Labor Dystocia increases risk for incompetent cervix in future pregnancies???Thread
Nov 10, 2008 02:56 AM
So, I was recently at a birth at a major medical center, my doula client spent a long time at 7 cm, (around 12 hours, 8 unmedicated) and as the Chief Resident was discussing options (AROM, Pit, C/S, etc) she cited the "danger" of being at a certain dilation for an extended period of time...( and I think she meant/stated transition dilation....I can't recall clearly due to no my lack of sleep at the birth)
Nov 14, 2008 01:05 AM
I am not aware of research that supports this ob's statement. I will say in dispute of it that research shows that most women who experience stalled labors that end in cesareans will go on to have vaginal births in subsequent pregnancies if they are allowed to labor, not uncommonly to bigger babies than they supposedly could not birth the first time. Another thing that makes me doubtful that this resident knew what she was talking about is calling the difficulty "incompetent cervix." (Don't you love the biases of obstetric terminology and how medical model thinking instills fear and doubt--just what a woman in the midst of a difficult labor needs? :-p) Insofar as I have ever heard, "incompetent cervix" means exactly the opposite: a cervix that opens too early in pregnancy. Let us know if you hear back, but as you say, I don't think either of us should hold our breath.
All Times America/New_York
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