Common Criticisms of Active Management of Labour

ISSN 0256-5004 (Print)

AIMS Journal, 1998, Volume 10, No 2

Companion article to Active Management of Labour - The Irish Way of Birth

  • The examination to judge the exact beginning of labour is an arbitrary judgement, and will differ from one caregiver to the next. The "beginning" of labour is not agreed upon scientifically.
  • The partogram has no scientific basis, and neither does standardising the 12-hour time allocation. The expected rate of increase (1 cm per hour) in all labours is a standardisation, and not proven to be applicable in all first labours. Prolonged labour can be judged only in retrospect.
  • Artificial rupture of the membranes, routinely carried out at early dilatation, is not recommended by numerous authorities because, like all interventions, it carries a number of risks. It must be made clear that these risks are very slight. They include bone disalignment of the baby's skull, and the potential to damage to the veins of the placenta (velamentous cord insertion).
  • Synthetic oxytocin is a hormone which its manufacturers recommend should be used with extreme caution, and only to simulate normal contractions, as it carries a number of potential risks for mother and baby.
  • Active management of labour is a policy which assumes that the capacity of women to labour is deficient and imperfect, and seeks to control and manage the event.

Editor's Note: For a view on low-tech management in a hospital setting at the Semmelweis Clinic in Vienna see the AIMS Journal 1996; 8(1): 6-8 and 18-19.

Latest Content

Journal

« »

Obituary of Mary Cronk, 1932-2018

AIMS Journal, 2019, Vol 30, No 4 Mary Cronk’s family announced that Mary had passed away on the morning of 21st December 2018. She was known nationally, and international…

Read more

Book Review: When Survivors Give Bi…

ISBN 978-1-594040221 Complete list of book reviews on the AIMS website AIMS Journal, 2019, Vol 30, No 4 Reviewed for AIMS by Kicki Hansard Published in 2004 ISBN 978-1594…

Read more

Book Review: Traumatic Childbirth b…

Complete list of book reviews on the AIMS website AIMS Journal, 2019, Vol 30, No 4 Reviewed by Mari Greenfield First edition, published 2013 ISBN 978-0415678100 272 pages…

Read more

Events

« »

AIMS Volunteers Meeting

Details TBC

Read more

Midwifery Today Conference - “Creat…

Blankenberge, Belgium • 30 October – 3 November 2019 This is expected to be a popular event with a diverse, international audience and plenty of opportunities to network.…

Read more

ARM Annual Gathering and Retreat

September 20, 2019 @ 3:00 pm – September 27, 2019 @ 12:00 pm Join ARM for a night or a week at a house in Snowdonia and have the opportunity to discuss the midwifery issu…

Read more

Latest Campaigns

« »

Letter to The Guardian in response…

Sent 9th May 2019 By email ( guardian.readers@theguardian.com ) Dear Sir, I write in response to the opinion piece by Barbara Ellen entitled “Meghan Markle’s home birth s…

Read more

AIMS Response to MBRRACE-UK Report…

Download PDF MBRRACE-UK: Saving Lives, Improving Mothers’ Care MBRRACE-UK: Perinatal Mortality Surveillance report for births in 2016 www.npeu.ox.ac.uk/mbrrace-uk/reports…

Read more

Implementing Better Births: Continu…

Download PDF Commissioners and providers across England, guided by their MVPs, are working across the country to implement sustainable Continuity of Carer models of care,…

Read more