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.