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Nation’s OB/GYNs Take Aim at Preventing Cesareans
New ACOG guideline recommend allowing women to labor longer to help avoid cesarean delivery. The Safe Prevention of the Primary Cesarean Delivery report discusses ways to decrease cesarean deliveries, including:
- Allowing prolonged latent (early) phase labor.
- Considering cervical dilation of 6 cm (instead of 4 cm) as the start of active phase labor.
- Allowing more time for labor to progress in the active phase.
- Allowing women to push for at least two hours if they have delivered before, three hours if it’s their first delivery, and even longer in some situations, for example, with an epidural.
- Using techniques to assist with vaginal delivery, which is the preferred method when possible. This may include the use of forceps, for example.