Outcome of Labour Following Active Management in Primigravida

Labour is an important event with unique experience, exclusively in a women’s life which gives her the greatest satisfaction by delivering her child “The wonder creation of master craftsman”. It has long been appreciated that labour itself can have an adverse effect on the fetus. Normal fetuses whose mother has no medical or obstetric complications are capable of undergoing the normal stress of labour and delivery without serious squeal. However even a normal fetus whose mother undergoes an extremely prolonged or difficult labour or whose delivery is inappropriately managed may succumb to these stress and be depressed, damaged or even die. The physiologic process of labour can have varying effects on the fetus, depending on the initial fetal status when labour begins. These effects can range from minimal to very significant. With each uterine contraction, there is a decrease in or actual stoppage of intervillous blood flow, which may result in fetal hypoxia.