February 19, 2010, Newsletter Issue #133: Failure To Progress

Tip of the Week

In order for a natural labor to occur, three factors must be achieved. There must be strong enough contractions to dilate the cervix to ten centimeters, the fetus must be able to transcend through the birth canal, and the pelvis must be large enough to allow the baby to make the trip down the birth canal. If these three factors do not occur, then it is called "failure to progress." In a case, where little dilation has occurred, a doctor will let a laboring mother continue to labor 24 hours or more to allow the opportunity for a natural delivery, as long as neither the baby nor the mother are showing any signs of distress. If, after twenty-four to forty-eight hours, dilation has not progressed, a C-section will most likely be performed.

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