ABSTRACT
A true precipitate labour is characterised by rapid dilatation of the cervix with rapid descent of the fetus through the pelvis, caused by frequent and strong uterine contractions. Induction of labour in women of high parity may be associated with an increased incidence of precipitate labour, uterine rupture, and postpartum haemorrhage. Induction of labour to avoid a birth unattended by healthcare professionals should not be routinely offered to women with a history of precipitate labour. When presented with a possible precipitate labour, the following possibilities should be considered: a normal labour of undetermined start time; a rapid labour; uterine hypertonus; and placental abruption. A precipitate labour may lead to delivery in an unplanned location, especially if the woman is travelling to hospital while in labour. The chance of a similar labour in a subsequent pregnancy is significant, and appropriate timing and planning should be taken into consideration in the future.
