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  • Title: Active management of labor as an alternative to cesarean section for dystocia.
    Author: O'Driscoll K, Foley M, MacDonald D.
    Journal: Obstet Gynecol; 1984 Apr; 63(4):485-90. PubMed ID: 6700893.
    Abstract:
    There is general agreement that a solution to the problem of dystocia would go a long way toward resolving the contentious issue of high cesarean birth rates that have become such a prominent feature of obstetric practice in recent years. At the National Maternity Hospital in Dublin, one of the largest obstetric units in Western Europe, this situation has been averted through a coordinated policy of early detection and effective treatment of abnormal uterine action over a period of 15 years. During 1980 the number of births was 8742, the incidence of cesarean section was 4.8%, and mothers were assured of delivery within 12 hours after admission to the labor unit. It is proposed that these results could be reproduced elsewhere.
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