it stemmed from Ireland and was based on length of labour as a throughput thing rather than anything to do with cerebral palsy. The belief was that women would rather a quicker labour with intervention rather than a long labour with no intervention, it also stemmed from arbitrary ideas of "normal" length of labour, the 1cm per hour regime.

Helen and Graham wrote:

My cogs have been turning about why "active management" of labour came about. I presume it was to do with the idea that prolonged labour can lead to cerebral palsy...preventative measure???!!! Well shouldn't that be rethought now in light of the new research that dispels the idea? I am just fed up with all the fail to progress emergency caesarians contributing largely to our increasing caesarian rate and feel it is time "they" realised that "active management of labour" is a resounding failure all round!!!! Despondent Helen

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