Algorithm for Active Labor Diagnosis - to Aid Midwives

Are you evaluating a pregnant woman for evidence of active labor?

Yes

Is the woman having contractions that are?

• painful?

Yes

• moderate to strong in intensity?

Yes

• occurring at regular intervals?

Yes

• accompanied by cervical effacement with dilatation?

Yes

Has the woman had spontaneous rupture of the membranes?

Yes

Is there blood-tinged mucus coming from a dilated cervical os ('bloody show')?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings indicating the presence of active labor

Is the woman in active labor?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Burnett Scoring Index for Elective Induction of Labor
Other Testing
Severity, Prognosis, Stage
Complications
- Algorithm of Chauhan et al for Delivering a Fetus with Macrosomia

Therapy

Options
- Uterine Rupture Risk During Labor in Woman with History of Cesarean Section
Selection
- Risk Factors for Perinatal Death | Uterine Rupture During Vaginal Birth After Cesarean Section (VBAC)
Failure Handling And Therapy Escalation
- Clinical Score of Burgos et al for Predicting Outcome of External Cephalic Version (ECV)

Monitoring

Response To Therapy
- Clinical Score of Burgos et al for Predicting Outcome of External Cephalic Version (ECV)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Algorithm of Cheyne et al for Diagnosing Active (True) Labor

Purpose: To evaluate a pregnant woman for evidence of active labor using the algorithm of Cheyne et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10