Experience with an active labour management protocol and reduction of caesarean section rate in Nicaragua

Prospective data are presented on the outcome of labour in 67 women with uncomplicated pregnancy, who attended a rural Nicaraguan hospital and were managed actively in labour. No dystocia occurred and the caesarean section rate was 0%. Active management of labour is safe and feasible in a rural hospital setting. It results in a low caesarean section rate and reduced maternal mortality and morbidity, without compromising perinatal outcome.