This project is a clustered randomized controlled trial of a knowledge translation
intervention of new ACOG guidelines for the diagnosis of poor progress in labor. The intent
is to reduce the rate of cesarean section (CS) in first time mothers at term (>= 37 weeks),
with a vertex presenting singleton fetus, without increasing maternal or neonatal morbidity.
The guidelines were developed from data from the Consortium for Safe Labor. The unit of
randomization will be sites in Alberta that deliver