Likelihood of cesarean delivery after applying leading active labor diagnostic guidelines.
Jeremy L NealNancy K LoweJulia C PhillippiSharon L RyanAmy M KnuppMary S DietrichStephen F ThungPublished in: Birth (Berkeley, Calif.) (2017)
Many nulliparous women are admitted to the hospital before active labor onset. These women are significantly more likely to have a cesarean delivery. Diagnosing active labor before admission or before intervention to speed labor may be one component of a multi-faceted approach to decreasing the primary cesarean rate in the United States. The NICE diagnostic guideline is more inclusive than Friedman or ACOG/SMFM guidelines and its use may be the most clinically useful for safely lowering cesarean rates.