evidence A
Posted by Vinayak B.
thanks.
I interpreted it as active management done whenever slow progress detected when labour crosses action line ( mainly in primi) done with arm and pitocin. if this action taken at 4 hrs past alert line likelihood of cs reduced. and of course role of pitocin contraversial as it helps in dilatation but whether it realy improves outcome is contraversial.
