We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
Online ordering will be unavailable from 17:00 GMT on Friday, April 25 until 17:00 GMT on Sunday, April 27 due to maintenance. We apologise for the inconvenience.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure [email protected]
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
A prolonged latent phase of labor is defined as >20 hours of painful contractions in nulliparas and >14 hours in multiparous patients with dilation ≤4 cm. Initially described by Friedman in the 1960s, newer research suggests that latent labor can persist up to 6 cm dilation. Patients are typically offered one of three approaches: expectant management, therapeutic rest, or oxytocin augmentation. No definitive comparative effectiveness studies are available to guide the choice, and selection is typically individualized based on maternal and fetal factors. Prolonged latent phase is associated with increased risk of adverse outcomes including cesarean delivery.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.