Standards vary among institutions

doi:10.1136/bmj.309.6960.1015b

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John F Stratton

Registrar Department of Obstetrics and Gynaecology, Northwick Park Hospital, Harrow, Middlesex.

EDITOR,--James G Thornton and Richard J Lilford's dissection of the package of active management of labour into its various components is like that of a mechanic trying to decide which component of a car's engine makes it go.1 The authors fail to realise that it is the sum of the parts that makes active …