Axten S
Mod Midwife. 1995 May;5(5):18-20.
There is a conflict between the active management (AM) of labour and the woman-centred approach advocated by Changing Childbirth. AM assumes that all births are abnormal until proved normal, whereas midwives usually assume the opposite. There is evidence that AM can be ineffective in shortening labour. Midwives should consider alternative, non-medical approaches to active management.
分娩的积极管理（AM）与《改变分娩方式》所倡导的以产妇为中心的方法之间存在冲突。积极管理假定所有分娩在证明正常之前都是异常的，而助产士通常持相反观点。有证据表明，积极管理在缩短产程方面可能无效。助产士应考虑采用替代的、非医学的方法来进行积极管理。
