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. Author manuscript; available in PMC: 2011 Jul 1.
Published in final edited form as: J Midwifery Womens Health. 2010 Jul–Aug;55(4):308–318. doi: 10.1016/j.jmwh.2009.08.004

Table 3.

8 Studies with median measures of ‘active phase’ duration in systematic review

Trial Treatment n Dilatation at
‘active phase’
onset (cm)a
Median duration
(hrs)
Rate of ‘active
phase’ dilation
(cm/hr)b
Fraser et al, 1993 22 Routine early amniotomy 390 3.8 (0.9) 4.33 1.4
Conservative membrane management 383 3.8 (0.8) 6.42 1.0
Dickinson et al, 1997 18 Epidural analgesia group 257 4c 4.6 1.3
Non-epidural group 240 4c 2.75 2.2
Sadler et al, 2000 32 AML group (vaginal delivery) 290 4.5 (1.8) 4.0 1.4
Routine management (vaginal delivery) 299 4.5 (2.1) 4.83 1.1
Zhang et al, 2001 34 Before ‘on-demand’ epidural analgesia 507 4 6.0 1.0
After ‘on-demand’ epidural analgesia 581 4 6.0 1.0
Vahratian et al, 2005 38 Spontaneous onset of labor group 1171 4 5.97 1.0
Mikki et al, 2007 39 Early amniotomy 74 3 [3,4] 3.5 2.0
Intent to conserve membranes 83 4 [3,4] 5.0 1.2
Miquelutti et al, 2007 20 Upright position group 35 4c 6.5 0.9
Control group 42 4c 5.42 1.1
Svärdby et al, 2007 21 No augmentation 50 4c 5.08 1.2
Active phase augmentation 88 4c 7.32 0.8
Second stage augmentation 26 4c 7.33 0.8
Weighted values 4516 4.0
(0.2)
5.4
(1.0)
1.2
(0.3)

AML = active management of labor

a

Group mean (SD), median [IQR], or absolute value shown when provided in study.

b

Calculated based on assumption that the cervical dilation phase ends at 10 cm which approximates complete cervical dilatation.

c

Through contact with author, it was clarified that ‘active phase’ onset was defined as 4 cm dilatation.