For more than 60 years, it has been the standard of care to try to speed up childbirth with drugs, or to perform a cesarean section if labor was seen as progressing too slowly.
Now a new set of recommendations is changing the game.
In February, the World Health Organization released a set of 56 recommendations in a report called Intrapartum Care for a Positive Childbirth Experience. One key recommendation is to allow a slow labor to continue without trying to hurry the birth along with drugs or other medical interventions. The paper cites studies showing that a long, slow labor — when the mother and baby are doing well — is not necessarily dangerous.
A little history is required to understand the importance of that one recommendation, says Dr. Aaron Caughey, chair of the Department of Obstetrics and Gynecology at Oregon Health & Science University, who did not work on the report. In 1955, Dr. Emanuel Friedman studied 500 women and concluded that labor is normal when, during the intense phase of contractions, the cervix opens at a rate of at least one centimeter (about 0.4 inches) an hour. “Dr. Friedman showed that 95 percent of women progressed” at this rate, says Caughey. “And that became the standard of care.”
Despite prodromal labor not being mentioned in the most common pregnancy books, you’ll still hear it frequently being discussed among friends, with care providers and in online communities. Because of this discrepancy, it makes sense that there is confusion and frustration surrounding the topic. In this post I hope to define prodromal labor, but more importantly offer onlutions and encouragement if you find yourself experiencing this frustrating phenomenon.
The reason why prodromal labor is not mentioned in pregnancy books is because it is more commonly known as pre-labor or even misnamed as false labor. It seems as if our birthing culture uses these three terms interchangeably – prodromal labor, pre-labor and false labor. This is so confusing! If this has confused me, I bet I’m not the only one wondering what’s going on.
(click link above to read on MotherRisingBirth.com, an amazing resource…)
Many expectant mothers worry about the physical pain that accompanies labor and childbirth. New research suggests that including mindfulness skills in childbirth education can help first-time mothers cope with their fear.
(click link to read this great post on NY Times website)
Dr. Stuart Fischbein chuckled when he read the title of the press release: “Women with a fear of childbirth endure a longer labor.”
The release was promoting a study published this week in BJOG: An International Journal of Obstetrics and Gynecology. Researchers at Akershus University Hospital in Norway found women who feared giving birth were in labor for 1 hour and 32 minutes longer, on average, than those who had no fear.
“I’m glad there’s now evidence to say that,” Fischbein said, “but it’s obvious.”
For those of us who aren’t OB/GYNs, it may seem more like a cruel joke. Women who are afraid of the pain and the possible medical complications associated with giving birth have to suffer through it longer?