 This include antenatal classes, early diagnosis of labour by senior midwives, amniotomy when membranes are intact before the onset of labour, selective use of oxytocin for slow progress (only in first time mothers), and one-to-one support from midwives and obstetricians.There is some debate about the effectiveness of active management of labour on caesarean section rates.Active management of labour was first used in the 1960s at the Irish National Maternity Hospital in Dublin, Ireland, in what became known as "the Dublin experience".