Active cervical dilatation of 6 cm associated with a reduced cesarean rate

Traditionally, labour can be divided into 3 stages, and the first stage is further subclassified into latent and active phases. A cervical dilation of 4 cm marks the beginning of the active stage of labour. This is the rapid, accelerated phase of labour, in which nulliparas and multiparas are projected to have cervical dilatation rates of 1 cm/hour and 0.5 cm/ hour, respectively.

The caesarean section carries inherent risks of mortality and morbidity for both the mother and the neonates. Previous caesarean delivery is associated with a higher risk of uterine rupture, morbidly adherent placenta, placenta praevia, and severe maternal outcome. Likewise, there is an increased risk of early neonatal death, preterm birth, and neonatal intensive care unit (NICU) admission. The higher risk of NICU in neonates delivered by elective caesarean section. There is an urgent need to scrutinize and change our intrapartum management of low-risk women especially those without caesarean scars. The objective of this study was to compare the maternal and perinatal outcomes of women who were diagnosed to be in the active phase of labour at 4 cm versus 6 cm cervical os dilatation.

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Active Phase Demarcation At Cervical Dilatation Of 6 Cm Associated With Reduced Caesarean Rate