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Correspondence
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Volume 334:797-799 March 21, 1996 Number 12
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A Clinical Trial of Active Management of Labor

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To the Editor: The purpose of active management of labor, as developed over a period of years during the 1960s at the National Maternity Hospital in Dublin, Ireland, was to enhance the quality of the experience of childbirth by preventing prolonged labor in first-time mothers; 25 years later the purpose remains the same.1 The essential features of the program include regular assessment of the early progress of labor and effective stimulation of labor whenever progress is slow. Efficient uterine action is considered the key to normal delivery.2

Active management of labor had already been standard practice in Dublin for 10 . . . [Full Text of this Article]

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