Most commonly used criteria in the United States for assessing progress of labor come from observations of women in labor in the 1950s. But the Consortium on Safe Labor in 2010 published a retrospective study of 62,415 women who delivered a healthy infant vaginally and found that the cervical dilatation rate was about half as fast as seen in those 1950s studies. This means we risk labeling normal labors as slow or abnormal, and intervene unnecessarily. Yet, according to a 2011 study in the journal Obstetrics and Gynecology, the most common reason for a first or “primary” Caesarean in the United States is “failure to progress.” A first birth by Caesarean usually means that a woman’s subsequent children will be delivered surgically as well.
Posted on: Wed, 07 Jan 2015 03:01:13 +0000
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