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"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. |
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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!"
Failure to progress is often actually failure to wait. it's funny that it happens more often with inductions..you know, when the baby isn't actually ready to come out. Believe in your bodies, ladies, not the OB's little wheelie chart or the often inaccurate ultrasound.
Too narrow of a pelvic opening and macrosomia are also extremely rare -- much moreso than your OBs or medwives would have you believe. Often these situations can be alleviated by changing position (yep, you can labor standing or squatting, you don't have to be on your back like a dead bug!).
Do your research and you'll avoid an uneccesearean.
my labor seemed to be going so perfect before we got to the hospital. contractions were 5 min apart, then water broke and they moved to 2 min and were progressing very fast! we rushed to the hospital and i stayed in labor for almost another day and a half! after laboring naturally for over a day, dr. ordered pitocin and i went with the epidural because i was so exhausted and he strongly advised it to help me "relax" even though i was so calm i didn't even make a noise during my contractions. 10 hours later, baby's heart rate and my blood pressure kept dropping....resulting in an emergency c-section. it really sucked since i worked so hard to have a natural birth, but we are both here and healthy!
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!
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
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.
Content provided on this site is for educational purposes only and should not be construed to be medical advice, diagnosis or treatment.
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