Strengths and limitations
The algorithms have been developed by using best available, up to date
evidence with a systematic approach for gathering the evidence-based and
develop the pathways. Particularly for labour arrest, the evidence is
scarce. Links with other evidence-based algorithms are provided where
relevant and escalation for specialist care is highlighted where needed.
However, given the lack of evidence for some critical points in the
pathways we had to rely on expert opinion. The algorithms focus only on
delay in progress, but they do not cover management of labour in
high-risk women or those who may present with multiple complications.
Implementation of the algorithms may be limited by the availability of
resources, such as cardiotocography.