Main findings
Same rule of 1cm/hour of labor progression cannot be applied to every
woman and inappropriate intervention should be withheld until labor
progression does not fall below 0.5cm/hour. Commencement of active phase
from 4 cm vis avis 6 cm should also be redefined. The historical
definition of abnormal labor and dystocia is again rethinkable in
current scenario and now is a time to change these definitions. Most
women had not entered in active phase at 4 cm, and they require more
time for them to be called in abnormal labor. This may affect the
outcome of labor, and could decrease unnecessary interventions which can
affect the mother and fetus.