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Labor & Delivery

Failure to Progress

The Causes and Risks of Failure to Progress During Labor

"Failure to progress" in labor, which is also called labor dystocia and most frequently leads to a C-section delivery, is defined as occurring when there is no fetal decent of cervical change (with adequate contractions) for more than two hours.

According to Dr. Orlandis Wells, an OB/GYN in Henderson, Nev., the cervix in women who haven't had children previously should dilate 1.2 centimeters per hour. In women who have had a previous delivery, the cervix should dilate 1.5 centimeters per hour and fetal descent should be 2 centimeters per hour.

Failure to progress in labor is defined as occurring when there is no fetal decent of cervical change (with adequate contractions) for more than two hours.

Failure to progress can occur at any level of cervical dilation, including at 10 centimeters, which would commonly mean labor is about to progress to pushing.

"My labor was fairly textbook at first," says Bronwyn Saglimbeni of San Jose, Calif. "[My] water broke in the middle of the night [with] mild contractions from there. I hung in there as long as I could without the epidural and finally gave in about seven hours in." However, when checked by the nurse, Saglimbeni was found to only be dilated 0.75 centimeters. "I was amazed and completely embarrassed," Saglimbeni says. "For some reason, there's a badge of courage to see how far you can progress without drugs, so I was devastated that I wimped out before I even hit 1 centimeter!"


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jenilynn says
January 5, 2010

i was 9 days over due induced and in labor for 30 some hours.. doctor broke my water due to the fact they couldnt keep the baby on the monitor because she moved too much :)dilated to about a 2 and dr decided to do c-section ended up with internal bleeding due to surgeon cutting an artery.. rushed into surgery next nite had lost alot of blood during first surgery... disappointed wanted a natural birth looking into one for my next baby... hope it works out!

Anonymous says
November 26, 2009

after 28hrs and already being 10 cms i was told i wasn't proggressing and taken for an emergency c section, I still feel that if the OB wasn't soo put out by coming in in the middle of the night i might have been able to deliver naturally

Anonymous says
October 7, 2009

i went 23 hrs hard labour and only progressed to 6 cm. By that time i was ready for a c-section. Either way i have a beautiful baby girl.

lynn says
December 29, 2008

Failure to progress is why I had to have a c-section with my first child. I only got to 3 centimeters. Not sure what I could have done to avoid it.

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