Active management of labour involves antenatal education to prepare for the emotional stress of labour, regular assessment of progress in labour and adequate analgesia. Diagnosis of labour is based on satisfactory cervical dilatation in the 1 h period following admission. Subsequent assessment should take place every 1–2 h. The personal attention of one nurse provides social and psychological support and reduces the need for augmentation and caesarean section.
KeywordsObesity Depression Lactate Peri Halothane
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