Abstract

Summary: A conservative form of management of prolonged labour in primigravid patients is presented, advocating the use of caudal or other epidural block, oxytocic stimulation in the event of secondary uterine inertia (provided that bony disproportion has been excluded by pelvic X‐ray) and delivery with the aid of the vacuum extractor if the cervix fails to reach full dilatation at the cessation of progress. No morbidity has been found in the mothers or babies which could be attributed to the method.Five case reports are given together with a summary of the author's previous experience with the procedure.

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