Browsing by Author Three hundred women were allocated to either protocol in a random manner . In the aggressive management assessments and vaginal examinations were carried out two Hourly, and oxytocin infusion was commenced if cervical dilatation is moved to the Right side of the alert line. In the expectant management protocol, assessments and vaginal examinations were carried out four hourly and oxytocin infusion was commenced when the action line easy reached or crossed. Thereafter assessments were carried out two hourly. Use of oxytocin duration of labour, mode of delivery, and apgar scores at 1, 5, 10 minutes. Age, period of gestation, cervical dilatation at the time of Recruitment to the study was similar. A markedly higher number of women received oxytocin and more women were under went operative deliveries in the aggressive management protocol compared with the expectant management protocol which was statistically significant.
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