Main findings
In this prospective national Norwegian study, we successfully taught
midwives and obstetricians to use the ICSCS. 10-12 All
clinicians participating in the study found it useful. Intrapartum CS
classification patterns corresponded to clinical experience associated
with parity, spontaneous and induced labour and labour after a previous
CS. Dystocia with inefficient uterine action (progress less than
1cm/hour) either due to fetal intolerance or poor response was the most
common cause of intrapartum CS in particular if labour was induced (TGCS
group 2a and 5b, Fig. 4).
Our study is the first to successfully apply this ICSCS outside the
National Maternity Hospital, Dublin and also at a national level on a
birth population analysed by the TGCS.