Active Management of Labor

The Challenge

Active management of labor is a system of labor management that is designed to promote effective labor and reduce the need for cesarean delivery.

• Scope of the Problem: Cesarean birth rate for nulliparous patients approximates or exceeds 30% in most areas. Active management has been associated with cesarean delivery rates of less than 5% for its developers (Ireland).

• Objectives of Management: To reduce cesarean delivery rates through a system of management that includes education, strict criteria for labor and abnormal progress, one-on-one care, and the use of high-dose oxytocin (when needed).