Using an active labor management plan linked to fewer cesarean sections in Nicaragua

In a study of 67 women with uncomplicated pregnancies, the caesarean section rate was 0%.

• No cases of dystocia were reported during the labor management.
• Active management of labor is suggested to be safe and feasible in a rural hospital setting.
• The approach may contribute to reduced maternal mortality and morbidity.
• Perinatal outcomes were not compromised under active labor management.

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