Current understandings of dystocia rest on outdated definitions of active first stage of labour and its progress and on treatments with an equivocal evidence base. These include the cervical dilatation threshold for active first stage, uncertainty over whether a reduced rate of dilatation and reduced strength of uterine contractions represents pathology and the effectiveness of amniotomy and oxytocin for preventing or treating dystocia. Recommendations are made for revising the definitions of active phase of the first stage and for dystocia and for alternative, non-medical interventions that are known to shorten the length of labour.
Learning Objectives:
Objective 1: Describe the short history of the phenomenon of the dystocia
Objective 2:Critique dystocia from examining more recent research
Objective 3: Develop an argument to replace ‘dystocia’ with ‘labour rhythms’
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